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Home My WebLink AboutBLD2016-00200 - RE ROOF • S �5ON JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend, WA 98368 360-379-4450 I email: dcd@co.jefferson.wa.us �sNI NG'Cc) www.co.jefferson.wa.us/commdevelopment BUILDING PERMIT PERMIT#: BLD16-00200 Received Date: 5/10/2016 SITE ADDRESS: 77 SEA VISTA PL Issue Date 5/10/2016 PORT LUDLOW, 98365 Expiration Date 5/10/2017 OWNER: PAULINE STEARNS PHONE: PAULINE STEARNS TRUSTEE 77 SEA VISTA PL PORT LUDLOW WA 98365-9586 SUBDIVISION: 9987 -TEAL LAKE VILLAGE PARCEL NUMBER: 998700034 Section: 21 Township: 28 N Range: 1E CONTRACTOR: CLOISE & MIKE CONSTRUCTION INC PHONE: 360-340-1176 PO BOX 2042 PORT ORCHARD WA 98366 Contractor's License CLOISMC991 L7 Expires 8/31/2016 PROJECT DESCRIPTION: RE-ROOF SAME FOR SAME NO STRUCTURAL CHANGE TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP REP MAIN: VALUATION 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 $170.00 HAC 05/10/16 162973 Exist: Exist: Scanning Fee $21.00 HAC 05/10/16 162973 Prop: Prop: State Building Code $4.50 HAC 05/10/16 162973 Total: Total: Total: $195.50 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. Final Inspections require 24 hour notice. Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY • S Jefferson County Building Division Permit Number: BLD16-00200 Applicant: STEARNS 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 6—do--/7 e, 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 6 --149 -i7 FINAL IN ECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR •BUILDING PERMIT APPLICSION BLD16-00200 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD16-00200 Received Date: 5/10/2016 SITE ADDRESS: 77 SEA VISTA PL PORT LUDLOW, 98365 OWNER: PAULINE STEARNS PHONE: PAULINE STEARNS TRUSTEE 77 SEA VISTA PL PORT LUDLOW WA 98365-9586 9987 -TEAL LAKE VILLAGE SUBDIVISION: Block: Lot: PARCEL NUMBER: 998700034 Section: 21 Township: 28 N Range: 1E CONTRACTOR: CLOISE & MIKE CONSTRUCTION INC PHONE: 360-340-1176 PO BOX 2042 PORT ORCHARD WA 98366 Contractor's License CLOISMC991L7 Expires 8/31/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: RE-ROOF SAME FOR SAME NO STRUCTURAL CHANGE TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP REP MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Type Amount Paid By: Date: Receipt Exist: Exist: Permit $170.00 HAC 05/10/16 162973 Prop: Prop: Scannin Fee Total: Total: 9 $21.00 HAC 05/10/16 162973 State Building Code $4.50 HAC 05/10/16 162973 Approved/Date Total: $195.50 APPROVED 1AY 10 2016 Jefferson County DCC \f irlcmnr4\rlo+o\fnrrne r RI f1 Ann Rid rn+ gil mon�F ON c-,06 DEPARTMENT OF COMMUNITY DEVELOPMENT 4 0 621 Sheridan Street,Port Townsend,W�98368 Tel:360.379.4450 I Fax:360.379.4451 tirC Web:www.co.jefferson.wa.us/communitydevelopment E-mail:dcd idco.jefferson.wa.us lG ASH1 NG' RE-ROOF APPLICATION Required Submittal Items—If work does NOT include structural change,or load bearing capacity ,;/ Re-roof application - contact L&I if the work is on a manufactured home. f Permit Fees based on valuation, minimum base fee of 2 hours Required Submittal Items— If work does include structural change,or load bearing capacity Complete Building Permit application and the Re-roof application—See Bldg Checklist Site Information Assessor Tax Parcel Number: qqg 7.00 03��( Site Address and/or Directions to Property: ?7- .SG� V is+'c�. P(ac.e_ pec---t- LA1ow, WA- 91(3 h3� Access (name of street(s)from which access will be gained: S&e e Description of Work: Removal oA wooa 51•,&kL re,a c • RerPl e- IN k-1-, GPr Trc‘be-v-\'‘ he H. b • s4 ;y\okIPs . Property Owner Name: f auki nP, J . Si-P,c,, -p S Address: 7-.f. Sec, V1:sA-6. lP1ace- PcNc k. .Lalvu; WA . cis-3t s' Phone#: 360 - 43 - 57a3 _fto_cx_t'r\s E.- e(Lb IGsiGed.,eor \ Applicant/Contractor: Authorized Agent/Representative Name: C.loism1- Mike Cdv,_si-ruc. rton ,1„.rr� . Phone#: 36.0 - 337- o Ho License#: C I bz S M C. 991/7 Work Proposed On V Single Family Residence Accessory Structure Accessory Dwelling Unit Commercial Building I Garage/Shop Manufactured Home 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. • • ICC Valuation (Office Use) Estimated Cost of Project(Required): $ °ZO, 7 , t1!9 $ 1. Is the original roof being removed YES'/NO 2. Are you replacing with the same material: YES/ VO I.1.9• 2. Proposed Roof Type and Materials removed: CA F Tc►nberli„eASk:i. ks 7eôv _ w(iod sktke 3. Does the scope of work increase the pitch or footprint or original roof? YES&D 4. Are you adding dormers?YES 5. Are you increasing the living or heated space? YES/ • 6. 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 7. If you answered "YES"to#6 above, submittal of a site plan and fees in the amount of$595 are required. 8. If you answered "YES"to#4, 5 or 6, Environmental Health Review and a fee of$129.00 are required. 9. Any additional Information: Builders Statement The signer of this statement certifies 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 theproposed project. Signature:_ Print Name: 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 or her 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 making any issued permit null and void. Signature Print Name: fQu e.-3. S{-GQ S Date: L5 //6 l/. OFFICE USE ONLY Building Permit Fees Re-Roof Permit Fee $170.00 Environmental Health Review Land Use Fee Project Scanning Fee $21.00 State 4.50 Total Fees* *Additional fees ees m a apply Y ppY Receipt# I(c(l q 73 Date: 6//6/./ Cash/Check/CC: q Z5 i7 CLOISE & MIKE CONSTRUCTION INC Page 1 of 3 • 4110 Home Espanol Contact !Search L&I A-Z Index Help My L&I Safety&Health Claims&Insurance Workplace Rights Trades&Licensing 0 Washington State Department of Labor & Industries CLOISE & MIKE CONSTRUCTION INC Owner or tradesperson P 0 BOX 2042 Principals PORT ORCHARD,WA 98366 360-769-0141 ORAND,CLOISE II,PRESIDENT KITSAP County COWAN,THOMAS J,VICE PRESIDENT ORAND,MICHELLE MARIE,SECRETARY COWAN,CHRISTINA MARIE,DIRECTOR HOLBROOK,MICHAEL J,VICE PRESIDENT (End:05/25/2006) ORAND,CLOISE,TREASURER (End:05/25/2006) COWAN,THOMAS J,VICE PRESIDENT (End:08/27/2012) Doing business as CLOISE&MIKE CONSTRUCTION INC WA UBI No. Business type 602 128 841 Corporation Governing persons CHRISTINA MARIE COWAN CLOISE II ORAND; MICHELLE M ORAND; THOMAS J COWAN; 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. CLOISMC991 L7 Effective—expiration 06/27/2001—08/31/2016 Bond Platte River Ins Co $12,000.00 Bond account no. 41328393 Received by L&I Effective date 06/10/2015 06/12/2015 Expiration date Until Canceled Bond history Insurance https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602128841&LIC=CLOISMC991 L7&SAW= 5/10/2016 Parcel Details410 Page 1 of 2 yy, Jefferson County WASHINGTON Weather Station ,Database Tools MS Maps =At Webcam Home County Info Departments Search Parcel Number: 998700034 SEARCH Parcel Number: 998700034 Printer Friendly Owner Mailing Address: PAULINE STEARNS PAULINE STEARNS TRUSTEE 77 SEA VISTA PL PORT LUDLOW WA98365-9586 Site Address: 77 SEA VISTA PL PORT LUDLOW 98365 Section: 21 School District: Chimacum (49) Qtr Section: NE1/4 Fre Dist: Port Ludlow (3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: Port Ludlow (7) Sewer: PLSEWER - Connected(No Drainage: CWF) Bank: View 1: View 2: Zoning 1: MPR-SF-4 - Master Planned Resort - Single Family Zoning 2: Zoning 3: Sub Division: 9987 - TEAL LAKE VILLAGE Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: TEAL LAKE VILLAGE LOT 34 Tax,A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Survev Septic Monitorino Info Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?value=998700034 5/10/2016