HomeMy WebLinkAboutBLD2013-00140 cS-ees-1- 2.-z_
UILDING PERMIT APPLICN BLD13-00140
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD13-00140 Received Date: 5/8/2013
SITE ADDRESS: 191 OTTO ST
PORT TOWNSEND, 98368
OWNER: EAGLE COAST LLC PHONE: (360) 344-3233
2023 E SIMS WAY
PORT TOWNSEND WA 983686905
SPERRY/SLATER SHORT PLAT
SUBDIVISION: Block: Lot: 4
PARCEL NUMBER: 001212028 Section: 21 Township: 30 N Range: 01 W
CONTRACTOR: MOBILISA INC PHONE: 360-344-3233
191 OTTO ST.
PORT TOWNSEND WA 98368
Contractor's License MOBILI*880QT Expires 11/30/2014
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION RADIO TOWER
TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL:
TYPE OF IMP NEW MAIN: INDUSTRIAL:
VALUATION ADD'L: HEAT TYPE:
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: NUMBER OF EMPLOYEES:
WATER SYSTEM:
BATHROOMS:
Exist:
Prop:
Total:
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $583.15 MKF2 05/08/13 142058
Plan Check $379.05 MKF2 05/08/13 142058 APPROVED
State Building Code $4.50 MKF2 05/08/13 142058 11�- 1ltt��
Total: $966.70 JUN 0 5 2013
Jefferson County DCD
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gON �Qa JEFFERS'COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
h "C 621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 . 360/379-4451 Fax
' Q www.co.jefferson.wa.us/commdevelopment I (J ) I—S—I 0
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Master Permit Application MLA:
Project Description(include separate sheets as necessary):
M c ✓0WAvc To w e.2 P4.5'7‘../l
Tax Parcel Number: Sy / 2 2. a Z 8 Property Size: 3 I 5-o o 7 z (acres/square feet)
Site Address and/or Directions to Property:
9 1 0 +to 5T• po27 Tow.-Iser.d/ wA- `1834 S
Property Owner(s)of Record: B o,K e L.tid to u C /c C„4E S r LG c,
Telephone: (3 G o ) 3`N- 3133 Fax: (31. o)3 Cf Lf - 33 13 email: 50./.,;c, a.o.-
Mailing Address: I ► o to sT. Po,2 7 To.•„s e.s•l NA— 41 3 L 8
Applicant/Agent(if different from owner): Jo L- Kr o Ns e
Telephone: ( 3Lv) 3 o I - ? 2 Fax: (3l.0) 3CH - 33 23 email:jo Is". Krovoe C' IC b;L. co..,
Mailing Address: .0 0 ST. A- ; 6 • -
Wh$�kind of Permit?(Check each box that applies ❑ Lot or Road Segregation (g /� p v� E.
ElBuilding ❑Critical Areas Stewardship P La Vu_____.-
❑ Demolition Permit ❑Variance(Minor, Major or Re e Economic Use)
❑ Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d), 201
❑ Manufactured Home .❑ Modular ❑ Discretionary"D"or Unname s lass jtiorf
❑ Commercial* ❑Special Use(Essential Public c �t s)**
❑ Change of Use ❑ Boundary Line Adjustment uu
❑ Address ❑ Road Approach_ ❑Short Plat** JEFFERSON COUNTY
❑ Home Business ❑Cottage Industry ❑ Binding Site Plan** OEpT pF COMMUNITY DEVELOPMENT
❑ Propane ❑Long Plat**
❑ Sign - ❑Planned Rurai Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration**
❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions**
❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
❑Temporary Use ❑Shoreline Management Variance
❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium ❑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 d v K r o 1,■S{S to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE /c�L91.441..e �(�d �hcT Date: oZ
By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true d 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 want,nor o -.
Signature: /�. .• .ii . i Date: 0219/3
The action or actions Applican 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 federal 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 a erin to nd complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: Date:/9
�_ � 2- 4
44444 VIDA'fC4444\T,DrIIcsn r1Dn U.,�_\rn_ _ __ n no
•
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:
M019 .' 1i 5A- Z-rC. v (3Go) 3Y'E- 32.33 Utz.) 3IP " 332j
MAILING ADDRESS: I c ( D f b s . I( /• (J1f.--- i
EMAIL.: 7v 4n /Z!'a t—se Q (e it-to- L 7 • C .u-.1
CONTRACTOR'S LICENSE WAINS
NUMBER: tl p 13 1 LI sc 8 g D .T NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
O New ❑ Wood Existing: ❑ Sewer
Pc Addition 0 Steel Proposed: Bank 0 Community System
O Alteration/Remodel a Concrete Total: Height: ❑ Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: ❑ Public
Total: Name of System:
if iS is`.a Commercial Project you must answer the following:
Number of Parking Spaces: Current 3 I Proposed: . 8 Number of ADA Parking Spaces: /
' Number of occupants(includes owners,tenants,employees,etc) Current V- Proposed
1 IBC Occupancy: S 0 IBC Type of construction: Will you have Food Service'? Yes
'lffthis is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
#Y I UndergroundTank I Above ground Tank Size of Propane Tank:
1 Heat Stove .1 Cook Stove 1 Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes /®
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:
2nd Floor Heated Consistency Review: t
Other Heated Base fee: 2
Mezzanine g( is--(0, (A)
Heated Basement Plan Check fee: 2 7cr,OS
Unheated Basement State Surcharge fee: 4` S-b
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL
Decks 911/Rd Approach fee:
Other TOTAL: $ l D
Receipt Number: / 0S
Cash/Check Number: V ��
L
ESTIMATED COST(REQUIRED) Date: L
.Fair market value of all labor and materials foundation to finish ✓ �,��
44 ,..46 94 4dt). Initials: '''/�
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Contractors or Tradespeople liter Friendly Page Page 1 of 1
•
General/Specialty Contractor
A business registered as a construction contractor with L8l to perform construction work within the scope of
its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Business and Licensing Information
Name MOBILISA INC UBI No. 602109847
Phone 3603443233 Status Active
Address 191 Otto Street License No. MOBILI*880QT
Suite/Apt. License Type Construction Contractor
City Port Townsend Effective Date 11/30/2012
State WA Expiration Date 11/30/2014
Zip 98368 Suspend Date
County Jefferson Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company INTELLICHECK MOBILISA INC
Business Owner Information
II
Name Role Effective Date Expiration Date
LUDLOW, NELSON President 11/30/2012
LUDLOW, BONNIE Secretary 11/30/2012
Bond Information
Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date
1 Hartford Fire Ins Co 52BSBGC1047 10/29/2012 Until Cancelled $12,000.00 11/30/2012
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date
2 Federal Ins Co 35890371EUC 01/01/2013 01/01/2014 $1,000,000.00 12/13/2012
1 Federal Ins Co 35890371EUC 01/01/2012 01/01/2013 $1,000,000.0011/30/2012
Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
Infractions/Citations Information No records found for the previous 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx 5/29/2013
• •
ik,gON t~0 JEFFERSON COUNTY 2
DEPARTMENT OF COMMUNITY DEVELOPMENT C� 1' a V L�0
[NE
•' 621 Sheridan Street• Port Townsend• Washington 98368 ;I MAY
310/379-4450 • 360/379-4451 Fax I - 8 2013
S` 0 http://www,co,jefferson.wa.us/commdeveloprnent/ u I
JEFFERSON COUNTY
DEPT.OF COMMUNITY DEVELOPMENT
Stormwater Calculation Worksheet
MLA# PROJECT/APPLICANT NAME:
DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first
to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction
with a stand-alone stormwater management permit application, building permit application, or other land use approval application that
involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required.
PARCEL SIZE(I.E.,SITE)
Size of parcel - 7 2— acres An acre contains 43,560 square feet. Multiply the acreage by this figure.
Size of parcel in square feet 3 1/ S a o sq/ft
Land-disturbing activity is any activity that results in movement of earth,or a change in the existing soil cover(both vegetative and
non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading,filling,
excavation,and compaction associated with stabilization of structures and road construction.
Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the
Pacific Northwest and which reasonably could have been expected to naturally occur on the site Examples include species such as
Douglas fir,western hemlock,western red cedar,alder,big-leaf maple,and vine maple;shrubs such as willow,elderberry,salmonbeny,
and salal;herbaceous plants such as sword fern,foam flower,and fireweed.
LAND DISTURBING ACTIVITY.CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL
Calculate the total area to be cleared,graded,filled, Answer the following two questions related to
excavated,and/or compacted for proposed development conversion of native vegetation:
project. Include in this calculation the area to be cleared for
Does the project convert%acres or more of
Construction site for structures sq/ft native vegetation to lawn or landscaped areas?
Drainfield,septic tank,etc. sq/ft Circle: Yes
Well,utilities,etc. sq/ft Does the project convert 21/2 acres or more of
native vegetation to pasture?
Driveway,parking,roads,etc. "r.S sq/ft
Circle: Yes
Lawn,landscaping,etc. sq/ft
Other compacted surface,etc. sq/ft Indicate Total Volumes of Proposed:
Total Land Disturbance ''s sq/ft Cut Fill (cu/yd)
[over]
Stormwater cats worksheet Rev 9.9.2010—REV 919/2010 1
• •
Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions
prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow
from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof
tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads,packed earthen materials,
and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.
STORMWATER CALULATIONS–IMPERVIOUS SURFACE
NEW EXISTING
Structures(all roof area) sq/ft Structures(all roof area) 4 OS o sq/ft
Sidewalks sq/ft Sidewalks sq/ft
Patios sq/ft Patios sq/ft
Solid Decks sq/ft Solid Decks sq/ft
(without infiltration below) (without infiltration below)
Driveway,parking,roads,etc sq/ft Driveway,parking,roads,etc sql t
Other Co r%ui'Fe '+ sq/ft Other sq/ft
X4-4 /
Total New 4-5 sq/ft Total Existing G f D Si) sq/ft
TOTAL NEW+TOTAL EXISTING* G U 9.S sq/ft
*This amount will be used BY STAFF torcheck total lot coverage.
The following questions will help determine whether the proposed project is considered development or redevelopment.
DEVELOPMENT v.REDEVELOPMENT
Divide the total existina impervious surface above by the size of the parcel and convert to a percentage: I `) %
Does the site have 35%or more of existing impervious surface? Circle: Yes
FURTHER INSTRUCTIONS: If the answer is yes,the proposal is considered redevelopment,and the attached Figure 2 should be
used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the
attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum
Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements.
For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution
Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and
prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction
Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those
that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum
Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan,
principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or
prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual.
APPLICANT SIGNATURE
By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and
correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all
owners of the affected property.
�:er` 4 (1141 r .1'74?. 2o
(IA OWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE)
°FORXOFFIc US ONLY. r • ° ,':Q=„ h r `f .;:; ;"
424 xx$. , „ �.�._...._.., � .,_
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;fMAL�, MEDIUM .ARCE � RDEV PM6N T SfoCmwaTtem ..44.yt
stormwatercalc worksheet Rev 9-9.2010—REV 9/9/2010 2
I
Michelle Farfan
From: Robert Streett[robert.streett @icmobil.com]
Sent: Friday, May 24, 2013 4:29 PM
To: Michelle Farfan
Cc: John Krouse
Subject: Mobilisa tower specs and drawings
Attachments: Mobilisa Allstate Tower drawings.pdf
Hello Ms. Farfan,
John Krouse asked me to forward this information to you concerning the communications tower we are
requesting a permit for.
If you have any questions, please give me a call or email.
Thank you very much for your help with this important project.
Robert Streett
Deputy Director-Enterprise Wireless
Intellicheck Mobilisa (NYSE Amex: IDN)
191 Otto Street, Port Townsend,WA 98368
Ph:360.390.5391 Cell:360.531.4317
robert.streett@icmobil.com
www.icmobil.com
MOBILIS
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DRD/ENV/CASP/WSRC Meeting Minutes
May 1, 2013
Attending:
ITEM: Radio tower—cont. (001212028)-Shannon
Decision: Follow up questions regarding whether or not the proposed tower may qualify as
exempt from setbacks since it will providing service to fire stations and hospitals/clinics. It may
be exempt based on 18.42.020(2)(a), requiring a building permit and standard setbacks. Make
sure it meets noise requirements in 18.30.190. Any possible changes of use in the future will be
subject to standards in 18.42, with a major variance and public hearing.
ITEM: Road access/naming(902042003 &902042024) -Shannon
Decision: Consultant inquires if road naming and access should be handled through either
Clallam or Jefferson Counties. Contact Terry Duffy in Public Works for comment.
ITEM: Collective(948602501)-Shannon
Decision: Potentially lessee inquires whether or not a non-profit medical marijuana collective
access point, where patients can pick up medications, is allowed at this location. It would be
considered either a pharmaceutical or retail use, and not allowed in LI zoning. Advised to find
location zoned for commercial use.
Admin Tylsg-Z d
Item:, �7 �nC4,, J, l "
Item:
(737ge 05—
Item:
LI, SD SbTEL
Item: �j /./
Item: `{' ' l
Item: . 014 I S 1 St •
15-S aclif
„F,1,Av V11 1
(111` °) )
J
•
DRD/ENV/CASP/WSRC Meeting Minutes
April 24, 2013
Attending:
ITEM: Radio tower(001212028)-Shannon
Decision: Inquiry about building a radio tower with microwave dish, 1-3' antenna,
approximately 100 feet tall as part of the NAONET/PUD project. The use is allowed. Note
setbacks in 18.42 Table 13-1 and 18.42.091. Add one foot setback to the standard setback for
every foot over sixty feet. A pre-application conference is required.
ITEM: Winery(801102002 &801102004)-Shannon
Decision: Potential buyer inquires about opening a winery &tasting room, planting trees &
vines, and on site wine production. Allowed use. Confine the operation to the LI zoned area.
Note the delineated wetland on the RR parcel. Plant natives only in wetland buffer, and non-
native vines &trees outside the buffer. Note that retail sales can take up to 15%square feet of
the building in 18.20.220.
ITEM: SPAAD (976800035) -Shannon
Decision: Property owner inquires about applying for SPAAD to vest current SMP and RCW
36.70A.480(c)(i) for the cabin built in the 1960's. The proposed SPAAD application is feasible
and applying before the end of May is advised.
Admin
Item:
Item:
Item:
Item:
Item:
Item:
fl p Front Parcel Review •
Parcel 001212028
Printed: May 29, 2013
EAGLE COAST LLC Site Address:
2023E SIMS WAY 251 OTTO ST
PORT TOWNSEND WA 983686905
PORT TOWNSEND, WA 983E PORT TOWNSEND WA, 98368
Parcel Number: 001212028 S-T-R: 21-30N-01W Total Acreagc 1
Legal Description SPERRY/SLATER SHORT PLAT LOT 4 Land Use: 6300
Flood District: Fire District: 1 Planning Area: 2
Flood Map(FIRM)Panel No: School District 50 Zoning:
COMP PLAN
DESIGNATION:
COMJ 4UNITY PLAN: UGA: UGA Trans
[ l.]( Plot plan states "property line"
[ fi] Assessor's Map(Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map)
[rt Legal Access to Property NO
[ . f Parcel Tags or Scanned Documents YES NO
[ ESA's: Special Reports Nearby YES NO
[VI Designated Ag YES
[ Shoreline Designation: YES
[ (/r Shoreline Slope Stability: YES
Stream Type:YES NO
Fish & Wildlife:YES NO
Wetlands: YES NO
Rare Plants:vES NO
Seismic: YES NO
Landslide: YES NO
Flood: YES NO
Erosion: YES NO
Aquifer Recharge Area 4g4k NO SAC -F
SIPZ: none At Risk High Risk Coastal
CMZ: none High Risk Moderate RiskDisconnected CMZ
Stormwater site plan submitted: YesNo
[ V' Forest Lands: YES NO
Adjoining Forest Lands: Commercial/ Rural/ Inholding
[VI Mineral Lands: YES 4
[ (rf Agricultural Lands: YES 11
[ VI Archaeology: YES •
[ Stormwater: New Im•-+ •' Surface Land Disturbing Activity ESA's
Stormwater R- :Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering
[ yr Notice Provisio l'sclosure:Airport YES NO MRL YES NO Forest Lands YES NO
[ v Landscaping Required: Yes No
[ 1s]" Parking Spaces Required NO 2 Other
pr f Building Height: 35' -UBC Standard
■ (00(4'61-tier e o f C`3 .%z - 07_6("Z_)@-)
[ ]• Impervious Surface coveraercentage:
Resource Lands&Public: 10 Rural Residential: 25% Rural Indu : Per UDC Sec 6.7
Rural Commercial: 60% Area of Building Coverage:60%in Rural Ind 'al Lands only
[ J Total Building (s) Size:
RVC:20,000 SF CC: 5,000 SF NC:7,500 SF GC: 10 000 SF All others:subject to septic&water constraints/None specified
[ f�]' Setbacks: Front: 2d Left Side: Z Right Side: Rear:
Shoreline Setback:
LSHA Setback:
[ 1/r Road Classification:
Road Approach: EXISTING ►• ; Q'D RAP
[ V( SEPA Required: YES EXEMPT
[f Flood Certificate:
[frt. Existing Case(s) &Condition(s):
Violations: Yes No
[ 4]' Recorded Date of Subdivision: AFN Over 5yrs=UDC
Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance
[ Lots/Require Declaration of Restrictive Covenant YESubmitted: YES NO
[ UGA No Protest Agreement YES 65 submitted: YES NO
[ a- Site Visit conducted YES AP
[ CJ-- Require Final Zoning Approval YES
[ ADMIN: Setbacks entered in Permit Plan case 411P YES
New Parcel Tags entered in Permit Plan 1/A YES
Special Reports Scanned dr YES
No parcel tags found for parcel
Cases Associated with APN 001212028
Cases Name Review Type Status Planner
BLD07-00045 EAGLE COAST LLC F
Application Received: 2/9/2007 Permit Issued/Case closed: 2/9/2007 Case Finaled: 5/16/2007
NO MLA REQ'D INS IALLING A/G 250 GAL PROPANE TANK ACK-UP GENET-AI ON
BLD07-00045 EAGLE COAST LLC F
Application Received: 2/9/2007 Permit Issued/Case closed: 2/9/2007 Case Finaled: 5/16/2007
NO MLA REQ'D INS IALLING A/G 250 GAL PROPANE TANK ACK-UP GENERA OK
BLD07-00045 EAGLE COAST LLC F
Application Received: 2/9/2007 Permit Issued/Case closed: 2/9/2007 Case Finaled: 5/16/2007
NO MLA REQ'D INS IALLING A/G 250 GAL PROPANE TANK 10 POWER BACK-UP GENET-Al OK
BLD13-00140 EAGLE COAST LLC P
Application Received: 5/8/2013 Permit Issued/Case closed: Case Finaled:
RADIO TOWER
BLD13-00140 EAGLE COAST LLC P
Application Received: 5/8/2013 Permit Issued/Case closed: Case Finaled:
RADIO TOWER
BLD13-00140 EAGLE COAST LLC P
Application Received: 5/8/2013 Permit Issued/Case closed: Case Finaled:
RADIO TOWER
BLD92-00448 BELL F
Application Received: 7/8/1992 Permit Issued/Case closed: 8/11/1992 Case Finaled: 4/4/1994
commercial addition
BLD92-00448 BELL F
Application Received: 7/8/1992 Permit Issued/Case closed: 8/11/1992 Case Finaled: 4/4/1994
commercial addition
BLD92-00448 BELL F
Application Received: 7/8/1992 Permit Issued/Case closed: 8/11/1992 Case Finaled: 4/4/1994
commercial addition
BLD94-00871 ALASKA POWER&TELELPHOP F
Application Received: 12/27/1994 Permit Issued/Case closed: 12/27/1994 Case Finaled: 12/6/1995
Int. wall addition
\\tidemark\data\forms\R Parcel_CRMLA.rpt 5/29/2013 Page 2 of 4
BLD94-00871 ALASKA POWER&TELELPHOP F
Application Received: 12/27/1994 P t Issued/Case closed: 12/27/1994 allg Finaled: 12/6/1995
Int. wall addition
BLD94-00871 ALASKA POWER&TELELPHOP F
Application Received: 12/27/1994 Permit Issued/Case closed: 12/27/1994 Case Finaled: 12/6/1995
Int. wall addition
SEP88-00122 BELL F
Application Received: 12/6/1988 Permit Issued/Case closed: 1/20/1989 Case Finaled: 1/20/1989
EES 5/21/09
SEP88-00122 BELL F
Application Received: 12/6/1988 Permit Issued/Case closed: 1/20/1989 Case Finaled: 1/20/1989
EES 5/21/09
SEP88-00122 BELL F
Application Received: 12/6/1988 Permit Issued/Case closed: 1/20/1989 Case Finaled: 1/20/1989
EES 5/21/09
BLD93-00108 NW SCHOOL OF WOODEN BOP F
Application Received: 3/3/1993 Permit Issued/Case closed: 3/3/1993 Case Finaled:
propane tank installation
BLD93-00108 NW SCHOOL OF WOODEN BOA F
Application Received: 3/3/1993 Permit Issued/Case closed: 3/3/1993 Case Finaled:
propane tank installation
BLD93-00108 NW SCHOOL OF WOODEN BOP F
Application Received: 3/3/1993 Permit Issued/Case closed: 3/3/1993 Case Finaled:
propane tank installation
M LA01-00293
PRJ01-00109 MLA01-00293 BELL TRUSTEE P
Application Received: 6/13/2001 Permit Issued/Case closed: Case Finaled:
BOUNDARY LINE ADJUS I MEN
PRJ01-00109 MLA01-00293 BELL TRUSTEE P
Application Received: 6/13/2001 Permit Issued/Case closed: Case Finaled:
BOUNDARY LINE ADJUSTMEN I
PRJ01-00109 MLA01-00293 BELL TRUSTEE P
Application Received: 6/13/2001 Permit Issued/Case closed: Case Finaled:
BOUNDARY LINE ADJUS I MEN
SUB01-00008 MLA01-00293 BLEAKNEY I F M FARFAN
Application Received: 6/1/2001 Permit Issued/Case closed: 7/16/2001 Case Finaled: 10/22/2003
BOUNDARY LINE ADJUSTMEN I
SUB01-00008 MLA01-00293 BLEAKNEY I F M FARFAN
Application Received: 6/1/2001 Permit Issued/Case closed: 7/16/2001 Case Finaled: 10/22/2003
BOUNDARY LINE ADJUSTMEN I
SUB01-00008 MLA01-00293 BLEAKNEY I F M FARFAN
Application Received: 6/1/2001 Permit Issued/Case closed: 7/16/2001 Case Finaled: 10/22/2003
BOUNDARY LINE ADJUS I MEN I
M LA01-00325
BLD01-00339 MLA01-00325 BLEAKNEY II F M FARFAN
Application Received: 6/12/2001 Permit Issued/Case closed: 8/20/2001 Case Finaled: 2/22/2002
Construction of a new 7,000 square foot office building. Future expansion of 3,000 square foot to the existing building
is also proposed.
BLD01-00339 MLA01-00325 BLEAKNEY II F M FARFAN
Application Received: 6/12/2001 Permit Issued/Case closed: 8/20/2001 Case Finaled: 2/22/2002
Construction of a new 7,000 square foot office building. Future expansion of 3,000 square foot to the existing building
is also proposed.
BLD01-00339 MLA01-00325 BLEAKNEY II F M FARFAN
Application Received: 6/12/2001 Permit Issued/Case closed: 8/20/2001 Case Finaled: 2/22/2002
Construction of a new 7,000 square foot office building. Future expansion of 3,000 square foot to the existing building
is also proposed.
M LA09-00154
\\tidemark\data\forms\R_Parcel_CRMLA.rpt 5/29/2013 Page 3 of 4
BLD09-00143 MLA09-00154 gib EAGLE COAST LLC I F
• Application Received: 5/6/2009 Pfflifft Issued/Case closed: 5/20/2009 Ce Finaled: 4/8/2010
50 FT. FLAG POLE INS1ALLAI IUN WITH WIRELESS COMMUNICATIONS ANTENNA INSIDE I HE I UBE
BLD09-00143 MLA09-00154 EAGLE COAST LLC I F
Application Received: 5/6/2009 Permit Issued/Case closed: 5/20/2009 Case Finaled: 4/8/2010
50 FT. FLAG POLE INSTALLAI ION WITH WIRELESS COMMUNICATIONS ANTENNA INSIDE I HE rUBE
BLD09-00143 MLA09-00154 EAGLE COAST LLC I F
Application Received: 5/6/2009 Permit Issued/Case closed: 5/20/2009 Case Finaled: 4/8/2010
50 FT. FLAG POLE INS FALLAI ION WITH WIRELESS COMMUNICATIONS ANTENNA INSIDE I HE 1 UBE
PRE01-00007 ALASKA POWER&TELEPHONI F M FARFAN
Application Received: 2/5/2001 Permit Issued/Case closed: 3/2/2001 Case Finaled:
7,000 SF office building (Corporate Headquarters.) Includes 4,0 ui ing footprint and 8,000 SF paved parking
and access. 3,000 SF proposed expansion.
PRE01-00007 ALASKA POWER&TELEPHONI F M FARFAN
Application Received: 2/5/2001 Permit Issued/Case closed: 3/2/2001 Case Finaled:
7,000 SF office building (Corporate Headquarters.) Includes 4,000 SI- building footprint and 8,000 SF paved parking
and access. 3,000 SF proposed expansion.
PRE01-00007 ALASKA POWER&TELEPHONI F M FARFAN
Application Received: 2/5/2001 Permit Issued/Case closed: 3/2/2001 Case Finaled:
7,000 SF office building (Corporate Headquarters.) Includes 4,0176-STIliiTairTg footprint and 8,000 SF paved parking
and access. 3,000 SF proposed expansion.
PRE09-00007 EAGLE COAST LLC F
Application Received: 2/17/2009 Permit Issued/Case closed: 3/24/2009 Case Finaled:
INSTALL WIRELESS ANTENNA
PRE09-00007 EAGLE COAST LLC F
Application Received: 2/17/2009 Permit Issued/Case closed: 3/24/2009 Case Finaled:
INSTALL WIRELESS ANTENNA
PRE09-00007 EAGLE COAST LLC F
Application Received: 2/17/2009 Permit Issued/Case closed: 3/24/2009 Case Finaled:
INSTALL WIRELESS ANTENNA
SOM88-00122 EAGLE COAST LLC RCR
Application Received: 1/20/1989 Permit Issued/Case closed: 4/20/2012 Case Finaled:
SOM88-00122 EAGLE COAST LLC RCR
Application Received: 1/20/1989 Permit Issued/Case closed: 4/20/2012 Case Finaled:
SOM88-00122 EAGLE COAST LLC RCR
Application Received: 1/20/1989 Permit Issued/Case closed: 4/20/2012 Case Finaled:
ICI
\\tidemark\data\forms\R_Parcel_CRMLA.rpt 5/29/2013 Page 4 of 4
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD13-00140 Received Date: 5/8/2013
SITE ADDRESS: 191 OTTO ST Issue Date 6/5/2013
PORT TOWNSEND, 98368 Expiration Date 6/5/2014
OWNER: EAGLE COAST LLC PHONE: (360) 344-3233
2023 E SIMS WAY
PORT TOWNSEND WA 983686905
SPERRY/SLATER SHORT PLAT
SUBDIVISION: Block: Lot: 4
PARCEL NUMBER: 001212028 Section: 21 Township: 30 N Range: 01 W
CONTRACTOR: MOBILISA INC PHONE: 360-344-3233
191 OTTO ST.
PORT TOWNSEND WA 98368
Contractor's License MOBILI*880QT Expires 11/30/2014
PROJECT DESCRIPTION: RADIO TOWER
TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL:
TYPE OF IMP NEW MAIN: INDUSTRIAL:
VALUATION ADD'L: HEAT TYPE:
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: Type Amount Paid By: Date: Receipt:
BATHROOMS: Permit $583.15 MKF2 05/08/13 142058
Exist: Plan Check $379.05 MKF2 05/08/13 142058
Prop: State Building Code $4.50 MKF2 05/08/13 142058
Total: Total: $966.70
NUMBER OF EMPLOYEES:
Directions to Site:
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.
Office Hours 9:00 am -4:30 pm MONDAY- THURSDAY
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY-SEE ATTATCHED
Jefferson County Building Division Permit Null: BLD13-00140
Applicant: EAGLE COAST LLC
BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 International Building Codes
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
Inspection Item Date Approval Signature Notes
Setbacks 6,/1/0//3 9-
Foundation Footing 67/v/6 /
Miscellaneous i% Tower inspection by third party
II
FINAL INSPECTION / /i,9
FINAL INSPECTIO MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
•
•
CONDITIONS for Building Permit# :BLD13-00140
1.) Concrete pad must not be placed any further north that shown on plot plan due to location
of existing drainfield.
2.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater,
erosion and sediment during construction. BMPs shall address permanent measures to
stabilize soil exposed during construction, and in the design and operation of stormwater
and drainage control systems.
3.) The site plan as submitted with the Building Permit application on May 8, 2013 has been
reviewed for consistency under the UDC, and has been approved by Jefferson County
Department of Community Development. Any modifications, changes, and/or additions to
the stamped, approved site plan dated May 29, 2013 shall be resubmitted for review and
approval by Jefferson County Department of Community Development.
\\firlemark\rlafa\fnrmc\F RI 11 PPrmif Rlrin rnf R/F/9f13
„Sox c
,,k °*� JEFFERSON COUNTY
9SH�NG-c°}
DEPARTMENT OF COMMUNITY DEVELOPMENT
Date: 7/3 Time Received: /17 am/ Mon. 41101, Wed. Thur. Fri.
Date: 2,43
BLD: /3-- I/(' Contact Name: ‘10/14,1
Owner: /ryj0,b Cn - ' C o,u Contact Number: 360 30, 9-8,Z7
Address: ,_, ____ ___ ' 0 206
Notes:
Foundation Plumbing Framing Propane Tank Mechanical
Setbacks Under-ground Framing Under ground Furance
Footing Rough In Air Seal Above ground Gas
Stemwall Hydronic Exterior shear Exterior lines Oil
Straps Hot Water Htr Interior shear Interior lines Ducts
Post Hole Ventilation Appliance
Underfloor Gas/Wood stove
Man-Homes Insulation
Final Inspection
- Setbacks Floor
Foundation Wall Address Posted
Block&Tile Ceiling
—_,
A
— ---,-.. ..s.r..,.. ,'.i •
17,:1"— .
- -
Date, 6 /0 time received am / pm a Tues. ed. Thur. -Pri.
BLD: /3 - .
Date:
OWNER:
• Contact Name:
ADDRESS: / f i 0 77-e
Contact Number 360
I .
Notes: 206 g
.
- •
•
if
Foundation Plumbing • • Framing Propane Tank • Mechanical
Setbacks Under-ground Frami .
ng Under ground Furnace
Footing _y_ Rough In Air seal —
______ Above ground • Gas —
_
Stemwall _ Hydronic Exterior shear Exterior lines Oil
_____ ____
Straps Interior shear Interior lines . Ducts
. Post Hole Ventilation Appliance --- .
_
. , • Underfloor Gas/wood stove
. _
Man-Homes
•
,
Setbacks • Insulatio .
Foundation- Final Inspection -..)
,
-
..
Block&Tie floor _wall ceiling Address Posted
. .
Mobilisa, Inc. 13009
Department of Community Development 6/5/2014
Permit renewal fee 228.00
SVB Operating Accou Permit renewal fee 228.00
JEFFERSON COUNTY QCD NO. 146766
(\ 5DATE RECEIVED FROM ) k0 a- r `
DESCRIPTION BARS# AMOUNT
CURRENCY P,� 72-7 I
� COIN
�
lc f
,5,,,.),,,,.
cp
--I 2
� � l� �
i 33
m
O
RECEIVED BY TOTAL 12-3r,