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BLD2014-00103
ILDING PERMIT TA BRD1e 00103 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00103 Received Date: 3/19/2014 SITE ADDRESS: 234 OTTO ST R PORT TOWNSEND, 98368 OWNER: AMELL FAMILY LIMITED PARTNERSH PHONE: 1900 LAURA CT CONCORD CA 945211423 ZAMPERIN SHORT PLAT SUBDIVISION: Block: Lot: PARCEL NUMBER: 001212015 Section: 21 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: JEFF HANSON PHONE: 360-286-4969 PO BOX 1400 KINGSTON WA 98346 PROJECT DESCRIPTIOP REMODEL BLDG FOR NEW PROCESSING, PACKAGING AND DISTRIBUTION OR LEGAL CANNIBUS PRODUCTS. TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP ALT MAIN: INDUSTRIAL: VALUATION 8,000.00 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: OSS NUMBER OF EMPLOYEES: WATER SYSTEM: 36705 BATHROOMS: Exist: Prop: Total: Routing Date: 3�\.. 1`� Type Amount Paid By: Date: Receipt: Approved/Date Permit $135.00 JLA 03/13/14 148460 APPROVED Plan Check $87.75 JLA 03/13/14 148460 State Building Code $4.50 JLA 03/13/14 148460 MAY 0 7 2014 Total: $227.25 Jefferson County DCD Wirlcmor4\rlofe\forme\F RI 11 Ann Rlrl rn+ 4/10/91 1A • CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX(360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD14-00103 APPLICANT: AMELL FAMILY LIMITED PARTNERSH PHONE: 1900 LAURA CT CONCORD CA 945211423 SITE ADDRESS: 234 OTTO ST R Issue Date: 05/8/2014 PORT TOWNSEND, 98368 Final Date: 7/30/2014 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001212015 Section: 21 Township: 30 N Range: 1W PROJECT DESCRIPTION: REMODEL BLDG FOR NEW PROCESSING, PACKAGING AND DISTRIBUTION OR LEGAL CANNIBUS PRODUCTS. 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Tax Parcel Number: On la," 2.0 15 Property Size: 2 .lci Ca15,3'tp) (acres/square feet) Site Address and/or Directions to Property: 7_31-1 Otto S-re t Vn 4- K ?or 41-owr+ rt,0 , l',/a qi‘_,3(O8 Property Owner(s)of Record: 4rtne.A. 1 Foirr,i ILA --11r'l.fed Telephone: AU a iii a- S,bO Fax: email: I)r2.Pivtel i Mailing Address: ICI.00 LACL t-ray. (01.'1-f Con on rc ,(.49 et H 52.1 e-Ao 1 ,ca m Applicant/Agent(if different from owner): J cc t}or"1aOrti Telephone: 3( zet -t4ct WI Fax: email: Sharma - Mailing Address: PO 13X.. WOO V.i a 3, \A)o,. Ct%34les e... IVO(.cowl Mat kind of Permit?(Check each box that applies ❑Lot or Road Segregation uilding ❑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 C]** "' ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential 'c rmil 0 V E ❑ Change of Use ❑Boundary Line Adjust r{t� ❑ Address ❑ Road Approach ❑Short Plat** t ❑Home Business ❑Cottage Industry ❑ Binding Site Plan** ( ❑ Propane ❑Long Plat** ■f (iftf� t(PRf 11 •D)/ 4ndlllQ ❑Sign ❑Planned Rural Reside I euelo ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteratio ❑Stormwater Management ❑Shoreline Master Prog am xamptinn/Permit Revisions_"_ ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Manageme SubstantiaLlEfiriteREPWRINTY ❑Temporary Use ❑Shoreline Manageme Varilftt OF COMMUNITY DEVELOPMENT ❑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 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE i. /QQ t Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey'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' spections. Staffs ar -ss and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that-e ,r she,wants prio •tice. �� '/ Signature: ....7„,, .0' Date: The action or actions A.■i . ,ill undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered spec- . d 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'• compliance with the Jeffer -n County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable r• •• sibilit for ad•-ring ,"d complying with the ESA. The Applicant has read this disclaip r and signs and dates it below. Signature: �r c ✓ Date: 3^ K / 07/24/2013 0 • 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: 01. F ( ) ( ) MAILING ADDRESS: 111 EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System Alteration/Remodel ❑ Concrete Total: Hem '-i Individual System ❑ Repair ❑ Masonry SEP Permit# CIq'2 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: O JA Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public " Total: (V 1A Name of System:PUV 1 If this is a Commercial Proiect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parkin. Spaces: Number of occupants(includes owners,tenants,employees,etc) Current' Proposed IBC Occupancy: 9,3 IBC Type of construction: V--N Will you have Food Service? Yes (►• If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: Underground Tank Above ground tank Size of Propane Tank: N)6 Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO i evotS telleP i knaT retaWtoH i Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: ,C- ‘)-. " 2na Floor Heated Consistency Review: ?---2 Other Heated Base fee: v �.0 Mezzanine Additional Section: �- Cj . Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: ` Other Unheated Pot Water Review fee: Garage/Carport 3 SUBTOTAL 03 Decks 911/Rd Approach fee. / ------ ' ');,_ Other TOTAL: $ \\\( 6 1- Receipt Number: 1 tit�(..1(g0 Cash/Check Number: 14 q ESTIMATED COST(REQUIRED) Date: D/yl _ct .Fair market value of all labor and materials foundation to finish C g !()a n Initials: 07/24/2013 Screen: 01 REAL PROPERTY MASTER Mode: INQUIRY Auto Roll : OFF Parcel # 000001212015 GIP Cd 300121202111 ZAMPERIN SHORT PLAT Nbhd Cd 5355 LOT 2 Loc ID * Taxpayer Cd AMEL 5000 AMELL FAMILY LIMITED PARTNERSH T/P Chg Dt 6/20/2005 * Title Owner T/P Chg Usr JA Tax Code 0111 Status TX TAXABLE Land Use 6375 MINI-STORAGE Affidavit 103717 Vol/Page / C/U Code COMPLETE ADDRESS WINDOW Taxpayer AMEL5000 AMELL FAMILY LIMITED PARTNERSH 1900 LAURA CT CONCORD CA 94521-1423 Search Key CMD 6: End Window CMD 7: End of Job Nr1 v'1 \PS Jeffrey A. Hanson dba/ THC Express LLC. 234 Otto Street Unit R3 Port Townsend, WA 98368 Mailing address: PO Box 1400 Kingston, WA 98346 360 779-7062 office 360-286-4969 cell Project Description The processing, packaging and distribution of legal cannabis products to state licensed retailers. THC Express, LLC will purchase cannabis products from Washington State regulated growers. The cannabis products will arrive at the building through secured garage bay. Cameras and motion detectors will be installed and at no time will the product be in a unsecured area. The product is then brought into the clean room. It is assembled, packaged and bar coded. The product is then ready for distribution to the licensed retailers. All pre-package products will be processed for retailers and is not required for clean room. The distribution center is located at 234 Otto Street Unit R3 in the Glen Cove Industrial Park. The existing building includes a total of two tenants. The THC Express, LLC and another tenant with a dog training company. The units are separated by two garage/storage bays. The subject tenant is located at the rear of park and will have no signage. Persons must be a minimum of twenty one years of age to enter the center, and must provide ID to enter. Proposed tenant improvement/building permit The tenant improvement includes construction of approx. 12.5 ft x 8.8 ft walls. (2x4 construction) This will form the clean room to process,weigh, label and package products for retail stores. The clean room construction is located within the interior of the existing building. A ceiling light will need to be installed. The clean rooms interior will include stainless work tables and an air filtration system and medical grade vinyl flooring.(see detail). Hair nets, lab coats and rubber gloves are required in this area. A product safe room includes construction of approx. 8.9 ft x 10 ft walls. (2x6 construction)The safe room construction is located within the interior of the existing building. The safe room will need a ceiling light installed. The safe room interior will include a cash safe (if needed). It will also be the location of the video security recording back up and air conditioning unit. There will be double door and double loCk security door(please see detail). The project will include installing hard-wired security systems: cameras, motion detectors, 24 hour monitoring systems per Washington state requirements. The project will include: replacement of all existing exterior and interior doors with solid core/metal doors with security locks. Installation of security gate/mesh metal door for the doors located at the front and rear entry and an interior administration office. Product waste will be scanned, accounted for and composted at a designated cannabis facility regulated by the state. Water usage is limited to the restroom usage only. Attached: Primary floor plan (details) Site plan Copy of property details Copy of septic permit on same unit(1999) Copy of lease agreement. Air view of project and site. Question: Do we need a change of use permit? What permits are required to begin tenant improvements? Do I need an electrical permit? Do I need a landscaping permit? Do I need a master permit? What do I need to move forward with this project? ,.., 234 Otto St, Port Towns , WA 98368-9720, Jeffersorunty N/A N/A 95,396 $2,150,000 Expired Listing qp Itgi'l-,„5iir14'‘ Beds i Bldg Sq Ft Lot Sq Ft Sale Price N/A N/A MINI WHSE 05/27/2005 Baths Yr Built Type Sale Date ,'?.. .*.f..,,..si Owner Information Owner Name (LN FN): Amell Family Limited Tax Billing Zip: 94521 Partnersh Tax Billing Address: 1900 Laura Ct Tax Billing Zip+4: 1423 Tax Billing City &State: Concord, CA Owner Occupied: No Location Information ---- --- Zip Code: 98368 Census Tract: 9505.00 Subdivision: Zamperin Short Neighborhood Code: 5355 School District Name: Port Townsend Carrier Route: H094 School District Code: Port Townsend Map#: 30N-1W-21-NW Tax Information Tax-ID: 001212015 % Improved: 74% Parcel ID: 001212015 Tax Area: 111 Legal Description: ZAMPERIN SHORT PLAT LOT 2 Assessment &Tax Assessment Year 2012 2011 2010 Assessed Value-Total $606,790 $833,005 $833,005 Assessed Value-Land $157,300 $223,000 $223,000 Assessed Value-Improved $449,490 $610,005 $610,005 Market Value-Total $606,790 $833,005 $833,005 Market Value-Land $157,300 $223,000 $223,000 Market Value-Improved $449,490 $610,005 $610,005 YOY Assessed Change($) -$226,215 $0 YOY Assessed Change(%) -27,16% 0% Total Tax Tax Year Change($) Change(%) $7,291 2011 $7,511 2012 $220 3.02% $5,996 2013 -$1,515 -20.17% Characteristics _ Lot Acres: 2.19 County Land Use: Mini-Storage Warehousing Lot Area: 95,396 Total Units: 10 Land Use: Mini Warehouse Listing Information MLS Listing Number: 24106075 MLS List Price: $2,437,500 MLS Status: Expired MLS Orig. List Price: $2,437,500 MLS Status Change Date: 09/21/2004 MLS Listing Agent: 94511-Nancee Crusha MLS Listing Date: 07/29/2004 MLS Listing Broker: HADLOCK REALTY& DEVELOPMENT Courtesy of Jeffrey Hanson flie data within this leport is compiled by Cot eLogic from public 10(1prIvate sour us If desired,the accuracy of the data contaired herein can he independently vu i died l'iv the,ecipient of this report with the applicable county or municipality. Property Detail Generated on 02/25/21)14 Page 1 of r - Last Market Sale & S ales Hilly Recording Date: 06/02/2005 Deed Type: Warranty Deed Settle Date: 05/27/2005 Owner Name (LN FN): Amell Family Limited Partnersh Sale Price: $2,150,000 Seller Name (LN FN): Glen Cove Business Park LLC Auditor No: 499037 Recording Date 06/02/2005 Sale/Settlement Date 05/27/2005 Sale Price $2,150,000 Buyer Name Amell Family Seller Name Glen Cove Business Park LLC Auditor No 499037 Hist. Document No. 103717 Document Type Warranty Deed Mortgage History Mortgage Date 06/02/2005 Mortgage Lender Private Individual Mortgage Type Private Party Lender Property Map _-- t l 1 Louisa:St ; 20 4 ;3 4 f " °i r`' P t 3 4 �F 4 �-EAsetglle`rs`Aue' � ll , l 1 ( 1 0 i , 'Ii i .. I It eI 55 ards I 200 ards {o t tier 2014 Microsoft Corporation to :m 13 Ntrk li icing @ 20141Mi rosoft Corporation t3 2013 Nokia I riot Dimensions are Estimated Courtesy of Jeffrey Hanson Ore data within this report is compiled by Core)ogic.from public and private sources.If desired,the accuracy of the data contained herein can be property Detail independently verified by the recipient of LNG report with the applicable county or municipality. Generated on 02/25/2014 Page 2 of 2 �45oN `moo JEFFERSON COUNTY I4 : w ; DEPARTMENT OF COMMUNITY DEVELOPMENT / , ■INOZO ate: 7/7./ Time Received: 7:4I am/pm Mon. ,a Wed. Thur. Fri. Date: 0`.-r-' LD: iii 001b3 Contact Name: ►caner: 234 Orro S-7 Contact Number: 360 7436 496? ,ddress: 4714.)SaN 206 dotes: t'i R-E-alt / /3 e<1 lg �2AM WC 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 X Setbacks Floor Foundation Wall Address Posted Ceiling i MAY 1 0 2014 JEFFERSON COUNTY fifil kit: %3 t PT\ DEPT OF CIMMU ITY I......-OPMENT JOBSITE COPY ELECTRICAL CONTRACTOR ' ' _ '` ELECTRICAL WORK PERMIT#2371386E Contractor Name License Number Ins ale ion Description: KINGSTON ELECTRIC INC KINGSEI931NC Add 2 circuits extend lighting Purchasers mailing address Services to inspect - — _.._. 30211 PARCELL RD. NE Description Quantity Amount KINGSTON WA 98346 !Circuits per panel_Number of Circuits Telephone number 3602976969 Added/Altered 0 75.B0 Inspection Fee:$75.80 Promises owner's mune The department will perform I inspection for THC Express permits where total fee paid on permit is less than$89.79. For more than I inspection, ddeessttinspcd 234 i6n Otto fees are required. 234 tto Rd 9 Unit R3 Additional Fees May Be Assessed Upon Field PT TOWNSEND Inspection Power company PUGET SOUND ENERGY This permit expires one(1)year after the date of purchase. Applied:5/15/2014 Expiration:5/15/2015 Date Approved By Date Approved By WALLS Insulation Only --� SERVICE Cover FEEDER _____ CEILING Insulation Only THERMOSTAT Cover DITCH Insp ei.... tion Date Area Building or Equipment Inspected Action Taken Electrical I rotor 5 (i Pi _______ Property Owner: Retain Permit Number for your records 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. TO 39Vld 410 :dVS_LIN 00L6LL090 9Z:90 17TOZ/tbtl90 KITSAP COUNTY APPRAISAL INC. • ile No SUBJECT PHOTO ADDENDUM Case No Borrower THCEXPRESS LLC Property Address 234 R3 OTTO City PORT TOWNSED County KITSAP State WA Zip Code 98368 Lender/Client Address FRONT ■ ■ FRONT i , I , ,. 1 ,, .41410"44sa Produced by ClickFORMS Software 800-622-8727 Page 1 of 8 KITSAP COUNTY APPRAISAL INC. SUBJECT PHOTO ADDENDUM File No. Case No. Borrower THCEXPRESS LLC III Property Address 234 R3 OTTO City PORT TOWNSED County KITSAP State WA Zip Code 98368 Lender/Client Address _. I SIDE '--,...,...„"ATM= a ,,. SIDE-REAR I" y a Mill : r 4.. 'Z t I T i 1 Produced by ClickFORMS Software 800-622-8727 Page 2 of 8 KITSAP COUNTY APPRAISAL INC • . File No. SUBJECT PHOTO ADDENDUM Case No. Borrower THCEXPRESS LLC Property Address 234 R3 OTTO City PORT TOWNSED County KITSAP State WA Zip Code 98368 Lender/Client Address f FRONT ENTORY/ADMIN. .S' I } i ,,,. n z' * ENTRY/ADMIN. ,',":,,'' Produced by ClickFORMS Software 800-622-8727 Page 3 of 8 KITSAP COUNTY APPRAISAL INC. SUBJECT PHOTO ADDENDUM Ile No Case No Borrower THCEXPRESS LLC • Property Address 234 R3 OTTO City PORT TOWNSED County KITSAP State WA Zip Cade 98368 Lender/Client Address '' ENTRY TO STORAGE/ADMIN. iy 1 1 i s 3uf �„ r � s14� ..... 1 STORAGEIADMIN. d r # I i l' - . ,. STORAGE/ADMIN. 1 I,f* : 1 - ' .. Page 4 of 8 Produced by ClickFORMS Software 800-622-8727 KITSAP COUNTY APPRAISAL INC. • SUBJECT PHOTO ADDENDUM File No. OCase No Borrower THCEXPRESS LLC Property Address 234 R3 OTTO City PORT TOWNSED County KITSAP State WA Zip Code 98368 Lender/Client Address -- _ STORAGE/ADMIN. 0. s SAFE ROOM CENTER/SIDE DOOR rs CLEAN ROOM AREA z+Hev 4 �+U4wT { I ,,ham Page 5 of 8 Produced by ClickFORMS Software 800-622-8727 KITSAP COUNTY APPRAISAL INC. SUBJECT PHOTO ADDENDUM File No. Case No. Borrower THCEXPRESS LLC Property Address 234 R3 GL TL • City PORT TOWNSED County KITSAP State WA Zip Code 98368 Lender/Client Address CENTER 3�l;l ; I J I 1 4 ,,, .,, .....,,,, , ■ 1 i 1 r I , ,..., . .:,..... ,, , .,, ,, ..,, H, 1 I 1 THIS DOOR REMOVED -„, ,'''' 1 II ...., ,,11 ,.. 1 1 1 ar I 1 ACCESS TO BATH GARAGE w I t I 11 j S.::::': ;y . '.' �az , ,,,,*,' i«-'-.5. Produced by ClickFORMS Software 800-622-8727 Page 6 of 8 KITSAP COUNTY APPRAISAL INC. SUBJECT PHOTO ADDENDUM File No. Case No. Borrower THCEXPRESS LLC Property Address 234 R3 OTTO City PORT TOWNSED County KITSAP State WA Zip Code 98368 Lender/Client Address r < GARAGE , �wr�ay a;rxxsr sw}, I , I ti a. I ,:,°i '"ems.. Produced by ClickFORMS Software 800-622-8727 Page 7 of 8 KITSAP COUNTY APPRAISAL INC. • SUBJECT PHOTO ADDENDUM ile No. 11110ase No. Borrower THCEXPRESS LLC Property Address 234 R3 OTTO City PORT TOWNSED County KITSAP State WA Zip Code 98368 Lender/Client Address tkiik aria y5 #t c 3V� Mlle Produced by ClickFORMS Software 800-622-8727 Page 8 of 8 • THC Express LLC • PLAT MAP File No. Case No. Borrower Property Address 234 Otto Street Unit R3 City Port Townsend County Jefferson State WA Zip Code 98368 Lender/Client Address af. E " .w j t o- t: >:;'»:A ;*Ft I: 4, 9 121 1 /04 t2t.20t4 x..429' t L :::'5 220'i 1 i. f I' 1212O* 00122.1., e Produced by ClickFORMS Software 800-622-8727 Page 1 of 3 • • •rt Jefferson County Permit Center y' Vv‘ 621 Sheridan St., Port Townsend WA 98368 3 360-379-4450 e ���� SEPTIC PERMIT APPLICATION �� PROPERTY OWNER Mr/G. ,,, 4 '� (,, / ..Ic„h,,E-y Q� MAILING ADDRESS S. '2- 0 E.-Mt-X-C to it.. PHONE Area Code ( .3 U ) '3 as -.. o '3 '2 SYSTEM DESIGNER •jr"( c...t, /A.., r^ LEGAL DESCRIPTION: Section I it Township 7d/V Range 6/ PARCEL # 012P7. 0 Subdivision Name 2- p .,;., Division Block Lot(s) Z SITE LOCATION 2-3 II 0 7`1-0 S 7 4 ( kit,- Zip Code 511 -L.) El TYPE OF IMPROVEMENT: Residential Residential ADU Commercial Community TYPE OF WORK: New Redesign Upgrade Repair Partial (tank) (drainfield) Expansion Designate Reserve Area Conventional Alternative Drainfield Length ft. Number of Bedrooms Trench Width ft. Basement: yes / no Trench/Bed Depth in. Site Size , 1 �fc..�-•;P Number of Lines Previous evaluation "/ no SEP Tank size ( 2_,C-o gal. Water Source: private public K Soil type (ATTACH SOIL EVAL.) Application Rate .gal./sq.ft./day TYPE OF SYSTEM » T�..�L 01\c)„,3 A•o \A (Z LZ THE UNDERSIGNED ACKNOWLEDGES THAT THE INFORMATION PROVIDED IS TRUE AND CORRECT AND THAT FALSE INFORMATION WILL NEGATE AND INVALIDATE THE APPLICATION AND/OR THE SUBSEQUENT PERMIT. THE PROPERTY OWNER WILL BE RESPONSIBLE FOR THE ACCURATE LOCATION OF ALL PROPERTY LINES. Signature s!/ _ ./ 411h, tie / Date e72--- r/9" •� r' FOR OFFICE USE ONLY ct t 't PARTIAL 10- 1 -619. APPROVED RENEWED PRESS/TEST FINAL ASBUILT PUD RENEWED Fire District Planning District School District Zone (�, Date q47,04-9A Fee 1 V Rec # _ Check # �q.if Case # SEP q`"{ ) "8 h:lhome 1pIncntrlhlthinfolpermItapp.doc 10/97 SEWAGE DISPOSAL PERMIT JEFFERSON COUNTY PERMIT CENTER 621 SHERIDAN STREET, PORT TOWNSEND, WA 98368 (360) 379-4450 PERMIT NUMBER:SEP99-0253 ISSUE DATE: 09/25/99 DATE RECEIVED: 08/24/99 Permit issued to CONSTRUCT, ALTER, REPAIR OR MODIFY AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM IN JEFFERSON COUNTY, WASHINGTON ISSUED TO • MICHAEL BLEAKNEY 8752 OERTEL DR BLAINE WA 98230 PARCEL NUMBER: 001212015 (Permit valid for this parcel ONLY) LEGAL DESCRIPTION Section: 21, Township 30 N, Range 01 West Subdivision : ZAMPERIN SHORT PLAT Block : Lot (s) :2; Biding R,S LOCATION 234 OTTO ST R DESIGNER • RYAN TILLMAN, PE THIS PERMIT IS ISSUED FOR A PERIOD OF ONE YEAR (UNLESS OTHERWISE STATED BELOW) IN ACCORDANCE WITH JEFFERSON COUNTY RULES AND REGULATIONS FOR ON- SITE SEWAGE DISPOSAL SYSTEMS, OR INANCE NO. 1-83 . ir DATE OF EXPIRATION: 09/25/00 i(ilk,1 Jefferson Co. Environment 1 Health Specialist. The property owner will be responsible for the accurate location of all property lines . Any removal of or major disturbance of soil in the primary or reserve drainfield area may create site conditions that are unacceptable for the installation of a sewage disposal system. Any change in building or sewage disposal plans (including plumbing stubout location) and/or location of house or drainfield invalidates this permit unless prior approval is obtained from the Jefferson Co. Health Dept. Issuance of a permit or renewal does not preclude the applicant from complying with all other state and local regulations. HEALTH DEPARTMENT MUST BE CALLED FOR FINAL INSPECTION. TYPE OF SYSTEM: SEPTIC TANK ONLY TO SEP95-0198 NO. OF BEDROOMS: 0 Drainfield Trench Tank Length: 0 ft. Width:0 .0 ft. Depth:0 in. Size:1000 gal. SPECIAL CONDITIONS MAY APPLY - SEE REVERSE . • Conditions of Approval - Permit no. : SEP99-0253 For: MICHAEL BLEAKNEY Page: 2 1) Sections of the transport line shall be left uncovered for inspection. 2) 10 ft. separation between water lines and septic tank and transport lines to be maintained or shall meet DOE Criterial for Sewage Works Design requirements. 3) All components of the septic system are to be completely protected from vehicular traffic or mechanical disturbance. Protective barriers are required around septic tank. 4) Divert all sources of drainage, including roof drains away from septic tank. 5) Any portion of transport line under a driven way is to be double cased or equivalent. 6) Asphaultic emulsion or equivalent required on septic tank and/or pump chamber. I 7) Health Department is to be contacted for a final inspection of the septic tank prior to covering. 8) Approval/issuance of a sewage disposal permit does not guarantee the approval of other development or a building permit on this site. Compliance with other Jefferson County and Washington State Codes is required. 9) Approval of this sewage disposal permit does not preclude the permit holder from complying with the Critical Areas Ordinance for other development on the site. 10) This onsite sewage system is designed for domestic strength waste water only. Disposal of any other waste streams is considered a violation of this permit. 11) Exceeding the permitted design flow of 660 gal/day to the system SEP95-0198 shall constitute a violation of this permit. Water usage monitoring shall be conducted if requested. These monitoring results shall be submitted to the Jefferson County Health Dept. 12) Risers are highly recommended to grade with secured lids over the inlet and outlet of the septic tank. Minimum 24" riser over inlet. (sep_cond..txt) (aepprmt.txt) 09/05/91 • JEFFERSON COUNTY PERMIT CENTER D ii"i] LS �� !:! + Z, Est SHERIDAN ST SOIL EVALUATION PORT TOWNSEND WA 0536E (30013704450 JUN l 17- PROPERTY OWNER MIKE ��� am+ � ,.�. aRistONN SYSTEM DESIGNER 1-) L,L ,/V )3 , ' k) C LEGAL DESCRIPTION: Section 21 Township Range 1 lx) Parcel# Subdivision Name Z,i.MPEW..1 , P. Divis on Block Logs) 1, Date Logged: to - Z -95 Logged By: 46P) rivi Include soil textural characteristics and the depths at which significant changes occur. Be sure to include depth where mottling or impermeable layers occur. SOIL LOG #1 SOIL LOG #2 2 1 to in. "f Ail PI ED. ® -Xi 0 _.O to SO in. TA N iti1.'5. 1 PEA to in. ( &r • -Q- 60 to 6i AV to in. to in. to in. to in. Anticipated water table ir . Anticipated water table Asa in/.'i" Roots to 1-4% inches Roots to I' inches Health Dept. Comments Health Dept. Comments SOIL LOG #3 SOIL LOG #4 0 to 2.. in. Ti, ii5k. („e.,A / to 0 to ) to in. 3.'7 to -2. in.-61,1 Li.V.l P. l a E\I T\N !(O to 51 ''in. f L.. . l.. . ( ILL?) t o in. ( v' L 5' ?�'4"' to to�.. in. man- . ' .L.' • to in. p1' T $� b 2. to.64 Anticipated water table v2 iin:� � _ "Anticipated water table 7 in. Roots to inches J t --�� 1+ nj n Roots to 'J� inches Health Dept. Comments �'' ry s 1._ 0, Health Dept. Comments ', � , • SOIL LOG #5 SOIL LOG #6 --- `to r in. 2 I a to Liq in. i '48 to y 8 in. tom? to!ZEN .t, T to'in. 0 • t in. CO 3 to n in. .9145-r A)Cirr itl ,` . tO in. ) to__�__--in. Anticipated water table ii! it Anticipated water table' in.' Roots to 51 inches Roots to 4)D fi inches Health Dept. Comments Health Dept. Comm nts all:"y �, ,., 1 . /) • - l `Ct,: - P.A- • • JEFFERSON COUNTY PERMIT CENTER .."U r Y 821 SHERIDAN ST SOIL. EVALUATION • fp-) PORT TOWNSEND WA 08388 180013784480 II X271995 PROPERTY OWNER )LEI • PU E y co,u , JEFFERSON f..!TIfY SYSTEM DESIGNER j22.2,g. & LEGAL DESCRIPTION: Section____._ Township,�_r_ Range Parcel# Subdivision Name Dlvlsion Block Lot(s) Date Logged: Logged By: Include soil textural characteristics and the:depths at which significant changes occur. Be sure to include depth where mottling or impermeable layers occur. SOIL LOG #f C.. SOIL LOG #i 5 Paz)k'. TORO , 0 tO . (Z), • , O to 4-i 2. in. - Y . -sZZ T 1i' o in.° L42toxin. V. C.OPI P, �t 1 ?'2. t b in. Cbike..5e 'N tom` to in.(Rv.45T) 49 RV to in. W eT. to----. in. 6 V L,S/�1-- Anticipated water table 12 in:t Anticipated water table in. Roots to 141 -ar inches Roots to inches Health Dept. Comments Health Dept. Comments LAffyre R.. ecT T,EPT" SOIL LOG SOIL LOG #4/ ) 0 0 to 5Oin. 0 to qg in. 1 EA`� to'eel 0 /h: SO to 3° 2. in. (pN,� VA C L9�U 45 L. � LI Z to .in. Al eo IUP)C , ' __,__to,_�,__in. (ZE't't) to in. to in. __ to in. Anticipated water table in. Anticipated 9 '� 1 Antici ated water table I�in. Roots to 2 u inches Roots to 5 ' inches Health Dept. Comments � ' Health Dept. Comments W kt ,2, - CEP 1 N C `5 Pr'- E ice. AI P r+c'T H ■ SOIL LOG #5 SOIL LOG #6 to - in. G/ifr ' o in. • t ...�., in. to�in. • to_�...in. __ __to in. to in. �,�to in. Anticipated water table in. Anticipated water table in. Roots to inches Roots to inches Health Dept. Comments Health Dept. Comments HAWNFOFRTMSOIL.FW • • • .—..... — di Evictin 9 Centene S.R. 20 -r--_ . _ 220.39'_. 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T- i. 3._g .t.- 0 ca z r) r• d al C to• fa A v- ,.., 14 f • — , r '2-. ... ,......_ 0 170 ir: ; . : •A a 4 7. Ps -. Z 1 ■• x • I- 4-1 01 0 -1 t P i ,41 1 . • , . , • :.• " • • •- „; • •- : • • .• • • •k • ASBUILT:INSPECTION REPORT t\ C.-\rO,CE%s ,11) e Y,?c 0 • 00 t a (3 NS'I'ALL—R .1 o,4) tATACV-A;''. PARCEL# ; •RPTION AREA: • . ' RAIPIEDZI.1) TR]gPICII TRENCH ' TANK " #OF A LENGTH E-Ac 57"i(\ \ WIDTH STEEJ02Qa.,BEDRMS IT- PRESSURE TEST OBSERM 1■3 it APPROVED SPECIALIST PATE 0 t qct COMMENTS: v(Ne .11S 4i2.f) 4.14's,t-ottiz DRAWING NOT TO SCALE _ • 4— — -• • • — sit pir 4/ Af • 40e. 4 q) 0 NAME 8k ; PERMIT NUMBER 111:VMORIOMIDIDA • • • Commercial Lease-Washington This lease is made between AMELL FAMILY LIMITED PARTNERSHIP of PORT TOWNSEND, WA , at 1900 LAURA COURT, CONCORD, CA 94521 herein called Lessor, and JEFF HANSON of P.O. Box 1400 Kingston, WA 98346-1400,herein called Lessee. Lessee hereby offers to lease from Lessor the premises situated in the City of PORT TOWNSEND, County of JEFFERSON, State of Washington, described as 234 R 3 OTTO STREET, PORT TOWNSEND,WA 98368 (and hereinafter referred to as the demised premises)upon the following TERMS and CONDITIONS: 1. Term and Rent. Lessor leases the demised premises to Lessee for a term of ONE year[s], commencing'MARCH 01, 2014, and terminating on FEBRUARY 28, 2015, or sooner as provided herein at the annual rental rate of ELEVEN THOUSAND EIGHT HUNDRED TWENTY Dollars ($11820.00) plus utilities. Payable in equal installments in advance on the first day of each month for that month's rental, during the term of this lease. All rental payments shall be made to Lessor at the address specified above. The rental amount each month will be $985.00 plus the utilities. ( see utilities below) 2. Use. Lessee shall use and occupy the demised premises for the purpose of PROCESSING LEGAL CANNABUS PRODUCTS. The demised premises shall be used for no other purpose, without the prior written consent of Lessor. Lessee shall not use the demised premises for storing, manufacturing or selling any explosives, flammables, or other inherently dangerous substances, chemicals, things, or devices. 3. Security Deposit. On execution of this lease, Lessee deposits with Lessor ONE THOUSAND Dollars ($1000.00), receipt of which is acknowledged by Lessor and deposited in escrow account in accordance with law, as security for the faithful performance by Lessee of the terms hereof, to be returned to Lessee, with NO interest on the full and faithful performance by Lessee of the provisions hereof. The deposited amount shall continue to be the property of Lessee and shall be held in trust by Lessor. 4. Care and Maintenance of Premises. Lessee acknowledges that the demised premises is in good order and repair, unless otherwise indicated herein. Lessee shall, at his own expense and at all times, maintain the demised premises in good and safe condition, including plate glass, electrical wiring, plumbing and heating installations and any other system or equipment upon the demised premises, and shall surrender the same, at termination hereof, in as good condition as received, normal wear and tear excepted. Lessee shall be responsible for all repairs required of the demised premises. Any waste or neglect of the demised premises by his/her employees or visitors which shall be the responsibility of Lessee. Lessor shall maintain in good condition such portions adjacent to the demised premises, such as sidewalks, driveways, lawns and shrubbery. Lessee shall be responsible for damage caused to the demised premises by www.socrates.com Page 1 of 6 LF140-WA•Rev.03/05 • . Lessee's negligence and that of Lessee's employees and visitors. 5. Alterations. Lessee shall not, without first obtaining the written consent of Lessor, make any alterations, additions, or improvements in, to, or about the demised premises. 6. Ordinances and Statutes. Lessee shall comply with all statutes, ordinances and requirements of all municipal, state and federal authorities now in force, and which may hereafter be in force, pertaining to the demised premises, occasioned by or affecting the use thereof by Lessee. 7. Assignment and Subletting. Lessee shall not assign this lease or sublet any portion of the demised premises without prior written consent of Lessor, which shall not be unreasonably withheld. Any such assignment or subletting without the prior written consent shall be void and, at the option of Lessor, may terminate this lease. 8. Utilities. All applications and connections for necessary utility services on the demised premises shall be made in the name of Lessee only, and Lessee shall be solely liable for utility charges as they become due, including those for sewer, water, gas, electricity, and telephone services. In the event that any utility or service provided to the demised premises is not separately metered, Lessor shall pay the amount due and separately invoice Lessee for Lessee's pro rata share of the charges. Lessee shall pay such amounts within fifteen (15)days of invoice. Lessee acknowledges that the demised premises is designed to provide standard office use electrical facilities and standard office lighting. Lessee shall not use any equipment or devices that utilize excessive electrical energy, or that may, in Lessor's reasonable opinion, overload the wiring or interfere with electrical services to other tenants or lessees. 9. Entry and Inspection. Lessee shall permit Lessor or Lessor's agent(s)to enter upon the demised premises at reasonable times and upon reasonable notice, for the purpose of inspecting the same, and shall permit Lessor at any time within sixty (60) days prior to the expiration of this lease, to place upon the demised premises any usual "To Let", "For Lease" or"For Sale" signs, and permit prospective lessees or purchasers desiring to lease the same to inspect the demised premises thereafter. 10. Parking. During the term of this lease, Lessee shall have the nonexclusive use in common with Lessor, and other tenants or lessees of the building, their guests and invitees, of the non-reserved common automobile parking areas, driveways, and foot ways, subject to rules and regulations for the use thereof as prescribed from time to time by Lessor. Lessor reserves the right to designate parking areas within the building or in a reasonable proximity thereto, for Lessee and Lessee's agents and employees. Lessee shall provide Lessor with a list of all license numbers for the vehicles owned or used by Lessee, its agents and employees. Separated structured parking, if any, located about the building is reserved for Lessees of the building who rent such parking spaces. Lessee hereby leases from Lessor 0 spaces in such a structural parking area, such spaces to be on a first-come first-served basis. In consideration of the leasing to Lessee of such spaces, Lessee shall pay a monthly rental of 0 Dollars ($0.00) per space throughout the term of this lease. Such rent shall be due and payable each month without demand at the time herein set for the payment of other monthly rentals, in addition to such other rentals. www.socrates.com Page 2 of 6 LF140-WA•Rev.03/05 • • 11. Possession. If Lessor is unable to deliver possession of the demised premises at the commencement hereof, Lessor shall not be liable for any damage caused thereby, nor shall this lease be void or voidable, but Lessee shall not be liable for any rent until possession is delivered. Lessee may terminate this lease if possession is not delivered within 30 days of the commencement of the term hereof. This right is only in addition to and shall not restrict any other remedy available to Lessee. 12. Indemnification of Lessor. To the extent permitted by law, Lessor shall not be liable for any damage or injury to Lessee, or any other person, or to any property, occurring on the demised premises or any part thereof. Lessee agrees to indemnify and hold Lessor harmless from any claims for damages which arise in connection with any such occurrence. Said indemnification shall include indemnity from any costs or fees which Lessor may incur in defending said claim. 13. Insurance. Lessee, at his/her expense, shall maintain plate glass and public liability insurance, including bodily injury and property damage, insuring Lessee and Lessor with minimum coverage as follows: Lessee shall provide Lessor with a Certificate of Insurance showing Lessor as additional insured. The Certificate shall provide for a ten-day written notice to Lessor in the event of cancellation or material change of coverage. To the maximum extent permitted by insurance policies which may be owned by Lessor or Lessee, Lessee and Lessor, for the benefit of each other, waive any and all rights of subrogation which might otherwise exist. If the demised premises or any other part of the building is damaged by fire or other casualty resulting from any act of negligence of Lessee or any of Lessee's agents, employees or invitees, rent shall not be diminished or abated while such damages are under repair, and Lessee shall be responsible for the costs of repair not covered by insurance. Lessor will not be required to cover any loss of Lessee's products in any and all cases and events. Lessee will provide their own "renters insurance" 14. Eminent Domain. If the demised premises, or any part thereof or any estate therein, or any other part of the building materially affecting Lessee's use of the demised premises, shall be taken by eminent domain, this lease shall terminate on the date when title vests pursuant to such taking. The rent, and any additional rent, shall be apportioned as of the termination date, and any rent paid for any period beyond that date shall be repaid to Lessee. Lessee shall not be entitled to any part of the award for such taking or any payment in lieu thereof, but Lessee may file a claim for any taking of fixtures and improvements owned by Lessee, and for moving expenses. 15. Destruction of Premises. Lessee shall give Lessor immediate notice in case of fire or other damage or casualty to the demised premises, or any part thereof. In the event of partial destruction of the demised premises during the term hereof, from any cause, Lessor shall forthwith repair the same, provided that such repairs can be made within sixty (60) days under existing governmental laws and regulations, but such partial destruction shall not terminate this lease, except that Lessee shall be entitled to a proportionate reduction of rent while such repairs are being made, based upon the extent to which the making of such repairs shall interfere with the business of Lessee on www.socrates.com Page 3 of 6 LF140-WA•Rev.03/05 • • 16. Lessor's Remedies on Default. If any default is made in the payment of rent, or any part thereof, at the times hereinbefore specified, or if any default is made in the performance of or compliance with any of the other covenants or conditions hereof, this lease, at the option of Lessor and to the extent permitted by law, shall terminate and be forfeited, and Lessor may re-enter the demised premises and remove all persons there from to the extent permitted by law. The full amount of this lease will be due and payable. 17. Tax Increase. In the event there is any increase during any year of the term of this lease in the City, County or State real estate taxes over and above the amount of such taxes assessed for the tax year during which the term of this lease commences, whether because of increased rate or valuation, Lessee shall pay to Lessor upon presentation of paid tax bills an amount equal to 50% of the increase in taxes upon the land and building in which the demised premises is situated. In the event that such taxes are assessed for a tax year extending beyond the term of the lease, the obligation of Lessee shall be proportionate to the portion of the lease term included in such year. 18. Common Area Expenses. In the event the demised premises is situated in a shopping center or in a commercial building in which there are common areas, Lessee agrees to pay his pro rata share of maintenance, taxes, and insurance for the common area. 19. Attorney's Fees. In case suit should be brought for recovery of the demised premises or for any sum due hereunder, or because of any act which may arise out of the possession of the demised premises, by either party, the prevailing party shall be entitled to all costs incurred in connection with such action, including a reasonable attorney's fee. 20. Waiver. No failure of Lessor to enforce any term hereof shall be deemed to be a waiver. 21. Notices. All notices pursuant to this agreement shall be in writing. 22. Heirs, Assigns, Successors. This lease is binding upon and inures to the benefit of the heirs, assigns and successors in interest to the parties. www.socrates.com Page 4 of 6 LF140-WA•Rev.03/05 . • 23. Option to Renew. Provided that Lessee is not in default in the performance of this lease, Lessee shall have the option to renew the lease for an additional term of 36 months commencing at the expiration of the initial lease term. The option shall be exercised by written notice given to Lessor not less than 60 days prior to the expiration of the initial lease term. If notice is not given in the manner provided herein within the time specified, this option shall expire. All of the terms and conditions of the lease shall apply during the renewal term except that the rent may be adjusted at the option of the Lessor any time after the initial term. At no time will the annual rental amount be less than the then current rental amount. 24. Subordination. This lease is and shall be subordinated to all existing and future liens and encumbrances against the property. 25. Radon Gas Disclosure. As required by law, Lessor makes the following disclosure: "Radon Gas" is a naturally occurring radioactive gas that, when it has accumulated in a building in sufficient quantities, may present health risks to persons who are exposed to it over time. Levels of radon gas that exceed federal and state guidelines have been found in buildings in Washington. Additional information regarding radon gas and radon testing may be obtained from your county public health unit. 26. Other Disclosures (if any). Should any Public agency (County, State, Federal or any unknown or yet not created). impose a ruling upon this agreement, the Lessee and or the Lessor, that would in anyway injure the Lessor, the Lessee agrees to defend the Lessor in all capacities. 27. Entire Agreement. The foregoing and following constitutes the entire agreement between the parties and may be modified only by a writing signed by both parties. 28. Liability. Lessor shall not be liable for any loss, expense or damage to any person or property, unless it is due to Lessor's negligence. Lessee is responsible for all acts or negligence of Lessee's employees, visitors or invitees. 29. Paragraph Headings. The paragraph headings are for convenience only. 30. Choice of Law. This lease shall be governed by the laws of the State of Washington, and all disputes shall be subject to the jurisdiction of the Courts of the State of Washington. 31. Other Terms. Utilities maybe/will be paid to their provider IE: power to PUD, Cable to Wave, propane, water, sewer to Lessor as a prorated share of the building costs. Utilities vary in cost with the seasons and are not fixed. Their cost will be adjusted by the Lessor as needed, billing will follow their consumption. 32. Glen Cove Business Park is not on a Public Sewer System, the system is a private septic system, it can only handle personal waste from the human body, you may not put to that system anything that will foul or destroy the proper function of the system. Should it be determined that you, your employees, your customers or anyone else that may be associated with your business have fouled this system you will be required to fix, repair and or pay for the system. Dumping paint, chemicals, toxic stuff and things will www.socrates.com Page 5 of 6 LF140-WA•Rev.03/05 • IN WITNESS WHEREOF, the parties have executed this lease the day, month and year first above written. Signed in the presence of: Witness: eff.. Lessee: .� /C Witness: 4.40,„_e_ Lessor: , MO (T ipr NOTICE: State law establishes rights and obligations for parties to rental agreements. If you have a question about the interpretation or legality of a provision of this agreement,you may want to seek assistance from a lawyer or other qualified person in your state.Contact your local county real estate board for additional forms that may be required to meet your specific needs. 4 www.socrates.com Page 6 of 6 LF140-WA•Rev.03/05 0 Ill HIGHWAY 20 III 1 10- A C 7 ithr■ 41011410 .. OP /': •• z ,,,\- VIM/ ■1, 4 -i■ 0. 10 b ill 1 19- .- 0_ z C ' i g U ? 9 1 . d a„ m. xim 5wQ $ 4 :� m c a m mN a 1 II zv x g no ma z 74 Allh CA zz m6 zn ul -13 E 0 a m x D r p� a CD UCW 54.4 m o W o THC EXPRESS, INC. = DISTRIBUTION CENTER ch 0. a PORT TOWNSEND, WA BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00103 Received Date: 3/19/2014 SITE ADDRESS: 234 OTTO ST R Issue Date 5/8/2014 PORT TOWNSEND, 98368 Expiration Date 5/8/2015 OWNER: AMELL FAMILY LIMITED PARTNERSH PHONE: 1900 LAURA CT CONCORD CA 945211423 ZAMPERIN SHORT PLAT SUBDIVISION: Block: Lot: PARCEL NUMBER: 001212015 Section: 21 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: REMODEL BLDG FOR NEW PROCESSING, PACKAGING AND DISTRIBUTION OR LEGAL CANNIBUS PRODUCTS. TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP ALT MAIN: INDUSTRIAL: VALUATION 8,000.00 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: OSS WATER SYSTEM: 36705 Type Amount Paid By: Date: Receipt: BATHROOMS: Permit $135.00 JLA 03/13/14 148460 Exist: Plan Check $87.75 JLA 03/13/14 148460 Prop: State Building Code $4.50 JLA 03/13/14 148460 Total: Total: $227.25 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 Number: BLD14-00103 Applicant: AMELL FAMILY LIMITED PARTNE BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 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 Framing Fire Protection ire extinguishers,exit signs and lights Parking I'arking spaces shall be constructed of all-weather materials and Add'I Septic Inspect Req'c ccess riser required over d-box based on results of monitoring lanning Approval A final inspection will not be scheduled until all of the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION '7f/if//y . FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR . • CONDITIONS for Building Permit# :BLD14-00103 1.) HOLD-An access riser is required over the distribution box. An inspection to verify is required prior to final approval of the building permit. \\tidemark\data\forms\F BLD_Permit_Bldg.rpt 5/8/2014