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Home My WebLink AboutBLD2010-00082 • • DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD10-00082 Received Date 3/24/2010 SITE ADDRESS: 800 BECKETT POINT RD Issue Date 7/6/2010 PORT TOWNSEND, 98368 APPLICANT: BECKETT POINT FISHERMEN'S CLUB PHONE: % GOODING O'HARA& MACKEY 242 TAYLOR ST PORT TOWNSEND WA 983685717 + SUBDIVISION: BECKETT POINT FISHERMAN'S CLUB Block: Lot: PARCEL NUMBER: 932200801 Section: 23 Township: 30N Range: 02W CONTRACTOR: DAVE JOHNSON CONSTRUCTION PHONE: (360) 385-9028 314 PROSPECT AVE PORT TOWNSEND WA 98368-4700 Contractor's License DAVEJC*0440Q Expires 9/V 2060'f))0344-4131 OWNER, BECKETT POINT FISHERMEN'S CLUB PHONE: if different: % GOODING O'HARA & MACKEY 242 TAYLOR ST PORT TOWNSEND WA 983685717 PROJECT DESCRIPTION: DEMO EXISTING GARAGE Directions To Site: THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 7/6/2011. REQUIRED INSPECTION: FinalApproval� 2dtt BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY I:\F_BLD_Permit_Propane.rpt 10/29/19 INILDING PERMIT APPLICATII BLD10-00082 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00082 Received Date: 3/24/2010 SITE ADDRESS: 800 BECKETT POINT RD PORT TOWNSEND, 98368 OWNER: BECKETT POINT FISHERMEN'S CLUB PHONE: % GOODING O'HARA& MACKEY 242 TAYLOR ST PORT TOWNSEND WA 983685717 BECKETT POINT FISHERMAN'S CLUB SUBDIVISION: Block: Lot: + PARCEL NUMBER: 932200801 Section: 23 Township: 30 N Range: 02 W CONTRACTOR: DAVE JOHNSON CONSTRUCTION PHONE: (360) 385-9028 314 PROSPECT AVE PORT TOWNSEND WA 98368-4700 Contractor's License DAVEJC*0440Q Expires 9/1/2010 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP DEMO EXISTING GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP DEM MAIN: VALUATION 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: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $71.00 LYK 03/24/10 117455 State Building Code $4.50 LYK 03/24/10 117455 JkFDRJJEED Total: $75.50 JUL (ic, 2Q10 Jefferson County PlanninI &Building Department APR/07/2010/WED 12: 57 PM ORCAA FAX No. 3604916308 P, 001/001 h'\.u� t 0 -- I l • ,.'"• ,c:e, +'ya Olympic Region Clean Air Agency .r 2940-B Limited Lane NW Olympia,WA 98502 ' s (360)586-1044• FAX(360.)491-6308 Residential ' - Port Angeles office(360)417-1466 N,. OItCAA Raymond Office(360) 942-2137 Demolition Permit . ,, '• www.ORCAA.org This permit valid only for residential homeowner . . residing in the dwelling after renovations - Permit fee: $35.00 per structure. Non-refundable. . PROPERTY OWNER None: Phone; (43ee)111 -6464 Email: 9 . i MSAIA 13!) R J)J s'J FAX: ( ) Mobile:(_ ) Mailing Address City: State: 'Zip: • . SS�7 - l<lo�t' AVE. S.k. $�iLLtf Y LJ4 Pin 9 raps' Site Address: City: State: Zip: gov 'af 6rs Pole!! • Rd, • FOP' YaLSPSeNo wA cn3Cr DEMOLITION CONTRACTOR f [Check if same as property owner information Business Name:. Phone: (36o)3 T e•9 o Z 8' Email:7o nrNs d hi. ?OAS.' D V g • 04N1fb ceN S 7RUcy/0) FAX; (36o)3Nw -ill 3l l& c49i.CJP0iP, Co/4 Onsite Contact: • . . Phone: ( ) Mobile: (84 .4'/3 -/aw vAvi SoNN-ro _�� FAX: ( ) Mailing Address: City: • . State: ~Zip: 3 i li PRO-P4C 7 /ivy• Qo,t T Tat vevcINP _ w/} 9 FY Or DEMOLITION INFORMATION #of Structures being demolished: Start Date: Completion Date: ] 3' /O ..5' % - /a Asbestos present Yes_ NoX Survey attached YesZ. No_ Has all identified asbestos been • removed Yes No /) DEMOLITION X'ROJ ECT CATEOf1Y • [X] Complete Demolition • [ ]Training Fire—Fire Agency: [ ]Renovation,Alteration,Remodeling,Maintenances or other Construction T have read and will abide by the conditions set forth in this permit and any addendum thereto. I do hereby certify that all identified asbestos has.been removed and the information in this application and supplemental data described.herein is, to the best of my knowledge, accurate and complete. Applac,/t Name Sipa Date DatcJitmlication Received Payment Info. Appzoved Asbestos Permit CEI`/ED ( ] Cash [ ] Disapproved Permit# • ASB00 Y (•- Check: #�`1"7 )Lc Demolition Permit [ ] Credit Card Review date:,\] / 7 /'� Permit# 10 DpM00 Z) � • APR 072of� 1.3s,c2 Receive date:I/I /I D Reviewed by: 1J :I-4 . AtA _ Agency Use Only A,gesg Use Only Agency UM nny 09/197U OVER _ SON C,, ,w off,, JEFFERSON AtNTY w ' V DEPARTMENT OF COMMUNITY DEVELOPMENT ~' ` '� 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �gS,�N��p' www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: i.0 nrtA peN 'D Project Description(indude separate sheets as necessary): , ,is Tax Parcel Number: 3' 2_c_TT - Property Size: (acres/square feet) Site Address and/or Directions to Property: i ) 1 r r a✓)4 J .i • J. r DO i c 6 ✓v, ti-,7 Lir 5/ Property Owner(s)of Record: 13,} i;i;.l,.,i! 1' ;,' ) /C/L Telephone: Fax: email: Mailing Address: Applicant/Agent(if different from owner): 1 ,\v' SC. A. Telephone: Fax: a/— 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 1 Garage Attached/Detached 0 Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home . 0 Modular 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach ❑Short Plat** ❑ Home Business ❑Cottage Industry 0 Binding Site Plan** ❑ Propane 0 Long Plat** Sign 0 Planned Rural Residential Development(PRRD)/Amenaments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑ Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** 0 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 _ to act as my agent in matters relating to this application for permit(s). r OWNER SIGNATURE ealibj A , 6 _, 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,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:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit ADvlication 5-29-08.doc h. • • 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: , C. . NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: F. New Li Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: _ Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# r, Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: L Public 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: i Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove I 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 For Office Use Only Amount Revision Main Floor Heated EH Bid App Review: 2fid Floor Heated Consistency Review: Other Heated Base fee: q I _ — — — Mezzanine Additional Section: Heated Basement Plan Check fee: State Surcharge fee: Unheated Basement g ji Ea...)- Other Unheated Pot Water Review fee: _.___— Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: ._.--- Other TOTAL: $ ,r-f�j �z'1 1 , Receipt Number: 1141, Cash/Check Number: r, C) ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish - Initials: c _ G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc T13 o € o. -^ Z z z ,,,, w I" _.._. Z N • r. 12 ' . V1 '-3 rn fg X `,: r0 `q7r:. W 73 a4 CA • rs LA 0 v w 8 �.�' tg mac, y �d L £aa :, Z till \ d _ A ram' Aft - " - {N Iy -,p! W 0 )( w .. cx 1a a . 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