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Home My WebLink About082Pleasant Harhor Exhibit C Permits PLEASANT HARBOR MARINA AND GOLF RESORT PROJECT Sponsored by Puget Sound RC, LLC EXHIBIT C PERMITS ACTUAT BUSINESS PLAN Exhibits LL4 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)37e-4450 FAX (360)379-4451 PERMIT #: SITEADDRESS: OWNER: SUBDIVISION: PARCEL NUMBER: BLD13-00190 308913 HWY 101 BRINNON,98320 PLEASANT HARBOR MARINA & GOLF RESORT LLP 308913 US HIGHWAY 101 BRINNON WA98320-9719 5021 5201 3 PHONE: 360-796-4611 Block: Section: 15 Township: 25 N Range: 2\ Received Date: lssue Date Expiration Date 612012013 712212014 712212015 Lot: 1 CONTRACTOR:OWNERYBUILDER PHONE: - ,-'r'ROJEGT DESCRIPTION: NEW BISTRO BUILDING ,t)E OF WORK /PE OF IMP .,A.UATION CODE EDITION: OCCUPANCY: OCCUPANCY: CONST TYPE: CONST TYPE: SEWAGE DISPOSAL: WATER SYSTEM: coM NEW 515,840.00 2009 OSS 47629 BATHROOMS Exist:Prop: 2Total: 2 SQUARE FOOTAGE COMMERCIAL: INDUSTRIAL: HEAT TYPE: HEAT TYPE: # OF STORIES SHORELINE: SETBACK: BANK HEIGHT MAIN: ADD'L: HEAT BASE: UNHEATED: OTHER: GARAGE: DECK: 2,123 1,845 NUMBER OF EMPLOYEES: Type Amount Paid Bv: Date: Receipt: Permit Plan Check State Building Code Total: $3,309.75 MEB $2,151.34 MEB $4.50 MEB 06120113 06120113 06120t13 142180 142180 142180 $5,465.59 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 !NSPECTION HOT.LINE 379.M55. 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 COIJNTY DEPARTMENT OF GOttitIiUNITY DEVELOPMENT 621 Sherldan Street I Port Townsend, WA 98368 lWeb: www.co.iefferson.wa.uslcommunitvdevelooment Tel: 360.379.4450 | Fu: 360.379.4,[51 | Email: dcd@co.iefferson.wa.us Building Permits & lnspeclions lDevelopment ftnsstencyReviewlLong Range PlanninglWatershed Stewardship Resource &nter November 13,2013 Property Owner:Paul Hospelhorn Pleasant Harbor Marina & Golf Resort LLP 308913 Hwy 101 Brinnon, WA 98320-9719 Permit Applied For: New Bistro Building 308913 Hwy 101 BLD13-00190 This memo is in response to your request to prepare ground for and place forms for footings and foundation prior to permit issuance. This can be done with the following conditions: 1) The area for the structure must be staked out per the attached site plan with required setbacks. 2) The setback inspection called in and signed otf before footing and foundation forms are set up. Setback Signoff_ 3) Foundation inspection must be called in and passed prior to pour. Ftg/Fdtn Signoff_ This work being completed prior to the issuance of the permit is being done at your own risk. ce from the property owner or appointed representative is required by signature below Owner r' rl e,e_k+1. or Appointed Representative Director/Bu ildin g Official CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)3794450 FAX (360)37e4451 Carl Smith, Director/Building Official PERMIT #: SITEADDRESS: APPLICANT SUBDIVISION: PARCEL NUMBER: 308913 H\MY 101 BRTNNON,98320 PLEASANT HARBOR MARINA & GOLF RESORT LLP 308913 US HIGHWAY 101 BRTNNON WA98320-9719 PLEASANT HARBOR MAR]NASHORT P 502152013 Section: 15 Township: 25 PHONE: 360-7964611 lssue Date: FinalDate: 02t11t2013 6t19t2013 Block: N Range: Lot: 02w PROJECT DESCRIPTION: REMODEL OF 3 EXISTING BUILDINGS WTHIN EXISTING FOOTPRINTS - REPLACEMENT OF EXISTING UTILITY LINES THE PROJECT LISTEDABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2OO9 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes @ THE PROJECT PASSED ITS FINAL INSPECTIONAND RECEIVED FINAL SIGN OFF ON 611912013 \\tidemarktsata\forms\F_BLD_Occupancy. rpt 7l't2t2013 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Garl Smith, Director/Building Official PERMIT #: SITEADDRESS APPLICANT: SUBDIVISION: PARCEL NUMBER: BLD96-00629 308917 HWY 101 BRINNON,98320 PLEASANT HARBOR MARINA KMC INVESTMENT GROUP LLC 308913 US HWY 101 BRINNON W498320-9719 PLEASANT HARBOR MARINASHORT P 502152012 Section: 15 Township: 25 lssue Date: FinalDate: PHONE: 05/14l1998 212712014 Block: N Range: Lot: 02w 2 PROJECT DESCRIPTION: sinsle family residence THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTIONAND RECEIVED FINAL SIGN OFF ON 2I27I2O'14 \\tidema rk\data\forms\F_BLD_Occupancy.rpt 212712014 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-,4450 FA)( (360)3794451 Garl Smith, Dircctor/Building Official PERMIT #: SITEADDRESS APPLICANT: SUBDIVISION: PARCEL NUMBER: 308913 BRINNON, 98320 PLEASANT HARBOR MARINA & GOLF RESORT LLP 308913 US HIGHWAY 101 BRTNNON WA98320,9719 PLEASANT HARBOR MARINA SHORT P 502152013 Block: Section: 15 Township: 25 N Range: lssue Date: FinalDate: PHONE: 03t18t2013 6119t2013 360-7964611 Lot: 02w 1 PROJECT DESCRIPTION: NEW RETAINING WALL. REPLACEMENT OF STAIRS & REMOVAL OF (3) HAZARD TREES. THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BU]LDING CODE 2OO9 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes @ THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/19/2013 \\tidemark\data\forms\F_B LD_Occupancy. rpt 7t1212013 DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)3 79-4450 FAX (360)379-44s1 APPLICANT: SUBDIVISION: PARCEL NUMBER: CONTRACTOR: BLD13-00191 308913 HWY 101 BRINNON,98320 PLEASANT HARBOR MARINA & GOLF RESORT LLP 308913 US HIGHWAY 101 BRINNON WA98320-9719 PLEASANT HARBOR MARINA SHORT P 502152013 OWNERYBUILDER PHONE: 360-796-4611 1Block: Lot: Section: 15 Township: 25N Range:02W PHONE: Received Date lssue Date 612012013 1012812013 OWNER, if different: PLEASANT HARBOR MARINA & GOLF RESORT LLP 308913 US HIGHWAY 101 BRTNNON WA98320-9719 PHONE: 360-796-4611 PROJECT DE$CRIPTIGN: DEMO EXISTING BISTRO 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 10/28/2014. REQUIRED INSPECTION: FinalApproval O,( ala/u & -7---7-V- BUILDING INSPECTION HOT-LINE 379.4455. REQUESTS MUST BE RECEIVED BY 3 PM THE DAY BEFORE THE INSPECTION IS NEEDED Office Hours 9:00 a.m. - 4:30 p.m. Monday - Thursday SPECIAL CONDITIONS APPLY. SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS FOR CASE # BLD13.OO191: 1.) Health approval of this demo permit is based on the understanding that the property owners are aware that anyfuture building permits (including one to re-build this facility)' shall not receive approval from JCPH until all identified drinking water and waste water issue are fully resolved. \\tidemark\data\forms\F_B LD_Perm it_Propane.rpt 10128t2013 PERMIT #: SITE ADDRESS: DEPARTMENT OF COMMI'NITY DE\IELOPMENT 621 Shctid.n Sttccq PoctTosrrssr4 WA 98368 Td: 360.379.4050 | Fer. 360.379.4451 Wcb: rrrrrqtcoicffcron.url.us /cormuniwdcetloPcnt Emeil dcd(Dco.icftcon.sas PERMIT#: PARCEL: DATE EXPIRES: PROJECT DESCRIPTION: PLEASANT HARBOR IiARINA 308913 US HTGHWAY 101 BRTNNON WA98320-9719 RE: PERMIT RENEWAL SITE ADDRESS:308913 HWY 101 BIDI4:UTZ45 502152013 el2l20t5 TWO NEW SIGNS {on opposite sides of the road} for Pleasant Harbor Marina Galley and Pub Also see ZON[+23 According to our records, your building permit will expire on91212075 and has not passed final inspection. Please elther schedule a ftnal inspection prior to expiration or submit a renewal payment in the amount of $234 to 62l Sheridan St., Port Townsend, WA 98368 prior to expiration. You are welcome to make a peyment online at: http://www.co jeffu rson.wa.us/commdevelopment/Cred it%20Card.htm To schedule an inspection, please contact our inspection hotline at 360-379-4455 and have your approved permit and plans available on-site. lf you have any questions about your permit, you can contact our office at 379-4450 between 9:00 a.m. and 4:30 p.m. Monday through Thursday. Thank you, Elizabeth Williams Administrative Clerk SITE ADDRESS: PERMIT#: PARCEL: DATE EXPIRES: PROJECT DESCRIPTION: PAYMENT ENCLOSED: NidarnlrtU.t \bmr\F-BLD_Pomit_E e_Ntc.ryt 308913 HWY 101 BtD14-00246 502152013 el2l20t5 TWO NEW SIGNS (on opposite sides of the road)for pleasant Harbor lMarina Galley and Pub ffi36 see zoN14-23 STATE OF WASHINGTON Public Water System Operating Permit The Depanment of Health Office of Drinking Water issues a pennit to operate: PLEASANT HARBOR MARINA (D# 47629 H) to owner: PLEASANT HRBR MARINA/GOLF RESRT LLP County: JEFFERSON r .--1' PLEaSaNT HRBR MARINA/GOLF RESRT LLP 308913 US Highway 101 Brinnon, WA 98320 lll- _) This Permit is valid througlu November 20L4 PERMIT CATEGORY: *!t*{< Blue x*i<* The permit category may be modified or the permit revoked subject to water systcm compliance with applicable State of Washington drinking water rules and regulations and the folowing statements: The system operating permit color category is based on information on file with the Department at the time this permit was printed Systern lacks Department design approval and needs to bring system into compliance by getting required Department approval. f trtri;;iry; DOH 331-030 (11/08)Report Date: 112012013 PERM]T #: SITEADDRESS: APPLICANT: :'" '" t , -,ts', JEFFERSON COUNTY PUELlc HEALTH S15 theridan $treel , Pofl To,,yr'g6nd .'"ltsshington ,98*i6 wl*l,Jjeff€rson countypubllcheelh-org FmnF SEqtuf+{4{--Fer-SEUEJrgEFrET ON-SITE SEWAGE DISPOSAL PERMIT sEP{3-00{04 308917 HWY 101 BRINNON. WA 98320 PLEASANT HARBOR A4ARINA & GOLF RESORT LLP 308913 US HTGHWAY 101 BRTNNON vr/A 98320971I DaleReceived: 09/06/13 Date hsu€d; t0/25/13 Date Explrezi 01l7Bn4 PHONE: LEGAL DESCRIPTION: PLEAIIANT HARBOR tr4AtUNA SilORT PL.AT LOT ! &'t"t.'lAX II-4 PARCEL#:6021s2012 Section: 15 To,vrrship: 2SN Range: CZW I]ETiIGNER:CRAIG PECK P.E.PHONE: 253-200{523 SYSTEM DESCRIFTION: No, of Gallons per Day: Drainfield- Length: feet PUMP CHAM TO COMM SYS TYPe of work: ){Ew ---:---Septic Tan k----- Sizer EallonsIMdth: feet Depth:inches OISCLAIIIER- Thh rpprovrl ir for an on.rita *cwa$ ryrbm thet msets he rteb rrd ooonry rtan&rdr h eficct on lha rtete of eppliceton. Thts apprcval forgn on-slb mflrrge rFtenr DOES ttlOT triuru you d rny other Gour*y rpprovrh, For etlmda, it DOES l{OT OUARAilTEE thet you wlll lrur obte ln pembrion to build r pcrmrncnt rurldence or other $Ouchlre on this prrccl- Any fufure ryflicrton wlll bc ronantely ludged by thc rukil rnd lrri in rfiacf at fiat tlmc, All conrtnrclion and detdopment eclivitiee must mmply with all pennit oondilions, stalo and local codes. and RccornmEndod $tandardr and Guldanr:e docrrngts ln elYectwhen tnc permlt is heued, The propedy orvner is respsrsiHo for thc accurate locatlon oI all property lines, Any rmrorral of or m{or dlidurbance of soil in the pdmsry or r€E€Ive drahlield €r€a may craa-le gite condltlons ffrel are unacccplablc for th,e inotsll€tion ol a cerrage dcposd ly:tem- futy drange in rlnainllald ortar{< location nmy lnvaliOalslhh pEilnf unles8 prltr$proval It obtalpd fttrIr trc Jrfieaon County Enviromlental Health Divisisr. lf dudng excavelion or dweloprrtcnl of the rte an area of potential ardreolog|cal dgnmencE iE unoovered, ali sctivity in th€ immgdlala area ahail be hdtcd" and the UtrC Adrninletnato ahall bc notified at onc. Pemit issued to CONSTRUCT, ALTER, REPAIR OR ilODIFY All INDIVIDUAL SEWAGE DISFOSAI SYSTEM IH JEFFERSON COUNTY, WASHIHGTOf{ This permit is bsued for a perisd of three yesrs (unt=ss otlre.mtise slated above) ln accordance with Jefferson County Rulas end Regulations for On.Slte Sewage Systems, codilied in JCC 8.15 as emended. This perrnit rnay not be renevrred. Jgfferson County Hcallh Spociali$t This penntt with condltlons must ba onclE durlng r!! phascs of conrtructlon HEALTH DEPABTIUENT ]gIUST BE COHTACTED FOR FIiIAL IT{$PECTION. SPEGIAL CONDITIONS APPLY. SEE ADDITIONAL PAGES NORTHWEST ASBESTOS CONSULTANTS Surveys, Inspection, Sampling AHERA Building Inspector / Mgmt. Planner EPA Certification WAMOA-O042 406 Reed St Port Tonmsod, WA 98368 northwestasbestosconsultants@cablespeed. com 36G.385-0584 Date: Iob Site: 9/4/L7 Pleasant Harbor Marina 308913 Highway 101 Brinnon, WA 98320 Owner:State$run Corporation 7370 Sierra Morena Blvd. Calgary, AB T3H 4H9 Contacts:Statesman Corporadon 7370 Sierra Morena Blvd. CaJgary,AB T3H 4II9 Don and Diane Coleman Pleasant Harbor Marina 308913 Highway 101 Brinnon, WA 98320 Suhiece Demolition Inspector: Bob Witheridge AHERA - Building inspector / Management Planner WAI\4oA - 0n/.2-LO2L20LLO2 E:rpires - LO/ZL/LZ Scope of work 1) Building survey and inspection to inspect for asbestos containing building materials (ACBM). 2) Survey, sample and record suspect material. 3) Report to Don Coleman with results of testing from Northem lndustrial Hygiene, Inc. Inspection Reoqrt The inspection started with a visual survey looking for Asbestos Containing Building Material (ACBM). Two story building had, T111 wood exterior siding, metal clad windows and metal roof. Carpet and vinyl floors on cement foundation. Forced air eletric heating system. Samples are as follows: Sarqple #1: Dining haII bathroom. Eloor vinyl with mastic. Tan Sample f2: Dining hall bathroom. Cove base with mastic. Gray S4mple #3 Dining hall ceiling tile. Sa-mple #4: Back storage wall and store ceiling material. Sa4ple #5: Sheet rock tape and mud. Ilomogeneous Samnle #5: Upstairs office area. Kitcheo, hallway and bathroom. Floor vinyl with mastic. Tan and grlay. Sample #7: Upstairs office cove base. Gray Sample #8: Upstairs porch floor material. Scope of work 1) Building sunrey and inspection to turspect for asbestos containing building materials (ACBM). 2) Survey, sample and record suspect material. 3) Report to Don Coleman with results of testing from Northem lndustrial Hygiene, Inc. Insnection Report The inspection started with a visual survey looking for Asbestos Containing Building Material (ACBM). Two story building had, T11L wood elcerior siding, metal clad windows and metal roof. Carpet and vinyl floors on cement foundation. Forced air eletric heating system. Samples are as follows: Sample #1: Dining hall bathroom. Floor vinyl with mastic. Tan Sample #2: Dining hall bathroom. Cove base with mastic. Gray Sample #:3 Dining hall ceiling tile. Sample #4: Back storage wall and store ceiling material. Samole #5:. Sheet rock tape and mud. Homogeneous Samole #6: Upstairs office area. Kitchen, hallway and batlroom. Floor vinyl with mastic. Tan and gray. Sample #7: Upstairs office cove base. Gray Sample #8: Upstairs porch floor material. ASBESTOS BULK SAIVIPLE DATA NORTHWEST ASBESTOS CONSULTANTS SurveYs, InsPection, SamPling AHEBA Building Inspector,/ Mgmt. Planner EPA Certification WAMOA{O42 4O6 Reed St. Port Townsend, WA 98368 norttrwestasbesto sconsul tants@cablespeed. com 360-385-0584 To Northern Industrial Hygiene, Inc. Darci 8/30/tz Iob Site: Pleasant Harbor Marina 308913 Highway 101 Brinnon, WA 98320 Owner: Contacts: Sample *1' Samile #2: Samnle 4h3 Sanrple #4: Sargple #5: SamDle #5: Sample #7: Sample #8: Statesman Corporation 7370 Siema Morena Blvd. CaJgaty,AB T3H 4H9 Statesman Corporadon 7370 Siera Morena Blvd. Calgary, AB T3H 4H9 Don and Diane Coleman Pleasant Harbor Marina 308913 Ilighway 1O1 Brinnon, WA 98320 Dining hall bathroom. Floor vioyl wit!. mastic. Tan Dining hall bathroom. Cove base with mastic. Gray Dining hall ceiling dle. Back storage wall and store celling material. Sheet rock tape and mud. Homogeneous Upstairs office area. Kitchen, hallway and bathroom. Floor vinyl with mastic. Tan and gray. Upstairs office cove base. Gray Upstairs porch floor material. Tnspector: Bob Witheridge AHERA - Building inspector ,/ Management Planner WAIyIOA - WZ-LOZLAO|. 7Oz Bcpires - LO/Zt/Lz See attachment. Thank vou. Ee6$;lan,'rt" Bob Wittreridge,T.F.M. 215 SW 153rd Street Burien, WA 98166 OFFICE: (206) s88-1746 FAX: (206)98s-197S NVLAP Lab Gode: 20051 1-0 Bulk Asbestos Analysis Report Northwest Asbestos Consultants iO6 Reed Street Port Toflnsend, WA 9&rG8- Project Location: 308913 Highway 101, Binnon, WA NlH Bahfi Number Client Job Number: Tum Around Time: Samplee Analyzed: 72405d;8 SDayC I 1 Tan Floor Vinyl wilh illaslic Dining Hall Bathroom Lab Sample Number: 12{105i18.000, Ched(ed lf Sample Not Analyzed Client Sample Number: Client Sample Description: Client Sample Location: Sample Comments: Layer 1 Tan and white patterned viny,l with graylsfi{an fibrous badfuS and yelbw edheive Asbestos Fibrous Components: Non-Asbec[os Fibrous Components: Non-FibrousGomPonents: No Asbestos Detected 10% Cellulose 4trlo Filler and Bnder 5% Fiberglass 2ff/o Foam 25oh Yinyl Filler and Binder CqnmenG: lt a0edals dlClngulshable but inseparable laye,r 2 tlhitevinylwithtanfbrousbacking AsbestosFibrousGomponents: Non-AsbeSosFibrousComponents: No Asbestos Detected 10% Celutose Comments: Mderials distinEuishable but inscparablc Non-Fibrous Components: 30olo Filler and Binder 35o/o Foam 25oA Yinyl Filler and Binder Client Sample Number: Client Sample Description: Client Sample Localion: Sample Comments: 2 Grey Cove Beeo wilt trler{ic Dinhg HdBdtroom Lab Sample Number: l2{105i18.0002 Checl(ed lf Sample Not Analyzed n Non-Fibrous ComponenE: 100% Vinyl Filler and Binder Non-Fibrous Components: 98016 Filler and Binder layer I Pale-bhrcandSrayvinyl Asbestos Fibrous Gonponents: No Asbestos Detected Non-Asbestos Fibrous Components: LaWr 2 Yellorv adheslve with tan pow(hr Asbes{osFibrousConrponente: Non-AsbedosFibrousComponents No Asbestos Detected ?/o edtutode Goments: Materlalsdisilinguishable but insep.rable Client Sample Number: Client Sampl€ Description: Client Sample Location: Sample Comments: 3 Ceiling Tile Oining Hell Materiats dcthguichable buil,nicferable Lab Sample Number 12{10548.0003 Checked It Sample l.lol Analfzed E (Sample results continued on next oaoe.) Sampled by: Bob llUitteridge Received by: Fermin Uribe Reviewed by: Rachel lt/lelgoza *'ftr.{-a.rrkQ"r*-ufino12 8/,t1no12 9EnUz Rachel Melgoza, Analyst Page 1 215 SW 1a3rd Street Burien, WA S8166 OFFICE: {206) s80-1746 F,AX: (206)988-1978 NVLAP Lab Code: 200511-0 Bulk Asbestos Analysis Repoft Northwest Asbestos Consultanls iOG Reed Street Port Townsend, WA 9&168- Project Location:. 308913 Highway 101, Binnon, WA NIH Batch Number: Client Job Number: Tum Around fime: Samplee Analyzed: r2{r0548 5 DayC 8 Client Sample Number: Client Sample Description: Client Sample Location: Sample Comments: 1 Tan Floor Vinyl with L/hstic Dining Hall Bathroom Lab Sample Number: 12{t05itS.0001 Checked lf Sample Not Analyzed I Lalpr 1 Tan and white patterned viny with gray,lsh{an fibrous baclring aild yellow adhEive Asbestos FibrousComponents: Non-Asbe$os Fibrous Components: Non-FibrousGomponents: No Asbestos Detected 10yo Cellulce 4V/o Filter and Binder 5% Fiberglass 20o/o Foam 25% Yioyl Filler and Binder Comments: Materlalsdlstlnguishable bfi inseparable l-ayr 2 White vinyl with tan fibrous backing AsbestosFibrousComponents: Non-AsbedosFibrousComponents: No Asbestos Detected 100/o Cellulose Comments: Materials distinguishable but inseparable Non-Fibrous Components: 30o/o Filler and Binder 35% Foam 25o/o Yinyl Filler and Binder Lab Sample Number: l2{t0548.0002Client Sample Numben Client Sample Description: Client Sampte Localion: Samde Comments: 2 Gray Cove Baee with ttllasfic Daning Hall Balhroom Checked lf Sample Not Analyzed n La),er I Pale-blue and gray vinyl Asbestos Fibrous Components: No Asbestos Detected Non-AsbeSos Fibrous Components: LaWr 2 Yellow adhesive with tan powder Asbes{osFibrousComponents: Non-AsbedosFibrousComponents No Asbestos Detected 2o/o Cellulose Conrnents: Materials distinguistable but inseparable Non-Fibrous Components: 100% Vinyl Filler and Binder Non-Fibrous Components: 98% Filler and Binder Client Sample Number: Client Sam ple Description: Client Sample Location: Sample Comments: 3 Ceiling Tile Oining Hall Materials distinguishable but inseparable Lab Sample Numben 12d0s48.0003 Checked lf Sample Not Analyzed n Sampled by: Bob Witheridge Received by: Fermin Uribe Reviewed by: Rachel llllelgoza *Ka-&*a. v.k$?"r*-8130n012 8131t2012 9,4n012 Rachel Melgoza, Anal3Tst Pase 1 (Sample results continued on next page.) 215 SW 153rd Street Burien, WA 98106 OFFICE: (206) 988-1746 FAX: (206).98s-1s78 NVLAP Lab Code: 200511-0 Bulk Asbestos is Report Northwest Asbestos Cansultants 406 Reed Strect Port To\,Ynsend, WA 98:168- Project Location:. fi8913 Highway 101, Binnon, WA La!€r 1 Vllhite paint on whitc compresscd psrder AsbedosFibrousCornponents: Non-AsbedosFibrousComponents: No Asbestos Detected 2916 Celutose NIH Batch Number: Client Job Number Tum Around Time: Samples Analyad: 12Jm5{8 5 DayC 8 Non-Fibrous Components: 75Yo Filler and Binder 23o/o Paint Non-Fibrous Components: 650/o Filler and Binder Non-Fibrous Componenb: 10% Filler and Binder GommenG: Materhlsdis{inguishable butinseparable Layer 2 Offiwhite paper aod white compressed pourder AsbesilosFibrousCornponents: Non-AsbedosFibrousComponents: No Asbestos Defiected 35olo Ce1u6se Conments: Materhlsdi#inguisfiablehrtinseparaUe Layer 3 Tan paper and whiSe powder AsbestosFibrousComponents: Non-AsbedosFikousComponents: No Asbestos DetecGd 90% Celtutose Corrments: MaterialsdiCiqguisftable butinseparalile (Sample rpsults continued on ne:d Fge.) tUhite paint on ofi-white fibrous conpressed material wilfi brown coatng Asbestos Flbrous Components: Non-Asbe$os Fibrous Components: i.lon-Flbrous Components: No Asbestos Detected 3006 Cellulose 50% Filler and Binder 13o/o Mineral Wod and'Beads 7o/o Paint Client Sample Number: Client Sample Description: Client Sample Location: Sample Commeats: 1 Geiling lilatedal Back StorageWall & Store ll}atcdals distinguisilrabh btil inseprable Lab Sample Number:,t2{r05/t8.0004 Checked lf Sample Not Analfzed n Client Sample Number: Client Sample Description: Client Sample Location: Sample Gomments: 5 stlccilrocl, Tapc& lfud Hdnogmous Whib paiil on figl*trorn fbmus urprccsed naterial AsbestosFibroueGomponents: Non-AsbedogFibroueComponents: No Asbestos Detected 80% ce1utose Non-Fibrous Components: 57o Filler and Binder 15olo Paint Lab Sample Number 12{10548.0005 Checkcd lf Sample Not Anatyzed fl Sampled by: BobulrflIreridgo Received by: Fermin Uribe Revierryed by: Rachel liletgoza 8t3/0,no12 8131tfr12 sAn012 Rachel Melgoza, Arralyst Page 2 215 SW 153rd Street Burien, WA 98166 OFFICE: (206) 988-1746 FAX: (206) 988-1978 NVLAP Lab Code: 200511.o Bulk Asbestos Analysis Report Northwest Asbestos Consultants 4{16 Reed Street Port Townsend, WA 38t68- Project Location: 308913 Highway 101, *innon, WA Orange and t/ellow graEl on b[.ckfibtous asphalt AsbeslosFibrotrsCofipone]ils; Non-AsbestosFibrousComponents: No Asbestos Detected 15% Fibergtass NIH Batch Number Client Job Number Tum Around Time: Samples Analyzed: 12{0548 5 DayC 3 Chec*ed lf Sample Not Analyzed [] Client Sample Numben Client Sample Description: Client Sample Location: Sample Comments: 6 Tan & Gray Floor Vinyl with Mastic Up6tairs Olfice ArEa, l(tchen, tlafiwa, t Bathroorn liaffiatr dlsdnguishebb but inseparabh Lab Sample Number 12{10548.0006 Off+vhile/tan/gray viny{ with ofr.white fibrous backing and yellow adhesive Asbestos Fibrous Components: Non-Asbedos Fibrous Components: Non-Fibrous Components: NoAsbestos Detected 10% celulose 30% Filerand Binder 10% Synthetic 25% Foam 25oA Vrnyl Filler and Binder Lab Sample Number t2{105'18.0007Client Sample Number: Client Samde Desoiption: Client Sample Localion: Sample Comments: 7 GrayCovrBase Upstalrs Offic Checked lf Sample NotAnalfzed D Client Sample Number: Client Sample Description: Client Sample Location: Sample Comments: 8 Fborlitrd.l Uprtais Porch Layer 1 Gray vinyl Asbestos Fibrous Components: No Asbestos Detected hlon-Asbegos Fibrous Components: Layer 2 OffJwhlte pllable material, white paint and white powder AsbestosFibmusCornponents: Non-AsbestosFibrousComponents: No Asbestos Detected 1% Ceilulose ComrnenG: Materialsdistinguisftable butinseparable Non-Fibrous Components: 100% Mnyl Filler and Binder Non-Fibrous Compononts: 89% Filler and Binder 107o Paint Lab Sample Number 12{105/38.0008 Checked lf Sample Not Analyzed ! Sampled by: Bob U\litherUge Received by: Fermin Uribe Reviewed by: Rachel tlclgoza *ru,rLzhA€444-at3/,,no12 8RltmQ snno12 Rachel Melgoza, Analyst Page 3 Non-Fibmus Components: 35% Aggregate 50% Asphatt Filler and Binder 215 SW 153rd Street Burien, VYA 98166 OFFICE: (206) 988-1746 FAX: {?06) 9s8-1978 NVLAP Lab Code: 200511-0 Bulk Asbestos Analysis Report Northwest Asbestos Consultants /l{15 Reed Street Port Townsend, WA 98368- Project Location: 308913 Highway 101, Brinnon, WA orange and llellow grarel on black fbrous asphart AsbestosFibrousComponents: Non-AsbedosFib,rousComponents: No Asbestos Detected 15% Fibergtass NIH Batch Number Client Job Number: Tum Around Time: Samples Anallzed: 12-O0Ct8 5 DayC I Non-Fibrous Components: 35% Aggregate 50% Asphatt Filler and Binder Client Sample Numben Client Sample Description: Client Sample Location: Sample commenls: 6 Tan & Gray FloorVinyl with Mastic Upshirs Offce Area, Kitchen, Hallway & Balhroom Materials dlstinguishable but inseparable Lab Sample Numbec {2{0S,t8.0006 Checked lf Sample Not Analyzed I Ofi-white/tan/gray vinyl with ofi-white Ebrous backing and yellow aclhesive Asbestos Fibrous Gomponents: Non-Asbe$os Fibrous Components: Non-Fibrous Components: No Asbestos Detected 10% Cellulose 30% Filler and Binder 10% Slnthetic 25olo Foam 25% Vinyl Filler and Binder Client Sample Number: Client Sample Desoiption: Client Sample Location: Sample Comments: 7 GrayCove Base Upstairs Offic Lab Sample Number 12{0548.0007 Checked lf Sample Not Analyzed I Client Sample Number: Clienl Sample Description: Client Sample Location: Sample Comments: I Floor Material Upslairs Porch Layer 1 Grayvinyl Asbes{os Fibrous Components: No Asbestos Detected Non-Asbedos Fibrous Compone nts: LaWt 2 off-whlte pliable mabrial, white paint and white powder AsbestosFibrcusComponents: Non-AsbeSosFibrousComponents: No Asbestos Detected 1% Celutose Conunents: Materials didinguisfiable but inseparable Non-Fibrous Components: 100% Mnyl Filler and Binder Non-Fifu ous Components: 89% Filler and Binder 1fflo Paint Lab Sample Number 12{t0548.0008 Checked lf Sample Not Ana[rzed fl Samphd by: Bob lAlitherilge Received by: Fermin Uribe Reviewed by: Rachel ilblgoza -&Ae?,"1€4q*-8mtm12 a87no12 911n0fl Rachel llilelgoza, Anallls't Page 3 Summar],, of Inspection Lab reports as follows: Samole #L: Dining hall bathroom. Floor vinyl with mastic. Tan No asbestos detected- Sample #2: Dining hatl bathroom. Cove base with mastic. Gray No asbestos detected. Sample #:3 Dining hall ceiling tile. No asbestos detected. Samp1e #4: Back storage wall and store ceiling material. No asbestos detected. Samnle #5: Sheet rock tape and mud. Homogeneous No asbestos detected. SamDle #6: Upstairs office area. Kitchen, hallway and bathroom. Floor vinyl with mastic. Tan and gray. No asbestos detected. Sample #7: Upstairs office cove base. Gray No asbestos detected. Sample #8: Upstairs porch floor material. No asbestos detected. All asbestos containing building materials with a reading of greater than L% is considered ahazardous material if disturbed. Removal of any hazardous materials must be abated by a certified abatement contractor which follows the rules of ttre EPA and governed by Olympic Region Clean Air Agency. During building demolition it is possible that additional suspect asbestos containing building material (ACBM) may be found. Should such suspect material be discovered an AHERA certified. inspector will have to sample and test the material to prove it is of non-asbestos. Northwest Asbestos Consultants is trot respoosible for identificatiou of hidden materials that are not identifiable with. reasonable diligence. Thankyou, Brat.ti-,t*r,t4p Bob Witheridge, E.F.M. BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379"4/.51 PERMIT #: SITEADDRESS: OWNER: SUBDIVISION: PARCEL NUMBER: BLD13-00034 308913 H\MY 101 BRINNON,98320 PLEASANT HARBOR MARINA & GOLF RESORT LLP 308913 US HIGHWAY 101 BRTNNON WA98320-9719 502152013 Section: Received Date: lssue Date Expiration Date PHONE: 360-7964611 PLEASANT HARBOR MARINASHORT PBlock: Lot 1 15 Township: 25 N Range: 02 W 1t28t2013 2t11t2013 2t11t2014 CONTRACTOR:OWNER/BUILDER PHONE: PROJECT DESCRIPTION: REiIODEL OF 3 EXISTING BUILDINGS WTHIN EXISTING FOOTPRINTS - REPLACEITIENT OF EXISTING UTILITY LINES TYPE OF WORK TYPE OF IMP VALUATION CODE EDITION: OCCUPANCY: OCCUPANCY: CONST WPE: CONST WPE: SEWAGE DISPOSAL: WATER SYSTEM: coM ALT 46,000.00 2009 BATHROOMS: Exist: Prop: Total: SQUARE FOOTAGE: MAIN: ADD'L: HEAT BASE: UNHEATED: OTHER: GARAGE: DECK: COMMERCIAL: INDUSTRlAL: HEAT WPE: HEAT TYPE: # OF STORIES: SHORELINE: SETBACK: BANK HEIGHT: NUMBER OF EMPLOYEES: Amount Paid By: Date: Receipt: Permit Plan Check State Building Code Total: $603.3s LYK $392.18 LYK $4.50 LYK 01t28113 01t28t13 01128113 139943 139943 139943 01,000.03 Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROUAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS YALID FOR ONE YEAR OR !T MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT.LINE 3794455. Reguest 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 - SEEATTATCHED BUILDING PERMIT Jeffercon County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FA"\ (360)379451 PERMIT #: SITEADDRESS OWNER: SUBDIVISION: PARCEL NUMBER: BLD13-00049 308913 H\Mr 101 BR|NNON,98320 PLEASANT HARBOR MARINA & GOLF RESORT Lt-P 308913 US HIGHWAY 101 BR]NNON WA98320-9719 502152013 Section Received Date: 211112013 lssue Date 311812013 Expiration Date 311812014 PHONE: 360-796-4611 PLEASANT HARBOR MARINASHORT PBlock: Lot 1 '15 Township: 25 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW RETAINING I,YALL, REPISCEiIENT OF STAIRS & REMOVAL OF (3] HAZARD TREES. ryPE OF WORK TYPE OF IMP VALUATION CODE EDITION: OCCUPANCY: OCCUPANCY: CONST TYPE: CONST TYPE: SEWAGE DISPOSAL: WATER SYSTEM: coM NEW 41,370.00 2009 MAIN: ADD'L: HEAI BASE: UNHEATED: OTHER: GARAGE: DECK: SQUARE FOOTAGE:COMMERCIAL: INDUSTRIAL: HEAT TYPE: HEAT TYPE: # OF STORIES SHOREL]NE: SETBACK: BANK HEIGHT: BATHROOMS: Exist: Prop: Total: 0 0 0 NUMBER OF EMPLOYEES Type Amount Paid By: Date: Receipt: Permit Plan Check State Building Code Total: $562.95 LYK $365.92 LYK $4.50 LYK 02t11t13 02t11113 02t11t13 139986 1399E6 139986 $933.37 Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROUAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT.LINE 379455. Request must be received Oy 3pm the day beforc the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY HOT LINEAVAIISBLE 24 HOURSA DAY SPECIAL CONDITIONS APPLY . SEE ATTATGHED BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)37e-4450 FAX (360)37e-4451 PERMIT #: SITE ADDRESS: OWNER: SUBDIVISION: PARCEL NUMBER: BLD14-00246 308913 HWY 101 BRINNON,98320. PLEASANT HARBOR MARINA 308913 US HIGHWAY 101 BRTNNON WA98320-9719 502152013 'Received Date: lssue Date Expiration Date 711812014 91212014 91212015 PHONE: 360-796-4611 Lot: 1 Range: 2\ Block: Section: 15 Township: 25 N CONTRACTOR:OWNER/BUILDER PHONE: PROJECT DESCRIPTION: TWO NEW SIGNS (on opposite sides of the road) for Pleasant Harbor Marina Galley and Pub Also see ZON14-23 TYPE OF WORK ryPE OF IMP VALUATION CODE EDITION: OCCUPANCY: OCCUPANCY: CONST TYPE: CONST TYPE: SEWAGE DISPOSAL: WATER SYSTEM: coM SGN 22,000.00 2012 BATHROOMS: Exist: Prop: Total: SQUARE FOOTAGE:COMMERCIAL: INDUSTRIAL: HEAT TYPE: HEAT TYPE: # OF STORIES: SHORELINE: SETBACK: BANK HEIGHT: MAIN: ADD'L: HEAT BASE: UNHEATED: OTHER: GARAGE: DECK: NUMBER OF EMPLOYEES: Type Amount Paid By: Date: Receipt: Permit Plan Check State Building Code Total: $289.00 SRE $187.50 SRE $4.50 SRE 07115114 07115114 07115114 151253 151253 1 51 253 $481.00 Directions to Site: 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. ffice Hours 9:00 am -4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY. SEE ATTATCHED JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT:PLEASANT HARBOR MARINA 306913 US HIGHWAY 101 BRINNON WA98320-9719 DATE ISSUED: August 28,2014 DATE EXPIRES: August 28,2015 MLA NUMBER: MLA14-00055 PROJECT PLANNER: David Wayne Johnson PROJECT DESCRIPTTON: SIGN PERMIT - Pleasant Harbor Marina Entrance Signs PROJECT LOCATION: Parcel Number 502 152 013, Pleasant Harbor Marina Short Plat, in Section 15, Township 25, Range 02 West, WM, located at 308915 Hwy 101, Brinnon, WA 98320 CONDITIONS: 1.) The project shall adhere to the Best Management Practices (BMPs) to control stonnwater, erosion and sediment during construction. BMPs shalladdress permanent measures to stabilize soilexposed during construction, and in the design and operation of stormwater and drainage control systems. 21 The illumination of signs shall be shaded, shielded, or directed so as not to adversely aFfect surrounding properties or public and private rights-of-way or create a hazard or nuisance to the traveling public, or to surrounding properties. 3.) No sign or part thereof shall consist of rotating, revolving, or moving parts; consist of banners, streamers, or spinners; or involve flashing, blinking, or alternating lights. 4.) All signs shall be continuously maintained. Signs that present ahazard shall be subject to abatement. 5.) Signs shall be incorporated into the landscaping of the site when landscaping is provided. FINDINGS: 1.) The Administrator finds that this application complies with applicable provisions of the Unified Development Code, all other applicable ordinances and regulations, and is consistent with the Jefferson County Comprehensive Plan and Land Use map.2.) The application was reviewed by the Jefferson County Department of Community Development staff on August 28,2014 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic lnformation Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Suburban Shoreline Designation, lntermediate Shoreline Slope Stability; Osprey Habitat; CoastalSlPZ. 3.) Underlying zoning on-site is Rural Residentialwhich limits sign square footage to 32 feet. The site is being re-developed under an existing Binding Site Plan as a commercial Marina. Also, the parcel has recieved a Comp Plan Amentment zoning designation of Master Planner Resort under Ordinance 01-0128-08. lt is anticipated that a development agreement with regulations for signage will be approved to allow the proposed 54 square feet of signage. The proposed signs meet all other development criteria under JCC 18.30.100 Signs4.) See stormwater permit ZON14-00024 for widening of the Marina entrance to address stormwater and to allow for placement of the proposed signs. 5.) The site plan as submitted with the Zoning Permit application on July 15,2014 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 August 28,2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 6.) This approval is for Two Entrance Signs totally 54 Square Feet only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 7.) NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal Ofdinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. lf during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Ghum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that "takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). ln addition, the National Marine Fisheries Service can levy penalties. All areas in Jefferson County are included as "critical habitat" for a listed species. Development of propefi along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: - All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters - Remove minimalvegetation for site development, especially large trees - Allow trees that have fallen into surface waters to remain there - lnflltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet (1/8th of a mile) of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take" and describes the possible legal consequences when a "take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (http://www.fws,gov/pacific/eagle/) to learn more about how this law affects your project. 8) Any individual, group, or agency can bring suit for a listed species "taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. The proposed signs were reviewed and approved under RCW 47.42 & WAC 468-66 by Pat O'Leary with the WSDOT HighwayAdvertising Control Program. See BLD14-00246 for the building permit for the proposed signs.e.) APPEALS: Pursuant to RCW 36.70C, the applicant or any aggrieved party may appeal this final decision to Jefierson County Superior Court within Nventy-one (21) calendar days of the date of issuance of this land use decision. For more information related to judical appeals see JCC 18.40.340. "5 -f inistrator MLAl4-00055 \\tidemark\dataVorms\F_MLT_lssuePermit_U. rpt 8t2812014 Page 2 oI 2 F I N I6oorf6<OFlo!J-o zoEF =EE IA- ePt o t !I ! @4 @e @ E 11-lr-zu II G CI @ @ E ILl-qa UI uJ G E8 ?> Ei' go_ 6..> Li!E)cii #. 1 ;L 2E EE c ,!r3 63n.iE :. - 6o. --=, oii;i:e sE iiE zd d, !.1J '1zIvi :clr aliolt @ E 1 ;h 8 I 8 E a ! i i I d 1 ! I i I I g 7 ( io I ',1 | a o 2 I I 9 EEotr ?( , cE !9 iEi3 a z >i 5? 46 :e Ei TEO t-a 9 ! : I H+ir ' t9 !?3!5. I :?t-e 'z -9-E E9 .. .::> _ iE; Eulxt is; e e,!:E frEi33?5i6t9d: -l I l, =!E : t. Ii I Ir-l z 99 8H EJ B :r. O O a -E* aE i' E:89:; 'ee;<9- iI *; lo dT i gi L E q:Bi H) t-3 e 5a 9g9i .! I i I I , I b a ! -!_ - .,,... , .. .,. :.-j. . . _, ':.:ri "{ 4af ;}-.,r..r. i:.!-i ' :-1;,'i,-. ',r aH C& P{ Or 4' I !? BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)37e-4450 FAX (360)379-4451 PERMIT #: SITEADDRESS: OWNER: SUBDIVISION: PARCEL NUMBER: BLD14-00134 308913 HWY 101 BRINNON,98320 PLEASANT HARBOR MARINA & GOLF RESORT LLP 308913 US HIGHWAY 101 BRINNON WA98320-9719 502152013 PHONE: 360-796-4611 Block: Section: 15 Township: 25 N Range: 2\A Ree,eived Date: lssue Date Expiration Date 4t1612014 7t2212014 7l2A2U5 Lot: 1 CONTRACTOR: OWNERYBU]LDER PHONE: PROJECT DESCRIPTION: CONCRETE WATER STORAGE TANK FOR PLEASANT HARBOR MARINA SQUARE FOOTAGE:TYPE OF WORK TYPE OF IMP VALUATION CODE EDITION: OCCUPANCY: OCCUPANCY: CONSTTYPE: CONSTTYPE: SEWAGE DISPOSAL: WATER SYSTEM: COM ALT 40,000.00 2012 BATHROOMS: Exist: Prop: Total: MAIN: ADD'L: HEAT BASE: UNHEATED: OTHER: GARAGE: DECK: COMMERCIAL: INDUSTRIAL: HEAT TYPE: HEAT WPE: # OF STORIES: SHORELINE: SETBACK: BANK HEIGHT: NUMBER OF EMPLOYEES: Amount Paid By:Date:Receipt: State Building Code Plan Check Permit Potable Water Application $4,50 JLA $316.55 JLA $487.00 JLA $66.00 JLA 04t14114 04114t14 041141't4 04t14t14 148544 148544 148544 148544 Total:$874.05 Directions to Site: 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 g:00 am - 4:30 pm MONDAY - THURSDAY HOT LINE AVAII.ABLE 24 HOURS A DAY SPECIAL COT{DITIONS APPLY - SEE ATTATCHED https://secureaccess.wa.gov/lni/eplsi Payment.aspx'/guld= I db I lbe POST ON JOBSITE PRIOR TO BEGINNING OF WORK Department oflabor end Industries Print Pemit I ELECTRICAL CONTRACTOR ELECTRICAL WORK PERMIT #22O5527E hsta[atlon oescrlPtion: 200 A Service in Pool Equipment Building Service8 to inspect: Description Quantity Anrcunt wA 98368 or Largest Feeder - 101 - 200 AMP lT Contractor l.larIE HANSON ELECTRIC Purchaser's nlailing address PO BOX 173 PORT TOWNSEND Telephone number 3603854685 Predses offier'o narp Pleasant Flarbor Marina Address of inspeclion 308915 US 101 License lfufiber liANSOE-062Q8 Site Phone tturter 3607974611 BRINNON Porl,er cornpany MASON COUNTY PUD #3 . BELFAIR lnspection Fee: $118.60 The department will perform I inspection for permits where total fee paid on permit is less than $86.19. For more than I inspection, additional fees are required. Additional Fees May Be Assessed Upon Field Inspection Approved By 4 Ad or*, L Applied:3|412013 WALLS lnsulation Only Cover This permit expires in one (1) year from date of last actMty. Eryiration:31412014 Date Approved By Date SERVICE FEEDER THERMOSTAT DITCH SJ-/ lnspection Date Area, Building or Equlpment lnspected Actlon Taken Electrical lnspectorst4) crL .1)3-^ 947S'/t5T urTtr ,0/or arJ Property Owner: This is your permanent record of inspection RAILURE TO POST PRIOR TO BEGINNING WORKWILL RESUI.JT IN CIVIL PENAUTIES Attention Applicant! The Department willnot conduct this inspection if there are unrestrained 1 I of3 3/412013 7:03 AM CEILING lnsulation Only Cover Page I of2 Contractor Name Pleasant Harbor Marina Purcfiase/s mailing address 208913 hwy 101 Brinnon Telephone number 360796461 1 Premises ovvnels name Pleasant Harbor Marina Addr€ss of lnspection 308913 hwy 101 BRINNON Power csnpany Mason County PUD 1 Sile Phone Number 360796461 1 POST ON JOBSITE PRIOR TO BEGINNING OF WORK Department of Labor and Industries INDIV!DUAL OWNER ELECTRICAL WORK PERMIT #2231228P License Number lnstallation Descdptlon: install spa air blower SeMc€3 to inspect: Description Quantity Amount wa 98320 its pa,nel- Number lT Applied:5/9i2013 WALLS lnsulation Only Cover GEILING lnsulation Only Cover This permit expires in one (1) year from date of last activity Expiration:5/912014 Date Approved By lnspection Fee: $75.80 The department will perform I inspection for pennits where total fee paid on permit is less than $86.19. For more than I inspection, additional fees are required. Aiiitional Fees May Be Assessed (Ipon Field Inspection Date Approved By SERVICE FEEDER THERMOSTAT DlTCH lnspection Date Area, Build ing or Equipment lnspected Action Taken o Qaaa 2 au*( Ac?qtS/rlrL Electrical lnsoector-c%wff L Property Owner: This is your permanent record of inspection FAILI.IRE TO POST PRIOR TO BEGTNNTNG WORK WILL RESULT IN CIVIL PENALTIES Aftention Applicant! The Department will not conduct this inspection if there are unrestrained animals on the premises. Failure to comply with this requirement may result in additional inspection service fees and delay in service. at https://fortress.wa. gov/lni/epis/rptPermit.aspx 5/13/2013 Page I of2 Conlrador Name Pleasant Harbor Marina Purchase/s mailing adclrass 308913 Hwy 101 Brinnon Telephone number 360796461 1 Premises o^rne/s name Pleasant Harbor Marina Address d inspedion 308913 Hwy 101 BRINNON Pffier oompany Mason County PUD 1 Site Phone Numb€r 360796461 1 POST ON JOBSITE PRIOR TO BEGINNING OF WORK Department of Labor and Industries INDIVIDUAL OWNER ELECTRICAL WORK PERMIT #2238427P License Numb€r lnstallalion Oescription: Install spa emergency shutoff system wa 98320 SeNices to inspecl: Description Quantity Amount E{"g-Ait *E IT E_?-l..qQ lnspection Fee: $75.80 The department will perform 1 inspection for permits where total fee paid on permit is less than $86.19. For more than 1 inspection, additional fees are required. Additional Fees May Be Assessed Upon Field Inspection Applied:5i2912013 WALLS lnsulation Only Cover CEILING lnsulation Only Cover lnspection Date This permit expires in one (1) year from date of last activity Expiration:52912014 Date Approved By Date Approved By Action Taken Electrical lnspector SERVICE FEEDER THERMOSTAT DITCH l+o(a Property Owner: This is your permanent record of inspection FAILI.JR.E TO POST PRIOR TO BEGINNING WORK WILL RESULT IN CIWL PENALTIES Attention Applicant! The Department will not conduct this inspection if there are unrestrained animals on the premises. Failure to comply with this requirement may result in additional inspection service fees and delay in service. https://fortress.wa.gov/lni/epis/rptPermit.aspx2guid:442c953d-0ce7 -4470-b70e-18ba8a8c5... 512912013 Area, Building or Equipment lnspected Au h,+<,