HomeMy WebLinkAboutBLD2014-00131 • tILDING PERMIT APPLIN BLD14-00131
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD14-00131 Received Date: 4/15/2014
SITE ADDRESS: 387 ARCADIA RD W
PORT TOWNSEND, 98368
OWNER: SUZANNE M THILL PHONE: 360-643-3796
PO BOX 692
PORT TOWNSEND WA 98368-0692
SUBDIVISION: Block: Lot: T 32+
PARCEL NUMBER: 001171012 Section: 17 Township: 30 N Range: 01 W
CONTRACTOR: NORDIC SERVICES INC PHONE: 360-792-2565
PO BOX 1492
BREMERTON WA 98337
Contractor's License NORDISI180QA Expires 1/1/2016
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP REPLACE FLOOR AND DRYWALL IN FIRE DAMAGED ATTIC ROOM
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP REP MAIN:
VALUATION 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:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $54.00 JLA 04/15/14 148550 APPROVE'
Plan Check $35.10 JLA 04/15/14 148550
State Building Code $4.50 JLA 04/15/14 148550 APR 15 2014
Total: $93.60
Jefferson County DOG
\\HrJcmorL\rJofolfnrmc\G RI fl Ann PIA rnf A/1G/9f11A
;,,�~"N' << DEPARTMENT OF COMMUNITY DEVELOPMENT
., 621 Sheridan Street,Port Townsend,WA 98368
Tel:360.379.4450 I Fax:360.379.4451
Web:www.co.Jefferson.wa.us/communitydevelopment
.� 5i y0` E-mail:dcd@co.jefferson.wa.us
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CERTIFICATE OF OCCUPANCY
PERMIT #: BLD14-00131
APPLICANT: SUZANNE M THILL PHONE: 360-821-8569
PO BOX 692
PORT TOWNSEND WA 98368-0692
SITE ADDRESS: 387 ARCADIA RD W Issue Date: 04/15/2014
PORT TOWNSEND, 98368 Final Date: 3/17/2015
SUBDIVISION: Block: Lot: T 32+
PARCEL NUMBER: 001171012 Section: 17 Township: 30 N Range: 1w
PROJECT DESCRIPTION: REPLACE FLOOR AND DRYWALL IN FIRE DAMAGED ATTIC ROOM
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes f a
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 3/17/2015
\\tidemark\data\forms\F_BLD_Occupancy.rpt 3/17/2015
4S ON eo FER• COUNTY • 4/C) \ 0 — \ "3 \
LP
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street i Port Townsend,WA 98368 Web:www.co.iefferson.wa.us/communitVdevelopment
�sff1 NGOG Tel:360.379.4450 I Fax:360.379.4451 I Email:dcda?co.iefferson.wa.us
Building Permits &Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center
Master Permit Application MLA:
Project Description(include separate sheets as necessary):
Tax Parcel Number: ( b 1 1 7 l 0 1 2- Property Size: (acres/square feet)
Site Address and/or Directions to Property:
3S-9— P(1 Prb 1 iR ri' fJT i e VT —Tr w C■ - -e n f) , try A =342 7'
Property Owner(s)of Record: Suzanne Thill
Telephone: 360-643-3796 Fax:_ email: r
Mailing Address: - c) � lotl-t P00-71 —Ft L,, ---\e4 . vv J
Applicant/Agent(if different from owner): Nordic Services, Inc.
Telephone:
lCi `c, �� Fax: ---?A.0 CZ —ICI 0l IA 9 email: (.-e!tl/,-i et Y'�trll it c
Mailing Address: {�'(�; ( K Ile12 , (.,31,:LILL,f rn t,'U i-k �"ic;. ""3'+ lr tv ,kic e.vvjc c 2,.arrv'
Wh't kind of Permit?(Check each box that applies ❑ Lot or Road Segregation
Building ❑Critical Areas Stewardship Plan
❑ Demolition Permit / El Variance(Minor, Major or Reasonable Economic Use)
El Single Family 'Garage Attached/Detached ❑Conditional Use[C(a),C(d),or Cl**
El Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Classification
❑ Commercial* El Special Use(Essential Public Facilities)**
❑ Change of Use ❑Boundary Line Adjustment
❑ Address ❑Road Approach ❑Short Plat**
❑ Home Business ❑Cottage Industry El Binding Site Plan**
❑Propane ❑ Long Plat**
❑Sign El Planned Rural Residential Development(PRRD)/Amendments**
El Allowed"Yes"Use Consistency Analysis El Plat Vacation/Alteration**
El Stormwater Management El Shoreline Master Program Exemption/Permit Revisions**
El 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
El 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:
DESIGNATION OF AGENT
I hereby designate ,,, C,.C$r l 0 CJ to act as my agent in matters relating to this this application for permit(s).
OWNER SIGNATURE C : i. ` _ Date: (�f �i //`- ����
• ner/agent attests that the information provided herein, and in any attachm n� ts, is true and correct to the best of
By signing this application form,the g
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 an quired later inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the appljcat nth he ors a war r-notice. _ / j
Signature: /.� N � Date: [ —1
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-tran , le responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer arid signs and.dates it below.
�� � , -- Date: ! J —7
Signature: G( �..�t �
07/24/2013
• • • •
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:
/) I : L �%" ( 'X 1P-19-1 C. „5„,..,...„)1e:;_ S1�5 C':,(vC) 7�i -O 14c/
MAILING ADDRESS: Cat.- cse,_,X iUl\�fi cir i2EMAIL: rY4)CY1��(-kLyliYl�fi Y1CYC'IiC'(.-evvicic.cem.
CONTRACTOR'S LICENSE !! WAINS 1
NUMBER: NiL9-.01<,''N\alt GA 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
XRepair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: 1 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:
Underground Tank Above ground tank Size of Propane Tank:
Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO i evotS telleP I knaT retaWtoH i
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:
2nd Floor Heated ' Consistency Review:
Other Heated Base fee: _
Mezzanine ,- ' , , Additional Section:
Heated Basement ', Plan Check fee:
Unheated Basement State Surcharge fee: GI_ SGT
Other Unheated Pot Water Review fee:
Garage/Carport
Decks �� 911/Rd Approach fee:
Other TOTAL: $ // 2_(t,p
Receipt Number: / 1/855 o
Cash/Check Number:
ESTIMATED COST(REQUIRED) Dater/��/ i
.Fair marke value of all labor and isjyrials foundation to finish
t'3 Initials: 14--
07/24/2013
589985 PGS : 2 COV
03/16/2015 10:55 AM $73.00 SUZANNE THILL
Jefferson County WA Auditor's Office - Rose Ann Carroll: Auditor
IMIAlti 11111
When recorded return to:
Name: P V
Jefferson County Public Health
615 Sheridan, Port Townsend WA 98368 ( ` MAR 1 ] 2015 'j
JElibi G''t COUNTY
._fPT•Or COMMUNITY DEVELOPMENT
p�q -OW 2d
DECLARATION OF COVENANT
Bed Room Restriction
Grantor(s): Suzanne M. Thill
Grantee(s): Jefferson County
NOTICE IS HEREBY GIVEN TO Suzanne M. Thill , his/her/their successors, heirs and assigns
as their interest(s)may appear, and the general public. This restrictive covenant shall bind and
restrict the land, the Grantor(s), their heirs, grantees, successors and assigns and shall "run" with
the land into perpetuity.
DESCRIPTION OF REAL PROPERTY AFFECTED:
Legal Description: TAX 32(LS TX 55 & PTN TX 62) W/PTN S/VAC CEDAR ST ADJ
Section 17 ,Township 30 ,Range 1W WM
ASSESSOR'S TAX PARCEL NUMBER(S):
001171012
Address of Property 387 Arcadia Rd W., Port Townsend, WA
In consideration of approval by Jefferson County Public Health and/or Community Development
of the following permits or applications:
BLD14-131 SEP14-20
for the real property described above, Grantor(s) hereby covenant and agree as follows:
2 of 2
1. I/We recognize that the septic system serving this residence is sized to accommodate 3
gpd occasional maximum peak use. I/We further recognize that it is the purpose of this
covenant to limit the number of bedrooms on this property to 3 .
2. I/We recognize that construction or use of additional rooms as bedrooms beyond said limit
may overload the septic system and cause premature failure of the on-site sewage system.
3. I/We hereby agree not to construct, maintain, or suffer to be constructed or maintained upon
said land more than one residence having more than 3 bedroom's.
4. I/We hereby recognize that no rooms in the garage are approved as bedrooms or for kitchen
facilities.
5. This Declaration of Covenant has been willingly and knowingly signed by the undersigned.
6. This Declaration of Covenant shall not be released or extinguished without the express
written approval of Jefferson County Public Health or its successor.
Recording. Upon its execution, this Declaration of Covenant shall be recorded with the
Jefferson County Auditor. All contracts and deeds or other instruments of conveyance relating
to the property or any part thereof shall contain reference to this covenant.
Warranty of Authority. The Grantor(s) signing below swear under penalty of perjury pursuant
to the laws of the State of Washington that he/she/they are the sole Owners in fee of the real
property described above and are a thorized to make this Declaration of Covenant and so bind
the property. 7
GRANTOR(S)
Acknowledgment:
SUBSCRIBED AND SWORN to before me this ttolltlay of Nt(M-Cln ,20 Cj'
A A i._.A,■..A • i•L�■` IIA`r■
otary public in an. for the State of Washington,
residing in N 0 CA a^"4 Washington. Notary Public
2�I b State of Washington
My commission expires: AMANDA K HOLLOWAY
MY COMMISSION EXPIRES
April 27,2016
2 of 2
589984 PGS : 2 COV
03116/2015 10,55 AM $73.00 SUZANNE THILL
Jefferson County WA Auditor's Office - Rose Ann Carroll, Auditor
��i �+► 111,4 11111
When Recorded Return To: 1"1 —
Name: Jefferson County Public Health
Address: 615 Sheridan � (1, : fl
City: Port Townsend, WA 98368 r : 5`° _-__._�
MAC: 1 7 2015
1EFFERCGd 01,04P1
nrpT_0�COv,'vit7PllTY DEVELOP��M1ENT
sEP)y —00020
Restrictive Covenant
Regarding Monitoring of On-site Septic System
THIS AGREEMENT is made this date June 04,2014 by and between SUZANNE THILL,his/her heirs
and assigns("GRANTOR(S)")and Jefferson County Public Health("GRANTEE")
WHEREAS, SUZANNE THILL
is/are the owner/s of a certain tract of land particularly described as follows:
PARCEL NO. WHERE SEPTIC SYSTEM IS LOCATED: Parcel#: 001171012
LEGAL DESCRIPTION(S): Section: 17 Township 30N Range 01W
S17 T3ON RI W TAX 32(LS TX 55&PTN TX 62)W/PTN S/VAC CEDAR ST ADJ
ADDRESS OF RESIDENCE SERVED(if assigned) 387 ARCADIA RD W
and,
WHEREAS,a sewage collection,treatment and disposal system,as described in case#SEP14-00020 has been installed
thereon.and
WHEREAS,the residence or facility at the above described property,including all parcels associated with said case,
utilizes an onsite sewage system which requires regular maintenance and monitoring for the life of the system.
Monitoring is required to be performed by a person authorized by the Public Health Department,and
WHEREAS,the Owner is required by Jefferson County Public Health Department,as per WAC 246-272A through
Jefferson County Code 8.15 to implement a program for periodic monitoring to assure the continuous and satisfactory
operation and maintenance of the sewage system,and
NOW THEREFORE, in consideration of the premises and the mutual promises and covenants hereafter set forth,the
parties hereto agree as follows:
1. Construction: The Owner has constructed and installed a sewage collection,treatment and disposal
system together with appurtenant facilities whose capacity and design are satisfactory to the Jefferson County
Public Health Depaitulent. The plans and specifications for this construction have been approved by the
Jefferson County Public Health Depai talent prior to construction.
2. Owners responsibilities:
a. Maintain all components as accessible and unobstructed to the surface.Non-accessible or obstructed
components will not be serviced and may result in a violation of permit requirements.
b. Utilize the system consistent with producing residential waste strength effluent.
c. Operate and maintain the system in accordance with conditions of the permit and Jefferson County Code
8.15.
Page 1 of 2
3. Attachment: If box checked this septic system contains a proprietary device that requires
Attachment#1 title otice for Maintenance and Monitoring of a Proprietary Onsite Sewage System Device
be recorded with this document .
4. Schedule: The Owner shall have their sewage system inspected by a person authorized by Jefferson
County Public Health in accordance with the schedule set forth in Jefferson County Code as adopted and
hereinafter amended. For some proprietary products registered with the State Department of Health,the
inspector must also be authorized by the device manufacturer.
5. Reminder: The Jefferson County Public Health Department shall provide a reminder of required
monitoring. The lack of receipt of said reminder does not relieve the property owner from compliance with
the monitoring schedule pursuant to Jefferson County Code.
6. Records: A report of each inspection conducted shall be submitted to the Jefferson County Public Health
Department within 30 days of completion of the inspection. Such records shall be open to the inspection of
the Owner.
7. Liability: The Grantor agrees to relieve Grantee, its agencies,divisions, officers,agents, and employees
of any liability, damages,judgments,claims or other expenses that might arise as a result of the inspections
required by this agreement.
8. Fees: A fee as set forth in the Jefferson County Fee schedule and adopted by the Board of County
Commissioners shall be paid upon submittal of each inspection report.
9. Terms: This agreement shall remain in full force and effect until the date of notification to the Owner by
the Jefferson County Public Health Department that the Owner's Sewer System has been intercepted and
connected to a general sewer system.
10. Amendments: This agreement shall not be modified except with the express written approval of the
Environmental Health Department of Jefferson County.
11. Penalties: Non-compliance with monitoring and inspection requirements is a violation of Jefferson
County Code and shall be subject to enforcement as described in said codes. The County shall have the right
to enforce and compel compliance with this covenant, including all remedies available at law and equity. The
County shall have the right in any such proceeding to recover its attorney fees and costs.
12. Venues: Venue for any action hereunder shall be in Jefferson County, Washington. If any term or
provision of this agreement is in whole or part held invalid or unenforceable by any court of competent
jurisdiction, the remainder of this agreement shall continue in full force and effect.
13. Life of Covenants and Binding Effect: All of the promises, covenants,terms and conditions of this
agreement shall bind the parties to this agreement and the successors and assigns of the respective parties
here • AND are deemed to run with the land.
aswer4stf /,Owner ,Owner
cknowledgment:
SUBSCRIBED AND SWORN to before me this lAiay of Nt4 �1 20 t�
Notary Public
Notary Signature C, �\; State of Washington
AMANDA K HOLLOWAY
Notary public in and for the State of W USlAi► I cvi , MY COMMISSION EXPIRES
residing in NV'Y(t(whF� , took `.�n.I27,2016 f
My commission expires: `{(29 l to oam�'
page 2 of 2
\\tidemark\data\forms\F_SEP_monitoring_agree_ 6/4/2014
Insured: SUZANNE THILL Cell: (360)643-3796
Property: 387 W ARCADIA E-mail: SUZIETHILL @GMAIL.COM
PORT TOWNSEND,WA 98368-9615
Home: PO BOX 692
PORT TOWNSEND,WA 98368-0692
Claim Rep.: Brisco Gugich Business: (425)466-4726
Position: Field Adjuster E-mail: bgugi @allstate.com
Company: Allstate
Business: 18911 North Creek Parkway
Bothell,WA 98001
Estimator: Brisco Gugich Business: (425)466-4726
Position: Field Adjuster E-mail: bgugi @allstate.com
Company: Allstate
Business: 18911 North Creek Parkway
Bothell,WA 98001
Contractor:
Company: None
Claim Number: 0308561463 Policy Number: 000976468851 Type of Loss: Fire
Date Contacted: 12/11/2013
Date of Loss: 12/7/2013 10:00 AM Date Received: 12/7/2013 1:00 PM
Date Inspected: 12/13/2013 Date Entered: 12/26/2013 5:41 AM
Date Est.Completed: 2/10/2014 1:16 PM
Price List: WAOL8X_DEC13
Restoration/Service/Remodel
Estimate: SUZANNE THILL 1
Allstate is dedicated to providing you with outstanding service throughout the claim-handling process. If you have any questions
regarding this estimate,or if there are differences with the estimate provided by your repairperson of choice,or if additional
damage is found during the repair process,please contact us at(425)466-4726.
Thank you,
Brisco Gugich
J FE C JN y DCD
BUILDii4,G PLAN REVIEW
REVIEWED FOR
CODE COMPLIANCE a APPROVED AS SUBMITTED
D APPROVED AS NOTED
P,e, 'lc 7. rar rTM07., r e nr4 0 REJECTED
any ert r
pc $ $. �L
!i'`ii t - :lee:,
I 1
SUZANNE_THILL1
Main Level
Main Level
DESCRIPTION QTY UNIT PRICE TOTAL
96. Single axle dump truck-per load-including dump fees 1.00 EA @ 323.77= 323.77
97. Temporary toilet(per month) 1.00 MO @ 129.20= 129.20
127. Batt insulation-4"-R13-unfaced batt 195.39 SF @ 0.59= 115.28
No insulation along the ceiling.Only along the exterior walls. j
Storage Area/Room Height:Peaked
, Door 2'11"X 5'11" Opens into UPSTAIRS_LOF
DESCRIPTION QTY UNIT PRICE TOTAL
41. 1/2"drywall-hung,taped,ready for texture 245.11 SF @ 1.41 = 345.61
Additional drywall accounted for due to built in box around HVAC components.
43. 5/8"drywall-hung,taped,ready for texture 281.79 SF @ 1.62= 456.50
104. Texture drywall-light hand texture 526.90 SF @ 0.41 = 216.03
45. R&R Light fixture 1.00 EA @ 62.13= 62.13
47. Interior door unit 1.00 EA @ 129.05= 129.05
No casing around door
58. Rewire-average residence-copper wiring 261.63 SF @ 2.81 = 735.18
OPEN ITEM
Upstairs loft Height:8'
Door 3'2"X 6'8" Opens into Exterior
Door 2' 11"X 5' 11" Opens into STORAGE_AREA
Subroom: Slope area(1) Height:Sloped
Missing Wall 14'3"X 2' Opens into UPSTAIRS_LOF
DESCRIPTION QTY UNIT PRICE TOTAL
59. 1/2"drywall-hung,taped,ready for texture 324.25 SF @ 1.41 = 457.19
60. 5/8"drywall-hung,taped,ready for texture 253.70 SF @ 1.62= 410.99
105. Texture drywall-light hand texture 577.95 SF @ 0.41 = 236.96
62. R&R Light fixture 2.00 EA @ 62.13= 124.26
75. Exterior door-metal-insulated-flush or panel style 1.00 EA @ 233.58= 233.58
68. Rewire-average residence-copper wiring 227.13 SF @ 2.81 = 638.24
OPEN ITEM
71. R&R Roof window(skylight), 12.1 - 15 sf 1.00 EA @ 813.83= 813.83
SUZANNE_THILL1 4/15/2014 Page: 2
CONTINUED-Upstairs loft
DESCRIPTION QTY UNIT PRICE TOTAL
124. R&R Skylight flashing kit-dome-Large 1.00 EA @ 85.79= 85.79
125. Roofer-per hour 2.00 HR @ 70.00= 140.00
Additional labor to remove large skylight from second story roof area.
114. Remove Underlayment-5/8"BC plywood 32.00 SF @ 0.99= 31.68
Removing plywood sheet that was very wet and non salvageable.
117. R&R Bottom plate-2"x 4" 10.00 LF @ 4.43= 44.30
120. Carpenter-General Framer-per hour 4.00 HR @ 53.19= 212.76
4 hours to properly cut out existing bottom plate,support stud wall and slide in new plywood underneath.
Garage Level
Garage Level
DESCRIPTION QTY UNIT PRICE TOTAL
128. Batt insulation-4"-R13-unfaced batt 262.56 SF @ 0.59= 154.91
Replacing insulation along exterior walls.
Garage Height:8'5"
Window 3' 11"X 2'1" Opens into Exterior
Missing Wall-Goes to Ceiling 2'5/16"X 3'11" Opens into GARAGE
Missing Wall 3'3"X 8'5" Opens into Exterior
Door 3'2"X 6'8" Opens into Exterior
Window 3' 10"X 2' 11" Opens into Exterior
Subroom: Garage open area(1) Height:Sloped
Missing Wall-Goes to Ceiling 19'6"X 3'4" Opens into GARAGE
Door 15' 11"X 7' Opens into Exterior
Door 2'9"X 6' 10" Opens into Exterior
DESCRIPTION QTY UNIT PRICE TOTAL
89. Batt insulation-4"-R13-unfaced batt / &'ACt. 182.00 SF @ 0.59= 107.38
Replacing insulation in the vaulted area above overhead door.
91. 5/8"drywall-hung&fire taped only 20.00 SF @ 1.48= 29.60
Replace drywall cut out by mitigation company.
SUZANNE_THILL1 4/15/2014 Page: 3
CONTINUED-Garage
DESCRIPTION QTY UNIT PRICE TOTAL
110. Texture drywall-light hand texture 40.00 SF @ 0.41 = 16.40
111. Drywall tape joint/repair-per LF 4.00 LF @ 4.77= 19.08
Seam pulled down during mitigation.
Stairsl Height: 17'
Missing Wall 3'X 17' Opens into Exterior
Subroom: Landing(3) Height:8'
Door 3'2"X 6'8" Opens into Exterior
Subroom: Stair cavity(4) Height: 17'
Missing Wall-Goes to Floor 7' 11 11/16"X 8'5" Opens into Exterior
Missing Wall 7' 11 11/16"X 17' Opens into STAIRS2
Subroom: Landingl(2) Height: 12'6"
Missing Wall 3'X 12'6" Opens into STAIRS1
Missing Wall 3'2"X 12'6" Opens into STAIRS2
Subroom: Stairs2(1) Height: 12'6"
Missing Wall 3'2"X 12'6" Opens into LANDING1
Missing Wall 7' 11 11/16"X 12'6" Opens into STAIR CAVITY
DESCRIPTION QTY UNIT PRICE TOTAL
80. 1/2"drywall-hung&fire taped only 374.20 SF @ 1.25= 467.75
Minus drywall in the stairway below the 8'6 mark as restoration company left this intact.
81. 5/8"drywall-hung&fire taped only 67.02 SF @ 1.48= 99.19
83. R&R Light fixture 2.00 EA @ 62.13= 124.26
112. Light bulb-Incand.small or medium globe-mat.only 2.00 EA @ 1.11 = 2.22
Labor Minimums Applied
DESCRIPTION QTY UNIT PRICE TOTAL
76. Door labor minimum 1.00 EA @ 80.90= 80.90
SUZANNE_THILL1 4/15/2014 Page:4
Grand Total Areas:
2,193.56 SF Walls 1,056.94 SF Ceiling 3,250.50 SF Walls and Ceiling
997.48 SF Floor 110.83 SY Flooring 264.25 LF Floor Perimeter
0.00 SF Long Wall 0.00 SF Short Wall 309.97 LF Ceil.Perimeter
997.48 Floor Area 1,047.15 Total Area 1,958.54 Interior Wall Area
1,510.49 Exterior Wall Area 214.88 Exterior Perimeter of
Walls
0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length
0.00 Total Ridge Length 0.00 Total Hip Length
SUZANNE_THILL1 4/15/2014 Page: 5
Summary for AA-Dwelling
Line Item Total 7,044.02
General Contractor Overhead 704.44
General Contractor Profit 704.44
Sales Tax 760.78
Replacement Cost Value $9,213.68
Net Claim $9,213.68
Brisco Gugich
Field Adjuster
SUZANNE_THILL1 4/15/2014 Page: 6
Recap by Category
General Contractor O&P Items Total
GENERAL DEMOLITION 465.35 5.05%
DOORS 443.53 4.81%
DRYWALL 2,755.30 29.90%
ELECTRICAL 1,373.42 14.91%
FRAMING&ROUGH CARPENTRY 230.26 2.50%
INSULATION 377.57 4.10%
LIGHT FIXTURES 281.22 3.05%
ROOFING 140.00 1.52%
TEMPORARY REPAIRS 129.20 1.40%
WINDOWS-SKYLIGHTS 848.17 9.21%
General Contractor O&P Items Subtotal 7,044.02 76.45%
General Contractor Overhead 704.44 7.65%
General Contractor Profit 704.44 7.65%
Sales Tax 760.78 8.26%
Total 9,213.68 100.00%
Depending upon the circumstances of your loss,our estimate may or may not include an amount for general contractor's overhead
and profit. If you have questions regarding general contractor's overhead and profit and whether the services of a general
contractor are appropriate for your loss,please contact your claim representative before proceeding with repairs.
SUZANNE_THILL1 4/15/2014 Page: 7
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JEFFERSON COUNTY
7 DEPARTMENT OF COMMUNITY DEVELOPMENT
Date: '7/ O/Time Received: s%% 11 (3 S„>' C pm Mon. Tue. Wed. ihur. Fri.
Date: // Z0 f S
BLD: I A - C / 3 I Contact Name: ?/e, ' /4i:a
Owner: 5.1Ale_. iluf i Contact Number: 360 ?,W— g';b�
Address: .-3Y 7 arC. f c A 206
Notes:
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 ----
inal lnspectio. X
Setbacks Floor
Foundation Wall Address Posted
Block&Tile Ceiling
4��soN coGL JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
9s1 1 N3c
Date: Time Received: /3r( am/pm Mon. ue, Wed. Thur. Fri.
Date: C,-`/ C
BLD: / j /g/ Contact Name:
Owner: Contact Number: 360
Address: - 7 Lk) ! / 4./Pit 206
Notes:
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
esS ONc.
Jefferson County Building Division Permit Number:Applicant:
BUILDING PERMIT INSPECTION APPROVALS Applicable Code: International Building Codes
To schedule inspections, call (360)379-4455 no later than
for 3:00PM
day'ay beforeohthe inspection is needed.
Requests received after 3:00 PM will not be scheduled
s.
ELECTRICAL PERMITS are issued by the Washington Inspector State epar artment to the of Labor's o &Indus rienspection
The electrical permit must be signed off by the State
Inspection Item Date Approval Signature Notes
at,v2 9 41111. 7
I N50
-.14a1-44k 114 4/341/,‘ -
III 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 FEAll 00/. /h
FINAL INSPECTION MUST B s T APPROVED D PD FOR TOEBUILDING BEING OCCUPIED
H
OD ISO
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
BLD14-00131 Received Date: 4/15/2014
PERMIT #: Issue Date 4/15/2014 387 ARCADIA RD W SITE ADDRESS: PORT TOWNSEND, 98368 Expiration Date 4/15/2015
OWNER:
SUZANNE M THILL PHONE: 360-643-3796
PO BOX 692
PORT TOWNSEND WA 98368-0692
SUBDIVISION:
Block: Lot: T 32+
PARCEL NUMBER: 001171012 Section: 17 Township: 30 N Range: 01
CONTRACTOR: SERVICES INC
PHONE: 360-792-2565
PO BOX
BREMERTON WA 98337
Contractor's License NORDISI180QA Expires 1/1/2016
PROJECT DESCRIPTION: REPLACE FLOOR AND DRYWALL IN FIRE DAMAGED ATTIC ROOM
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP REP MAIN:
VALUATION ADD'L: HEAT TYPE:
CODE EDITION: 2012 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
SHORELINE
CONST TYPE: GARAGE SETBACK:
CONST TYPE: DECK: BANK HEIGHT:
SEWAGE DISPOSAL: Type Amount Paid By: Date: Receipt:
WATER SYSTEM:
Permit $54.00 JLA 04/15/14 148550
BEDROOMS: BATHROOMS: Plan Check $35.10 JLA 04/15/14 148550
Exist: Prop: $4.50 JLA 04/15/14 148550
Prop: State Building Code $
Prop:
Total: Total: Total: $93.60
Directions to Site:
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED Q PROPERLY ED PRIOR R WED FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR O R IT
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