HomeMy WebLinkAboutBLD2021-00187 - RE ROOFDEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street, Port Townsend, WA 98368
Tel: 360.379.4450 | Fax: 360.379.4451
Web: www.co.jefferson.wa.us/communitydevelopment
E-mail: dcd@co.jefferson.wa.us
RE-ROOF APPLICATION
Site Information
Assessor Tax Parcel Number:
Site Address and/or Directions to Property:
Access (name of street(s) from which access will be gained:
Property Owner
Name:
Address:
Phone #: Email Address:
Applicant / Contractor: Authorized Agent/Representative
Name:
Phone #: Email Address:
License #: Expiration Date:
Work Proposed On
Single Family Residence Accessory Structure
Accessory Dwelling Unit Commercial Building
Garage / Shop
Codes Referenced: 2015 IBC 1510 and IRC R908. Last Updated 01/02/19.
Required Submittal Items – If work does NOT include structural change, or load bearing capacity
Re-roof application
Permit Fees based on valuation, minimum base fee of 2 hours
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.
Is this application for use in a Mobile / Manufactured Home?
* If Yes: A permit from Washington State Department of Labor and Industries, not Jefferson County, is
required for appliances installed within a mobile/manufactured home. L&I: (360) 417-2702
* If No:Complete this form and make an appointment to submit to Jefferson County Permit Tech (360) 379-4450
943700049
20 Upland Court, Port Hadlock, WA 98339
Julie Read
1240 W Sims Way 87, Port Townsend, WA 98368
360-385-5653
HOPE Roofing
360-385-5653
HOPERR*822bb
Info@hoperoofing.com
Info@hoperoofing.com
1/2/2022
Description of Work ICC Valuation (Office Use)
Estimated Cost of Project (Required): $ $
1. Is the original roof sheathing & underlayment being removed?
1a. If yes, type of roof materials to be removed:
(IRC 2015 R908 Reroofing)
2. Are you replacing with the same material?
2a. If no, type of roof materials to be used
(Roof materials must comply with IRC 2015 R901 General)
Yes No
3. Does the scope of work increase the pitch or square footage of the original roof?
3a. If yes, are you adding dormers?
3b. If yes, are you increasing the living or heated space of the house?
Yes No
Yes No
Yes No
4. If you answered “YES” to 3a or 3b, a floor plan and a fee of $1 .00 is required for
an Environmental Health Review. (JCC 8.15.90)
5. If you answered “YES” to 3a or 3b AND the project is located less than 150 feet
from a marine or river shoreline or 100 feet from a lake shoreline THEN submittal
of a site plan and fees in the amount of $6 are required.(JCC 18.25)
6. 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 the proposed 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: Date:
Receipt # Date: Cash/Check/CC:
OFFICE USE ONLY
Building Permit Fees
Re-Roof Permit Fee $19 .00
Environmental Health Review ($1 .00)
Land Use Fee ($6 .00)
Project Scanning Fee $24.00
State $6.50
Subtotal
Technology Fee – 5% of Subtotal
$11.
(only if no EH and/or LU fee; otherwise 5% of subtotal)Total Fees
Additional fees may apply $23 .
Yes No
Comp
River Maki 3/29/2021
BUILDING PERMIT
JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street | Port Townsend, WA 98368
360-379-4450 | email: dcd@co.jefferson.wa.us
www.co.jefferson.wa.us/commdevelopment
BLD2021-00187
4/2/2022Expiration Date
4/2/2021Issue Date
3/29/2021Received Date:
PORT HADLOCK, 98339
SITE ADDRESS:
PERMIT #:
OWNER:
1WRange:29Township:2Section:943700049PARCEL NUMBER:
9437 - CHIMACUM CREEK ESTATESSUBDIVISION:
PAUL STOFFER
JULIE READ
1240 W SIMS WAY PMB 87
PORT TOWNSEND WA 98339
PHONE:
N
20 UPLAND CT
CONTRACTOR:HOPE ROOFING & CONSTRUCTION
1240 W SIMS WAY #143
PORT TOWNSEND WA 98368
PHONE:(360)385-5653
Contractor's License HOPERR*822BB Expires 1/2/2022
PROJECT DESCRIPTION:RE-ROOF
TYPE OF WORK
DECK:
# OF STORIES:
CONST TYPE:
CONST TYPE:GARAGE:
UNHEATED:OCCUPANCY:
OCCUPANCY:HEAT BASE:2018CODE EDITION:ADD'L:VALUATION
TYPE OF IMP REP MAIN:
SQUARE FOOTAGE:RES
OTHER:
SETBACK:
BANK HEIGHT:
HEAT TYPE:
HEAT TYPE:
SHORELINE:
SEWAGE DISPOSAL:
Exist: Exist:
BATHROOMS:BEDROOMS:
WATER SYSTEM:
Prop:
Total:Total:
Prop:
Amount PaidType By:Date:Receipt:
$194.00Permit JLA 03/29/21 196211
$24.00Scanning Fee JLA 03/29/21 196211
$11.23Tech Fee JLA 03/29/21 196211
$6.50State Building Code JLA 03/29/21 196211
$235.73Total:
R105.5 Expiration. Every permit issued shall become invalid unless the work authorized by such permit is commenced within
180 days after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of 180 days after
the time the work is commenced.
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
Jefferson County Building Division
BUILDING PERMIT INSPECTION APPROVALS
Permit Number:
Applicant:
Applicable Code:
BLD2021-00187
2018 International Building Codes
STOFFER
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
NotesApproval SignatureDateInspection Item
Miscellaneous RE-ROOF
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
FINAL INSPECTION
A fnal inspecton will not be scheduled untl the following are completed and signed of by the applicable Department :
·Building Permit Conditons are met
·Land Use Conditons met and signed of
·Septc Permit Final/Complete for any building containing plumbing
·Public Works Permit Final (where applicable)
CONDITIONS for Building Permit # :
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