HomeMy WebLinkAboutBLD2022-00415 - MINOR REMODELDEPARTMENT 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
MINOR 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:
4
4
This is adding a bedroom and bathroom as a result of non-bearing interior partition walls erected.
See BLD2022-0084 where space was enclosed under minor remodel.
7,000
400
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 Minor Residential Remodel 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:
71 Jackson Lane
9906003 49
Personal use (single family residence )
4
4
John James Sample and Denise Sample
71 Jackson Lane
919 6225738 919 6225738
j.sample.j@gmail.com
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.
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