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HomeMy WebLinkAboutBLD2015-00247 - RE ROOF BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD15-00247 Received Date: 7/17/2015 SITE ADDRESS: 14 SEA VISTA TERR Issue Date 7/17/2015 PORT LUDLOW, 98365 Expiration Date 7/17/2016 OWNER: ROBERT V CARLSON TRUSTEE PHONE: REGINAANDREASSON TRUSTEE 14 SEA VISTA TER PORT LUDLOW WA 98365-9584 9987-TEAL LAKE VILLAGE SUBDIVISION: Block: Lot: PARCEL NUMBER: 998700040 Section: 21 Township: 28 N Range: 1 E CONTRACTOR: DO IT RIGHT ROOFING & CONST PHONE: 360-774-6348 251A WAWA POINT RD BRINNON WA 98320 Contractor's License DOITRIR943QL Expires 11/24/2015 PROJECT DESCRIPTION: Re-Roofing permit remove cedar shakes - replace with 1/2 CDX TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 16,500.00 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: BEDROOMS: BATHROOMS: Permit $234.00 SRE 07/17/15 156249 Exist: Exist: State Building Code $4.50 SRE 07/17/15 156249 Prop: Prop: Total: $238.50 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: BLD15-00247 Applicant: CARLSON TRUSTEE 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 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 Miscellaneous A final inspection will not be scheduled until 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 SNI-1 I IS- FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR ILDING PERMIT APPLICATS BLD15-00247 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00247 Received Date: 7/17/2015 SITE ADDRESS: 14 SEA VISTA TERR PORT LUDLOW, 98365 OWNER: ROBERT V CARLSON TRUSTEE PHONE: REGINAANDREASSON TRUSTEE 14 SEA VISTA TER PORT LUDLOW WA 98365-9584 9987 -TEAL LAKE VILLAGE SUBDIVISION: Block: Lot: PARCEL NUMBER: 998700040 Section: 21 Township: 28 N Range: 1 E CONTRACTOR: DO IT RIGHT ROOFING & CONST PHONE: 360-774-6348 251A WAWA POINT RD BRINNON WA 98320 Contractor's License DOITRIR943QL Expires 11/24/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI\ Re-Roofing permit remove cedar shakes - replace with 1/2 CDX TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 16,500.00 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: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $234.00 SRE 07/17/15 156249 APPROVED State Building Code $4.50 SRE 07/17/15 156249 AP r R`r' °(��/ ED Total: $238.50 JUL 1 7 2015 Jefferson County DCD Cyvti,1-erl N v+-- rec4,-1, \\firlcmor4\rfofo\fnrmc\F RI n Ann Rid rnt 7/17/9fIlS • • e oG DEPARTMENT OF COMMUNITY DEVELOPMENT 62I Sherkh1n?ucer,Pnrr TUU'nsead,\\;1 9h36;• 36113-9,4431) 1-AN:360,31)4451 Wel):www ).1eiftmt,,Itwa-usicommunrrtkvvIt qvncrlt I -mail:dcd a cn.icffrrsnn.wa-us PERMIT APPLICATION Steps in the Permit Process: -Review application checklist to ensure all information is completed prior to submitting application. -Make sure septic has been applied for and water availability has been proven. -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -This is not a standalone application;it must be accompanied by a project specific supplemental application. -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued. For Department Use Only Building Permit# Related Application#5: MLA# Site Information Assessor Tax Parcel Number: '1CA, q1 000 LA 0 Site Address and/or Directions to Property: VA t-e, . i h —Veff'Cktt, Access(name of street(s)) from which access will be gained: Present use of property: Description of Work(include proposed uses): y-�- cod F Wastewater-Sewage Disposal This property is served by Port Townsend or Port Ludlow sewer system? YES , _ NO If not served by sewer identified above,identify type of septic system below: Type of Sewage System Serving Property: Septic Septic Permit#: Community Septic Name of System: Case#: Are other residences connected to the septic system? Additions or repairs to sewage system: Is it a complete or partial system installation: Complete _ Partial _ Has a reserve drainfield been designated? Yes _ No Date of Last Operations&Maintenance check: Attach last report to application Describe or attach any drainfield easements,covenants or notices on title,which may impact the property: . • • The authorized agent/representative is the primary contact for all project-related questions and correspondence: The County will mail /e-mail requests and information about the application to the authorized agent/representative and will copy(cc)the owner noted below. The authorized agent/representative is responsible for communicating the information to all parties involved with the application. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County email(i.e., County email is not blocked or sent to"junk mail"). — -_—_- Applicant/Property Owner Information Property Owner: P Name: 9O'O�Y" Co,se\C,(r?r Address: \t-\ ')Cc.. U 1c- "1-,eit OA Phone#: E-mail Address: — Please contact Authorized Agent/Representative with project info. (select only one)). Property Owner Signature: delet, Date_143-f ,S Note: For projects with multiple owners,attach a separate sheet with each owner's)information and signatures. Applicant: Authorized Agent/Representative(If other than owner) Name: WSt_siv LC.\.t1-t Address: Phone#: E-mail Address: Professional:, Is this an Authorized Agent/Representative for this project? NO.; YES ____ Engineer Architect Surveyor Contractor Consultant Name: - ∎' t N.t, _ t License# o;k l ` i Address: 1?D,ti o — o\r (,3.$ cl Qora ludotiJ "4 t Phone#: .. C - E-mail Address: piii•rJylni-irt)Dt;ry e:ilv�5vv- cow. L 1 Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect _ Surveyor Contractor Consultant Name: License# Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative-for this project? .;NO = YES Engineer Architect Surveyor Contractor Consultant Name: License# Address: Phone#: E-mail Address: 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 or her 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 making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal,state and county laws and regulations and I 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. Applicant may request notic of the County's intent to enter upon the property for visits related to this application and subsequent permit issuance Signature: `U�\t^ ti�h►1S Print Name:\.\`;ckvv cLLut� Date: \.0--7-`) "'1� • • �oN (, DEPARTMENT OF COMMUNITY DEVELOPMENT c � � 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 Fax:360.379.4451 J .G Web:www.m j Ee Ecrson.wa.ris/commmkydcv�elopmegt E-mail:dcd@ico.jeffcrson.wa.u� `GRSH 1 N G 5�� SUPPLEMENTAL APPLICATION RESIDENTIAL OR COMMERCIAL BLDG PERMIT For Department Use Only Receipt#: Date: Related Application#s: Payment#: Site Information �7 Owner Name: Rpwy -t\- Y�pn Assessor Tax Parcel#: `�C( lOoOt1 a Type of Building New Replacement f,-G Relocated Addition Repair Demolition 'A separate permit is required Select One: Single Family Residence 1( Modular Other list Proposed Building/Project Number of floors Z #new bedrooms existing total bed # new bathrooms existing total bath Heat Source Select all that apply: Electric Heating Oil Wood Propane Enter the square footage(sq/ft)that applies in each field: Structure Existing Sq/Ft Proposed Sq/Ft ICC Valuation (Office Use) Residential/Commercial Main Floor Residential/Commercial Second Floor - Additional Floors-heated/unheated Basement-unfinished Basement-finished space or habitable Detached Garage- heated/unheated Attached Garage-heated/unheated Garage 2nd fl- unfinished storage Garage 2nd fl-finished space or habitable Carport-2 walls or less Deck-uncovered Covered porch Other(shed, barn, pole bldg,etc.) Estimated Cost of Project (Required): $ 1(.0)5(220 $ Sul-pl.-menial SFli I • • List existing buildings on property(i.e. house,garage, accessory dwelling unit, shed, barn, mobile home, other): All Existing Buildings on Property Use Builders Statement The signer of this statement certifies 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: Print Name: 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 or her 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 making any issued permit null and void. Signature: 4\1■1\ \1 VW Print Name:',\,\i(Ar\ R.t t��u� Date: ( 24) For Department Use Only Building Permit Fees Building Base 2— 'OO — Plan Check Review Land Use Review Septic Review —$ 41A- Potable Water Technology/Scan $19.50 State Fee $4.50 Other Fees Shoreline Exemption Zoning Zoning Other New Address Total Fees "r ,0 Receipt# Date: Cash/Check/CC: 190^4 Supplownl.d 51.12 2 Parcel Print • • Page 1 of 1 Parcel Number:998700040 05/12/2015 Owner Mailing Address: ROBERT V CARLSON TRUS I hE REGINA ANDREASSON TRUS I bE 14 SEA VISTA TER PORT LUDLOW WA 98365-9584 Site Address: 14 SEA VISTA TERRACE PORT LUDLOW 98365-9584 Section: 21 School District: Chimacum(49) Qtr Section: NE1/4 Fire Dist: Port Ludlow(3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: 98365-9584 PLSEWER- Sewer: Connected(No CWF) Drainage: Bank: View 1: View 2: Zoning 1: M PR-SF-4- Master Planned Resort- Single Family Zoning 2: Zoning 3: Sub Division: 9987 - TEAL LAKE VILLAGE Land Use Code: 1100 98365-9584 Property Description: TEAL LAKE VILLAGE LOT 40 http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?value=998700040 7/17/2015 DO IT RIGHT ROOFING& CONS0 •• Page 1 of 2 Home Inicio en Espanol Contact Search L&I MARCH,' A-Z Index Help My Secure L&t Safety Claims&Insurance Workplace Rights Trades&Licensing 0 Washington State Department of Labor & Industries DO IT RIGHT ROOFING & CONST Owner or tradesperson 202 Garten rd PORT LUDLOW,WA 98365 Principals 360-774-6348 BACCHUS,WILLIAM M,OWNER JEFFERSON County Doing business as DO IT RIGHT ROOFING&CONST WA UBI No. Business type 602 667 882 Individual Governing persons I NICHOLE I BACCHUS WILLIAM MICHAEL BACCHUS; License Verify the contractors active registration I license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. DOITRIR943QL Effective—expiration 1111 312006-11/25/2016 Bond DEVELOPERS SURETY&INDEM CO $12,000.00 Bond account no. 276798C Received by L&I Effective date 11/29/2010 11/01/2010 Expiration date Until Canceled Bond history Insurance Houston Specialty Ins Co $1,000,000.00 Policy no. TEN-14861 Received by L&I Effective date 11/25/2014 1111012014 Expiration date 11/1012015 INTERNATIONAL INS CO OF HANNOV $1,000,000.00 Policy no IG06C002019-00 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602667882&LIC=DOITRIR943QL&SAW= 7/17/2015 DO IT RIGHT ROOFING & CON. • Page 2 of 2 Received by L&I Effective date 11/07/2014 11/08/2013 Expiration date 11/08/2015 Insurance history Savings NaN_.__v savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax ... debts ■..L& 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 Account is current. 204,710-00 Doing business as • DO IT RIGHT ROOFING&CONST. Estimated workers reported Quarter 1 of Year 2015"1 to 3 Workers" L&I account representative T4/TERRI MADISON(360)902-4654-Email:KIRT235 @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. https://secure.lni.wa.gov/verify/Detail.aspx?UB1=602667882&LIC=DOITRIR943QL&SAW= 7/17/2015 • • 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 $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$532.00. A site plan is required for projects in shoreline jurisdiction. Exemptions: If the scope of work does not change the load bearing capacity OR the original structure AND is less than 200 so ft, a permit is not required. Emergency Damage Repair: If the work is to repair a roof damaged by sudden, unforeseen events such as storm damage, roofing permits will be issued over the counter for minor repairs. Rebuild involving structural repair will require wet stamped engineered plans within 30 days of the emergency issuing AND the applicant will need to schedule inspections per the building permit process. **Temporary, emergency repairs such as tarps and tarp tie-downs do not need a building permit. Codes Referenced: 2012 IBC 1510 and IRC R907. Created 10/14/2013. 2013-10-31 REROOF.DOCX Updated October 31, 2013 i RE-ROOFING SUPPLEMENTAL APPLICATION Owner Name: n4j$y�- (Y`\&i ` phone: �`\\�qt.O Applicant or Agent(if different from owner): . phone: 3jap-111:\ (034 Site Address: \L\ L e.0 \P* 'rQ-4'rO,,.t,2. Parcel: CC'1 ()fl O Lk. Scope of work sq ft: 1. Is the original roof being removed? Q1j NO 2. Are you replacing with the same material: YES 0 3. Materials removed: (_Qcjc,r 4. Does the scope of work increase the pitch or footprint or original roof? YES NO 5. Are you adding dormers? YES 0 6. Are you increasing the living or heated space? WO 7. Are you doing solar installation? YES ED) 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: evsND4 2 S iL e.S 'R`' n `t 2- c—b X' t v\ Jmn\\ r 2013-10-31 REROOF.DOCX Updated October 31, 2013