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HomeMy WebLinkAboutBLD2014-00390 - RE ROOF ObILDING PERMIT APPLICA� BLD14-00390 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD14-00390 Received Date: 10/22/2014 SITE ADDRESS: 1000 POINT WHITNEY RD OWNER: STATE OF WASHINGTON -FISH/WDLF PHONE: 360-902-2655 REAL ESTATE SERVICES DIV 600 CAPITOL WAY N OLYMPIA WA 98501-1076 SUBDIVISION: Block: Lot: PARCEL NUMBER: 601071001 Section: 7 Township: 26 N Range: 1V' CONTRACTOR: TBD PHONE: 253-584-6606 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION REPLACEMENT OF ROOF SAME FOR SAME TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP ALT MAIN: INDUSTRIAL: VALUATION 22,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: 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/NW Permit $267.00 SRE 10/21/14 151644 `'tiP � �'� `. State Building Code $4.50 SRE 10/21/14 151644 OCT Z 9 2014 Total: $271.50 Jefferson County DCD \\tidemark\datalforms\F_BLD_App_Bld.rpt 10/22/2014 *-)011-4 - 3;10 .)1 W�w4SON °OLD JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT t' " 621 Sheridan Steel I Port Townsend,WA 98368 I Web:www.caiefferson.wa.us/communitydevelopment NS II N°'C° 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): Replacement of roof Tax Parcel Number: 601071001 Property Size: N/A (acres/square feet) Site Address and/or Directions to Pro P e rty X000 Point Whitney Road Property Owner(s)of Record: Washington State Department of Fish and Wildlife(Project Manager:Craig Matson) Telephone:(360)902-2655 Fax: (360)902-6367 email: Craig.Matson @dfw.wa.gov Mailing Address: 600 Capitol Way North Olympia WA 98501-1091 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 C)** ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment O Address ❑ Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site PIP"' ❑Propane ❑Long Plat*'' ❑Sign ❑ Plann' u ment(PRRDyAmendments** Cl P' Allowed"Yes"Use Consistency Analysis ❑ ❑Stormwater Management (y-, "Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* " ! velopment** ❑Temporary Use ❑Wireless Telecommunication* �� -ict Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium G dram Amendment May require a Pre—Application Conference ❑ . ..on Conference Please identify any other local, state or federal permits requil .,sal,if known: re-roofing application and permit DESIGNATION OF AG. .r 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. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application th,�f he or she wants prior notice. Signature: C Vol �'t? " Date: The action or actions'Frpplicant 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 lake"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-transferable €lity for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: t bf t 5 (L 07/24/2013 • • S 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: T.B.D. - Public works contract is out to bid ((360)p02-2655 ((360)y02-3367 MAILING ADDRESS: 600 Capitol Way North Olympia WA 98501-1091 EMAIL: Craig.Matson@dfw.wa.gov CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ((360)002-2655 FAX:((360)802-8367 MAILING ADDRESS: 600 Capitol Way North Olympia WA 98501-1091 EMAIL Craig.Matson @drw.wa.gov Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: Ti New Wood Existing: :; Sewer Addition 3 Steel Proposed: Bank - Community System Alteration/Remodel Li Concrete Total: Height: Individual System _7 Repair ,: Masonry SEP Permit# ❑ Demolition Other: Bedrooms: Water Supply: Existing: Setback: Private well U 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 evotStelleP I knaT retaWtoH Is this appliance being installed in a Manufactured i 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 Bid App Review: 2'°Floor Heated Consistency Review: Other Heated Base fee: Mezzanine Additional Section: [J` r i� , oO Heated Basement Plan Check fee: I "I Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ dke10 • TO Receipt Number: } SI 011 Cash/Check Number: Cc ESTIMATED COST(REQUIRED) Date: I •Fair market value of all labor and materials foundation to finish it/ y' ILI Engineer's Estimate is $22,000 Initials: S C_ 07/24/2011 RE-ROOFING SUPPLEMENTAL APPLICATION Owner Name: l' a� -� ^iQ V- aG { rat Jl.i�p O�rie4i ..-�0-IN l,-.t4;;i Applicant or Agent(if different from owner): (....C4 6 r\+c? , phone: 3(0- 9 c w- $ Site Address: 1000 a,D11 W�tkr�t�! r � , (tos�.C' Vt,tc. 1.�.t`1,11- . J ! J Parcel: 76 0 j 1 00 J p£ Scope of work sq ft: 600 - 1. Is the original roof being removed? ES NO 2. Are you replacing with the same material:5 NO 3. Materials removed: S.'-tia„41 eAoy,„t •, 4. Does the scope of work increase the pitch or footprint or original roof? YES IV 5. Are you adding dormers? YES 01) 6. Are you increasing the living or heated space?A.k.> 7. Are you doing solar installation? YES �N 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 WA 9. If you answered"YES"to#8 above,submittal of a site plan and fees in the amount of$532 are required./JiA 10. If you answered"YES"to#4,5 or 6, Environmental Health Review and a fee of$78.00 are required./J f, 11. Any additional Information: l 2013-10-31_RERO0F Updated October 31,2013 • 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. r If the scope of work involves a structural change(such as change of pitch,adding dormers etc) OR changes the .1 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 /k//As TOTAL $156.50(+$4.50) $216.50(+$4.50) $271.50(+$4.50) *211.430 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 • Sally Ellis From: Matson, Craig D (DFW) <Craig.Matson @dfw.wa.gov> Sent: Wednesday, October 15, 2014 2:55 PM To: #dcd Subject: Permit for WDFW's Pt Whitney Shelfish Lab - Re-roof Attachments: Pt Whitney Reroof Master Permit App& Reroof Sup.pdf Dear Jefferson County DCD, Please find attached the required permit application for a replacement roof. Please confirm the required fee is$271.50; we can make payment once this is confirmed. If you could please send me back an invoice,that would be preferred. Please contact me directly if you have any questions or concerns or if you would like to discuss the details of this project further. Thank you, Craig Matson Environmental Engineer II Capital and Asset Management Program Craig.Matson@dfw.wa.gov (360) 902-2655 Soke t,,�J Cr G,i cj, rn of or. - Y Fey Sa►Mc - oc Same \ O charcp 8QEI irx maS 1,‘ ovtli rNe — c eir Li • sU , c1 . cO 2gos� 1 • Sally Ellis From: Matson, Craig D (DFW)<Craig.Matson @dfw.wa.gov> Sent: Wednesday, October 15, 2014 2:55 PM To: #dcd Subject: Permit for WDFW's Pt Whitney Shelfish Lab- Re-roof Attachments: Pt Whitney Reroof Master Permit App & Reroof Sup.pdf Dear Jefferson County DCD, Please find attached the required permit application for a replacement roof. Please confirm the required fee is$271.50; we can make payment once this is confirmed. If you could please send me back an invoice, that would be preferred. Please contact me directly if you have any questions or concerns or if you would like to discuss the details of this project further. Thank you, Craig Matson Environmental Engineer II Capital and Asset Management Program Craig.Matson@dfw.wa.gov • w (360)902-2655 HLA■3- 00 oCd - LI 25 - _7 34 - SLIIoR- 1 srn co e °a JEFFERSON COUNTY $ DEPARTMENT OF COMMUNITY DEVELOPMENT �ShtNOT o Date: Time Received: 3 L`t.. amjpm.: Mon. Tue. Wed. Thur. Fri. Date: BLD: N.— 39 G Contact Name: 2�;, ,J� Contact Number: 360 Owner: A 1 Address: I 000 2T' t,arito-t-y 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 Ceiling Block&Tile Sally Ellis From: Utting, Louise A(DFW) <Louise.Utting @dfw.wa.gov> Sent: Tuesday, September 15, 2015 3:16 PM To: #dcd Subject: Permit Renewal Letter Attachments: SKMBT_C554e15091514450.pdf Importance: High Someone in your office sent the attached letter to the Dept of Fish & Wildlife's Real Estate Services. Real Estate Services said that it does not belong to them. Could someone please look at the attached letter and specify who this belongs to? Thank you, Louise Utting Washington Department of Fish and Wildlife Capital and Asset Management Program 600 Capital Way N Olympia WA 98501 Louise.utting@dfw.wa.gov 360-902-8300 1 DEPARTMENT OF COMMUNITY DEVELOPMENT ,,i 621 Sheridan Street,Port Townsend,WA 98368 Tel:360379.4450 ! Fax: 360.3'9.4451 y, '°� Web:wlcw.ca.Jefferson-wa.us/corrmunirydevelopmenr 45f/!NC' E-mail:dcd;2co.jefferson.wa.us STATE OF WASHINGTON -FISHIWDLF REAL ESTATE SERVICES DIV 600 CAPITOL WAY N OLYMPIA WA 98501-1076 RE: PERMIT RENEWAL SITE ADDRESS: 1000 POINT WHITNEY RD PERMIT#: BLD14-00390 PARCEL: 601071001 DATE EXPIRES: 10/29/2015 PROJECT DESCRIPTION: REPLACEMENT OF ROOF SAME FOR SAME According to our records, your building permit will expire on 10/29/2015 and has not passed final inspection. Please either schedule a final inspection prior to expiration or submit a renewal payment in the amount of$234 to 621 Sheridan St., Port Townsend, WA 98368 prior to expiration. You are welcome to make a payment online at: http://www.co.jefferson.wa.us/commdevelopment/Credit%20Card.htm To schedule an inspection, please contact our inspection hotline at 360-379-4455 and have your approved permit and plans available on-site. If you have any questions about your permit, you can contact our office at 379-4450 between 9:00 a.m. and 4:30 p.m. Monday through Thursday. ReCeiVeali Thank you, P 1142O1a Elizabeth Williams by CAMP Administrative Clerk SITE ADDRESS: 1000 POINT WHITNEY RD PERMIT#: BLD 14-00390 PARCEL: 601071001 DATE EXPIRES: 10/29/2015 PROJECT DESCRIPTION: REPLACEMENT OF ROOF SAME FOR SAME PAYMENT ENCLOSED: 5234 1ltidem ark tdatatformslF_BLD_Permit_Exp Ntc.rpt „S 01V `r-%.. 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/communitydevclopmcnt .76111 Nc;CO E-mail:dcd( co.iefferson.wa.us STATE OF WASHINGTON -FISHJWDLF REAL ESTATE SERVICES DIV 600 CAPITOL WAY N OLYMPIA WA 98501-1076 RE: PERMIT RENEWAL SITE ADDRESS: 1000 POINT WHITNEY RD PERMIT#: BLD14-00390 PARCEL: 601071001 DATE EXPIRES: 10/29/2015 PROJECT DESCRIPTION: REPLACEMENT OF ROOF SAME FOR SAME According to our records, your building permit will expire on 10/29/2015 and has not passed final inspection. Please either schedule a final inspection prior to expiration or submit a renewal payment in the amount of$234 to 621 Sheridan St., Port Townsend, WA 98368 prior to expiration. You are welcome to make a payment online at: http://www.co.jefferson.wa.us/commdevelopment/Credit%20Card.htm To schedule an inspection, please contact our inspection hotline at 360-379-4455 and have your approved permit and plans available on-site. If you have any questions about your permit, you can contact our office at 379-4450 between 9:00 a.m. and 4:30 p.m. Monday through Thursday. Thank you, Elizabeth Williams Administrative Clerk SITE ADDRESS: 1000 POINT WHITNEY RD PERMIT#: BLD14-00390 PARCEL: 601071001 DATE EXPIRES: 10/29/2015 PROJECT DESCRIPTION: REPLACEMENT OF ROOF SAME FOR SAME PAYMENT ENCLOSED: $234 1\tidemark\data Worms\F_BLD_Permit_Exp_Ntc.rpt r th' �''e. DEPARTMENT OF COMMUNITY DEVELOPMENT 21 Sheridan Street.Port Iownsend,W.V 98368 Tel.360.3-9 1430 I Far 360379 4451 Ai C\eb.vvw co-ieflerson.aa-us(communirvdevelopment 1-5W 1,..4ON 1 L mail: dcd rt co.lcffer,on.wa.us STATE OF WASHINGTON -FISH/WOLF REAL ESTATE SERVICES DIV 600 CAPITOL WAY N OLYMPIA WA 98501-1076 RE: PERMIT RENEWAL SITE ADDRESS: 1000 POINT WHITNEY RD PERMIT#: BLD14-00390 PARCEL: 601071001 DATE EXPIRES: 10/29/2015 PROJECT DESCRIPTION: REPLACEMENT OF ROOF SAME FOR SAME According to our records, your building permit will expire on 10/29/2015 and has not passed final inspection. Please either schedule a final inspection prior to expiration or submit a renewal payment in the amount of$234 to 621 Sheridan St., Port Townsend, WA 98368 prior to expiration. You are welcome to make a payment online at: http://www.co.jefferson.wa.us/commdevelopment/Credit%20Card.htm To schedule an inspection, please contact our inspection hotline at 360-379-4455 and have your approved permit and plans available on-site. If you have any questions about your permit, you can contact our office at 379-4450 between 9:00 a.m. and 4:30 p.m. Monday through Thursday. Received Thank you, SEP 1 4 2t115 Elizabeth Williams by CAMP Administrative Clerk SITE ADDRESS: 1000 POINT WHITNEY RD PERMIT#: BLD14-00390 PARCEL: 601071001 DATE EXPIRES: 10/29/2015 PROJECT DESCRIPTION: REPLACEMENT OF ROOF SAME FOR SAME PAYMENT ENCLOSED: S234 \\tidemark\data\forms\F_BLD_Permit_Exp_Ntc.rpt 2 J Jodi Adams From: lifting, Louise A (DFW) <Louise.Utting @dfw.wa.gov> Sent: Tuesday, September 15, 2015 3:16 PM To: #dcd Subject: Permit Renewal Letter Attachments: SKMBT_C554e15091514450.pdf Importance: High Someone in your office sent the attached letter to the Dept of Fish & Wildlife's Real Estate Services. Real Estate Services said that it does not belong to them. Could someone please look at the attached letter and specify who this belongs to? Thank you, Washington Department of Fish and Wildlife Capital and Asset Management Program 600 Capital Way N Olympia WA 98501 Louise.utting@dfw.wa.gov 360-902-8300 i Sally Ellis From: Sally Ellis Sent: Wednesday, September 16, 2015 8:17 AM To: 'Utting, Louise A(DFW)'; 'Matson, Craig D (DFW)' Subject: RE: Permit Renewal Letter Dear Lousie, This permit was open by Craig Matson, It is for a Re-roofing same for same, I have included Craig in on this email. I would suggest that maybe you speak to him, If the work for this permit is complete-then all Craig needs to do is have the permit onsite-and call in for a final inspections. If the work is not complete,then you will need to pay the renewal fee. The Contractor that was listed for this project was as follows: A-1 Roofing Inc Shane Stewart Slater 360-456-3822 Thanks Sally L Ellis Jefferson County Community Development Permit Technician 621 Sheridan St., Port Townsend,WA 98368 Mon-Thurs gam-4:30pm, closed from 12-1 Ph: 360-379-4452 Fax: 360-379-4451 se_llis @co.jefferson.wa.us http://www.co.jefferson.wa.us From: Utting, Louise A(DEW) [mailto:Louise.Utting @dfw.wa.gov] Sent:Tuesday, September 15, 2015 3:16 PM To:#dcd <#dcd @co.jefferson.wa.us> Subject: Permit Renewal Letter Importance: High Someone in your office sent the attached letter to the Dept of Fish& Wildlife's Real Estate Services. Real Estate Services said that it does not belong to them. Could someone please look at the attached letter and specify who this belongs to? Thank you, t A-1 ROOFING INC Page 1 of 4 • • Washington State Department of Labor & Industries A-1 ROOFING INC Owner or tradesperson PO BOX 2607 SLATER, SHANE STEWART OLYMPIA, WA 98507 360456-3822 Principals THURSTON County SLATER, SHANE STEWART, PRESIDENT SLATER, TARALYN DENISE, SECRETARY SLATER, DUFFY (End: 01/01/1980) OTTO, DOUG (End: 01/01/1980) DODD, FRANK (End: 01/01/1980) Doing business as A-1 ROOFING INC WA UBI No. Business type 601 179 152 Corporation 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. Al ROOI*111 PR Effective—expiration 10/19/1989-12/16/2014 Bond Contractors Bonding & Insurance Co $12,000.00 Bond account no. SC5025 Received by L&I Effective date 11/08/2001 12/06/2001 Expiration date Until Canceled Insurance ....._... .............. Houston Specialty Ins Co $1,000,000.00 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601179152&LIC=A1ROOI*111PR&SAW= 10/29/2014 A-1 ROOFING INC Page 2 of 4 Policy no. • • TEN13962 Received by L&I Effective date 04/17/2014 04/18/2014 Expiration date 04/18/2015 Insurance history Savings No 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 No L&I 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 Infraction no. FDALS00592 Satisfied Violation date RCWIWAC 10/01/2013 43.22.435 RCW Violation city Violation amount OLYMPIA $200.00 Type of violation FAS INFRACTION Description Failure to obtain an alteration permit before altering a mobile or manufactured home as required. Re-roofing manufactured house without alteration permit. Infraction no. FPADA00643 Satisfied Violation date RCW/WAC 11/08/2012 43.22.435 RCW Violation city Violation amount CHEHALIS $200.00 Type of violation FAS INFRACTION Description Failure to obtain an alteration permit before altering a mobile or manufactured home as required. Installed new comp roof. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. This company has multiple workers' comp accounts. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601179152&LIC=A1ROOI*111PR&SAW= 10/29/2014 A-1 ROOFING INC Page 3 of 4 S • Active accounts L&I Account ID Account is current. 989,418-00 Doing business as A 1 ROOFING INC Estimated workers reported Pending current quarter filing L&I account representative T1 /JAN BENTLEY(360)902-4652 -Email: STR0235@Ini.wa.gov Track this contractor 0 [—Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Citation issue date 01/21/2014 No violations Inspection no. 316961614 Location 529 Judson St. S Tacoma,WA 98444 Citation issue date 10/28/2013 Violations Inspection no. 316870179 Location 1714 Burwell St. Bremerton,WA 98312 Citation issue date 08/06/2013 Violations Inspection no. 316833854 Location 4395 E. Orchard lane Port Orchard, WA 98366 Citation issue date 12/28/2012 Violations Inspection no. 316558956 Location 3425 Wheaton Way Bremerton,WA 98310 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601179152&LIC=A1ROOI*111PR&SAW= 10/29/2014 A-1 ROOFING INC Page 4 of 4 . . Citation issue date 09/27/2011 Violations Inspection no. 315182444 Location 511 Second Ave. Aberdeen, WA 98520 Citation issue date 06/24/2011 No violations Inspection no. 314941378 Location 303 S Seventh St. Shelton,WA 98584 Citation issue date 10/22/2010 Violations Inspection no. 314562638 Location 343 Camp Creek Rd. Montesano, WA 98563 ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Access 4,WaSIungton"' https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601179152&LIC=AIROOI*111PR&SAW= 10/29/2014 • • Sally Ellis From: Matson, Craig D (DFW) <Craig.Matson @dfw.wa.gov> Sent: Tuesday, October 28, 2014 10:36 AM To: Sally Ellis Subject: RE: Permit for WDFW's Pt Whitney Shelfish Lab - Re-roof Dear Sally, Our contractor is: A-1 Roofing Inc. President: Shane Slater Address: 911 Kaiser Road SW Olympia, WA 98512 Phone: (360)456-3822 WA UBI No: 601 179 152 Contractor's License No: A1ROO1*111PR Please mail the permit to: Attn: Craig Matson WDFW C.A.M.P. 600 Capitol Way North Olympia, WA 98501-1091 Thank you! Craig From: Sally Ellis [mailto:SEllis @co.jefferson.wa.us] Sent: Monday, October 20, 2014 9:06 AM To: Matson, Craig D (DFW) Subject: RN: Permit for WDFW's Pt Whitney Shelfish Lab - Re-roof From: Sally Ellis Sent: Friday, October 17, 2014 3:54 PM To: Matson, Craig D (DFW);$dcd Subject: RE: Permit for WDFW's Pt Whitney Shelfish Lab- Re-roof Dear Craig The below link will take you to our Community Development Department page- http://www.co.iefferson.wa.us/commdevelopment/default.htm Here you can make a payment online- however there is a charge to use this process. 1 Point & Pay - Create Order Page 1 of 1 • • Thank you for your payment! This service has been provided by Jefferson County Dept of Community Development, WA and Point & Pay. We value your business. Please keep this receipt for future reference. You have made a payment to Jefferson County Dept of Community Development, WA . Jefferson County Department of Community Development thanks you for your payment. For questions about your account, please call 360-379-4452 Name: Sarah R. Morris Address: 600 Capitol Way North, Olympia WA, US, 98501 Contact: 3609028300 Comments: Payment ID: 15492425 Date: 10/21/14 12:59 PM Subtotal: $290.50 Fee: $7.50 Total: $298.00 Method: Credit or Debit Card(************7805) Item Purchased Transaction Description Account Amount Commercial Applications Jefferson Co C D GOV 601071001 $290.50 Signature: Date: By signing this receipt you agree to the terms and conditions of this service. You will see one line item on your credit or debit card statement indicating the amount you paid and will be identified as Jefferson Co C D GOV. If you have any questions about the charges please call 1-888-891-6064. Print Receipt Close Window https://agent.pointandpay.net/pointandpay_counter/viewReceipt.do?method=viewPaymen... 10/21/2014 Point & Pay - Create Order Page 1 of 1 • • Thank you for your payment! This service has been provided by Jefferson County Dept of Community Development, WA and Point & Pay. We value your business. Please keep this receipt for future reference. You have made a payment to Jefferson County Dept of Community Development, WA . Jefferson County Department of Community Development thanks you for your payment. For questions about your account, please call 360-379-4452 Name: Sarah R. Morris Address: 600 Capitol Way North, Olympia WA, US, 98501 Contact: 3609028300 Comments: Payment ID: 15492425 Date: 10/21/14 12:59 PM Subtotal: $290.50 Fee: $7.50 Total: $298.00 Method: Credit or Debit Card(""***"****7805) Item Purchased Transaction Description Account Amount Commercial Applications Jefferson Co C D GOV 601071001 $290.50 Signature: Date: I I By signing this receipt you agree to the terms and conditions of this service. You will see one line item on your credit or debit card statement indicating the amount you paid and will be identified as Jefferson Co C D GOV. If you have any questions about the charges please call 1-888-891-6064. Print Receipt Close Window https://agent.pointandpay.net/pointandpay_counter/viewReceipt.do?method=viewPaymen... 10/21/2014 Parcel Details Page 1 of 2 • • Jefferson County 8#Frer static_ n tabase r�rr app.. Home , County Info Departments Search Parcel Number: 601071001 SEARCH Parcel Number: 601071001 Printer Friendly Owner Mailing Address: STATE OF WASHINGTON -FISH/WDLF REAL ESTATE SERVICES DIV 600 CAPITOL WAY N OLYMPIA WA98501-1076 Site Address: Section: 7 School District: Brinnon (46) Qtr Section: NE1/4 Fire Dist: Brinnon (4) Township: 26N Tax Status: STATE Range: 1W Tax Code: 0441 Planning area: Brinnon (11) Sub Division: Assessor's Land Use Code: 9700 - Exempt Property Property Description: S7 T26 R1W LOT 3 &TL TAX A & B Tax, A/V. Sales, Photos, and Permit Data Bldg Data Map Parcel Plats &Surveys Septic Monitoring Info Jefferson County HOME i COUNTY INFO I DEPARTMENTS l SEARCH Itoe Best viewed with Microsoft Internet Explorer 6.0 or later 46 Windows - Mac http://ww-w.cojefferson.wa.us/assessors/parcel/parceldetail.asp 10/23/2014 Parcel Details Page 2 of 2 • • http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp 10/23/2014 • Jefferson County Building Division Permit Number: BLD14-00390 Applicant: STATE OF WASHINGTON -FISH/ 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 9 1I; c/ FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00390 Received Date: 10/22/2014 SITE ADDRESS: 1000 POINT WHITNEY RD Issue Date 10/29/2014 Expiration Date 10/29/2015 OWNER: STATE OF WASHINGTON -FISH/WDLF PHONE: 360-902-2655 REAL ESTATE SERVICES DIV 600 CAPITOL WAY N OLYMPIA WA 98501-1076 SUBDIVISION: Block: Lot: PARCEL NUMBER: 601071001 Section: 7 Township: 26 N Range: 1 V CONTRACTOR: SHANE STEWART SLATER PHONE: 360-456-3822 911 KAISER RD. SW P.O. BOX 2607 OLYMPIA WA 98507 PROJECT DESCRIPTION: REPLACEMENT OF ROOF SAME FOR SAME TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP ALT MAIN: INDUSTRIAL: VALUATION 22,000.00 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 Bv: Date: Receipt: BATHROOMS: Permit $267.00 SRE 10/21/14 151644 Exist: State Building Code $4.50 SRE 10/21/14 151644 Prop: Total: $271.50 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