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Home My WebLink AboutBLD2021-00450 - MECHANICALDEPARTMENT OF COMMUNITY DEVELOPMENT www.co.jefferson.wa.us/communitydevelopment E-dcd@co.jefferson.wa.us MINOR RESIDENTIAL REMODEL APPLICATION The purpose behind issuing permits over the counter is to reduce plan review time. All permits issued over the counter are subject to field inspection with the understanding that applicants are ultimately responsible for code compliant construction practices. General inquiries regarding specific code questions may be made at any time; however, the applicant assumes the responsibility to correct all code deficiencies regardless of conditions. If you prefer to waive over the counter processing, you may elect to request a plan review by DCD prior to issuing your permit. Type of Project: Door Replacement, same for same Re-siding Interior Work*Window Replacement, same for same *Interior work under this over the counter permit type is limited to: Replacement of sheetrock and/or insulation Relocation non-load bearing walls Reconfiguration/addition of plumbing/mechanical fixtures Adding insulation and sheetrock for change of use from unfinished basement to finished basement **. **If bedrooms are proposed to be added, a permit will not qualify for over the counter processing Section 1 – General Information Description of Work: Bid Price: $ Bid Price is the total value of labor + materials for the project. Enter the square footage (sq. ft.) for area(s) to be remodeled: Square Foot Area Main floor (sq.ft.) 2nd floor (sq.ft) Basement (sq.ft) Garage (sq.ft) Garage 2nd fl – unfinished storage (sq.ft) Other: Aug 04 2021 Section 2 – Property Information Site Address: Assessor Tax Parcel Number(s): Present Use of Property: Section 3 – Counter Complete Submittal Checklist Required Submittal Items 1. Completed Application – 1 copy 2. Floor plan – no larger than 11 x 17 – 1 copy (Not required for re-siding or re-roof permits) 3. **If bedrooms are proposed to be added, building code review will be required and the permit will not be issued over the counter, AND Septic review is required and Potable Water documentation may be required, The documentation to submit to DCD will be one of the following: Onsite Septic Current Operations & Maintenance performed on septic system Section 4 – Applicant/Property Owner Information The authorized agent/representative is the primary contact for all project-related questions and correspondence. The County will email 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 information to all parties involved with the application. It is the responsibility of the authorized agent/ representative and owner to ensure their mailbox accepts County email (i.e. County email is not blocked or sent to “junk mail”). There may be instances where regular USPS or courier mail is used. Property Owner: Name: Address: Phone #: Cell Phone #: Email Address: Note: For projects with multiple owners, attach a separate sheet with each additional owner(s) information and signatures. Applicant: Applicant (other than owner)Authorized Agent/Representative Name: Address: Phone #: Cell Phone #: Email Address: Aug 04 2021 Contractor Washington State allows homeowners to be their own general contractor. However, when choosing a contractor or subcontractor to perform work they are required to be registered with the Washington State Department of Labor and Industries. For more information about choosing and hiring a contractor visit http://www.lni.wa.gov/tradeslicensing/. Check if this is the Authorized Agent/Representative for this project. Name: Title: License Number: Liability Certificate: Address: Work Phone #: Cell Phone #: Email Address: 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. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal, state and county laws and regulations and I 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. Applicant may request notice of the ted to this application and subsequent permit issuance. Print Name (Owner) Signature (Owner) Date OFFICE USE ONLY Building Permit Fees Choose One (if your permit includes work in both categories, choose the interior work fee): Minor Remodel Permit fee: Interior work, basement remodel ($48 .00) Minor Remodel Permit fee: Door, window, siding replacement ($19 .00) Project Scanning Fee $24.00 State Fee $6.50 Subtotal Technology Fee 5% of Subtotal Total Fees Aug 04 2021 Section 5 – Floor Plan Please draw your floor plan here. Drawing must be fully dimensioned or to a recognized scale (i.e.: Floor plan, ¼”=1 ft). Use of each room and all elements to be remodeled must be identified. If using other plans they must not be larger than 11 x 17. Scale, Floor plan: ” = ft. Aug 04 2021 Aug 04 2021 Aug 04 2021 Aug 04 2021 Aug 04 2021 Aug 04 2021 Aug 04 2021 Aug 04 2021 A u g 0 4 2 0 2 1 HDE Seattle (Renton) 3600 Lind Ave SW Ste 150 Renton, WA 98057-4934 Quote Number: SQPEVI028316_1 Print Date: 7/8/2021 Page 1 of 6 Quote Name:11068333 CAVENAUGH Quote Number: SQPEVI028316_1 Customer:HDE Created Date:6/16/2021 Payment Terms: Modified Date:7/8/2021 PO Number:Sales Representative:Wessley Jones Mobile: wessley_t_jones@homedepot.com Total Windows:10 Weighted Average:U-Factor: .28, SHGC: .29, VT: .54 Total Doors:1 Total Sq Ft:228.00 Total Perim Ft:208Comments: For warranty information please visit www.milgard.com/warranty/ Est. Delivery:____________________ Billing Information Shipping Information Name: HDE Name: HDE Address:2455 Paces Ferry Road Atlanta, GA 30348-5581 Address:2455 Paces Ferry Road Atlanta, GA 30348-5581 Phone: Phone: Fax: Fax: Email: Email: Line: Quantity: 1 1 Location: LAUNDRY Tuscany V400, 8120T, HV, No Fin (Block Frame), Ext White / Int White, U-Factor: .29, SHGC: .28, VT: .53 Argon Gas Filled Tariff Model = Half Vent Size = Net Frame: 35 5/8" x 35 5/8" Handing = XO Energy Package = Energy Star North-Central Glass = 3/32" SunCoat (Low-E) over 3/32" Clear with Gray Foam Spacer Glazing = Dual Glaze with Argon Hardware = SmartTouch Lock Other Options = Glass Breakage Warranty Screen = Standard with Fiberglass Mesh Ratings = STC: No Rating, OITC: No Rating, PG: LC40 Clear Opening = W 15 1/8" x H 32 5/8" Sq. Ft. 3.43 Other Ratings = CPD: MIL-A-224-07447-00001 Viewed From Exterior Customer Approval:____________ Aug 04 2021 Aug 04 2021 Quote Number: SQPEVI028316_1 Print Date: 7/8/2021 Page 2 of 6 Line: Quantity: 2 1 Location: KITCHEN Tuscany V400, 8120T, HV, No Fin (Block Frame), Ext White / Int White, U-Factor: .29, SHGC: .28, VT: .53 Argon Gas Filled Tariff Model = Half Vent Size = Net Frame: 35 5/8" x 35 5/8" Handing = XO Energy Package = Energy Star North-Central Glass = 3/32" SunCoat (Low-E) over 3/32" Clear with Gray Foam Spacer Glazing = Dual Glaze with Argon Hardware = SmartTouch Lock Other Options = Glass Breakage Warranty Screen = Standard with Fiberglass Mesh Ratings = STC: No Rating, OITC: No Rating, PG: LC40 Clear Opening = W 15 1/8" x H 32 5/8" Sq. Ft. 3.43 Other Ratings = CPD: MIL-A-224-07447-00001 Viewed From Exterior Customer Approval:____________ Line: Quantity: 3 1 Location: KITCHEN Tuscany V400, 8120T, HV, No Fin (Block Frame), Ext White / Int White, U-Factor: .29, SHGC: .28, VT: .53 Argon Gas Filled Tariff Model = Half Vent Size = Net Frame: 59 5/8" x 35 5/8" Handing = XO Energy Package = Energy Star North-Central Glass = 3/32" SunCoat (Low-E) over 3/32" Clear with Gray Foam Spacer Glazing = Dual Glaze with Argon Hardware = SmartTouch Lock Other Options = Glass Breakage Warranty Screen = Standard with Fiberglass Mesh Ratings = STC: No Rating, OITC: No Rating, PG: LC40 Clear Opening = W 27 1/8" x H 32 5/8" Sq. Ft. 6.15, Egress: Yes Other Ratings = CPD: MIL-A-224-07447-00001 Viewed From Exterior Customer Approval:____________ Line: Quantity: 4 1 Location: DINING ROOM Tuscany V400, 8120T, HV, No Fin (Block Frame), Ext White / Int White, U-Factor: .29, SHGC: .28, VT: .53 Custom Glass Option Argon Gas Filled Tariff Model = Half Vent Size = Net Frame: 59 5/8" x 47 5/8" Handing = OX Energy Package = Energy Star North-Central Glass = HV 1.1 Left Fixed: 3/32" SunCoat (Low-E) over 3/32" Clear with Gray Foam Spacer, HV 1.1 Right Vent: 1/8" SunCoat (Low-E) Tempered over 1/8" Clear Tempered with Gray Foam Spacer Glazing = Dual Glaze with Argon Hardware = SmartTouch Lock Other Options = Glass Breakage Warranty Screen = Standard with Fiberglass Mesh Ratings = STC: No Rating, OITC: No Rating, PG: LC40 Clear Opening = W 27 1/8" x H 44 5/8" Sq. Ft. 8.41, Egress: Yes Other Ratings = CPD: MIL-A-224-07447-00001 Viewed From Exterior Customer Approval:____________ Aug 04 2021 Quote Number: SQPEVI028316_1 Print Date: 7/8/2021 Page 3 of 6 Line: Quantity: 5 1 Location: DINING ROOM Tuscany V400, 8360T, PWR, No Fin (Block Frame), Ext White / Int White, U-Factor: .26, SHGC: .29, VT: .54 Argon Gas Filled Tariff Model = Slider Picture Size = Net Frame: 71 3/8" x 59 3/8" Energy Package = Energy Star North-Central Glass = 3/16" SunCoat (Low-E) over 3/16" Clear with Gray Foam Spacer Glazing = Dual Glaze with Argon Other Options = Glass Breakage Warranty Ratings = STC: No Rating, OITC: No Rating, PG: CW50 Other Ratings = CPD: MIL-A-236-11899-00001 Viewed From Exterior Customer Approval:____________ Line: Quantity: 6 1 Location: LIVING ROOM Tuscany V400, 8621T, SD2, No Fin (Block Frame), Ext White / Int White, U-Factor: .28, SHGC: .29, VT: .54 No Fin (Block Frame) Multi Point Lock Security Max Package Smart Touch Bolt Upgraded Screen with Fiberglass Mesh Argon Gas Filled Tariff Model = Sliding Door Two Panel Size = Net Frame: 59 1/2" x 81 1/2" Handing = XO Energy Package = Energy Star North-Central Glass = 1/8" SunCoat (Low-E) Tempered over 1/8" Clear Tempered with Gray Foam Spacer Glazing = Dual Glaze with Argon Hardware = SmartTouch Handle, Multi Point Lock, Smart Touch Bolt, SecurityMAX Package Other Options = Glass Breakage Warranty, Glazing Policy: Glazed and Panel In Screen = Upgraded with Fiberglass Mesh Ratings = STC: 29, OITC: 22, PG: CW30 Clear Opening = W 24 1/4" x H 78 1/2" Sq. Ft. 13.22, Egress: Yes Other Ratings = CPD: MIL-A-137-05568-00001 Viewed From Exterior Customer Approval:____________ Aug 04 2021 Quote Number: SQPEVI028316_1 Print Date: 7/8/2021 Page 4 of 6 Line: Quantity: 7 1 Location: LIVING ROOM Tuscany V400, 8360T, PWR, No Fin (Block Frame), Ext White / Int White, U-Factor: .26, SHGC: .29, VT: .54 Argon Gas Filled Tariff Model = Slider Picture Size = Net Frame: 71 3/8" x 59 1/4" Energy Package = Energy Star North-Central Glass = 3/16" SunCoat (Low-E) over 3/16" Clear with Gray Foam Spacer Glazing = Dual Glaze with Argon Other Options = Glass Breakage Warranty Ratings = STC: No Rating, OITC: No Rating, PG: CW50 Other Ratings = CPD: MIL-A-236-11899-00001 Viewed From Exterior Customer Approval:____________ Line: Quantity: 8 1 Location: BEDROOM 1 Tuscany V400, 8360T, PWR, No Fin (Block Frame), Ext White / Int White, U-Factor: .26, SHGC: .29, VT: .54 Argon Gas Filled Tariff Model = Slider Picture Size = Net Frame: 95 3/8" x 53 9/16" Energy Package = Energy Star North-Central Glass = 3/16" SunCoat (Low-E) over 3/16" Clear with Gray Foam Spacer Glazing = Dual Glaze with Argon Other Options = Glass Breakage Warranty Ratings = STC: No Rating, OITC: No Rating, PG: CW30 Other Ratings = CPD: MIL-A-236-11899-00001 Viewed From Exterior Customer Approval:____________ Aug 04 2021 Quote Number: SQPEVI028316_1 Print Date: 7/8/2021 Page 5 of 6 Line: Quantity: 9 1 Location: BEDROOM 1 Tuscany V400, 8120T, HV, No Fin (Block Frame), Ext White / Int White, U-Factor: .29, SHGC: .28, VT: .53 Argon Gas Filled Tariff Model = Half Vent Size = Net Frame: 59 5/8" x 35 5/8" Handing = XO Energy Package = Energy Star North-Central Glass = 3/32" SunCoat (Low-E) over 3/32" Clear with Gray Foam Spacer Glazing = Dual Glaze with Argon Hardware = SmartTouch Lock Other Options = Glass Breakage Warranty Screen = Standard with Fiberglass Mesh Ratings = STC: No Rating, OITC: No Rating, PG: LC40 Clear Opening = W 27 1/8" x H 32 5/8" Sq. Ft. 6.15, Egress: Yes Other Ratings = CPD: MIL-A-224-07447-00001 Viewed From Exterior Customer Approval:____________ Line: Quantity: 10 1 Location: BEDROOM 2 Tuscany V400, 8120T, HV, No Fin (Block Frame), Ext White / Int White, U-Factor: .29, SHGC: .28, VT: .53 Argon Gas Filled Tariff Model = Half Vent Size = Net Frame: 59 5/8" x 35 5/8" Handing = XO Energy Package = Energy Star North-Central Glass = 3/32" SunCoat (Low-E) over 3/32" Clear with Gray Foam Spacer Glazing = Dual Glaze with Argon Hardware = SmartTouch Lock Other Options = Glass Breakage Warranty Screen = Standard with Fiberglass Mesh Ratings = STC: No Rating, OITC: No Rating, PG: LC40 Clear Opening = W 27 1/8" x H 32 5/8" Sq. Ft. 6.15, Egress: Yes Other Ratings = CPD: MIL-A-224-07447-00001 Viewed From Exterior Customer Approval:____________ Line: Quantity: 11 1 Location: BEDROOM 2 Tuscany V400, 8120T, HV, No Fin (Block Frame), Ext White / Int White, U-Factor: .29, SHGC: .28, VT: .53 Argon Gas Filled Tariff Model = Half Vent Size = Net Frame: 59 5/8" x 35 5/8" Handing = XO Energy Package = Energy Star North-Central Glass = 3/32" SunCoat (Low-E) over 3/32" Clear with Gray Foam Spacer Glazing = Dual Glaze with Argon Hardware = SmartTouch Lock Other Options = Glass Breakage Warranty Screen = Standard with Fiberglass Mesh Ratings = STC: No Rating, OITC: No Rating, PG: LC40 Clear Opening = W 27 1/8" x H 32 5/8" Sq. Ft. 6.15, Egress: Yes Other Ratings = CPD: MIL-A-224-07447-00001 Viewed From Exterior Customer Approval:____________ Aug 04 2021 Quote Number: SQPEVI028316_1 Print Date: 7/8/2021 Page 6 of 6 HDE Seattle (Renton) 3600 Lind Ave SW Ste 150 Renton, WA 98057-4934 Submitted By: ___________________________ Accepted By: ___________________________ Date: ___________________________ For warranty information please visit www.milgard.com/warranty/ Please note that actual NFRC energy values may vary from those reported in CTB Quote Plus due to variations that may occur during the manufacturing process. In most cases variations will be minimal. Please contact your Milgard location with questions or concerns regarding this potential variation. Painted Vinyl Note: For stucco applications, please follow the Milgard Stucco Tape Guidelines https://www.milgard.com/sites/default/files/u/u57666/stucco_taping_guidelines_0920.pdf . Handing is viewed from outside looking in. ADDITIONAL INFORMATION: Aug 04 2021