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Home My WebLink AboutBLD2014-00300 - RE ROOF BtLDING PERMIT APPLICATIc BRLD1e 003300 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00300 Received Date: 8/20/2014 SITE ADDRESS: 125 SYCAMORE ST PORT HADLOCK, 98339 OWNER: ELAINA HARLAND PHONE: 209-648-9532 JACOB HARLAND 3908 BACALL WAY CERES CA 95307 9323 SUBDIVISION: Block: Lot: 21 PARCEL NUMBER: 932300021 Section: 2 Township: 29 N Range: 1Vt CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI RE-ROOF PERMIT SAME FOR SAME TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP REP MAIN: VALUATION 5,000.00 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: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $0.00 SRE 08/20/14 APPROVED State Building Code $0.00 SRE 08/20/14 Total: $0.00 AUG 2 0 2014 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 8/20/2014 ¢SON CO r �.< JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Date: i1 - (`j Time Received: ( .`j 1 (9/pm Mon. Tue. Wed. Thur. Date: — I`f BLD: 1 -300 Contact Name: Owner: Contact Number: 360 5"31 ?. Address: 22fOttli i Zc 51 c-CLIrt av-— 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 Hi Sally, I'm writing in regards to obtaining a roofing permit. Enclosed you will find my master permit application and roofing supplemental application. Per our telephone conversation permit fees will be $175.50 (check enclosed). I live out of state;therefore I am mailing this information to you. My husband and I will be coming up to Washington to reroof our house in September and would like to have our permit in place. Please mail our permit to the address below: Elaina Harland 3908 Bacall Way Ceres, CA 95307 If you need any further information please contact me at 209-648-9532. Thank you, (Th'o4 tA,t_c Elaina Harland D E G E O V IE AUG 192014 JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT • (i)- MkLI — r , 4SoN cQ / 4 e(. JEFFERSON COUNTY `�4 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 9 �y� p$ www.co.jefferson.wa.us 360!37/commdev4451 Fax elopment Master Permit Application MLA: Project Description(include separate sheets as necessary): ��jj ? �p( c- q(DDF Tax Parcel Number: e=t32' 51-)1.)-N._ 1 Property Size: 0 2_6— GLGf'Q S (acres/square feet) Site Address and/or Directions to Property: 125 5-3C-AmDeE. S , ?0,21- t-koLO( V i G.2 3 1 Property Owner(s)of Record: 3-I t t2 r2 ci i NS A- e)-ck-k3 N Telephone: ' - • % ' * Fax: email: 4L1q-1•3( SS e t3 60 OC. CDf1 Mailing Address: , a o`z I a-e�tHk Vi f 0.--oe- s l hc? Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Building ❑Critical Areas Stewardship Plan ��'I 'II (� ❑ Demolition Permit ❑Variance(Minor,Major or Rea af� v T U V 1. >l Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or ],?*b\ ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnamed e I ssification ❑Special Use(Essential Public F I • '** ❑ Commercial*gUse p AUG 1 9 2014 ❑ Change of Use ❑ Boundary Line Adjustment I ,■ ❑ Address ❑ Road Approach ❑Short Plat"" L 1_ ❑Home Business ❑ Cottage Industry ❑Binding Site Plan" ❑Propane ❑Long Plat" I R 0'J OUN Y ❑Sign ❑Planned Rural Residential Develppmen(-, of , , r� rr t�OPM NT ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration" ❑Stormwaler 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: 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 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 a ' lion that he or she wants pr or notic . n i Signature: f4 dill fn. GI.�Y��X Date: 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 rable responsibility for adhering t and complyi with the ESA. The Applicant has read this rsclaimer arrt signs and dates it below. Signature: tj ttd�.4".a a,l(F�1 and Date: 'I ' i" \ G:\PermitCenter\#####FORMS###\DAD FORMS\Master Permit Application 5-29-08-dor I • • 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 suming the responsibif of the eneral Co ctor for the proposed project,o Signature: - Date: U AA- GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FM:( ) MAILING ADDRESS: EMAIL Project Type: `�F5rame Type: Bathrooms: Shoreline: Type of Sewage Disposal: C New C Wood 2-- H Sewer Existing: 1 Addition a Steel Proposed: t7 Bank ❑ Community System Alteration/Remodel ❑ Concrete Total: 2 Height: Individual System X Repair C Masonry SEP Permit#,'Sf.1?Ci/)"nb/..14 S L Demolition ❑ Other: Bedrooms: Water Supply: Existing: 3 Setback: Li Private well C Two Party Type of Heat: Proposed: fr 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: 1 Underground Tank I Above ground Tank Size of Propane Tank: I Heat Stove 1 Cook Stove I Woodstove I Fireplace Insert 1 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. . .4, ,y, Square Footage lflse nly Amount ¢vistan Ct UO Main Floor Heated EH Bid App Review: 2"0 Floor Heate ., FE = 011/1 lam " Consistency Review: Other Heated lv/ I Base fee: � !1 j 4. Mezzanine 4:i1 1 AUG 1 4 2014 , Additional Section: Heated Basement 1 I Plan Check fee: 4. Unheated Basement .1 7.7Cn'u,KINIY State Surcharge fee: /f �(� DEPT OF COMMUNITY DF\FI OPMFN s . �f, Other Unheated - Pot Water Review fee: Garage/Carport SUBTOTAL 1 1 q a Decks 911/Rd Approach fee: Other y /) TOTAL $ 1 . Kil_lNI (OO F 1 5'.-' ISI4-3I '„. Receipt Number: Cash/Check Number: :2 66 ? / ESTIMATED COST(REQUIRED) Date: q/ / IF .Fair market value of all labor and materials foundation to finish a l (I Initials: ,t G'.\PcrrnitCcnter\###FORMS###\LAD FORMS\Master Permit Applcalion 5-29-08.doe . • G RE-ROOFING SUPPLEMENTAL APPLICATION n Owner Name: .. LOPS a 7_i �� Tsn� � phone: 201 - �.Qt-4$-vt S2.. Applicant or Agent(if different from owner): phone; gyp, Site Address: l 2S J CAMoe-E S• ,�I Dri rock , W I� 3 J 1 Parcel: gS2' ��.-1521 Scope of work sq ft: 29-00 1. Is the original roof being removed? ilDINs 2. Are you replacing withg same material:allo 0 3. Materials removed: 4. Does the scope of work increase e pitch or footprint or original roof? YES NO 5. Are you adding dormers? YE NO 6. Are you increasing the living or heated s ace?OD 7. Are you doing solar installation? YE NO 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: i'D , AUG 1 9 2014 'n JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT 2013-10-31_REROOF.DOCX Updated October 31,2013 Parcel Details Page 1 of 2 • • yro. �r jefferson un • yn , ,.....,,,, ,Ai„. ., . ..... ... . . , . _., ,_ _ ,,..._. - Name County Info Departments Search Parcel Number: 932300021 SEARCH 1 Parcel Number: 932300021 Printer Friendly Owner Mailing Address: ELAINA HARLAND JACOB HARLAND 125 SYCAMORE ST PORT HADLOCK WA98339-9558 Site Address: 125 SYCAMORE ST PORT HADLOCK 98339 Section: 2 School District: Chimacum (49) Qtr Section: NW1/4 Fire Dist: Chimacum (1) Township: 29N Tax Status: Taxable Range: 1W Tax Code: 0211 Planning area:Tri-Area (4) Sub Division: 9323 - BISHOP ACRES Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: BISHOP ACRES LOT 21 Tax,A/V, Sales, Photos, and Permit Data 5Ido Data Map Parcel 'tats &Surve s Le tic Monitorin Info — -- r' _= HOME I COUNTY INFO I DEPARTMENTS I SEARCH / Janet= Best viewed with Microsoft Internet Explorer 6.0 or later iie Windows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel N0=932300021 8/20/2014 Jefferson County Building Division Permit Number: BLD14-00300 Applicant: HARLAND 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 NEW ROOF INSPECTIONS- SAME FOR SAME 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 (c{ I15 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_BLD_Permit_BIdg.rpt 8/20/2014 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00300 Received Date: 8/20/2014 SITE ADDRESS: 125 SYCAMORE ST Issue Date 8/20/2014 PORT HADLOCK, 98339 Expiration Date 8/20/2015 OWNER: ELAINA HARLAND PHONE: 209-648-9532 JACOB HARLAND 3908 BACALL WAY CERES CA 95307 9323 SUBDIVISION: Block: Lot: 21 PARCEL NUMBER: 932300021 Section: 2 Township: 29 N Range: 1V1 CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: RE-ROOF PERMIT SAME FOR SAME TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP REP MAIN: VALUATION 5,000.00 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: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $152.00 SRE 08/19/14 151431 Exist: Exist: State Building Code $4.50 SRE 08/19/14 151431 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