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HomeMy WebLinkAboutBLD2014-00190 • BUILDING PERMIT APPLICION BLD14-00190 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD14-00190 Received Date: 6/3/2014 SITE ADDRESS: 811 NESS' CORNER RD PORT HADLOCK, 98339 OWNER: EDWIN R UDD PHONE: 360-385-1929 ORENE UDD/ IRENE WHITE PO BOX 54 PORT HADLOCK WA 98339-0054 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901024028 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: OLYMPIC PHONE: 360-385-0956 Contractor's License OLYMPVC884L5 Expires 6/25/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI REROOF; REPLACE SHAKE ROOF FOR PLYWOOD AND COMP SHINGLES TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: 2,000 TYPE OF IMP REP MAIN: INDUSTRIAL: VALUATION 7,800.00 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: NUMBER OF EMPLOYEES: WATER SYSTEM: BATHROOMS: Exist: Prop: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $152.00 MEB 06/03/14 148759 State Building Code $4.50 MEB 06/03/14 148759 APPROVED Total: $156.50 JUN 0 3 2014 Jefferson County DOD 11fi.dnmar41.la/alfnrmc\C RI n Cnn Rlil mit C/1/7fllA ' - 11. (-14 . tLt - VA C-) , ,Soto ro go� JPFERSON COUNTY ly DEPARTMENT OF COMMUNITY DEVELOPMENT n� 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.Jefferson.wa.us/oommunitydevelopment 'rMt No's Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd @co.jefferson.wa.us Building Permits &Inspections I Development Consistency Review!Long Range Planning I Watershed Stewardship Resource Center Master Permit Application MLA: Project Description(include separate sheets as necessary): kifoyr+D yti c 1 t Y7f-+o" d-K A 7rerid2 c'e_. L.,' r,( 7zew A1;�ux"cP co-std Lbiz,t% S`liHflt5 tbii S-2",rcQq� AdLIc/¢enq f Tax Parcel Number. c/O 1 C 2q '2.S' Property Sizel: J (acres/square feet) Site Address and/or Directions to Property: I I Ne-'Ss Cc)i''i e-rte R.-.L / 7 e''✓( �`ae) 'c'ckt '. Property Owner(s)of Record: i4 i i j: add a'rtel G Meg. arle-1 Telephone: 34.26 " 3$6 !9)._V Fax: email: Cr-t.i e— &7 G i(do'? Mailing Address: O 6' Fa.7eie 51-, P t f (-1ad le,ck_f c..-a R1.5.37 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: 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) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or CI" ❑ Manufactured Home El 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 El Cottage Industry ❑Binding Site Plan"" ❑ Propane El Long Plat" El Sign ❑ Planned Rural Residential Development(PRRD)/Amendments" El 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 AcURelease 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 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 attorneys 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 cation th he of/�heJv�ts prior notice. X Signature: - ex - t 1 `,,,,,� Date: / ,z- 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-traoe,fprable respo ibility r a e(I•ing to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. K"" Signature: lE//) oar, : X Date 6 --_:s" ._ - - / 07/24/2013 • • 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(Pius 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 $98.80 $137.80 $173.55 TOTAL $156.50(+$4.50) $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 Updated October 31,2013 • • "1 RE-ROOFING SUPPLEMENTAL APPLICATION Owner Name: l%c�'L uo;v‘ Ore vi(-- (Id c t- phone: r -3 e 5- Applicant or Agent(if different from owner): yy�� //� phone: Site Address: 5Z1 L ))e.4 c2 trne y /L' � !3Y UCV-Q (6 de__ Parcel: ?O l O ,•- -0 2y' Scope of work sq ft: 4t. 2 - , f)C9 1. Is the original roof being removed? ei NO 2. Are you replacing with the same material: YES _.,(;) 3. Materials removed: Shcke. 4. Does the scope of work increase the pitch or footprint or original roof? YES NO t 5. Are you adding dormers? YES al 6. Are you increasing the living or heated space? "6 7. Are you doing solar installation? YES VO 8. If you answered "YES"to#4 or#5 above: Is the project located less than 150 feet from a marine or river shoreline or 100 feet from a lake shoreline? YES NO 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: GC-t y a/A u,tic e�r�rrv�q bookyckc to km> Yr vxoL &' otha -y/ si (7-tt1.41 (e. )k) �r�p1t�Q to;.07 colvasif(Dh 2013-10-31_REROOF Updated October 31,2013 • • 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: DIcyt c� 6'e-co (G t 1" 4560 3 -C515b ( ) MAILING-ADDRESS: 1&037 S*.[Cre_ .4-1 3 S(.1-, EMAIL: CONTRACTORS LICENSE g ye"r y {-<,A. t 02.-.)Ce-e WAINS NUMBER: ©4-7 in p yf `,0p,r 1-5- NUMBER ARCHITECT/ENGINEER: Pi-di aret (2a-V,.'S PHONE (360 3 rj..[y c;j 4,FAX.( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New Or'Wood Existing: I Sewer L Addition ❑ Steel Proposed: Bank ❑ Community System J Alteration/Remodel ❑ Concrete Total: Height: II' Individual System Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ?4 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 re O_ i evotStelleP 1 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 2ntl Floor Heated Consistency Review Other Heated Base fee: s 2 Mezzanine Additional Section: I\ Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL 1S , Decks 911/Rd Approach fee: Other S it or $r.d. TOTAL: $ Receipt Number: 19 '}.SCI Cash/Check Number: ESTIMATED COST(REQUI D) /goo. Date: t ' q l 1-4 .Fair market value of all labor an finish Initials: S-t 07/24/2013 OLYMPIC VIEW CONSTRUCTION Page 1 of 2 • • Ck Washington State Department of Labor & Industries IOLYMPIC VIEW CONSTRUCTION Owner or tradesperson 10037 State Hwy 3 SW Davis, Richard Allen BREMERTON, WA 98312 360-674-2422 Principals KITSAP County Davis, Richard Allen, OWNER Doing business as OLYMPIC VIEW CONSTRUCTION WA UBI No. Business type 601 381 336 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 GENERAL License no. OLYMPVC884L5 Effective--- expiration 06/25/2012—06/25/2014 Bond Wesco Insurance Co $12,000.00 Bond account no 46 W B028854 Received by L&l Effective date 06/20/2013 06/25/2013 Bond history Insurance Kinsale Insurance Company $1,000,000.00 Policy no. 0100006373-1 Received by L&I Effective date 06/20/2013 06/25/2013 Expiration date 06/25/2014 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601381336&LIC=OLYMPVC884L5&SAW= 6/3/2014 OLYMPIC VIEW CONSTRUCTI N Page 2 of 2 No lawsuits against the bond or ngs accounts during the previous 6 yea.riod. Tax debts No tax debts during the previous 6 year period. 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&1 Account ID Account is current. 819,118-00 Doing business as OLYMPIC VIEW CONSTRUCTION Estimated workers reported Quarter 1 of Year 2014 "Less than 1 Workers" L&I account representative TO /CAROLYN CRAWFORD (360)902-4715 -Email: CRAI235 @Ini.wa.gov Workplace safety and health No inspections during the previous 6 year period. Q Washington State Dept of Labor&Industries. Use of this site is subject to the laws of the state of Washington. I r ti,..hwty�[uit" https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601381336&LIC=OLYMPVC884L5&SAW= 6/3/2014 • • 1 7 ` ,. JEFFERSON COUNTY `y DEPARTMENT OF COMMUNITY DEVELOPMENT , dam "-. Date: 5—/.. --1S--- Time Received: / /,, '3. am/pm Mon. Tue. Wed. 6.4. Fri. Date: 1 BLD: 15LQ )�f9 Contact Name: e� - i Owner: , ek/ir VCIct Contact Number: 360 ; - 'Z Address: 5'/( Ale-15 s 206 Notes: ge--1/W 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 X Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00190 Received Date: 6/3/2014 SITE ADDRESS: 811 NESS' CORNER RD Issue Date 6/3/2014 PORT HADLOCK, 98339 Expiration Date 6/3/2015 OWNER: EDWIN R UDD PHONE: 360-385-1929 ORENE UDD/ IRENE WHITE PO BOX 54 PORT HADLOCK WA 98339-0054 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901024028 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: OLYMPIC PHONE: 360-385-0956 Contractor's License OLYMPVC884L5 Expires 6/25/2014 PROJECT DESCRIPTION: REROOF; REPLACE SHAKE ROOF FOR PLYWOOD AND COMP SHINGLES TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: 2,000 TYPE OF IMP REP MAIN: INDUSTRIAL: VALUATION 7,800.00 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 $152.00 MEB 06/03/14 148759 Exist: State Building Code $4.50 MEB 06/03/14 148759 Prop: Total: $156.50 Total: 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 • ! 1 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 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 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 ,//6//j FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# : \\tidemark\data\forms\F_B LD_Permit_Bldg.rpt 6/3/2014