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Home My WebLink AboutBLD2014-00321 - RE ROOF •UILDING PERMIT APPLICA*N BLD14-00321 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD14-00321 Received Date: 9/8/2014 SITE ADDRESS: 104 FIR CIR PORT HADLOCK, 98339 OWNER: DOUGLAS LOCKHART PHONE: 360-385-2925 VICKY J LOCKHART 104 FIR CIR PORT HADLOCK WA 98339-9592 9323 SUBDIVISION: Block: Lot: PARCEL NUMBER: 932300007 Section: 2 Township: 29 N Range: 1V1 CONTRACTOR: CUSTOMLINE ROOFING PHONE: 360-385-5344 PHILLIP MARLOW Contractor's License CUSTOR*878RP Expires 12/17/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION Re-Roof, tear off and reroof TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 11,486.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 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 $179.00 JLA 09/03/14 151472 State Building Code $4.50 JLA 09/03/14 151472 " fi Total: $183.50 �� SEP002014 Jefferson County Dco 11firl,mvrWrlalalfnrme\C RI n Ann 1:11r1 rn1 0/R/9111A ' (......,,-;oN co , e, JEFFERSO�OUNTY l ' 1, `� 'Z,1 ,r} DEPARTMENT OF COMMU NITY F'E IR 0 V ` 1 "1` '4' 621 Sheridan Street• Port Town, =', ) �1Nashingtvn90300 7�360/379-4450 • 360/379-4451 F.p www.co.jefferson.wa.us/commde *o.nentc EP 3 2014 SNG� ! J Master Permit Application __ J ? IFFFFRSON rOiINTY ML : — Project Description(include separate sheets as necessary): ___DEPT OF COMMUNITY DEVFLOPMENT 4ear oFP" q-Nq Re RooF Tax Parcel Number: • , 3OO OO Property Size: (acres/square feet) Site Address and/or Directions to Property: /oli f'r estele. Port IA-o16cl: 144- g533cf Property Owner(s)of Record: Dove( l oc iC/./ M' Telephone: 340 3.55-aqa. Fax: email: �V/oc K�A �L`r: It 5Q�0.Coto Mailing Address: Applicant/Agent(if different from owner): PII ]� P jy1Kr�Otta! Ct15EoM�%N�2�F. q___ Telephone:,�60 -3435"-S3"11 Fax: email:i3u$ J2S5 C t1s•-OM� tJ2RGCl $J' •C frj l 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) 1&Single Family ❑ Garage Attached/Detached ❑ Conditional Use[C(a), C(d),or Cj** l ❑ Manufactured Horne .❑ Modular ❑ Discretionary'"D"or Unnamed Use Classification o Commercial* ❑ Special Use(Essential Public Facilities)** O 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** Li 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: y� } J DESIGNATION OF AGENT I hereby designate ,i atr lclit to act as my agent in matters relating toot this application for permit(s). OWNER SIGNATURE 5 4 '--- ' _� :� % Date: 7/31`'l By signing this application form,t e owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of 1 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 arid right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required 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 app�R{tion that or sh want prior o'ce. vy"J �,y r Signature: KJ Date: 3 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-transf- -'le po i lity for ring to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: %I/�..;/�� e Date: /'�'i7 f G:\PemvtCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doe • 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: PEIONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAIN$ . NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: . Bathrooms: Shoreline: Type of Sewage Disposal: C New ❑ Wood . Existing: r`Sewer • C Addition ❑ Steel Proposed: - Bank '• • u Community System O Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual'System O Repair C Masonry — SEP Permit# D Demolition C Other: Bedrooms: Water Supply: Existing: , . _ Setback: 0 Private well ❑ Two Party Type of Heat • Proposed: 0 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 1 Above ground Tank Size of Propane Tank: 1 Heat Stove i Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 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. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 2n°Floor Heated Consistency Review: Other Heated Base fee: O d Mezzanine Additional Section: i. DO Heated Basement Plan Check fee: 1 Unheated Basement State Surcharge fee: 5.0 Other Unheated i Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ aoa TO Receipt Number: 151 1 1 Cash/Check Number: 121-4- ESTIMATED COST(REQUIRED) Date: g J 3 f t i 1 .Fair market value of all labor and materials foundation to finish / / l `'! 1( ,y''6–, �cj Initials: ? l I G:\PermirCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc • • 11 L� I JEFFERSON COUNTY DEPARTMENT COMMUNITY DEKLOPMEttlp 3 2014 1 • RE-ROOFING REQUIREMENTS j .64 i J it:TFRsola min If the scope of work does not include structural change and does not change the load lae'a-ring ca.di•:,'M 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$532.00. A site plan is required for projects in shoreline jurisdiction. Exemptions: If the scope of work does not change the load bearing capacity OR the original structure AND is less than 200 sq ft, a permit is not required. Emergency Damage Repair: If the work is to repair a roof damaged by sudden, unforeseen events such as storm damage, roofing permits will be issued over the counter for minor repairs. Rebuild involving structural repair will require wet stamped engineered plans within 30 days of the emergency issuing AND the applicant will need to schedule inspections per the building permit process. **Temporary, emergency repairs such as tarps and tarp tie-downs do not need a building permit. Codes Referenced: 2012 IBC 1510 and IRC R907.Created 10/14/2013. 2013-10-31_REROOF.DOCX Updated October 31, 2013 • • RE-ROOFING SUPPLEMENTAL APPLICATION ! Owner Name:DOI 10Ck1 �phone: 360 ' S 6- a / Applicant or Agent (if different from owner): Ii 11.c na-10$/ phone: 366'39'5=5-3 Y V f Site Address: fog ( circ)e.. orT 14A-o1eck, tAJPr q'D 337 Parcel: Scope of work sq ft: R.600 1. Is the original roof being removed? YE NO 2. Are you replacing with the same material NO 3. Materials removed: 30 yea/ /arm+N C e S \ G; 4. Does the scope of work increase the pitch or footprint or original roof? YES NO 5. Are you adding dormers? YES NO 6. Are you increasing the living or heated space? 7. Are you doing solar installation? YES 8. If you answered "YES" to#4 or i!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: 2013-10-31_REROOF.DOCX Updated October 31, 2013 t0` q `'? JEFFERSON COUNTY . DEPARTMENT OF COMMUNITY DEVELOPMENT Date:g/a4/ D/STime Received: /0• -5(a 6;/pm Mon. • Wed./ ThUr. Fri. Date: 3 X1 S BLD: i —063 a / Contact Name: I G f Owner: -ea-4_ / ) r� Contact Number: 360 .cgs_-- ,Q 25 Address: /Q4 f?c Cir 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 Customline Roofing Page 1 of 2 err • • Washington State Department of 'LI Labor & Industries Customline Roofing Owner or tradesperson 808 J St Marlow, Phillip E PORT TOWNSEND, WA 98368 360-385-5344 Principals JEFFERSON County Marlow, Phillip E, OWNER Doing business as Customline Roofing WA UBI No Business type 603 348 845 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 ROOFING License no. CUSTOR*878RP Effective—expiration 12/17/2013-12/17/2015 Bond Wesco Insurance Co $6,000.00 Bond account no. 46WB039621 Received by L&I Effective date 12/17/2013 12/16/2013 Expiration date Until Canceled Insurance Houston Specialty Ins Co $1,000,000.00 Policy no. TEN13391 Received by L&I Effective date 12/17/2013 12/16/2013 Expiration date 12/16/2014 Savings AO savings accounts during the previous 6 year period. 'wsuits against the bond or savings 'secure.lni.wa.gov/verify/Detail.aspx?UBI=603348845&LIC=CUSTOR*878RP&SAW= 9/8/2014 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD14-00321 Received Date: 9/8/2014 SITE ADDRESS: 104 FIR CIR Issue Date 9/8/2014 PORT HADLOCK, 98339 Expiration Date 9/8/2015 OWNER: DOUGLAS LOCKHART PHONE: 360-385-2925 VICKY J LOCKHART 104 FIR CIR PORT HADLOCK WA 98339-9592 9323 SUBDIVISION: Block: Lot: PARCEL NUMBER: 932300007 Section: 2 Township: 29 N Range: 1V1 CONTRACTOR: CUSTOMLINE ROOFING PHONE: 360-385-5344 PHILLIP MARLOW Contractor's License CUSTOR*878RP Expires 12/17/2015 PROJECT DESCRIPTION: Re-Roof, tear off and reroof TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 11,486.00 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 $179.00 JLA 09/03/14 151472 Exist: Exist: State Building Code $4.50 JLA 09/03/14 151472 Prop: Prop: Total: $183.50 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: BLD14-00321 Applicant: LOCKHART 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 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 Al FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR