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BLD2014-00263
ILDIN MLA14-00062 U G PERMIT APPLICAN Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00263 Received Date: 7/25/2014 SITE ADDRESS: 453 OTTO ST PORT TOWNSEND, 98368 OWNER: LAWRENCE C CROCKETT PHONE: 360-385-0656 ELLEN V CROCKETT PO BOX 1948 PORT TOWNSEND WA 98368-0066 SUBDIVISION: Block: Lot: T25+ PARCEL NUMBER: 001212021 Section: 21 Township: 30 N Range: 1V\ CONTRACTOR: PHONE: PHONE: REPRESENTATIVE: MARTY GAY PHONE: 360-808-1478 686 ROOSEVELT ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTION CHANGE OF USE PERMIT WINERY TO CANNBIS PRODUCER only JEFFERSON CANNABIS TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP COU INDUSTRIAL: VALUATION MAIN: CODE EDITION: 2012 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT NUMBER OF EMPLOYEES: WATER SYSTEM: 69000 BATHROOMS: Exist: Prop: Total: Routing Date: Type Amount Paid By: Date: Receipt: �� ••oy�cj(l Change of Use or Occupar $456.00 SRE 07/23/14 151279 V�J State Building Code $4.50 SRE 07/23/14 151279 NOV 2 1 2014 Total: $460.50 Jefferson County DCC \\tidemark\data\forms\F_BLD_App_Bld.rpt 11/20/2014 0 1-`3°N (* DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment irss; 1 , . E-mail:dcd(aco.jefferson.wa.us II t46 CERTIFICATE OF OCCUPANCY PERMIT#: BLD14-00263 APPLICANT: MARTY GAY PHONE: martygay(c@me.co 686 ROOSEBELT ST PORT TOWNSEND WA 98368 360-808-1478 SITE ADDRESS: 453 OTTO ST Issue Date: 11/24/2014 PORT TOWNSEND, 98368 Final Date: 12/2/2014 SUBDIVISION: Block: Lot: T25+ PARCEL NUMBER: 001212021 Section: 21 Township: 30 N Range: 1W PROJECT DESCRIPTION: CHANGE OF USE PERMIT WINERY 10 CANNBIS PRODUCER only, NO PROCESSING or EXTRACTION PROPOSED JEFFERSON CANNABIS THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 12/2/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 12/2/2014 • ,0 4 • Ali JEFFERSON COUNTY CANNABIS 1 EST. 2014 PRESENTS: AN OPEN HOUSE TOUR SAT NOV. 29th. NOON - 3PM You are invited to see a Tier 2 production facility. Ask questions, get educated, meet the team. Libations Provided 453 Otto St. Glen Cove Across from Evergreen Fitness %eIlfts.a WA593 Misc Small Projocts123 Crockett IllAnory 1 Ciockett Floor Plan.dwg,0/19/2008 11:4944 AM,k\4040-WA-ENG\SAVIN C3210 PCL5o r4 fill 0 13,0* 0 14,0' 0 13.-0" 0 . .............., (--, , CO V ......j ..............7 g tr:11 .■...... ,...I CA m I 0 r- > 1 ■-•0 C.NN 4 I Tr- t s 4 X -.. . a -r- ---‘1 (I\ ...... .... 6 > › U s'": a \/\ .N........... ..1 a 1.11 con z.i..; III • r' • M (\.\ • 1 • • • Is S • .0 a :: • ,,: • E, - - S U oa ei)> — M sv a 43 4 -0 1 -r- \ / -,- t: 4 M M e 7J 0 0 CS 0 LEF 1---- I- 1 a _ A R:), ■ z ..-. 5 ..... I I I > > > I 10 ,..., a ..... ,... a im > .... K \ P. (jC)2r_ , a le '•.; - U ai ••••. :CI \ •-• / • 111 1 4 > ....... et • 1 01 ... G) • b P G 0 -4 111 1-0 iS ri: 'II ...... ■ 1 m 4 \I I • a • 0 Cr- L----- -&-1.....„_p_ c.‘. / \ 0 • MI 8,4" 12,0" 1 a > \ o Z • z , . <7.1 4 0 o .- .' 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CAN N I B I S S.P.C. —' 453 OTTO STREET ARCHITECTURE P� a ` o " 727 TAYLOR STREET (36°1379-8°9° PORT TOWN SE N D, WA 98368 PORT TAYLOR STREE WA98368 Susan Porto • • From: Martin Gay<martygay @me.com> Sent: Wednesday, November 19, 2014 8:06 PM To: Susan Porto Cc: Larry Crockett; David W.Johnson Subject: Re: BLD14-263 Change of Use Zoning and Building permit to Cannibis Producer and Processer Thank you Susan, We are all happy you can move this off your desk. Timing is perfect as the state is doing our final inspection Friday morning. Please wish us luck. The modified answers to questions 3 and 4 are below: 3. proposed use of the kitchen, including what products will be produced and how, We wil not be utilizing the kitchen for the processing of cannabis products for the retail market. 4. number of employees 3 On Nov 19, 2014, at 5:49 PM, Susan Porto<SPorto@a co.jefferson.wa.us>wrote: Marty, We agree that you can use this building as a GROW ONLY operation with the septic system for employee bathroom waste only. We will need to clean up the submittal to reflect the change in plans. The enclosed e-mail will need to be modified and resent. Please provide the number of employees planned at THIS LOCATION only. In evaluation of your original submittal site plan and floor plan, I believe it is adequate without modification. It will be nice to get at least one of these off my desk! Regards, Susan susaw Porto R.S. jef fersow Couwtu Public H-eaLth Plhowe 3'0.359404 Fax 360. 379.4427 ALwa js WorlILwg-for a safer H-eaLtkLerjef fersow CouwtJ CONFIDENTIALITY NOTICE: This e-mail message,including any attachments,is for the sole use of the intended recipient(s)and may contain confidential and privileged information. Any unauthorized review,use,disclosure,or distribution is prohibited. If you are not the intended recipient,please contact the sender by reply e-mail and destroy all copies of the original message. PUBLIC RECORDS ACT NOTICE: All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act,a state law found at RCW 42.56. Under the Public Records law the County must release this e-mail and its contents to any person who asks to obtain a copy(or for inspection)of this e-mail unless it is exempt from disclosure under state law,including RCW 42.56. 1 • • From: Martin Gay [mailto:martygay @me.com] Sent: Monday, November 17, 2014 9:14 AM To:Susan Porto Cc: Larry Crockett Subject: Re: BLD14-263 Change of Use Zoning and Building permit to Cannibis Producer and Processer Hi Susan, Thanks for the information. I know this is difficult for everyone involved, especially regulators who had this dumped in their laps. I have attached the WSLCB plan we have submitted and will be constrained to abide by. Please note that this plan does not include extraction of THC or CBDs via hydrocarbons or another method. We also have eliminated any edibles or other products that would need to be created in a kitchen. We also do not intend to make these products at 453 Otto Street in the future. The kitchen is too small, the regulations are too onerous (or not consistent), the WA Department of Agriculture is understaffed and unable to provide timely oversight, and that particular part of our operation has never been a key part of the business plan. I wanted it there"just in case,"but that desire seems to have put us into a time and expense bind that I believe will hurt our main objective: growing and packaging dried smokeable marijuana for wholesale distribution. When we reach capacity where extraction and/or the creation of edible products makes sense, we hope to have identified a more appropriate site in Jefferson County. The floor drain that opens to storm water system will be dealing with rain water only in our operation. No grape washing, no other use designated or planned Please let Larry and I know if this information means you can move the application along without further delay. Thanks for your help. Marty 3608081478 <Mail Attachment.eml> 2 • • Processing Plan We intend to create products for sale to retail stores and to other licensed I-502 processors in several categories: 1. Dried Useable Marijuana The end product of cured,useable marijuana will be the buds and surrounding leaf and related material which may be ground, shredded,rolled into joints, etc,and will be packaged in sealable plastic bags, glass containers, plastic containers,cardboard or metal boxes, or other functional and safe vessels to which will be affixed a label with all information about the useable marijuana as required under WAC 314-55- 105 and using guidelines established by NIST 130. Packaging may include: • Mylar Bags • Plastic Clamshells • Blister Packaging • Sealed Plastic Bags (BPA Free) • Glass Jars &Bottles • Metal Tins • Wooden Boxes • Paper or Cardboard Boxes • Aluminum Cans • Plastic Bottles • Acrylic Containers • Plastic Shrink Wrap • Plastic "Eggs" • Parchment Paper • Aluminum Foil • TetraPak Susan Porto • From: Martin Gay<martygay @me.com> Sent: Wednesday, November 19, 2014 8:06 PM To: Susan Porto Cc: Larry Crockett; David W. Johnson Subject: Re: BLD14-263 Change of Use Zoning and Building permit to Cannibis Producer and Processer Thank you Susan, We are all happy you can move this off your desk. Timing is perfect as the state is doing our final inspection Friday morning. Please wish us luck. The modified answers to questions 3 and 4 are below: 3. proposed use of the kitchen, including what products will be produced and how, We wil not be utilizing the kitchen for the processing of cannabis products for the retail market. 4. number of employees 3 On Nov 19, 2014, at 5:49 PM, Susan Porto <SPorto @co.jefferson.wa.us>wrote: Marty, We agree that you can use this building as a GROW ONLY operation with the septic system for employee bathroom waste only. We will need to clean up the submittal to reflect the change in plans. The enclosed e-mail will need to be modified and resent. Please provide the number of employees planned at THIS LOCATION only. In evaluation of your original submittal site plan and floor plan, I believe it is adequate without modification. It will be nice to get at least one of these off my desk! Regards, Susan Susaw Porto R.S. Je f fersovi Cou.vit j Pu.bL1.c H-eaLth Pitiom 360.3859404 Rix 360. 37.4487 .4Lwa js Worl-z%w.g for a Safer H-eaLthI.erje f fersovx,CowAtu CONFIDENTIALITY NOTICE: This e-mail message,including any attachments,is for the sole use of the intended recipient(s)and may contain confidential and privileged information. Any unauthorized review,use,disclosure,or distribution is prohibited. If you are not the intended recipient,please contact the sender by reply e-mail and destroy all copies of the original message. PUBLIC RECORDS ACT NOTICE: All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act,a state law found at RCW 42.56. Under the Public Records law the County must release this e-mail and its contents to any person who asks to obtain a copy(or for inspection)of this e-mail unless it is exempt from disclosure under state law,including RCW 42.56. 1 IIRUILDING PERMIT APPLICAIN BLD14-00263 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00263 Received Date: 7/25/2014 SITE ADDRESS: 453 OTTO ST PORT TOWNSEND, 98368 OWNER: LAWRENCE C CROCKETT PHONE: 360-385-0656 ELLEN V CROCKETT PO BOX 1948 PORT TOWNSEND WA 98368-0066 SUBDIVISION: Block: Lot: T25+ PARCEL NUMBER: 001212021 Section: 21 Township: 30 N Range: 1V1 CONTRACTOR: PHONE: PHONE: REPRESENTATIVE: MARTY GAY PHONE: 360-808-1478 686 ROOSEVELT ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTION CHANGE OF USE PERMIT WINERY TO CANNBIS PRODUCER JEFFERSON CANNABIS TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP COU INDUSTRIAL: VALUATION MAIN: CODE EDITION: 2012 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT NUMBER OF EMPLOYEES: WATER SYSTEM: BATHROOMS: Exist: t ' Prop: t�/loi ` oftur6L Total: I o outing Date: -'�' 'hp r W Yt,I J • Type Amount Paid By: Date: Receipt: Approved/Date Change of Use or Occupar $456.00 SRE 07/23/14 151279 State Building Code $4.50 SRE 07/23/14 151279 Total: $460.50 \\tidemark\data\forms\F_BLD_App_Bld.rpt 7/25/2014 (--,,i;0. i L JEFFERSON NTY E 0 [0, , Vi ` .' �� DEPARTMENT OF COMMUNITY DEVELOPMENT I r---- I ` `4 621 Sheridan Street • Port Townsend •Washington 98368 -'. I& 3601379-4450 • 360/379-4451 Fax I Z l4 1 \t,........sp�p� www.co.jefferson.wa.us/commdevelopment �1 11_11F-:,' : , Master Permit Application M A:DEPT r.r c ' — ' Project Description(include separate sheets as necessary): TEFF642.50N 61\1711 Q-A F3 t S S. ' _ 13 6 L (.9 I-- r A A---c-c.)r/��5 i r 1, -�`7 -c y eA� (n�,tc 6, t s FRODu tc_Q2� Tax Parcel Number: OCR � ' _ + C:2-3.- __v Property Size: .; y C�,�0�1 2 (acres/square feet) Site Address and/or Directions to Property: Li C.3 B e77-C) S-f e- _7- Property Owner(s)of Record: Li\ Wig)( LL�t....1 OC T T• Telephone: 360 3 ©s -ASV Fax: email: C Co/" " Co I c o cd'.et• Co Mailing Address: Po 730 x 1 r't 6 pT- �.. i ) Ci■ 4 9 :6 B Applicant/Agent(if different from owner): IM 1\' "'r 1 'LP Telephone: '76(3 SO e 0-1-1 Fax: email: Ir4 A v"A-71 c�.7 �ke. Co 1� Mailing Address: C�`v3 (, V20,-5s �U�L T S� q 3 6 What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation ❑Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home .❑ Modular - ❑ Discretionary"D"or Unnamed Use Classification O Commercial* ❑Special Use(Essential Public Facilities)** X Change of Use ❑ Boundary Line Adjustment ❑ Address ❑Road Approach_ ❑ Short Plat** ❑ Home Business ❑ Cottage Industry ❑Binding Site Plan** ❑ Propane ❑ Long Plat** ❑ Sign ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration-- ❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate_ M 4( T`V 6.Ay, to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: -7 >." By 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 1 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. q I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she wants prior notice. Signat�f�e: _ Date: /%' The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signat G--�� - Date: rs/—r///Y G:\PemtitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parce: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: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: ! Shoreline: Type of Sewage Disposal: Li New a Wood Existing: 2- 0 Sewer 0 Addition 0 Steel Proposed: Bank 0 Community System _ Alteration/ emodel 0 Concrete Total: 2 _ Height: $. Individual System 0 Repair (CW a&6F-of 0 Masonry SEP Permit# 05_ f / Demolition f'Se,) 0 Other: Bedrooms: Water Supply: Existing: O _ Setback: 0 Private well 0 Two Party Type of Heat: Proposed: ,N Public Total: 0 Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: / Proposed: 3 Number of ADA Parking Spaces: / Number of occupants(includes owners,tenants,employees,etc) Current t Proposed g 3 • IBC Occupancy: /�/ IBC Type of construction: ,.3 Will you have Food Service? Yes / If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Tank i Above ground Tank Size of Propane Tank: 1 Heat Stove I Cook Stove i Woodstove I Fireplace Insert I Hot Water Tank i Pellet Stove I Other 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 Off ice Use Only Amount Revision Main Floor Heated 370 U EH Bld App Review: o •2nd Floor Heated Consistency Review: Other Heated ase fee: Mezzanine Addition Section: Heated Basement Plan Check fee: °4-- Unheated Basement State Surcharge fee: so Other Unheated Pot Water Review fee: • Garage/Carport SUBTOTAL Decks r 37 62 911/Rd Approach fee: -Other TOTAL: $ j„3+ "GO Receipt Number: 1 g5I 0 9 Cash/Check Number: 1 -396 ESTIMATED COST(REQUIRED) Date: /j�., I I •Fair market value of all labor and materials foundation to finish G °�l f Initials: ( b Ir G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc # • Sally Ellis Subject: Richard berg Start: Wed 7/23/2014 9:00 AM End: Wed 7/23/2014 10:30 AM Recurrence: Weekly Recurrence Pattern: every Wednesday from 9:00 AM to 10:30 AM Organizer: Mary Blain Name of Appt person: Richard berg Name of Property Owner: Larry crocket(Marty Gay had the pre-app for the business) Parcel Number:001212021 Address, if applicable:453 otto st Project: (NSFR, SPAAD etc?)change of use to winery to cannabis. Is there a pre-app?yes Case Number of Pre-app? SPAAD? Zoning case number of SPAAD? Parcel Details Page 1 of 2 • • T . Jefferson County . r ". Home County Info Departments t Search Parcel Number: 001212021 SEARCH Parcel Number: 001212021 Printer Friendly Owner Mailing Address: LAWRENCE C CROCKETT ELLEN V CROCKETT PO BOX 1948 PORT TOWNSEND WA98368-0066 Site Address: Section: 21 School District: Port Townsend (50) Qtr Section: NW1/4 Fine Dist: Chimacum (1) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 0111 Planning area:Quimper (2) Sub Division: Assessor's Land Use Code: 5195 - Beer, Wine, Distilled Alchol Bev Property Description: S21 T3ON R1W TAX 25(LESS WEST OF RD) Tax,A/V,Sales, Photos, and Permit Data Bido Data Map Parcel Plats&Surveys Septic Monitoring Info Jefferson Cooly HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel NO=001212021 7/23/2014 S • ��� orr ca�� JEFFERSON COUNTY �` a �� �,� MCA, . Tz .,,,`- DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 I X45. NGfi© 360/379-4450 . 360/379-4451 Fax ;+ http://www.co.jefferson.wa.us/commdeveiopmenU ---._.__.•________11 ___1 J JEFFERs D ON cD,'ftiP1 1 __ r.1 L s% ,TM DEVPLDPMEf1T Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: J e f f 'o y _C O y v t 61t tet bt-14 /S . .. DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required. PARCEL SIZE(I.E..SITE Size of parcel 1 66 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 3q t 6 O O sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation,and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder,big-leaf maple,and vine maple;shrubs such as willow,elderberry,salmonbe and satel;herbaceous plants such as sword fern foam flower,and fireweed. �' �' . ..:.,DDl TRBIN A TIV • V. R IN • NATIVE VEGET• 1,, • • Vs ME •FC T/F Calculate the total area to be cleared,graded,filled, • Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert%acres or more of Construction site for structures �1 sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. c/ sq/ft Circle: Yes No Well,utilities,etc. 0 sq/ft Does the project convert 2'/r acres or more of native vegetation to pasture? Driveway,parking,roads,etc. 3 3 to sq/ft Circle: Yes No Lawn, landscaping,etc. © sq/ft (GreenA.ouses) Other compacted surface,etc. /2-S 5 sq/ft Indicate Total Volumes of Proposed: 6 Total Land Disturbance 1 sq/ft Cut 0 Fill v (cu/yd) . [over] Mermwate,c c worksheet—tiLV 2/20/2008 1 • • Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials, and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS–IMPERVIOUS SURFACE NEW (Itlor at/&d• A-IREAoy ,Hpe/ti/oc&S) EXISTING Structures(all roof area) 300 sq/ft Structures(all roof area) 5/2C _sq/ft Sidewalks sq/ft Sidewalks (5 14 6) 37 / sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) p Driveway,parking,roads,etc 3 3 L Sent Driveway,parking, roads,etc /85S sq/tt Other sq/ft Other sq/ft ,/ sq/ Total New t�. sq/{t Total Existing /h, 3 5 % 5g/ft TOTAL NEW+TOTAL EXISTING' 1619'70 sq/ft This amount will be used to check total lot coverage. The following g questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT / Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: Lit/ Does the site have 35%or more of existing impervious surface? Circle: No FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention(SWPP) Best Management Practices(BMPs) Packet. Proponents of"medium"projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected,property . '4 4 �lJ� f Z c'__ (LANDOWNER OR AUTHORIZED REPRESS IVE SIGNATURE (DATE) � ° 5�. .. a a'� sc t fie'# " � �' air ..._._ t•r JA�ar.,. mvsr.-= ike. � _.aSa. ..,+ �,,..... 3_..?��' �.,r-r`.. _ tormwater catc wofkshoat-REV.2,20/2008 2 ! 410 FIGURE 2: REDEVELOPMENT Do the new, replaced, or new plus replaced impervious surfaces total 2,000 square feet or more? OR Does the land disturbing activity total 7,000 square feet or more? Yes No "MEDIUM"PROJECT "SMALL"PROJECT Minimum Requirements#1 through#5 Apply Minimum Requirement#2, apply to the new and replaced impervious Construction Stormwater Pollution surfaces and the la d disturbed. Prevention Next Question ' Does the project add 5,000 square feet or more of new impervious surfaces? OR Convert 1/4 acres or more of native vegetation to lawn or landscaped areas? OR Convert 2.5 acres or more of native vegetation to pasture? Yes No Next • "LARGE"PROJECT Question . Is this a road- Minimum Requirements#1 through#10 related project? apply to the new impervious surfaces Yes and the converted pervious surfaces. No Does the project add 5,000 square feet or more of new impervious surfaces? Yes No Do new impervious surfaces add 50% or Is the total of the new plus replaced more to the existing impervious surfaces impervious surfaces 5,000 square feet or within the project limits? more,AND does the value of the I proposed improvements—including No Yes interior improvements—exceed 50%of the assessed value(or replacement value) No additional of the existing site improvements? requirements Yes No No additional Minimum Requirements#1 through#10 requirements apply to the new and replaced impervious surfaces. 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ARCHITECTURE PC o 453 OTTO STREET O 727 TAYLOR STREET (360)379-8090 PORT TOWN SE N D, WA 98368 PORT TOWNSEND,WA98368 • 0 Jeffers Jeffersonty Department of Community Developm 621 Sheri SheriWt, Port Townsend WA 98368, (360)379- J APPLICATION FOR DETERMINATION OF ADEQUATE POTABLE WATER SUPPLY Resolution*9-90 requires building permit applicants to provide evidence of an adequate potable water supply. If initial information submitted is not adequate for approval and additional information or work is needed, an hourly rate will be charged accordingly. Name , I o/V CO eA/7.)" 64#JAJi9 Phone 366 `r 80e-/v?f Mailing Address hie P-- e o0s6v r,r77 fair 76w taeAM Ai 4 Zip Code D e.362. Parcel ID# 00/ •?/2 042i Subdiv. 5 2/ T3ON R iW t 4 k25 Block Lot(s) Site g ( OPR0A9 Address 445 3 O7TQ ST your Tat,✓i a7V3j w 4 Zip Code '7E23 Type of Structure Xi,St/et/vf ki//Vt/ y ,73U/GQ/lit(( Check all that apply Note:Special conditions may apply within Seawater Intrusion Protection Zones. (SIPZ) Alternative system(provide justification and design per Jefferson County Environmental Health policy 97-01) Void Water Right Permit(generally applies to springs,attach copy) Approved Public Water(Submit the attached Water Availability Notification form r : = -: : _- - • • - • stating the system is capable of and will supply water.) I� EEC E E Individual Well--attach copy of: 6 1J; 1) Well logs (If no well log report is on file,a 1 hr stabilization test may be subistit 4 d) 2) Lab analysis for water quality parameters tested within 3 years of applicatiorfil( ;! I JUL 2 3 2014 -Total coliform j I -Chloride or -Chloride JEFFERSON COUNTY de DEPT OF COMMUNITY DEVELOPMENT Two-party Well—items above AND recorded Operation &Maintenance agreement and recorded asemen . By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments, court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the purpose of application review and any required later inspections. Ac =- and ri ht of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. Signature Date 7 ZZ /4 FOR OFFICE USE ONLY 1) Water Right Permit# 2) Public Water Supply WS ID# . In Compliance Yes No 3) Individual Well Driller Name Date Drilled Depth Production Meets Water Quality Standards Yes No WRIA 17 SIPZ Yes Circle: Coastal Moderate High No Subbasin Based upon information provided by the applicant,it appears that the potable water supply: meets conditionally meets does not meet the conditions of RCW 19.27.097 and the Guidelines for Determining Water Availability for New Buildings. Application Reviewed by Date Date Fee Receipt# Check# Case#BLD Public Utility District #1 Of Jefferson County Board of Commissioners WATER AVAILABILITY NOTIFICATION Barney Burke, District 1 Kenneth McMillen, District 2 G. King,WATER SYSTEM A_ ,District g, strict 3 James G. Parker, Manager To: Jefferson County Environmental Health-Department From: Quimper Water System System Operator(s): Eric Storey State ID Number: 05783U Number of existing connections: 2429 (Estimated) Number of permitted connections: 3149 Number of committed connections: water system is capable of; and will supply potable water to the following location: Assessor's Parcel ID# 0012.19-0 LegalDescription (LESS W051 of IZD) • ***Water Connection is available once all fees/charges have been paid*** Site Address: /.15 °TR Sr PDP-r -1 bom60 6b VOA 9gVog Signature: 41 11 . . ►l. 6..1 Title: lL btu- G — Date: �-� -14 THIS IS A NON-BINDING STATEMENT OF WATER AVAILABILITY. IT PROVIDES THAT AT THE TIMEOF REQUEST, WATER IS AVAILABLE WITHIN THIS SYSTEM. THIS NOTIFICATIOON IS GOOD FOR ONE Y EAR 230 Chimacum Road/P.O. Box 929, Port Hadlock,WA 98339 PH (360) 385-5800 FX(360)385-5945 • • Parcel Details Page 1 of 2 Jefferson County _ - Home :Cnunty Info : Departments :• Search Parcel Number: 1001212021 I SEARCH Printer Friendly Farce�Nuk�er• 00.1=2.120 -- Owner Mailing Address: LAWRENCE C CROCKETT ELLEN V CROCKETT PO BOX 1948 PORT TOWNSEND WA98368-0066 Site Address: Section: 21 School District: Port Townsend (50) Qtr Section: NW1/4 Fire Dist:Chimacum (1) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 0111 Planning area:Quimper (2) Sub Division: Assessor's Land Use Code: 5195 - Beer, Wine, Distilled Alchol Bev Property Description: S21 T3ON R1W TAX 25(LESS WEST OF RD) Tax, A/V, Sales, Photos, and Permit Data Bldg Data Mao Parcel Plats&Surveys Septic Monitoring Info i HOME I COUNTY INFO I DEPARTMENTS I SEARCH �; J�ff�rson ���ini� Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac 3>� s NOTICE OF MARIJUANA LICENSE APPLICATION S TATt i t."" "„,„0 WASHINGTON STA TE LIQUOR CON TROL BOARD RO RETURN TO: License Division 3000 Pacific, PO Box 43075 Olympia, 504 �. m is WA 9 3075 ..w y p A 8 M Customer Service: (360) 664-1600 Fax: (360) 753-2710 Website: www.liq.wa.gov DATE: 3/19/14 ; 4 r TO: JEFFERSON COUNTY COMMISSIONERS RE: NEW APPLICATION UBI: 603-320-523-001-0001 License: 417355 — 7A County: 16 AP°PLIC .1PS Tradename: JEFFERSON CANNABIS Loc Addr: 453 OTTO ST STE B JEFFERSON colAITY 'eNuNgit,spc PORT TOWNSEND, WA 98368-9392 GAY, MARTY Mail Addr: 686 ROOSEVELT ST 1950-02-08 PORT TOWNSEND, WA 98368-5419 SANDOVAL, MICHELLE (Spouse) 1958-09-02 Phone No. : 360-808-1478 MARTY GAY SANDOVAL, DAKOTA 1991-06-08 STAPLES, LISSA 1958-03-09 STAPLES, WILLIAM (Spouse) 1955-04-07 Privileges Applied For: MARIJUANA PRODUCER TIER 2 MARIJUANA PROCESSOR As required by RCW 69.50.331(7) the Liquor Control Board is notifying you that the above has applied for a marijuana license. You have 20 days from the date of this notice to give your input on this application. If we do not receive this notice back within 20 days, we will assume you have no objection to the issuance of this license. If you need additional time to respond you must submit a written request for an extension of up to 20 days, with the reason(s) you need more time. If you need information on the SSN, contact our Marijuana CNRI Desk at (360) 664-1772. ,- YES/ NO 1 . Do you approve of applicant? 2. Do you approve of location? 3. If you disapprove and the Board contemplates issuing a license, do you wish to request an adjuducative hearing before final action is taken (See WAC 314-55-160 for information about this process)? 4. If you disapprove, per RCW 69.50.331(7)(c) you MUST attach a letter to the Board detailing the reason(s) for the objection and a statement of all the facts on which your objection(s) are based. ... S DATE fGN TURE OF MAMA, CITY MANAGER, COUNTY COMMISSIONERS LI8RIUS!CO92O57 OR DESIGNEE III r v, !'0 JEFFERSON COUNTY G 2 a tiEPARTMENT t)F C�JMMUNtTY DE VEL C)PMENT 621 Sheridan Street l Port Townsend,WA 98368 P Web:www;co.Jefferson.wa.uslcommunitvdevefooment� "' ."oa Tel:360.379,4450 Fax:360.379.4451 J Email:dcd�cc•jefferson.wa.us � Ih Building Permits&Inspections A Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center April 8, 2014 Washington State Liquor Control Board, License Division PO Box 43075 Olympia, WA 98504-3075 Fax(360) 753-2710 Re: New application, License 417355-7A,Jefferson Cannibis, 453 Otto St Ste B, Port Townsend, WA 98368 Dear Sir or Madame: Thank you for the opportunity to comment on the new application for Marijuana Producer Tier 1 and Marijuana Processor licenses at 543 Otto St Ste B, Port Townsend, WA 98368. The findings and conclusions below support Jefferson County's comment that we do not object to the Marijuana Producer Tier 2 license and Marijuana Processor license. Findings: 1. License 417355-7A requests approval for designation as Marijuana Producer Tier 2 and Marijuana Processor. 2. Per the WSLCB website,a Marijuana Producer Tier 2 license allows the applicant at a specific location, "To produce marijuana for sale at wholesale to marijuana processor licensees and to other marijuana producer licensees. Tier 2 allows for between two thousand square feet and ten thousand square feet of dedicated plant canopy. Any entity and/or principals within an entity are limited to no more than three marijuana producer licenses." 3. Per the WSLCB website,a Marijuana Processor license allows the applicant at a specific location,"To process, package, and label usable marijuana and marijuana-infused products for sale at wholesale to marijuana retailers.Allowed to blend tested useable marijuana from multiple lots into a single package for sale to a marijuana retail licensee providing the label requirements for each lot used in the blend are met and the percentage by weight of each lot is also included on the label. Any entity and/or principals within an entity are limited to no more than three marijuana processor licenses. No licensee is allowed more than thirty-three percent of the allowed licenses in any county or city." 4. The subject property located at 543 Otto St Ste B, Port Townsend, WA 98368 is assigned the Assessor's Parcel Number,APN 001212021. 5. A portion of the subject property for the proposed license(s) is not within a possible exclusion zone based on the criteria of "The distance shall be measured as the shortest straight line distance from the property line of the licensed premises to the property line of an elementary or secondary school, playground, recreation center or facility, child care center, public park, public transit center, library or arcade where admission is not restricted to those age 21 and older." • • t s 11."" ¢tom, 6. The subject parcel located is zoned Light Industrial (LI.) 7. Agriculture activities including growing marijuana are an allowed use under any of the Comprehensive Plan land use designations, subject to the provisions of this JCC 18.20.030, except that "processing," "packing," and "sales" are regulated under JCC 18.20.030(3)Accessory Uses. 8. Per JCC 18.20.030(3)(c) Proposals that would be classified accessory uses in agricultural lands, such as processing, packing, and sales of agricultural products, may be considered and approved in other land use districts under different and appropriate land use classifications, such as commercial use, light industrial use, home business, cottage industry, or small-scale recreation and tourist use, subject to allowed and prohibited uses per land use district subject p p ct and the associated permit processes and approval criteria. 9. Accessory agricultural activities including marijuana processing, packaging and labeling in the LI Light Industrial zoning district may be allowed subject to a change of permit with a consistency g e use p tency review with SEPA as applicable and compliance with the Jefferson County Code. 10.Jefferson County has no record of application or issuance of a change of use permit with consistency review for the subject parcel located at 543 Otto St Ste B, Port Townsend, WA 98368. 11.Any structures proposed for processing, packaging or labeling of marijuana shall comply with Jefferson County Code including but not limited to critical area buffer and setback requirements per Chapter JCC 18.22 and building code standards per Chapter JCC 15.05. 12.Jefferson County has no record of application or issuance of a permit for construction or use of a structure for processing, packaging or labeling of marijuana. 13.All operations shall obtain all applicable permits and comply with all local and state requirements, including but not limited to building permits, land use approvals, water and septic approvals, and ORCAA air permit. 14.Given the security measures required by WAC 314-55-083 and multiple uses within multiple structures on the subject parcel, it is unclear how fencing and other security measures will be provided. It shall be the responsibility of the licensee to comply with all state standards. Conclusions: 1. Jefferson County has no objection to issuance of the Marijuana Producer Tier 2 license at 543 Otto St Ste B, Port Townsend,WA 98368. 2. Jefferson County has no objection to issuance of the Marijuana Processor license at 543 Otto St Ste B, Port Townsend, WA 98368. Jefferson County's comments are based upon information on record with Jefferson County Department of Community Development and provided by the Washington State Liquor Control Board to date. The County continues to be interested in the outcome of this project and requests the WSLCB continue to include Jefferson County as an interested party. Since ely, -`` . ,t-dam. _ , Stacie Hoskins, Planning Manager C:Jefferson County Cannibis SPC,686 Roosevelt St, Port Townsend, WA 98368-5419 2 I I 1 • ;;uwr.�,� ;mss Medical Marijuana Facilities - Air p ermit required? INSTRUCTIONS:The following information is needed in the project description of an application for a medical marijuana facility to determine whether an air permit through ORCAA is required. Please provide this information to ORCAA when an application is submitted to a local city or countyofficial.ORCAA will provide confirmation regarding air permit applicability via email or in writing based on the information provided in this form. If an air permit is required, it must be approved by ORCAA prior to beginning construction of the facilit . FACturi INFORMATION Facility Name: Owner/Operator Name: Facility Address: Contact Name&Title: Phone&Email: Contact Address: Cty/Cnty Application# PROJECT DESCRIPTION INFORMATION NEEDED 1. Narrative description of the facility including a list of all products produced and total area of facility. 2. Site map of the proposed facility to scale showing: C Property boundaries 3 Locations of growing and processing buildings C Location of any exhaust points and the exhaust rate for each point 3 Location of any major equipment such as boilers,heaters or engines 3. Will the facility include any of the following equipment(check all that apply): ❑ Boilers or heaters(gas fired)with a design heat input 5 MMBtu/hr or greater • Boilers or heaters(diesel or solid fuels)with a design heat input greater than 1 MMBtu/hr 23 Emergency Engines:Size(in kW or Hp): • Other Stationary Engines:Size(in kW or Hp): Use: • Ozone Generators • Dryers with active exhaust:Exhaust rate(in acfm): 2 Processing buildings with active exhaust:Exhaust rate(in acfm): • Growing buildings or greenhouses with active exhaust:Exhaust rate(in acfm): • Exhaust filters,scrubbers or carbon filters used for any exhaust point • Solvent extraction 4. Will the operations include use of any solvent,cleaner or other material containing a volatile organic? C Yes—Provide the following: c Material safety data sheets for all materials containing a volatile organic compound. o The estimated annual usage of the material in gallons and description of how the material will be used No Iii • • .,... .. , .... , ; j . • .:7--',- • Legend Selected Features JC Roads Parcels-H 1-502 1000 Buffer , ... , .. .. .. , . . ,.., 6,,,• -,•• 4 ., 4 2011 Aerial Photos County Zoning stint SF Trams ,,- Rwrat ftemoGemesi 1: 44 Rioof 1t#001033,01 1.10 , N4e1,1701101000400 1.2if ,,,,,,,, MPR MAMIHFIPPPY • Uroft 4404.0wrory MPR Rowel Coetmw Parks lard SiscrogIVe MPH-Owe,Spat* .- . . ,,,, .,,, , - „ , , ,,,,,,- - ';',1 -,,He a.:.•...., .,..,..... „ .„_ . . , . „... . , .., , .'4'.:7Aili'it,l',4,',.-..c: Ili w4v* "c'm' .c., .,..:,..,0-0.,„,,-„-,,...fat,,,,,,,,,,-„,,,i,A,,,,,,-, ...... 0}t.na L4,IC-tVP'95: in - 4 re',15a'';',/ a ,.-4,1= ''',...,,,7;-.,1':-.A-V17,e;Y-f,',.:',;.•,,,,,,I,i5:',',"T'',,-.;',i!--',,':„;(„';''''4'!:-,•,...c',',' t. 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' ' 2012 Washington State Energ - Compliance Forms for Commercial, Group ' and>3 story R2 R3 Envelope Summary ENV-SUM 2012 Washington State Energy Code Compliance Forms for Commercial,Group R1, and>3 story R2&R3 Revised June 2013 Project Info Project Address 1 - This address line will copy onto other forms Date /y3,/�9 L2, R l es 3 Q s rTeeer For Building Department Use -r TTlI J i`->vG i Pog2r -TVWNSEND, WA 9830 Applicant Name: TerFeRsio N cow/7 Q'hv '9/S Applicant Address: 6 E6 22_0056 0ez_ra Meer Applicant Phone: 360 - gci g - /c/72 Project Description 0 New Building 0 Addition 0 Alteration 0 Change of Occupancy/Conditioning Compliance Path 0 Prescriptive 0 Component Performance 0 Total Building Performance Occupancy Group Commercial 0 Group R (R-1 &>3 story R-2 and R-3) Climate Zone /0 Climate Zone 4c/5b 0 Climate Zone 6b (See WSEC 301.1 for county list) Vertical Fenestration and Total Vertical Gross Exterior Fenestration Above Grade %Vertical Skylight Area Calculation (rough opening) divided by Wall Area times 100 equals Fenestration If complying via the Prescriptive path, provide values for vertical fenestration, - X 100 = skylights,gross walls and roof. If complying via the Component Gross Exterior Roof Performance path, these values are auto- Total Skylight divided by Area times 100 equals %Skylight filled by the ENV-UR form and cannot be edited here. X 100 = S Vertical 5 1406 Maximum Prescriptive Fenestration tar\ C _ � Fenestration Area Skylights 50% Floor Area in DLZ 0 More than 50%of the?cl (5?floor area in daylight zone per C402.3.1.1 O Project has semi-heated areas as defined per C402.1.4 O Applying wall exception to semi-heated areas 1. To be deemed semi-heated the area is heated but not cooled, and has a max. heating system output capacity between 3.4–S Btuhlft2. Refer to C402.1.4 for requirements. Semi-Heated Path 2. Semi-heated spaces shall be documented separately from other conditioned spaces–provide separate compliance forms for each conditioned area type. 3.Semi-heated spaces may comply under the Prescriptive or Component Performance compliance path. • 4.Envelope elements separating semi-heated from other conditioned spaces shall comply with thermal envelope requirements for an exterior wall. O Walk-in cooler 0 Walk-in freezer Refrigerated Spaces 0 Refrigerated Warehouse Cooler 0 Change of Occupancy/Conditioning Refrigerated spaces shall comply under the Prescriptive Path only. Compliance documentation for these areas may be combined with non-refrigerated areas in the ENV-PRESCRIPTIVE form. Refer to 0402.5 and C402.6 for requirements. Project includes more than one occupancy type and/or level of space conditioning. Multiple Mixed Occupancy and/or compliance forms may be required. Select all that apply to scope of project: S o • , , ,•; •.. .C OCommercial 0 Group R1 or>3 story R2/R3 0 Refrigerated Space � ,F L_ 3 D G, U v E ,1 OFully Conditioned 0 Semi Heated 0 Low Energy* �, i I ['Group R2/R3 <3 story I i1<i 1, , A "Low energy areas are exempt from all thermal envelope provisions and compliance forms for �I 1 ��L - G ,5 =.- 4 �I J/ these areas are not required. Refer to C101.5.2 for exemption. :i ' i aJ Lt JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT 2012 Washington State Ener°y -de Compliance Forms for Commercial,Grou• - , and>3 story R2 R3 Prescriptive Path Et . I-PRESCRIPTIVE 2012 Washington State Energy Code Compliance Forms for Commercial,Group R1, and>3 story R2& Revised June 2013 Project Address 1 - Fill this line out on ENV-SUM Date 05/21/2013 Occupancy 0 Commercial 0 Group R(R1&>3 story R2/R3) • For Building Department Use Climate Zone 0 Zone 4c/5b 0 Zone fib Prescriptive R-Value Compliance Prescriptive U-Factor/F-Factor Compliance Alternate CI U-Factor Source R-Value (Appendix A or Chapter 3 table, or Opaque Assemblies Cavity Ins. Continuous Ins. (Table C402.2 Assembly approved method of calculating R-Value R-Value Footnote F)' U-Factor effective U-Factor) Roofs Insulation entirely above deck Metal building' _ Attic and other Walls,Above Grade Semi-Heatedwall insulation exception-indicate NA Mass° Metal building Steel-framed Wood-framed'and other Walls,Below Grade Semi-Heatedwall insulation exception-indicate NA Mass Other(define) Floors Over Unconditioned Spaces Mass Joist/framing Steel joists Opaque Doors(c 50%glazing) e * ' a a Swinging • :� �.--...� � r .,d.. � ... Roll-up or sliding Perimeter or Continuous Ins. Assembly F-Factor Source R-Value Insulation Length' F-Factor (Appendix A or approved calculation) Slab-on-Grade Floors Unheated slab I t t ` w (Radiantly)heated slab LifigAZUVI4 Note 1-Calculations required to demonstrate the ratio of cross-sectional area of metal penetration through otherwise continuous insulation is between 0.04-0.08% Note 2-Thermal spacer blocking and liner system are required for prescriptive R-Value compliance. Note 3-Intermediate framing is required for prescriptive R-Value compliance in wood-framed wall assemblies. Note 4-Proposed Zone 40/5B non-residential building CMU walls meeting Table C402.1.2 Footnote D requirements can enter the target U- value of 0.104. Note 5-Refer to Table C402.2, Footnote E for prescriptive R-Value requirement for steel floor joist assemblies. Note 6-Prescriptive slab-on-grade insulation shall extend from top of slab to minimum length per an approved method as defined in 0402.2.6. Solar Heat Gain Coefficieny(SHGC) U-Factor for Prescriptive Compliance U-Factor Source Projection Factor (NFRC,Appendix A or Chapter 3 Fenestration Multiplier Assembly table,or approved method of Assembly SHGC (if applicable) Adjusted SHGC U-Factor calculating effective U-Factor) Vertical Fenestration Non-metal framing-all Metal framing-fixed Metal framing-operable _ Metal framing-entrance doors Skylights types t es W.f -.p, _..E WEF (Refrigerated Spaces I Pre Values R 2012 Washington State Energy ,e Compliance Forms for Commercial,Group - and>3 sto R2 R3 Envelope Summary ,.pack) ENV-SUM 2012 Washington State Energy Code Compliance Forms for Commercial, Group R1,and>3 story R2&R3 Revised June 2013 Minimum Requirements Use table to determine if project qualifies for the optional Prescriptive Option. All components must meet the stated for Prescriptive Option requirement. Climate Zone Climate Zone 4c/5b Climate Zone 6b Occupancy Group AB Other I Group R All Other I Group R Opaque Elements Insulation Mm.R-Valuer Ro % Insulation Entirely above Deck R-30 c.i. R-38 c.i. R-38 c.i. R-30 c.i. Metal Building(with R-3.5 R-25+R-11 Ls R-25+R-11 Ls R-25+R-11 Ls R-25+R-11 Ls thermal blocks)a'" Attic and Other R-49 R-49 R-49 R-49 Walls,Above grade Mass R-9.5 c.i.` R-13.3 c.i` R-11.4 c.i.` R15.2 c.i.` Metal Building R-13+R-13 c.i. R-13+R-13 c.i. R-13+R-13 c.i. R-19+R-16 c.i. Steel Framed R-13+R-10c.i. R-19+R-8.5 c.i. R-13+R-12.5 c.i. R-19+R-14 c.i. Wood Framed and Other R-21 int R-21 int R-13+R-7.5 c.i,or R-21+R-5 c.i. R-21+R-3.8 c.i. Below Grrule Wall Same as above grade Same as above grade Floors Mass R-30 c.i. R-30 c.i. R-30 c.i. R-30 c.i. Steel Joist(per footnote c) R-38+R-10 c.i. R-38+R-10 c.i. R-38+R-10 c.i. R-38.0+R-10 c.i. Wood Framed and Other R-30 R-30 R-38 R-38.0+R-10 c.i. Slab-On-Grade Flo01s Unheated R-10 for 24 in. (with R-10 for 24 in.(with R-10 for 48 in. (with R-15 for 48 in. (with thermal break) thermal break). thennal break) thermal break) Heated R-10 perimeter& R-10 perimeter& R-10 perimeter& R-10 perimeter& under entire slab under entire slab under entire slab under entire slab Opaque Doors Maximum U-Factor Swinging U-0.37 U-0.37 U-0.37 U-0.37 Roll-up or sliding R-4.75 R-4.75 R-4.75 R-4.75 Fenestration 0-3096 of Wall Assembly Maximum U-factor(NFRC Rated) Vertical Fenestahion Nonmetal framing U-0.30 U-0.30 U-0.30 U-0.30 Metal framing(fixed) U-0.38 U-0.38 U-0.36 U-0.36 Metal framing(operable) U-0.40 U-0.40 U-0.40 U-0.40 Entrance doors U-0.60 U-0.60 U-0.60 U-0.60 Skylights Skylights U-0.50 U-0.50 U-0.50 U-0.50 Fenestration 0-30%of Wall Assembly Maximum SHGC Factor Vertical Fenestration PF<0.2:all orientations-SHGC-0.40 0.2<PF<0.5:north-SHGC-0.44,all other SHGC-0.48 PF?0.5:north-SHGC-0.48,all other-SHGC-0.64 Skylights SHGC-0.35 I SHGC-0.35 I SHGC-0.35 I SHGC-0.35 For SI: 1 inch.=25.4 mm.ci.=Continuous insulation(see footnote f).NR.=No requirement. LS.=Liner system--A continuous membrane installed below the purlins and uninterrupted by framing members. Uncompressed,unfaced insulation rests on top of the membrane between the purlins. a Assembly descriptions can be found in Chapter 2 and Appendix A. b Where using R-value compliance method,a thermal spacer block shall be provided,otherwise use the U factor compliance method in Table C402.1.2. c R-5.7ci is allowed to be substituted with concrete block walls complying with ASTM C90,ingrouted or partially grouted at 32 inches or less on center vertically and 48 inches or less on center horizontally,with ungrouted cores filled with materials having a maximum thermal conductivity of 0.44 Btu-in/h-ft2 EF. d Where heated slabs are below grade,below-grade walls shall comply with the exterior insulation requirements for heated slabs. e Steel floor joist systems shall be insulated to R-38.+R-10ci. f For roof,wall or floor assemblies where the proposed assembly has penetrations>0.04%of the area,the assembly is not considered ' 2012 Washington State Ener• Co. ompliance Forms for Commercial, Group R1 ,d>3 story R2 and R3 Interior Lighting Summal ' LGT-SUM 2012 Washington State Energy Code Compliance Forms for Commercial,Group R1,and>3 story R2 and R3 Revised June 2013 Project Info Project Address er—S 7'n Date?/3/jy 5/21/2013 1'oRr" TU w/o Se-7V ) er836e8 For Building Department Use 3 - This address line will copy onto other forms Applicant Name: 7-eppptg0e J CoiN77 Applicant Address: 6g‘ goo S ez.-T srpeer, P 77, Applicant Phone: 3 60, 8O 8 7e Project Description Q New Building 13 Addition Q Alteration 0 Plans Included Lighting Compliance 0 Lighting Power Density Calculations 0 Total Building Performance Path (If Total Building Performance then only LGT-CHK is required.) Interior Lighting 0 Building Area Method • Space-by-space Method Compliance Option Interior Lighting System L ��r Description t I o & (: Briefly describe lighting (2PFD system type and features. Additions and Change of Space Use (0101.4.3 &C101.4.4) ® Addition area or Change of Space Use area complies with all applicable provisions as stand alone project m Addition area or Change of Space Use area is combined with existing building lighting systems to demonstrate La compliance with all applicable provisions Provide Building Area Method(LTG-INT-BLD)or Space-By-Space Method(LTG-INT-SPACE)Compliance Form.Document maximum allowed and proposed(including existing if applicable)lighting wattage of Addition or Change of Use scope. Provide applicable lighting controls per C405.2 and commissioning of lighting controls per C405.13. Alterations,Renovations and Repairs (0101.4.3.1) O 60%or more of luminaires in space replaced Provide Building Area Method(LTG-INT-BLD)or Space-By-Space Method(LTG-INT-SPACE)Compliance Form.Document maximum allowed and proposed(including existing)lighting wattage of project scope Less than 60%of luminaires in space replaced Provide Space-by-space Method(LTG-INT-SPACE)Compliance Form. Document existing total wattage in space and proposed(including existing)lighting wattage of project scope a Lamp and/or ballast replacement within existing luminaires only-existing total interior building wattage not increased 0 New wiring instated to serve added fixtures and/or fixtures relocated to new circuit Provide applicable manual lighting controls(C405.2.1),occupancy sensors(C405.2.2.2),daylight zone controls(C405.2.2.3),specific application controls(C405.2.3),and commissioning of lighting controls per C405.13 Q New or moved lighting panel Provide all applicable lighting controls as noted for New Wiring,automatic lime switch controls(C405.2.2.1),and commissioning of lighting controls per C405.13. Q Space is reconfigured-luminaires unchanged or moved only Provide all applicable lighting controls as noted for New Wiring and commissioning of lighting controls per C405.13. Q No changes are being made to the interior lighting and space use not changed. 2012 Washington State Ener• C- - Compliance Forms for Commercial, Group - •nd>3 sto R2 and R3 Interior Lighting Summui y - Space-by-Space LTG-INT-SPACE 2012 Washington State Energy Code Compliance Forms for Commercial,Group R1,and>3 story R2 and R3 Revised June 2013 Project Info Project Address Fill this line out on LGT-SUM Date 5/21/2013 Fill this line out on LGT-SUM For Building Department Use Fill this line out on LOT-SUM Applicant Name: Fill this line out on LOT-SUM Maximum Allowed Lighting Wattage Location(plan#, Allowed Gross Interior Watts Allowed room#, or ALL) Space Types Watts per ft2 Area in ft (watts/ft2 x area) Atrium" Enter Height:. Retail Display Allowance from LGT-INT-DISPLAY vl Mr;r 0" ^`� E 'M' * Select Table C405.5.2(2)category from drop down menu. Area Allowed Watts **For atriums,indicate height.Allowed wattage for first 40 feet is 0.03 W/ft.ht., Total above 40 feet is 0.02 W/ft.ht. Proposed Lighting Wattage Location(plan#, Fixture Description Number of Watts/ Watts room#, or ALL) (Include exempt equipment per Note 3) Fixtures Fixture Proposed Retail Display Lighting from LGT-INT-DISPLAY Aigwrommw-gx-apitawavei, Total Proposed Watts may not exceed Total Allowed Watts for Interior Lighting Total Proposed Watts Notes: 1. For proposed Fixture Description,indicate fixture type,lamp type(e.g. T-8), number of lamps in the fixture,and ballast type(if included). For track lighting, list the length of the track On feet)in addition to the fixture,lamp, and ballast information. 2. For proposed Watts/Fixture,use manufacturer's listed maximum input wattage of the fixture(not simply the lamp wattage) and other criteria as specified in Section C405.5.1. For line voltage track lighting, list the greater of actual luminaire wattage or length of track multiplied by 50, or as applicable, the wattage of current limiting devices or of the transformer. For low voltage track lighting list the transformer rated wattage. 3. List all fixtures. For lighting equipment eligible for exemption per C405.5.1, note exception number and leave Watts/Fixture blank. 2012 Washin•ton State Ener• - - Compliance Forms for Commercial,Group .nd>3 story R2 and R3 Exterior Lighting Sumn."ry LTG-EXT 2012 Washington State Energy Code Compliance Forms for Commercial,Group R1,and>3 story R2 and R3 Revised June 2013 Project Info Proj AddreSErin this line out on LGT-Scrota Date 5/21/2013 Fill this line out on LGT-SUM For Building Department Use Fill this line out on LGT-SUN Name: Fill this line out on LGT-SUN Appi.Name: Appl.Phone: Project Description 0 New Q Addition 0 Alteration El Plans Included Lighting Zone O Zone 1 Zone 2 0 Zone 3 +Q Zone 4 (as specified by Jurisdiction) Compliance Option 0 Lighting Power Density Calculations 0 Total Building Performance Building Grounds 0 Efficacy>60 lumens,W 0 Controlled by motion sensor (luminaires>100 Watts) 0 Exemption (list) Alteration Exceptions 0 No changes are being made to the exterior lighting (check appropriate box-sec.C101.4.3.1) 0 New wiring installed to serve added fixtures and/or fixtures relocated to new circuit Provide applicable exterior lighting controls(C405.2.4)and commissioning of lighting controls per C405.13 Tradable Maximum Allowed Lighting Wattage Base Site Allowance: Allowed Watts Area(ft2),perimeter Allowed Watts Tradable Surfaces Description per ft2 or per If (If)or#of items x ft2(or x If) ■ o CH-/ 663 p2oPosa. Total Allowed Tradable Watts: Tradable Proposed Lighting Wattage (use mfgr listed maximum input wattage for luminaire.) Number of Watts/ Watts Surface Fixture Description Fixtures Fixture Proposed Total proposed tradable watts may not exceed the sum of total allowed tradable watts plus Total Proposed Tradable Watts: the base site allowance. Any base site allowance not needed to make tradable watts comply can be applied to individual non-tradable categories. Non-Tradable Maximum Allowed Lighting Wattage Base Site Allowance Remaining: Allowed Watts Area(ft2),perimeter Allowed Watts Non-Tradable Surfaces Description per ft2 or per If (If)or#of items x ft2(or x If) Non-Tradable Proposed Lighting Wattage Number of Watts/ Watts Surface Fixture Description Fixtures Fixture Proposed Non-tradable proposed watts may not exceed allowed watts for any individual Total excess Non-Tradable watts: surface unless the total excess watts for all non-tradable surfaces are less than the remaining site allowance. Site Allowance Balance: 2012 Washington State Energy C• - Compliance Forms for Commercial, Group - d>3 story R2 and R3 Mechanical Summary MECH-SUM 2012 Washington State Energy Code Compliance Forms for Commercial, Group R1,and>3 story R2 and R3 Revised June 2013 Project Info Project Address 4/531; e f Td Ter *5/j p�)e..,- ,s47VO/ WA 9)&3a For Building Dept. Use Applicant Name: c' ' roe .�CoeN7/ 444/A446.0- Applicant Address:a%6/ �.Co g T^ p f /o.36O Applicant Phone: 6.6 _gag„ /v7c? Project Description Briefly describe mechanical system type and features. 410644/66:5 Z1?-6 pe5c_�i 0 Includes Plans Include documentation requiring compliance with commissioning provisions per Section C408. Compliance Option 0 Simple System 0 Complex System 0 Systems Analysis E ill rnent Schedules The following information is required to be incorporated with the mechanical equipment schedules on q p the plans. For projects without plans, fill in the required information below. Cooling Equipment Schedule Equip. Equip Capacity2 OSA CFM SEER Econmizer Heat ID Type Brand Name Model No.1 Btulh or Econo? or EER iPLV3 Option or Recovery Exceptions YIN Heating Equipment Schedule Equip. Equip Capacity2 OSA cfm Heat ID Type Brand Name' Model No.1 Btu/h or Econo? Input Btuh Output Btuh Efficiency4 Recovery Y/N Fan Equipment Schedule Equip. Equip ID Type Brand Name' Model No.1 CFM Sp1 HP/BHP Flow Controls Location of Service Service Water Heating Equipment Schedule Equip. Equip Input Sub- ID Type Brand Name' Model No.1 Capacity Category EF7 Location of Service 1 If available. 2 As tested according to Table C403.2.3(1)A thru C403.2.3(8). 3 If required. 4 COP, HSPF, Combustion Efficiency,orAFUE, as applicable. 5 Flow control types:variable air volume (VAV),constant volume (CV),or variable speed (VS). 6 Economizer exception number per DEPARTMENT OF COMMUNITY DEVELOPMENT 4. e -14H/N G'S Date: ilitS Time Received: /0:07 am m Mon. Tue. We hut. Fri. Date: it Z-L� �� BLD: + _ �,43 Contact Name:Owner: (�RA'CKOT't' Contact Number: 360 BOB - !Y 70 Address: 453 C) 'T 206 Notes: C A 1 — or aste Foundation Plumbing . Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted RInrI, St,rip Ceiling • I Jefferson County Building Division Permit Number: BLD14-00263 Applicant: CROCKETT 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 Fire Protection 7/25/ 14 Miscellaneous fire,life,safety tanning Approval A final inspection will not be scheduled until 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 1-( -26-0 _:= FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • i CONDITIONS for Building Permit# :BLD14-00263 1.) This building approval accounts for 150 GPD of septic system capacity, as designed and approved SEP05-19. This septic system is NOT designed for any wastewater other than for sanitary needs of the 3 proposed employees. 2.) Approval of this permit does not provide any assurance of future approvals for onsite sewage disposal on the property or use of any existing septic systems.Actions taken to date and proposed as part of this project may limit or prevent future development of an onsite sewage system. Future proposals must meet current code at the time of application. 3.) JCPH approval is based on the proponent's statement that no processing of'edibles'will be taking place on the premises. If production of'edibles' is proposed at a later date further review is required to determine if there is adequate capacity in the onsite sewage system. Water use information and waste strength testing will be required prior to further review and approval. 4.) JCPH approval for the septic system connection is approved based on the growing operation using soil as the growing medium. The use of hydroponic or water based growing media IS NOT approved. 5.)p, The applicant shall install one(1)designated and signed handicapped parking space near ``��\\ the main entrance. 6.) The project shall adhere to the Best Management Practices(BMPs)to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 7.) The site plan as submitted with the Building Permit application on July 23, 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 September 5, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 8.) The storage and handling of inflammable liquids, liquified petroleum, gases and explosives shall comply with rules and regulations falling under the jurisdiction of the fire marshal, the laws of the state and other local ordinances. Bulk storage of inflammable liquids below ground shall be located no closer to the property line than the greatest dimension (diameter, length, or height)of the tank. 9.) The intensity of sound emitted by any commercial or industrial activity shall not exceed levels estabished by the Washington State Department of Ecology under WAC 173-60, and by Jefferson County under Resolution No. 67-85, "Establishment of Environmental Designations for Noise Abatement Areas for Jefferson County." 10.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 11.) Exterior lighting for commercial and industrial uses shall not exceed thirty feet(30')in height from the finished grade. Exterior lighting for residential uses shall not exceed twenty feet(20')in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 12.) Maximum lot coverage is not to exceed 55%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. \\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 11/21/2014 BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00263 Received Date: 7/25/2014 SITE ADDRESS: 453 OTTO ST Issue Date 11/24/2014 PORT TOWNSEND, 98368 Expiration Date 11/24/2015 OWNER: MARTY GAY PHONE: 360-808-1478 686 ROOSEBELT ST PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: T25+ PARCEL NUMBER: 001212021 Section: 21 Township: 30 N Range: 111) CONTRACTOR: PHONE: PHONE: PROJECT DESCRIPTION: CHANGE OF USE PERMIT WINERY TO CANNBIS PRODUCER only, NO PROCESSING or EXTRACTION PROPOSED JEFFERSON CANNABIS TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP COU MAIN: INDUSTRIAL: VALUATION 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: ALT WATER SYSTEM: 69000 Type Amount Paid By: Date: Receipt: BATHROOMS: Change of Use or Occupar $456.00 SRE 07/23/14 151279 Exist: State Building Code $4.50 SRE 07/23/14 151279 Prop: Total: $460.50 Total: 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