HomeMy WebLinkAboutBLD2010-00055 •
•
CAPE GEORGE COLONY CLUB
61 CAPE GEORGE DRIVE www.capegeorge.org
PORT TOWNSEND,WA 98368 office@capegeorge.org
PHONE: (360)385-1177
FAX: (360)385-3038
4/9/2012
Lisa Keller
Jefferson County Department of Community Development
621 Sheridan Street
Port Townsend, WA 98368
Re: Per rnii# BLD 10-00055
Dear Ms. Keller,
After further evaluation of the project referenced on Permit# BLD10-00055 it has been
determined that we do not need to undertake this work at this time. As a result, we will
not be renewing the permit.
If you should have any questions, please feel free to contact me.
Sincerely,
Art Burke
Manager
1 ; APR 1 1 2012
JEFFERSON COUNTY
DEPT.OF COMMUNITY DEVELOPMENT
Jefferson County Building DivOn Permit Numb•3LD10-00055
Applicant: CAPE GEORGE COLONY CLUB
BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2006 International Building Codes
To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection.
Requests received after 7:00 AM will not be scheduled for that 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
Ext. Shear Wall Nailing
Framing
Blocking
Airseal
Insulation: Walls
Insulation: Ceiling
Wallboard Nailing
Miscellaneous
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
•ILDING PERMIT APPLICATION B 0055
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00055 Received Date: 3/1/2010
SITE ADDRESS: 360 MARINA DR
PORT TOWNSEND, 98368
OWNER: CAPE GEORGE COLONY CLUB PHONE: (360) 385-1177
61 CAPE GEORGE DR
PORT TOWNSEND WA 983689403
SUBDIVISION: Block: Lot: 4+
PARCEL NUMBER: 002123003 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: TBD PHONE: 205-807-2541
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOt REPAIR & REPLACE THE WALLS AT THE CAPE GEORGE COLONY
CLUB'S SWIMMING POOL BUILDING - NO MLA REQ'D, STAYING
W/IN EXISTING FOOTPRINT
TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL:
TYPE OF IMP REP MAIN: INDUSTRIAL:
VALUATION 25,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON NUMBER OF EMPLOYEES:
WATER SYSTEM:
BATHROOMS:
Exist: 2
Prop: 0
Total: 2
Routing Date:
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $391.25 LYK 03/01/10 113940 q�,�,�(�V E
Plan Check $254.31 LYK 03/01/10 113940
State Building Code $4.50 LYK 03/01/10 113940
Total: $650.06 MAR II, Anti
Jefferson County PlanninL
& Building Department
-.,.-0.-i.-.is..-,/.,
?, oN cob JEFFERSON CWNTY
' DEPARTMENT OF COMMUNITY DEVELOPMENT h `
621 Sheridan Street • Port Townsend •Washington 98368
•
�� www.c9-4450 • 36l)/3s/com 1 Fax
NSSS"' N www.co.jefferson.wa.us/commdevelopment
Cs
Master Permit Application MLA: 1�� e ` ij
Project Description(include separate sheets as necessary): 5 -fink- r.J,r,ii J C--SC/S-i1n.G- o-r i¢fnit-
i2E,Pi°t i i-- 0 g-CA. ce- t,JfklL5 RT CA PCB G y Cu4&S -Jt/4 M fid fC l
Tax Parcel Number: 00 a (a3 OO .-- Property Size: / (acres/square feet)
Site Address and/or Directions to Property:
•3 60 MAC-li fit a-t 6& c27 tv. `eft `i 8 3 68
Property Owner(s)of Record: C & CrC rr oily C_i_uk.e,
Telephone: 3 60 — 3k35- I l 77 Fax; 36p -335-3 03 email: /Yta nct, e L e.4 1.7a e-•
Mailing Address: (O I CAPE- Cr'Cfl12GG— D124.Je- P -- s&-b CJA qS 6,V
Applicant/Agent(if different from owner): o('Q
Telephone: Fax: �J
email:
Mailing Address:
What kind of Permit?(Check each box that applies ❑Lot or Road Segregation
Building
0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a), C(d),or C]**
❑ Manufactured Home .0 Modular - - 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Approach ❑Short Plat**
❑ Home Business 0 Cottage Industry ❑Binding Site Plan**
❑ Propane 0 Long Plat**
❑ Sign 0 Planned Rural Residential Development(PRRD)/Amendments** -❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration**
❑ Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions**
❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
❑Temporary Use 0 Shoreline Management Variance
❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment
*May require a Pre—Application Conference ❑Tree Vegetation Request
**Requires a Pre-Application Conference
Please identify any other local, state or federal permits required for this proposal, if known:
----- DESIGNATION OF AGENT
I hereby designate i X ; to?et as my agent in matters relating to this application for permit(s).
OWNER SIGNATUR Date:, .e.'/-6,
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,her or its 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 this permit being null and void.
I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and
expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the application that he or she wants prior notice.
Signature:
Date:
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and Could lead to a potential"take"of an endangered species as those terms are defined in the tederal law known as the
"Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature:
Date:
G:\PemlltCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Anolication 5-29-08.doc
Z�� t --N.' 1 � A✓t • NUj0I - `icet) -n-tA */� BUILDER STATEMENT
The signer of this statement does hereby certify 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: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAx:( )
MAILING ADDRESS: EMAIL
Project Type: Frme Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New ill' Wood Existing: 2— ❑ Sewer
❑ Addition 0 Steel Proposed: Bank ❑ Community System
0 Alteration/Remodel 0 Concrete Total: 2- Height: $.Individual System ("(-DCT
0 MasonrySEP Permit#
El Repairmo n Bedrooms: Water Supply:
El Demolition ❑ Other: pP y'
Existing: IJ r'C Setback: '( Private well 0 Two Party
Type of Heat: Proposed: ❑ Public
t-(t it T ec4 t-lr. Total: Name of System: •
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
1 Underground Tank i Above ground Tank Size of Propane Tank:
i Heat Stove i Cook Stove 1 Woodstove i Fireplace Insert 1 Hot Water Tank i Pellet Stove 1 Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines,tank location and size, distances from the propane tank to all property lines,buildings and septic system components,
including the reserve area.
Square Footage Current Proposed Fgr Office Use Only Amount Revision
Main Floor Heated EH Bld App Review:
2`d Floor Heated Consistency Review:
Other Heated Base fee: i FS
Mezzanine V Additional Section:
Heated Basement ;1 I Plan Check fee: 2,514
3i
Unheated Basement State Surcharge fee: / �
Other Unheated Pot Water Review fee:
Garage/Carport .. SUBTOTAL
COC-30 (ID
Decks 911/Rd Approach fee:
Other TOTAL $(.(. 0
O
Receipt Number: l I '31(-K2
Cash/Check Number: < "1CC
ESTIMATED COST(REQUIRED) Date: �[ '
.Fair market value of all labor and materials foundation to finish "--Y t
Initials: r __ _,
ockV
G:\PemutCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc
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