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HomeMy WebLinkAboutBLD10-215CONSTRUCTION PROGRESS RECORD CITY OF PORT TOWNSEND Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 POST THIS CARD IN A SAFE, CONSPICUOUS LOCATION. PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BY THE APPROPRIATE AUTHORITY AND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSITE. PARCEL NO. 989700612 PERMIT NO. BLD10-215 ISSUED DATE 11/15/2010 EXPIRATION DATE 05/14/2011 ADDRESS QUINCY STREET DOCK CONSTRUCTION TYPE OCCUPANT LOAD OWNER PORT OF PORT TOWNSEND PROJECT DESCRIPTION Quincy Street Dock Repair CONTRACTOR CULBERTSON MARINE CONSTRUCTION INC LENDER INSPECTION INSP JATE COMMENT INSPECTION INSP JATE COMMENT FRAMING STRUCTURAL STEEL SPECIAL MISCELLANEOUS FINAL BLDG./C OF O FINAL PUBLIC WORKS TO REQUEST AN INSPECTION CALL (360) 385-2294. INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION. BUILDING PERMIT City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Project Information Permit # BLD10-215 Permit Type Commercial Miscellaneous Project Name — Quincy St. Dock Repair Site Address QUINCY STREET DOCK Parcel # 989700612, 937600200 Project Description Quincy Street Dock Repair Names Associated with this Project License Type Name Contact Phone # Type License # Exp Date Applicant Port Of Port Townsend Owner Port Of Port Townsend Representative Pivarnik James M (360) 385-0656 Contractor Culbertson Marine (360) 293-5684 CITY 2010 309 1209 11/30/2011 Construction Inc Contractor Culbertson Marine (360) 293-5684 STATE CULBEMC062' 11/25/2010 Construction Inc Fee Information Project Details Project Valuation $28,000.00 Entered Bid Valuation 28,000 DOLL PLAN REVIEW REFUND 50 -50.00 Uniss Heat Type: PLAN REVIEW DEPOSIT 50 50.00 Bedrooms: Construction Type: Building Permit Fee 421.55 Bathrooms: Occupancy Type: Plan Review Fee 274.01 Technology Fee for Building Permit 8.43 State Building Code Council Fee 4.50 Record Retention Fee for Building 10.00 Permit Total Fees $ 718.49 Call 385-2294 by 3:00pm for next day inspection. Permits expire 180 days from issuance if work is not commenced, or if work is suspended for a period of 180 days. Work is verified by obtaining a valid inspection. The granting of this permit shall not be construed as approval to violate any provisions of the PTMC or other laws or regulations. I certify that the information provided as a part of the application for this permit is true and accurate to the best of my knowledge. I further certify that I am the wale é property or authorized agent of the owner. Print Name EF f pee 4 Date Issued: 11/15/2010 Issued By: MWAY Date LL, s fo Date Expires: 05/14/2011 ———— ms Bo Signature - Michael Hoskins From: Alex Angud Sent: Monday, November 08, 2010 4:38 PM To: Michael Hoskins Cc: d Surber; Kenneth Clow; Davi : John Merchant Subject: RE: Quincy iret Dock Repar BLDIO-215 Hi Mike, Thanks for the info. Since they are not accessing from the shore (Quincy ST ROW), SDP permit is not required. R, Alex From: Michael Hoskins Sent: Monday, November 08, 2010 4:32 PM To: Alex Angud Subject: Quincy Street Dock Repair BLD10-215 Alex, | just talked to the Port/Jim Pavarnik and the contractor for this project will bring in a barge to do all the work and not touch the shoreline/Quincy St. Michael CITY OF PORT TOWNSEND BLDG PERMIT ACTIVITY LOG PERMIT #_BLd \o~2'5 DATE RECEIVED_\\~ !~28\0 SCOPE OF WORK: Quiney SV Dove CePA DATE ACTION INITIALS \\ 3-10 ENTERED INTO CHET (Aa \\-3—1O | CHECKED FOR COMPLETENESS ML Plan Review # Bedroom(s) = # Bath(s) = Heat Type: SPECIAL INSPECTIONS THE PORT OF PORT TOWNSEND OR PORT CONTRACTOR SHALL BE RESPONSIBLE TO ENGAGE THE “ENGINEER OF RECORD” JAY W. SPEARMAN P.E. TO ACT AS “THE DESIGN PROFESSIONAL IN CHARGE” THE DESIGN PROFESSIONAL IN CHARGE SHALL BE RESPONIBLE FOR ALL ONSITE INSPECTIONS INCLUDING SPECIAL INSPECTIONS, PERIODIC INSPECTIONS, AND STRUCTURAL OBSERVATION. THE ENGINEER OF RECORD MAY WAIVE ANY SPECIAL OR PERIODIC INSPECTIONS, BUT MUST PROVIDE TO THE CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT A WET STAMPED STRUCTURAL OBSERVATION LETTER OF ACCEPTANCE FOR ALL WORK DONE. HE E L EE E LE a (Wak SEPTIC? ANT Wade, pe Vim Keune bt ae dene, wy lopwrga , Quincy Se wet 4S lon WW Zoning: See Eewmakt in Mi “Aad W/ a/v6 \WAK Setbacks OK? Lot Size: Building Size: Lot Coverage: . WM rae, FAR OK? Height OK? | eck Sith, Jody or Sin Hema age ca Parking OK? __ mthe asking ov ni Critical Area? Has. She i A. Hie a peg ) ha (Check all cabout i+ > Fle, BE es 1 eheg mpervious tne a sines yw Mon Surface limits at at < not a 19.05.050D4(a) | a look Shoreli | ( dd it Mon. Jurisdiction? Tay Eight RS ey a We well require pec | Histone Rev/ 7 SBS- OCS } spect for oll: Tim 1s Design Rev? bark Shiny questions C“uware- oF this. Notice to Title? = Lots of Record? lhank, S re f P:\DSD\Forms\General Use Forms\Activity Log Bldg Permit.doc July 12, 2010 Development Services Cily OF vORE TOWNSEND 250 Madison Street, Suite 3 Port Townsend WA 98368 Phone: 360-379-5095 Fax: 360-344-4619 www.cityofpt.us Commercial Building Permit Application Project Address & Zoning District: Legal Description (or Tax #): Office Use Only Addition: : : Ly Permit “1/ ars EY. r Block: # eD10— 215 Parcel # 73 GOO ZO Lot(s): Associated Permits: F838? 27OOG/2 <—-\ LP 10 ~ 0665 plan submittal requirements. Project Description: . . Quincy A. Leck Rega e > Applications accepted by mail must include a check for initial plan review fee of $150 > See the “Commercial Building Permit Application Checklist” for details on P Nome ey ot Pret FowHsgwh Address: 2) 332 (7. 8O City/SZip: FDé4 Fow«cEed tip Phonex 960 - SES -O6SE Emall_ an @ preatde Der ot pat, Com Nae esentative: . Name: Ee TC Yaatesirh, Address: City/St/Zip: aft a Phone: S ll 4. Za Email: Contractor: Name:_ Ci. (esi IQ AMIE Gwt. Address: = P35 . Svar BAY 20. City/SUZip: PAL Acoertes, Lert Phone: S60-%F-S C8 Email: State License #: Exp: City Business License #: Lender Information: Lender information must be provided for projects over $5,000 in valuation per RCW 19.27.095. Name: Project Valuation: $ ZB 068,77 Construction Type: Occupancy Rating: Building Information (square feet): 1* floor Restrooms: 2™ floor Deck(s): 3" floor Storage: Basement: Is it finished? Yes No Other Loeb” eee New 0 Addition Remodel/Repair &—_ Change of Use 0 Total Lot Coverage (Building Footprint): Square feet: % Impervious Surface: Square feet: | hereby certify that the information provided is correct, that | am either the owner or authorized to act on behalf of the owner and that all activities associated with this permit will be in accordance with State Laws and the Port Townsend Municipal Code. Print Neaavia:s.. 20D Breath 0 ————— Date: VIM COMMERCIAL BUILDING PERMIT APPLICATION CHECKLIST This checklist is for new construction, additions, and remodels O Commercial building permit application. O Non-Residential Energy Code forms: xt Lighting *+ Mechanical +t Envelope O Three (3) sets of plans with North arrow and scaled, no smaller than %” = 1 foot: O Title Page/Cover Sheet: Project identification Project address, legal description, location map, tax parcel number(s) All design professionals identified including addresses and phone numbers Name, address, and phone number of person responsible for project coordination Design criteria, including occupancy group, construction type, allowed floor area vs. proposed, occupant loads, height and number of stories, deferred submittals, etc. Designate compliance with all applicable codes O Asite plan showing: Legal description and parcel number len tax number), Property lines and dimensions Setbacks from front, sides and rear in accordance with a pinned boundary line survey On-site parking and driveway with dimensions Street names and any easements or vacations Location and diameter of existing trees Utility lines If applicable, existing or proposed septic system location Delineated critical areas boundaries and buffers oO Foundation plan: Footings and foundation walls Post and beam sizes and spans Floor joist size and layout Holdowns . Foundation venting O Floor plan: Room use and dimensions Braced wall panel locations Smoke detector locations Attic access Plumbing and mechanical fixtures Occupancy separation between dwelling and garage (if applicable) . Window, skylight, and door locations, including escape windows and safety glazing Oo Wall section: Footing size, reinforcement, depth below grade Foundation wall, height, width, reinforcement, anchor bolts, and washers Floor joist size and spacing Wall stud size and spacing Header size and spans Wall sheathing, weather resistant barrier, and siding material Sheet rock and insulation Rafters, ceiling joists, trusses, with blocking and positive connections Ceiling height 10. Roof sheathing, roofing material, roof pitch, attic ventilation O Exterior elevations with existing slope of the land in relation to all proposed structures C If architecturally designed, one set of plans must have an original signature C If engineered, one set of plans must have one original signature OC For new dwelling construction, Street & Utility or Minor Improvement application oO Ah W N > OD N D A R W N > OR O N S NO a A h R W N > = ©1 0 0 1 (1 ON V4. Sm a t y u g dh { | ' : 4 i : ; Uy AG 2a r e a p , Bh * “i h i "J e o y d d e } 4; #9 e d s u ) ss e 40 ss o i e fu e su c h J pu w se p o o YU M po UO 0 J U O D U ug ) IS L YJ O M fy “s u O I s s i u n Su Ih o x d pe a o s d d e ea 4B SH I 25 D ) ~ame e al I O 2 L I S S Si t s = “b i x b l 7 ; MM E SI St e n Sy / “A S T 2I ) qi } Aa e n d c 2 1 , ee “A I N O G YO M TI V YO d JI N V 1 L d d I I V 4O Y3 . 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VA Xp r y | | | , __ ft _ i J Ko m , Ie ; ' : a ot : ° 12 ) a & Xp X- p vo i t ” j aa n TA X O M Y © Fd } ¥ <q - ‘ 22 | [om f <— TH’ Aue, Comer d Ne) FE Geemes rien Shaw Stee S yo | Sees Res Aniestor. WareaeLet €-— Rawe Pap Ere COeTAILS Ua eesete » | R= 28 V Yeury Ons Sire B> Casper wee Caostace Serge. 1 Neer San ze NOV -1 20 CITY OF PORT TOWNSEND DSD City of Port Townsend Planning Department City Hall, 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360) 379-5095 FAX (360) 385-7675 CITY OF PORT TOWNSEND CRITICAL AREAS REVIEW & SHORELINE SUBSTANTIAL DEVELOPMENT PERMIT EXEMPTION = WASHINGTON STATE SHORELINE MANAGEMENT ACT ( RCW ey EY Ir) TT Applicant: Port of Port Townsend Case Number: LUP-10-065 ~1 2010 It J | P.O. Box 1180 ] CUT | hae Port Townsend, WA — _| | 98368 CITY OF PORT TOWNSEND — J Project Location and Legal Description: Generally located in Port Townsend Bay fronting 111 Quincy Street, Port Townsend, WA 98368. Legally described as Tideland 33 including submerged portions of Quincy Street and Front Street rights-of-way. Application fora DNR lease will apply to a rectangular area of unidentified dimensions located waterward of City Tideland 31. SW1/4 of Section 1 Township 30 North, Range 1 West. Assessor’s Tax Parcel Number: 937600200 and 989700612. Latitude N 48°06’53” Longitude: W 122°45°14”. Proposal: Emergency repairs to the Quincy Street Dock transfer span in order to avoid an imminent threat to public safety and property. The transfer span was supported by cables from the overhead dolphins and adjusted for varying tidal ranges. This system was damaged in recent storms and portions of the dock appear to be in imminent danger of collapse. To stabilize the structure, the applicant is proposing to replace the damaged overhead timbers and cables supporting the transfer span. Existing headworks and crushed timber headers will be removed and the towers leveled. New 14 x 14 beams would be placed on top of the blocking. 12 x 12 or or 14 x 14 timbers would be placed on the new headworks with steel angles to protect from the chain. Existing cables would be replaced with a 3/4inch chain to hang the transfer span from existing pad eyes which are in good shape. _ This is not a permanent fix but a temporary method of stabilization. All work is to be conducted from a barge. Work is anticipated to begin pon city approval and should take approximately one day to complete. Adjacent Waterbody:__ Strait of Juan de Fuca__Admiralty Inlet _X_Port Townsend Bay SMP Shoreline Designation: According to the Shoreline Master Program (SMP) adopted by the City of Port Townsend on February 14, 2007, the property is designated “Shorelines of Statewide Significance”, “Aquatic” and “Historic Waterfront” per SMP Chapter 5. Findings & Conclusions 1. The proposal made by the applicant to undertake the repairs described above within the shoreline of the City of Port Townsend and/or its associated wetlands is exempt from the Shoreline Substantial Development Permit Exemption LUP 10-065 Page 2 requirement of a substantial development permit. Specifically, the proposal constitutes: _X_ Normal Maintenance and Repair _ Development not exceeding $2,500 __ Single-family home for owner’s use __Other: The existing Quincy Street dock is owned by the Port of Port Townsend and is currently under lease to Quincy Street at the Waterfront LLC. On October 4, 2010, the City of Port Townsend sent a letter to both Quincy Street at the Waterfront LLC and the Port of Port Townsend notifying them of the potentially dangerous condition of the dock: We have observed that portions of the dock appear to be in eminent danger of collapse (see attached photographs). Specifically, the overhead mechanism that was used to raise and lower the transfer span has become dislodged. Should this portion of the structure fail, it could injure anyone who happened to be in the immediate vicinity (beach water, kayaker, other). It would also remain connected to the dock by cables but the span (connected to the overhead mechanism) would enter Port Townsend Bay and be subjected to wave action. This could significantly damage the dock and street end bulkhead as well as the adjacent and newly repaired piles supporting the Wave Gazing Gallery. In light of the pending winter storms season, the City of Port Townsend requires that this portion of the dock be stabilized as soon as possible, or that the City receive a report from a licensed structural engineer confirming the structural integrity of the overhead mechanism and that there is no risk to the public or to property. The Port of Port Townsend contracted with the engineering firm, PND, and the contractor Culbertson Marine to assess the condition of the dock and determine needed repairs. The proposed emergency repairs are categorically exempt from review under State Environmental Policy Act (SEPA) under the provisions of WAC 197-11-880 - Emergencies. Quincy Street Dock is located within the Special Overlay Design Review District, wherein exterior alteration of structures is subject to Design Review involving the City’s Historic Preservation Committee (HPC) and compliance with PTMC Chapter 17.30. However, the Director has issued an emergency waiver pursuant to Section 17.30.020C(4): “Emergency repairs of buildings, structures and improvements; provided (a) that a waiver of design review has first been obtained from the director, subject to such conditions as the director determines appropriate based on the emergency, and based on the requirements of this chapter; (b) such repairs shall be strictly limited to correcting emergency conditions; and (c) that after cessation of the emergency condition, all permanent installations shall be subject to design review and Shoreline Substantial Development Permit Exemption LUP 10-065 Page 3 approval under this chapter.” (A Per the Department of Archaeology & Historic Preservation (DAHP), though the 10. structure is not individually listed on the National or State Register, structures found to be "contributing" within a National Historic Landmark District are deemed to be on the National Register without the need to be individually listed. City staff will coordinate with DAHP during the Design Review Process. _ According to the City’s Critical Areas maps, the following critical areas are likely to occur on the site or in the immediate vicinity: Geologically Hazardous, Frequently Flooded, and Fish and Wildlife Habitat. Under separate application, Quincy Street at the Waterfront LLC, has applied for a Shoreline Substantial Development and Conditional Use Permit to restore and expand Quincy Street Dock for boat and seaplane moorage (File Reference: LUP09-021 and - 022). The work would involve replacing existing piles with 23 steel piles placed with a vibratory hammer. Environmental impacts were assessed in the Mitigated Determination of No Significance (MDNS) issued by the City of Port Townsend on July 26, 2010. The MDNS is incorporated herein by this reference pursuant to WAC 197-11-600(4). Existing biological conditions were assessed by Amy Leitman, Marine Surveys & Assessments in the Biological Evaluation for Quincy Street at the Waterfront, LLC (Jul 8, 2009) and in two letter addendums (September 22, 2009 and February 23, 2010). The Habitat Survey data, compiled by Marine Survey and Assessments (MSA) divers on September 11, 2009 and September 23, 2009 found that “there was almost no macroalgae in the survey area and the macroalagae that is present is located in deep water (-19.0’MLLW or deeper). The eelgrass that was found is located approximately 50-feet from the area where the proposed floats will be located. The City’s Shoreline Master Program (SMP) has been updated consistent with the state guidelines, and the Department of Ecology (DOE) has adopted the SMP. The SMP incorporates the Critical Areas Ordinance (CAO) by reference (Chapter 6 of the SMP). A separate Critical areas permit is not required. Given the si gnificant overlap between the _ CAO standards and typical SEPA mitigation measures, the MDNS issued for the Quincy 11. 12. Street Dock Restoration included an analysis of the project’s compliance with relevant CAO performance standards. As conditioned, the activity will have no significant adverse impact on the environment including but not limited to fish, wildlife, fish or wildlife habitat, water quality, and aesthetic values. Proposed repairs to the dock are consistent with the policies of the Shorelines Management Act (SMA) and the City’s Shorelines Master Program (SMP). The proposal involves emergency repairs to an existing over-water structure. Maintenance of over-water structures to ensure public safety and avoid shoreline impacts is consistent with the goals of the Shoreline Management Act. _ Shoreline Substantial Development Permit Exemption LUP 10-065 Page 4 i The proposal will not materially interfere with the public use of public lands and waters or the private use of adjacent private lands nor will it result in any material expansion or change in use beyond that previously existing. The historic Quincy Street Dock is currently derelict and blocked off from the public. Temporary repairs are necessary to stabilize the structure until such time as restoration can be completed. There is no change in use proposed and no impact to public access. Conditions 1. All development shall be in substantial conformance with the development plans submitted in the application for Shoreline Exemption. There shall be no further expansions to or addition of any structures without prior review for conformance with the Shoreline Master Program and any other applicable laws and ordinances. This exemption does not excuse the proponent from complying with other local, state and federal ordinances, regulations, or statutes applicable to the proposed development including but not limited to the city’s critical areas ordinance, Modification of Water Quality Criteria from DOE; Hydraulic Permit Approval from WDFW. Wooden components, which will be in contact with the water, shall not contain creosote or pentachlorophenol. This shall include pilings, beams, structural supports, and decking. These components shall remain free of these toxic substances for the duration of their functional lives. The proponent shall apply for a building permit with the Department of Development Services (DSD) prior to beginning any construction activities. Consistent with Section 17.30.020C (4); after cessation of the emergency condition, all permanent installations shall be subject to design review and approval under Chapter 17.30 PTMC Historic Preservation Code. City staff shall coordinate with the Department of Archaeology & Historic Preservation (DAHP) and incorporate recommended measures as appropriate. If city street rights-of-way are to be used for staging the applicant must first obtain a City Minor Improvement Permit (MIP). During Construction ts Construction Window: To protect juvenile salmon residing in nearshore areas, work waterward of the ordinary high water line shall not be permitted from February 15 through July 14 or as otherwise specified by the WDFW. Demolition materials and construction debris shall be removed and legally disposed of upland and prevented from entering waters of the state. All construction debris shall be Shoreline Substantial Development Permit Exemption LUP 10-065 : Page § deposited in approved areas in accordance with local, state, and federal laws. 9. Construction shall be carried out in a manner that avoids adverse impacts to eelgrass (e.g., barge shall not ground on or shade eelgrass for more than three consecutive days from March until August, care shall be taken to avoid eelgrass beds when deploying anchors/spuds) 10. The application shall comply with best management practices to minimize or control erosion/water quality contamination. Sawdust, trimmings, or drill shavings from treated wood shall be completely contained with tarps or other impervious materials and prevented from entering the beach, bed, or waters of the state. No petroleum products or other deleterious materials shall enter surface waters. 11. —_ Ifa fish kill occurs or fish are observed in distress, the project activity shall immediately cease and WDFW Habitat Program shall be notified immediately. 12. _ If construction equipment inadvertently damages the shoreline environment, the applicant shall notify the City and any other responsible agencies (e.g., Ecology) immediately. The applicant shall be responsible for repairing the shoreline to its preexisting condition to the satisfaction of the responsible agencies. 13. Pursuant to the City of Port Townsend Engineering Design Standards, sound created by construction activities and equipment is allowed between the hours of 7:00 a.m. and 6:00 p.m. on Monday through Friday, unless otherwise approved by the DSD Director in writing. Given the emergency nature of the repairs and the need to conduct specific tasks in concert with favorable tides and weather conditions, the Director may extend the permitted hours upon the applicant’s request. Expiration 14. Pursuant to Section 3.401 of the SMP, this exemption shall automatically expire one year from the date of issuance. In consideration of the above, the proposal is found exempt from the requirement of a shoreline substantial development permit. YL———_ Jo/29 [10 Rick Sgpler, AICP” Date of Issuance — Director of Development Services City of Port Townsend Contractors or Tradespeople ail Washington State Department of Labor & Industries Contractors or Tradespeople Detail Return to List > Start a New Search > yes Printer friendly Verify Workers' Comp Premium Status \leeds Ch Lice &e_ Check for Dept. of Revenue Account About General/Specialty Contractor Page 1 of 2 A business registered as a construction contractor with L&I 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 CULBERTSON MARINE CONST INC UBI No. BF) 601579126 Phone No. (360) 293-5684 a Status FF) Active Address 12935 Similk Bay Rd Suite /Apt. License No. CULBEMC062Q8 City Anacortes License Type ij Construction Contractor State WA ; Effective Date 11/28/1994 Zip 98221 a Expiration Date 11/25/2010 County Skagit : Suspend Date Ly Business Type Corporation Parent Company Specialty 1 yy General Specialty 2 yy Unused {=} Other Associated Licenses Specialty Specialty Effective Expiration License Name e Status ie 1 2 Date Date CULBERTSON MARINE Construction CULBEMC101DZ General | Unused 3/9/1990 2/26/1995 = Archived Se CONSTRUCTION Contractor " (9 [26/ {=| Business Owner Information f=] Hide All Name Role Effective Date Expiration Date CULBERTSON, ANDREW 01/01/1980 CULBERTSON, ANDREW Agent 01/01/1980 e Bond Information yy No records found for the previous 6 year period https://fortress.wa.gov/Ini/bbip/Result.aspx 11/3/2010 LD10-215 LD10-215 LD10-215 LD10-215 LD10-215 989700612 989700612 989700612 989700612 989700612 Plan Review Fee $274.01 State Building Code Council Fee $4.50 Technology Fee for Building Permit $8.43 Building Permit Fee $421.55 Record Retention Fee for Building Per $10.00 Total: Total: $718.49 $274.01 $4.50 $8.43 $421.55 $10.00 $718.49 $0.00 $0.00 $0.00 $0.00 $0.00 genpmtrreceipts Page 1 of 1 City of Port Townsend Invoice Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Invoice # 1615 Date: 15-NOV-10 PORT OF PORT TOWNSEND PO BOX 1180 PORT TOWNSEND WA 98368-0980 Application No BLD10-215 Project: Quincy St. Dock Repair Application Type Commercial Miscellaneous Parcel # 989700612 Subdivision: Block/Lot Site Address: QUINCY STREET DOCK Description Fee Amount Paid/Credit Balance Due Plan Review Fee $274.01 $0.00 $274.01 PLAN REVIEW DEPOSIT 50 $50.00 $0.00 $50.00 PLAN REVIEW REFUND 50 -$50.00 $0.00 -$50.00 State Building Code Council Fee $4.50 $0.00 $4.50 Technology Fee for Building Permit $8.43 $0.00 $8.43 Building Permit Fee $421.55 $0.00 $421.55 Record Retention Fee for Building Permit $10.00 $0.00 $10.00 Port of Port Townsend-Voucher Approval Total Fee Amount: $718.49 Commission Mtg Date: Total Paid/Credits: $0.00 Le es Lasts — ™ Balance Due: $718.49) Approved By: Approval Date: Approval Amount: I SURGE SENDS SENS SSIES Vendor No.: PA0 GO\ Invoice No.: \eAS Budget No.: $ Amount o> 62300 (7 1AL86 SS C2 Page 1