HomeMy WebLinkAboutBLD2015-00005 - 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#: BLD15-00005 Received Date: 1/7/2015
SITE ADDRESS: 190 BEE MILL RD Issue Date 1/7/2015
BRINNON, 98320 Expiration Date 1/7/2016
OWNER: ANN MATSUNAMI PHONE: 808-753-0737
1650 LILIHA ST#201
HONOLULU HI 96817-3169
9639
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 963900023 Section: 13 Township: 26 N Range: 2VI
CONTRACTOR: OWNER PHONE: 444-444-4444
PROJECT DESCRIPTION: RE-ROOFING SAME FOR SAME
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP REP MAIN:
VALUATION 2,000.00 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 01/06/15 153994
Exist: Exist: State Building Code $4.50 SRE 01/06/15 153994
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
S
Jefferson County Building Division Permit Number: BLD15-00005
Applicant: MATSUNAMI
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 /S_ .3-r,
FINAL FINAL Building j 2 "15- L-1-4-1
rnd \(Qvn 'Ps -
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 lL_,, -(j-1-
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
BUILDING PERMIT APPLICA•N BLDI5-00005
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD15-00005 Received Date: 1/7/2015
SITE ADDRESS: 190 BEE MILL RD
BRINNON, 98320
OWNER: ANN MATSUNAMI PHONE: 808-753-0737
1650 LILIHA ST#201
HONOLULU HI 96817-3169
9639
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 963900023 Section: 13 Township: 26 N Range: 2V1
CONTRACTOR: OWNER PHONE: 444-444-4444
REPRESENTATIVE: VERN PETERS PHONE: 360-477-1053
P.O. BOX 2461
PORT ANGELES WA 98362
PROJECT DESCRIPTIOP RE-ROOFING SAME FOR SAME
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP REP MAIN:
VALUATION 2,000.00 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: A P 1 Q tED
PPermit $152.00 SRE 01/06/15 153994
State Building Code $4.50 SRE 01/06/15 153994 JAN 0 7 2015
Total: $156.50
Jefferson County DCD
\\tidemark\data\forms\F_BLD_App_B Id.rpt 1/7/2015
• •
/ 40N e DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Sweet,Port Ton-n end,WA 98368
Tel:36.379.4 F� P.Lr 3679441
Web: w.co.lefferson.wa us/commmniuvdeveloprnentUN3uVdOl3A,311 kV 9C 93 3 ,.
E-mail:dcd,c co.fetterson.ss-a.us r 2 t
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PERMIT APPLICATION '� _ '
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Steps in the Permit Process: L \--.! `�J j� U ,=i I v a� �J
-Review application checklist to ensure all information is completed prior to submitting appllcartan.
-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#s: MIA#
Site Information
Assessor Tax Parcel Number: 414 C4 '7, q GC;D 2 3
Site Address and/or Directions to Property: / 't-j 73 ,- /14 /( J J - /3 f---j. ,,L n v)4,- 41,e441,e4
Access (name of street(s)) from which access will be gained:
}AU Present use of property: rZ.y,s ; ,,C. N —{ k%c ( /
6 Description of Work (include proposed uses): TZ , t..4,,, eerty� 0.45
ii V
S
le.D Wastewater Sewage Disposal
This property is served by Port Townsend of Port Ludlow sewer system? YES NO i,./.--
If not served by sewer identified above, identify type of septic system below:
Type of Sewage System Serving Property:
17 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:
,R.ecil ft #15399¢ mak #"90
. 176, ° 1
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The authorized agent/representative a primary contact for all project-related questions and correspondence. The Countywill
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
theapplication. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County
email .e. ,County email is not blocked or sent to "junk mail").
Applicant/Property Owner Information
Property Owner: y
Name: Ay7fJ / a.- SI . ✓1t) n-i1
Address: /6. co L / /'Vi 4 St 201 /1;no fr,r /14_ WI 96. /7
Phone#: S-0. 6, . .---.7 53 0,-7 3 7 E-mail Address: Q ,•i &_,to[Gtq, .oa/O.z_:,,/,„...7
7' contact Authorized Agent/Representative with project info. (select olrlli,fy one).
Property Owner Signature: Date:
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: vt• .,-rt / . 7c- - 9
Address: PD. /3„ X 2 cl•G / A-24).---14- /l ,J,v(�rs” acr g- 6
Phone#: 3G 0 -- 4677_ / '5 3 E- ail Address: ic,/K „ye,..F,id A_iv ,66,.,...rProfessional: Is this an Authorized Agent/Representative for this project? NO l YES
Engineer Architect Surveyor Contractor Consultant
Name:
Address:
Phone#: E-mail Address:
Professional: Is this an Authorized Agent/Representative for this project? NO YES
Engineer Architect Surveyor Contractor Consultant
Name:
Address:
Phone#: E-mail Address:
Professional: Is this an Authorized Agent/Representative for this project? NO YES
Engineer Architect Surveyor Contractor Consultant
Name:
Address:
Phone#: E-mail Address:
Professional: Is this an Authorized Agent/Representative for this project? NO YES
Engineer Architect Surveyor Contractor Consultant
Name:
Address:
Phone#: E-mail Address:
Attach additional pages if necessary
Builders Statement
The signer of this tatement certifies that they are the Owners of the parcel referenced herein,that they are not licensed
contractors and at the , ill be ..suming the responsib'lity of the Gen al Contractor for the proposed project.
Signature: ..�� Print Name: v�» P� 4:,- 5 Date: /l6/1 S
• • •
fr/ortl—SKAI4
RE-ROOFING SUPPLEMENTAL APPLICATION
Owner Name: /q/ 7?"/ /r ' SKA-74 phone: cc S' 7 c 3 -6)-73?
Applicant or Agent (if different fromowner): (J,^,, phone: 366 4/7?-05:34/7?-05:3Site Address: Igo 4 . 11'41/Xi /!9"el_4orl wa-
Parcel: 474. 3 .7 60 2 3
Scope of work sq ft: l‘jtO U 54 it-
1.
t1. Is the original roof being removed? ES 0
2. Are you replacing with the same material:65>N°
3. Materials removed: 3 - 7-.41 e_a 0.1 ✓ r a/
4. Does the scope of work increase the pitch or footprint or original roof? YES 6>
5. Are you adding dormers? YES
6. Are you increasing the living or heated space? /"
7. Are you doing solar installation? YESCO)
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$78.00 are required.
11. Any additional Information:
\la\ l cw\ , t 2,000 ca-t.$
152. °6153 61 94
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2013-10-31_REROOF.DOCX
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.
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_RE ROOF.DOCX
Updated October 31, 2013
lo
• •
Y
Elizabeth Williams
From: Ann Matsunami <ann@padgroup.com>
Sent: Tuesday, January 06, 2015 9:12 AM
To: Elizabeth Williams
Subject: Vern Peters authorization
This is to authorize Vern Peters to be my agent to obtain a roofing permit for my property at Bee Mill are in Brinnon.
Thank you
Ann Matsunami
Ph. 808-753-0730
Sent from my iPhone E\ IIIIIIi
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