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Home My WebLink AboutBLD2014-00325 - RE ROOF BOLDING PERMIT APPLICATIC BLD Revieew w Type:ype: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD14-00325 Received Date: 9/9/2014 SITE ADDRESS: 13722 CENTER RD QUILCENE, 98376 OWNER: HEATHER SPENCER PHONE: 360-765-0650 PO BOX 242 QUILCENE WA 98376-0242 SUBDIVISION: Block: Lot: PARCEL NUMBER: 702124013 Section: 12 Township: 27 N Range: 2111 CONTRACTOR: S-N-S ROOFING LLC PHONE: 360-681-2333 372 BLUE GROUSE RUN SEQUIM WA 98382 Contractor's License SNSRORL918LC Expires 6/3/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI TEAR OFF AND INSTALL NEW ROOF TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 24,592.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date State Building Code $4.50 JLA 09/09/14 151481 Permit $311.00 JLA 09/09/14 151481 APPROVED Total: $315.50 SEP 0 9 2014 Jefferson County DCD 1Nidan,o.L\.1o4n1fnrrnc\F []I fl Ann PIA rnk OIOMMA ` JEFFERSON COUNTY ) DEPARTMENT OF COMMUNITY DEVELOPMENT EKING ate: f Time Received: ziO( am( it Mon. Tue. Wed. Thur. -.:1. Date: LD: 14— 315- Contact Name: )caner: Contact Number: 360 7,r-b5 ' 206 1ddress: 13 _7 L-2 P_°e-o-t'<"- dotes: Fc.2.:___. (:: Framing Foundation Plumbing g Propane Tank Mechanical Underground Furance Setbacks Under ground Framing— Gas Footing Rough In Air Seal Above ground 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 an-Homes Final Inspection Setbacks Floor Wall Address Posted Foundation Block&Tile Ceiling S-N-S Roofing LLC • Page 1 of 2 • Washington State Dept bunt of Labor & Industries S-N-S Roofing LLC Owner or tradesperson 372 BLUE GROUSE RUN MARSHALL, SEAN WILLIAM SEQUIM, WA 98382 360-681-2333 Principals CLALLAM County MARSHALL, SEAN WILLIAM, PARTNER/MEMBER BELCHER-MARSHALL, SHAWNA RAE, PARTNER/MEMBER Doing business as S-N-S Roofing LLC WA UBI No Business type 602 922 928 Limited Liability Company 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. SNSRORL918LC Effective---expiration 06/03/2009—06/03/2015 Bond Great American Ins Co $6,000.00 Bond account no. 2217299 Received by L&I Effective date 05/20/2014 05/29/2014 Expiration date Until Canceled Bond history Insurance Atlantic Cas Ins Co $1,000,000.00 Policy no L1520001472 Received by L&I Effective date 05/21/2014 06/01/2011 hops://secure.lni.wa.gov/verify/Detail.aspx?UBI=602922928&LIC=SNSRORL918LC&SAW= 9/9/2014 • soN OO JEFFWON COUNTY • \s1.— 3 2-S DEPARTMENT OF COMMUNITY DEVELOPMENT 9syo� 621 Sheridan Street Port Townsend,WA 98368 I Web:www.co.jefferson.wa.us/communitydevelopment Tel:360.379.4450 I Fax:360.379.4451 i Email:dcd(cilco.iefferson.wa.us Building Permits &Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center Master Permit Application MLA: Project Descriptii nn(include separate sheets as necessary) E.Gr 041-9 a laS4al( fl.'e.w root/ Tax Parcel Number: 7 Q� Lq4 (') f Property Size: (acres/square feet) Site Address and/or Directions to Property: 13722 Property Owner(s) °pe.nrd: N^rar 7 peY10E.lL-- Telephone: csO — 76 c O 65O Fax: /,c.4.L.0 OJ?IiIA C,i p email:CLC.. pU .e4'u gist me✓h Mailing Address: / epic ,.� _ _ - . 1 -/,r .?76 �� ApplicantlAgent(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) El Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use CI ❑ Commercial* ❑Special Use(Essential Public Facilitie ) 2 n ❑ Change of Use ❑ Boundary Line Adjustment L� (� ❑ Address ❑Road Approach ❑Short Plat`* El Home Business ❑Cottage Industry ❑ Binding Site Plan'"` ❑ Propane ❑ Long Plat*" �qq� QQ ❑ Sign ❑ Planned Rural Residential Developm d ("""D)/ArnendmentsVl' ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration'"` ❑ Stormwater Management ❑Shoreline Master Program Exemptio /Perm -• .• ** El Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial vel nt PERSON COUNTY ❑Temporary Use ❑Shoreline Management Variance OF COMMUNITY OEVELl ENT ❑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 5'h-"j,5' e o i 15, to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE �R Q ,Q/ 4`-e4' v_ Date: 9/61i/ 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 applicetionr he or sh wants p' notice. I Signature: ,li Date: 9 )5(y 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-transferable r onsibility r adhering to and complying with the ESA. The Applicant has read this di%lai ra I'signs and dates it below. Signature: / - � ��9A— Date: ty / 07/24/2013 II • • 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: 5N5 Roct"fr'l6, l LLC_ 0(4) 68l - 333 (U4 681-x333 MAILING ADDRESS: 37a 1 4.E m a se_ Fain EMAILsns_,-.,„„,pun 3I e_ 5 ./AO- CONTRACTOR'S LICENSE nGQU-L/Yl , t.J ' (=l& Z_ WAINS NUMBER: SN 52n l� I 9 is LC NUMBER ARCHITECT/ENGINEER: L• PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: r'c7ot.c. Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New T Wood Existing: '_ Sewer Addition - Steel Proposed: Bank 7 Community System Alteration/Remodel Concrete Total: Height H Individual System Repair [ Masonry SEP Permit# ✓Demolition Other: Bedrooms: Water Supply: Existing: Setback: Private well Two Party Type of Heat: Proposed: Public Total: Name of System: If this is a Commercial Proiect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of alrrRg 11/7 E 1 Number of occupants(includes owners,tenants,employees,etc) Current p� L�`_��J V IBC Occupancy: IBC Type of construction: Will you have FgolS rice? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apqlyp I C F P - 9 2014 Underground Tank Above ground tank Size of Propane Tank: l, Heat Stove Cook Stove Woodstove Fireplace-nsert re i evotS tem* �j{,+ knaT retaWtoH 1 I Is this appliance being installed in a Manufactured/Mobile Home? Yes / No i `- 1EFFERSON COUNTY When applying for a permit to install a propane tank you must also submit a site plan showing a1 of ttet bOlp g : Il oweg arty __I lines,tank location and size,distances from the propane tank to all property lines,buildings and septic-sysfem cbmpoAerrfs, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated H Bld App Review. 2"0 Floor Heated Con ".tency Review. Other Heated Base fee: 3.11.w Mezzanine Additional Sectio Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: 3J Other Unheated Pot Water Review fee: r Garage/Carport SUBTOTAL Scan 1 '' Decks n(n1 911/Rd Approach fee: 7/7-. Other �ELU^ O '?4 010.1 TOTAL: ,5o 411 .v s ll'� t i�t.t_) Receipt Number: // L'� . .7/ Cash/Check Number: ,� 431_ ESTIMATED COST(REQUIRED) Date: �' ��. , �� .Fair ma et value of all labor and materials foundation to finish AML Z� ` tbea-4 S q2 . 07 Initials: 11€261) C le ell" S 'oi E / /l// I • 1' RE-ROOFING SUPPLEMENTAL APPLICATION Owner Name: H&rhff,p J!/��y'��,� phone: (3‘0)26.5- O�SO Applicant or Agent(if different from owner`�,' �(/�� :(3 a )68I-x5333 ??� F-�YS �l�T(�(� phone: Site Address: /J ! Zz GA; fE.2 Road" /�4A_ciGf/1F Parcel: 7i7 /41/ 013 ./ / �i C tJ (n� Scope of work sgft: l •y- 044 a !!US{- j{ SEGO �T 1. Is the original roof being removed?®NO 2. Are you replacing with the same material: Y 3. Materials removed:%ooq, Ad?l'1[ A e_42 nip • 6-5Aak 5 4. Does the scope of work increase the pitch or footprint or original roof? YES 5. Are you adding dormers? YES NO 6. Are you Increasing the living or heated space?/Jo 7. Are you doing solar installation? YES V 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 WES"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: r� n o r'cG. C-t '1 tR GD,Q L•-t S r p L(l.Cp cK w l Hof l Po . 7 l Carry e.. S (mss he � 1c, e-oc EGEDMC U30 r Cm a2 7 ()q „ p SEP — 9 2014 JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT 2013-1031_REROOF Updated October 31,2013 • • • Jefferson County Building Division Permit Number: BLD14-00325 Applicant: SPENCER 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 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 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 =11t5� I-- 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#: BLD14-00325 Received Date: 9/9/2014 SITE ADDRESS: 13722 CENTER RD Issue Date 9/9/2014 QUILCENE, 98376 Expiration Date 9/9/2015 OWNER: HEATHER SPENCER PHONE: 360-765-0650 PO BOX 242 QUILCENE WA 98376-0242 SUBDIVISION: Block: Lot: PARCEL NUMBER: 702124013 Section: 12 Township: 27 N Range: 2' CONTRACTOR: S-N-S ROOFING LLC PHONE: 360-681-2333 372 BLUE GROUSE RUN SEQUIM WA 98382 Contractor's License SNSRORL918LC Expires 6/3/2015 PROJECT DESCRIPTION: TEAR OFF AND INSTALL NEW ROOF TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 24,592.00 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: State Building Code $4.50 JLA 09/09/14 151481 Exist: Exist: Permit $311.00 JLA 09/09/14 151481 Prop: Prop: Total: $315.50 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