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Home My WebLink AboutBLD2015-00058 - 01 PERMIT APPLICATION BUILDING PERMIT APPLIION BRLD1e 00058 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00058 Received Date: 2/25/2015 SITE ADDRESS: 970 BEE MILL RD BRINNON, 98320 OWNER: CAMP PARSON PHONE: 360-796-4427 970 BEE MILL RD BRINNON WA 98320 SUBDIVISION: Block: Lot: 1+ PARCEL NUMBER: 602131002 Section: 13 Township: 26 N Range: 2\A CONTRACTOR: COLUMBIA FIRE INC ATTN: JOHN GOLDBERG PHONE: 206-232-8569 111 S FINDLAY ST SEATTLE WA 98108 Contractors License 302-517-570 Expires 7/23/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW FIRE SPRINKLER SYSTEM FOR CAMP PARSON DINNING HALL TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP NEW MAIN: INDUSTRIAL: VALUATION 9,200.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 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 $955.00 SRE 02/25/15 154133 Plan Check $620.75 SRE 02/25/15 154133 APPROVED State Building Code $4.50 SRE 02/25/15 154133 (� Total: $1,580.25 MAR 19 2015 Jefferson County DCD 1ltidemark1data\forms\F_BLD_App_Bld.rpt 2/27/2015 litUILDING PERMIT APPLICAIN BLD15-00058 Jefferson County Department of Community Development Review Type: 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00058 Received Date: 2/25/2015 SITE ADDRESS: 970 BEE MILL RD BRINNON, 98320 OWNER: CAMP PARSON PHONE: 360-796-4427 970 BEE MILL RD BRINNON WA 98320 SUBDIVISION: :lock: PARCEL NUMBER: :∎2131 X02 Sec ion: 13 Township: 26 N Range: 2 Lot: 1+ CONTRACTOR: COLUMBIA FIRE INC AT �: JOHN GOLDBERG--, 111 S FINDLAY ST PHONE: 206-232-8569 SEATTLE WA 98108 Contractor's License 302-517-570 Expires 7/23/2015 REPRESENTATIVE: PH00NE: 3 j 5 �1f � d iaka v coked kr Cud s eeA � S - PROJECT DESCRIPTIOP NEW FIRE SPRINKLER SYSTEM FOR CAMP PAR',ON DINNING HALL TYPE OF WORK COM SQUARE FOOTAGE: COMM:RCIAL: TYPE OF IMP NEW INDUS RIAL: VALUATION 9,200.00 MAIN: CODE EDITION: 2012 ADD'L: HEAT YPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: CONST TYPE: GARAGE: SH aRELINE: DECK: Sr BACK: :ANK HEIGHT: SEWAGE DISPOSAL NUMBER OF EMPLOYEES: WATER SYSTEM: BATHROOMS: Exist: Prop: /01.....S C.4�L. 9L five" i Total: Sem() nit "'air-chic-67r " / ° it(. Routing Date: 41 � .Q r/o.eb✓/C!' t/i91 ms`s - Type Amount Paid By: Date: Receipt: Approved/Date Permit $955.00 SRE 02/25/ 154133 Plan Check $620.75 SRE 02/ /15 154133 % _, State Building Code $4.50 SRE 0 /25/15 154133 Total: $1,580.25 li( 444E note/e /4--s S ''7eucT - r5 Bruce Downey itPM!Designer (206)232-8569 Work ±. (206)340-6100 Fax (4251626-3350 CO _1 7lb t bruced�acolumbiafire,net Colt ta Hire ills.Findlay St, Seattle,WA,96108 www.columbiafre.net LETTER OF TRANSMITTAL Jefferson County To Company: Community Development From: Bruce Downey Attn: Sally L Ellis - Permit Technician Phone: 206-232-8569 Fax: 206-340-6100 621 Sheridan Street Address: Port Townsend, WA 98368 Email: bruced @columbiafire.net Phone: 360-379-4452 Date: 02/24/2015 Fax: Project: Camp Parsons Email: sellis @co.jefferson.wea.us Columbia Job# 1406073 Re: Fire Sprinkler Permit for Camp Parsons Copies Date Pages Description 1 02/24/2015 1 Master permit application 3 02/24/2015 3 Fire Sprinkler Plans 3 02/24/2015 Hydraulic Calculations 3 02/24/2015 EQ Calculations l 7179/1 5 e ,-44 Ifo7s, 2,G ® For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ® As requested ❑ Submit copies for distribution ❑ Returned ❑ Return via Fax or Email ® For review and comment ❑ Returned for corrections ❑ REMARKS: I have also enclosed the requested Washington State Contractor License, LN Licen :NE., �' IEcaE, for your use. "� 1'1111 111 . .r i .. nrr•T fkr rn..:,.'.p' Eutee 2,04 way _7 Printed Name: Bruce Downey Date: 02/24/2015 • �� ozv coo JEFFERSON COUNTY ,3 DEPARTMENT OF COMMUNITY DEVELOPMENT '4 621 Sheridan Street• Port Townsend •Washington 98368 I 1 ii/? �'' ''! ' '-Th 360/379-4450 • 360/379-4451 Fax , - 4x 360/379-4450 O,sO� www.co.jefferson.wa.us/commdevelopment t' Master Permit Application FEB 2 5 2015 Project Description(include separate sheets as necessary): Mi� I - L I ALL rll2>G_ S-/L jL-L/S•i/L �S %i n1 „ry Tax Parcel Number: Property Size: (acres/square feet) Site Address and/or Directions to Property: COO 6- MILL 20 g i,`i1-.014 ) j/14 Property Owner(s)of Record: :•a , 11 /r C Ilc r- _` i — CO 4 C._11-- A Telephone: Fax Mailing Address: email: Applicant/Agent(if different from owner Telephone: 204, -•2-32-85-(p9 Fax: 2_0 Go —3-/D ,f Mailing Address: ^�� email:�2v L�, / t-CMAj1 it-1--rAC 'Hi-fi What kind of Permit?(Check each box that applies ❑Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or Cj ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial• ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan** ❑ Propane ❑Sign ❑Long Plat" ❑Allowed`yes'Use Consistency Analysis ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed er Management ❑Plat Vacation/Alteration** SPAAD ❑Shoreline Master Program Exemption/Permit n/Permit Revisions** ❑ Site Plan Approval Advance Determination ❑Temporary Use ( ) ❑Shoreline Management Substantial Development ❑Wireless Telecommunication" ❑Shoreline Management Variance ❑Wrests Telecommunication muRe tion of Six-Year Moratorium ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Jefferson County Shoreline Master Program Amendment •May require a Pre–Application Conference ❑Tree Vegetation Request Please identify any other local,state or federal permits required for this aprops/al,if known: I hereby designate (.� DESIGNATION OF AGENT "' '9) r 1 11 + to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: i 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 l 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. i Signature: ��_ -- ° ��s /� 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 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 adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: -� Date: Z—2:3—/5 O.\PemritCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • II BUILDER STATEMENT -� /� I 5 The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not lice sed 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: FEB 2 5 2015 • j PHONE: FAX: J MAILING ADDRESS: ( ) ) lY `� CONTRACTORS LICENSE EMAIL. - ,,; ^ „iT NUMBER: WAINS ARCHITECT/ENGINEER: NUMBER PHONE ( ) Fes:( ) MAILING ADDRESS: Pro'ect Type: ' EMAIL yP Frame Type: Bathrooms: Shoreline: T l�New .Wood Existing: Type of Sewage Disposal: 1 Addition ❑ Steel Proposed: y 0 Sewer ❑ Alteration/Remodel —"`4 Bank ❑ Community System ❑ Concrete Total: Height: ❑ Repair ❑ Masonry ❑ Individual System Demolition ❑ Other: Bedrooms: SEP Permit# Existing: Water Supply: Setback: Type of Heat: Proposed: ❑ Private well C Two Party Total: ❑ Public Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: p Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current IBC Occupancy: IBC Type of construction: Proposed If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:Service? Yes / No b 1 Underground Tank I Above ground Tank I Heat Stove I Size of Propane Tank: Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove 1 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. ;, -; Ir .;45 `� k:%Square Footage I Current Proposed Fg N y' ry"R a „ Amount Revision Main Floor Heated Y a EH Bld App Review: 2 Floor Heated z .,ry ° Consistency Review: Other Heated r Base fee: Mezzanine tr't; _ ii -;,r Additional Section: Heated Basement S Plan Check fee: Unheated Basement :• State Surcharge fee: Other Unheated a, Pot Water Review fee: .',Garage/Carport �' s SUBTOTAL Decks 911/Rd Approach fee: Other " + 'li il TOTAL: $ Receipt Number: - Cash/Check Number: ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish Initials: G:\PcnmitCcnter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc -, ger " a ' NOU Chief Seattle Council ' - �� 970 Bee Milt Road Brinnan,Washington 9$326 (3661796-4427 FAX(360)796-2039 rQHE February 23, 2015 1 FEB 25 2015 'L Bruce Downey , Columbia Fire 111 South Findlay Street I 1COMMUNI COUNT! Seattle, WA, 98108 ` T OF COMMUNITY DEVELOPMENT Subject: Camp Parsons Dining Hall Dear Mr. Downey, This letter will confirm that Columbia Fire has our permission to install the sprinkler sys- tem for this project. Sincerely, Greg Batie Owner Representative Copy to: Michelle Deng - Exxel Pacific Where the Mountains Meet the Sea • • ft, - 4 V4 ''.:4's',', \ ','",'' ,-';,■-*1 rt,tt V124'4, N‘ ' '''4 i.o,:114 4-, •",.' 4 1 '4 r" 4,1 ,"/,,,, 4, ...*../, : ....'S.4 ' 6'''‘' '''.14' ' - -- :?1-1,01';`4-• M-4.44,-,m'.4-:,,,,ow.,:t.,4,:_dh_.,,,,,,,„ _ al,....„.— - - , 4,,,,,--„,„ r441444.„. .,*4 i‘i'ae/Aft ---...., .„„. .., ,,, , .-->-5--,-- .,,,,!„).2-- t ,Aa 4-V,,,,,,,,'`,s• PE - 7 4-*-.--'...........:%•..4 . 146/14W-41>„;i4 ..,,, a -0 . 6 f* , )47#t P /4.4„. 0I-4•t+ C "A.:. 0 v c ta, Washington State Patrol r,3 .....vp,AN , .... ,,-...o.„..„: Fire Protection Bureau ..t . .4' 4 Office of the State Fire Marshal , ,.... ..... •(.2..,V. , i 4''''' = i , e'aci Sprin ( I q I. LE '-'NtifIl i Contrfictoi 1.,, .1t-_-#,H_ ... . „:„.......4 ., .., ii-„,,, '-:-Afi .. FSCL- FEB 2 5 2015 L j 31, ,. .. a ,,,,, , -;,.%. e ... Issued To u,0 1 ,, --11--) „.4`,,,, -,‘P ---: Columbia Fire, in, . ' DEvELOP\TNT Z,,taV Crr%. ,UNIPI' , Level _ a ..,:ta ..,. „:...:, Z-4'41 4. .ft. i',,,z.elk,e,.., 3 -0-..„ ,,,, Ft sis'Ap', ,. .,._ , ... -,... 144iled, 1 ' < grf4let i ^.3,. . Number:COLUMF1952MG c-D ,70 , Ti.i;:-:-'17:-?''''.::::; Expires:Expires'. December 31, 2015 warsoritheit ( ,,,--4- .1 1.. "•',...1.,.. *,,,,.,-*, State Fr e mar-hal '1444 --",-"-V40"T4:44 „.,:".•....1 13A-44!,:it•tf. * .,. -,„,„- .,,,,.. +7 ',„,41":i$4"4 ma ,...."--0---4-7.74,7-rett„,,.. ■-',',,,t-„,,„4 ,"..*;,-•VO4,17 IV* * *.,,,t, yli , ,•.„'W Z.',=, i 1f443 tit.."-rXkipp,,a,(k•--„,,,, wt.,,":, Al....,,,,,,,, • 4 .4,4fs , 7 4 ,..".1.4 4412 14+4,4 „,....,..4,.,,-. _. '',''' it 1 fl''' Asb• 0 4, „k.i, 11;4 ne,,„\'2,4: 4, .0 s.""- -,t-,„'''-'4.,- "-- -- _ 1 Department of Labor and Industries COLUMBIA FIRE INC PO Box 44450 Olympia, WA 91(504-4450 Reg: CC COLLIME1952MG UBI: 602-517-570 Registered as provided by Law as: Construction Contractor (CC011 - GENERAL COLUMBIA FIRE INC Eileen\e Date: 7/7/2005 I 1 1 S. FINDLAY STREET Expiration Date: 7/23/2015 SEATTLE WA 98108 FEB 2 5 2015 'It 12 LI E 5SON CoUNTY Cr COMMUNITY DEVELOPMENT Parcel Details Page 1 of 2 • , '; Jefferson County m-f >> a ___ , _, ,_ _. _ _._ ___ _ ___ ...._ _Home County Info Departments Search Parcel Number: 602131002 ( SEARCH Parcel Number: 602131002 Printer Friendly Owner Mailing Address: SEATTLE COUNCIL OF BOY SCOUTS OF AMERICA PO BOX 440408 SEATTLE WA98114-4408 Site Address: Section: 13 School District: Brinnon (46) Qtr Section: NE1/4 Fire Dist: Brinnon (4) Township: 26N Tax Status: STATE Range: 2W Tax Code: 0441 Planning area: Brinnon (11) Sewer: Drainage: Bank: View 1: View 2: Zoning 1: Zoning 2: Zoning 3: Sub Division: Assessor's Land Use Code: 9700 - Exempt Property Property Description: S13 T26 R2W LOT NO. 1, 2 & 3 (LESS TAX 22), TL TAX A, SUBJ TO BONNE PW EASEMENT Permit Data Tax,A/V, Sales, Photos, and Bldg Data Map Parcel •fats&Surve s Septic Monitoring Info n * fl' C Ur1 ' HOME i COUNTY INFO ( DEPARTMENTS I SEARCH 10 Best viewed with Microsoft Internet Explorer 6.0 or later 0 Windows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel NO=602131002 2/27/2015