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BLD2013-00269
UILDING PERMIT APPLIC N BRD1e 002 9 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00269 Received Date: 9/3/2013 SITE ADDRESS: 207 W PATISON ST PORT HADLOCK, 98339 OWNER: SHOLD BUSINESS PARK PHONE: 360-385-2372 242 TAYLOR ST PORT TOWNSEND WA 983685717 SEVENTH AV AC TR SUBDIVISION: Block: Lot: PARCEL NUMBER: 994200027 Section: 3 Township: 29 N Range: 01 W CONTRACTOR: HANSON SIGN CO INC PHONE: (360)613-9550 PO BOX 928 SILVERDALE WA 98383 Contractor's License HANSOI*221J1 Expires 5/8/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NEW COMMERCIAL SIGN INSTALL TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP SGN MAIN: INDUSTRIAL: VALUATION 1,200.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: NUMBER OF EMPLOYEES: WATER SYSTEM: BATHROOMS: Exist: Prop: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $45.00 MEB 09/03/13 142291 APPROVED Plan Check $29.25 MEB 09/03/13 142291 Total: $74.25 SP 0 3 2013 Jefferson County DCD \\fir+emor4\r+ofo\fnrmc\G RI n Ann Ri,r rn+ aiann94 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#: BLD13 00269 SITE ADDRESS: 207 W PATISON ST Issue Date: 09/3/2013 PORT HADLOCK, 98339 Final Date: 9/30/2013 APPLICANT: SHOLD BUSINESS PARK PHONE: 360-385-2372 242 TAYLOR ST PORT TOWNSEND WA 983685717 SUBDIVISION: SEVENTH AV AC TR Block: Lot: PARCEL NUMBER: 994200027 Section: 3 Township: 29 N Range: 01 W PROJECT DESCRIPTION: NEW COMMERCIAL WALL MOUNTED SIGN INSTALL 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 9/30/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 10/8/2013 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD13-00269 Received Date: 8/2/2013 SITE ADDRESS: 207 W PATISON ST Issue Date 9/3/2013 PORT HADLOCK, 98339 Expiration Date 9/3/2014 OWNER: SHOLD BUSINESS PARK PHONE: 360-385-2372 242 TAYLOR ST PORT TOWNSEND WA 983685717 SEVENTH AV AC TR SUBDIVISION: Block: Lot: PARCEL NUMBER: 994200027 Section: 3 Township: 29 N Range: 01 W CONTRACTOR: HANSON SIGN CO INC PHONE: (360)613-9550 PO BOX 928 SILVERDALE WA 98383 Contractor's License HANSOI*221J1 Expires 5/8/2014 PROJECT DESCRIPTION: NEW COMMERCIAL WALL MOUNTED SIGN INSTALL TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP SGN MAIN: INDUSTRIAL: VALUATION 1,200.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY. UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE:_ CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BATHROOMS: Permit $45.00 MEB 09/03/13 142291 Exist: Plan Check $29.25 MEB 09/03/13 142291 Prop: Total: $74.25 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 Jeffer,son County Building Division Permit Number: Applicant: BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 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 FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR CONDITIONS for Building Permit# :BLD13-00269 1.) Signs attached to or painted against the structure to which it relates shall not be computed as a part of the overall total square footage, or number of signs allowed. 2.) The site plan as submitted with the on July 18, 2013 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 3, 2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. \\tiripmark\riata\fnrmc\F RI f') Permit Ririn rnt girt/7(111 'Q3,3aLfatison St,Port Hadlock-Irondale, WA-Cioogle maps nnps:i/maps.googie.commaps(m—e To see all the details that are visible on the screen, use the'Print"link next to the map. )gle MeF` kk ■ { (A4(e-C)‘ 0 APPROVED 5 fl SITE PLAN �o g(` P SEP - 32013 iTBvn JE RSO; C DEPT.OF Oy � 4 OPMENT JUL $ ��li"?: or'SIGNATU' /„ �� r JEFFERSON COUNTY DEPT.OF COMM[tr p " r of t 7/15/2013 R21 Al CC WI Fr- 0 tO N o p UJ 6 Z LU Z ~ t` ~ S S = � ciw � o �oo +� z FJ Q Q � � �� � o0 � � ® yy w 75 oaaartag ©; g Z 11 o W K Uj C W " Q dr' ® U0 '4 u z — — — o w o z Q a a � 00 0 3 LLv � p o z $ m z m z v) wwQZW_° Jae N� Q �+ - N = z ak z a z z - 2aZm "JaF W.F- LW u �' t C) 4- o g� o . . 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(D n-- ul X As m rZn ' U1 C A O O m N Y Rl r m r o A 2, o ON s z e ° .1 E5 Q� � A N Z N Q p GI (li 2 (Si- oc (nmr,j G'41 _ v I # 41 ,k4r , ' 430 ii fit4, 4.4, 1441 ;, 4'.1.. , , _ '.Q,3.„NaLP3ttjson St,Port liadlock Ironcale, WA-lioogle Maps nnps:iimaps.googie.commaps rni-e To see all the details that are visible on the I: , screen, use the"Print"link next to the map. Go, 1 ., kX : .0.„,,,,,.., {-lir 0,,ce_C)` APPROVED n v fl 01 SITE PLAN (o P . r` , P g SEP - 32013 ECEOVE0 JE RSO: Cr S1GllNAT OF j'�< < OPMENT JtI(. 1 $ 2013 JEFFERSON COUNry f f DEPT.OF COMMUNITM -•,,,,r I of 1 7/15/2013 X:21 Al■ cr 16. th iz W; N wZ uiUp .. co LC) Z �' �j�nj +� 6Z gO g g , a5zwowFao w n < 0 0 0 ¢ a ¢ d o w a. t � , -7 cti > g : < z " zwWwo > � o Q L 3i Q d p g .. .. -.. 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R H Z h as X ;-;.1' W • OBI J 1 fa LL U r\I 1 `'= C.)= co a za — 0 LEI o 1 Front Parcel Review • Parcel 994200027 Printed: September 3, 2013 SHOLD BUSINESS PARK Site Address: 242 TAYLOR ST 209 W PATISON A PORT TOWNSEND WA 983685717 PORT TOWNSEND,WA 983E PORT HADLOCK WA, 98339 Parcel Number: 994200027 S-T-R: 3-29N-01 W Total Acreage 2 Legal Description SEVENTH AV AC TR LOT 143(TAX 3)ENLG BY TAX 38 Land Use: 6900 SUBJ TO EASE Flood District: Fire District: 1 Planning Area: 4 Flood Map(FIRM)Panel No: School District 49 Zoning: COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ ] Plot plan states "property line" [ ] Assessor's Map(Property lines on submitted plot plan must match the property lines as identified on the sessor's 1/4 map) [ ] Legal Access to Property YES NO [ ] Parcel Tags or Scanned Documents YES NO [ ] ESA's: Special Reports Nearby YES NO [ ] Designated Ag YES NO ..-- W./ [ ] Shoreline Designation: YES NO [ ] Shoreline Slope Stability: YES NO IP. Stream Type:YES NO Fish&Wildlife:YES NO Wetlands: YES NO Rare Plants:YES NO Seismic: YES NO • A Landslide: YES NO AM" • Flood: YES NO Erosion: YES NO Aquifer Recharge Area:YES NO SIPZ: none At Risk .g Risk Coastal CMZ: none High Risk ! iderate Risk Dnnected CMZ Stormwater site plan subm'► -d: YesNo [ ] Forest Lands: YES Adjoining Forest L. • s: Co ercial/ Rural/ Inholding [ ] Mineral Lands: YES NO [ ] Agricultural .1 ds: YES NO [ ] Archaeolo t-): YES NO [ ] Storm .ter: New Impervious Surface Land Disturbing Activity ESA's Sto. water Req's:Min Req#2 Min Req#1 thru#5 Min Reg#1 thru#10 Engineering [ ] ► •tice Provisions/Disclosure:Airport YES NO MRL YES NO Forest Lands YES NO [ ] Landscaping Required: Yes No [ ] Parking Spaces Required NO 2 Other 1 1 Building Height: 35' UBC Standard [ ] Impervious Surface covera ercentage: Resource Lands&Public: I Vici 11. Rural Residential: 25% Rural Indus Per UDC Sec 6.7 ° Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only [ ] Total Building(s) Size: RVC:20,000 SF CC:5,000 SF NC:7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified [ ] Setbacks: Front: Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: [ ] Road Classification: Road Approach: EXISTING NOT REQ'D RAP [ ] SEPA Required: YES EXEMPT [ ] Flood Certificate: [ ] Existing Case(s)&Condition(s): Violations: Yes No [ ] Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ ] Lots/Require Declaration of Restrictive Covenant YES NO, submitted: YES NO [ ] UGA No Protest Agreement YES NO, submitted: YES NO [ ] Site Visit conducted YES NO [ ] Require Final Zoning Approval YES NO [ ] ADMIN: Setbacks entered in Permit Plan case N/A YES New Parcel Tags entered in Permit Plan N/A YES Special Reports Scanned N/A YES Title Notes Updated Parcel tags found for parcel 994200027 1.) WSRC Coaching- permit status 07/30/2013 Other Cases Associated with APN 994200027 Cases Name Review Type Status Planner BLD00-00216 WWW ENTERPRISES F Application Received: 4/4/2000 Permit Issued/Case closed: 4/11/2000 Case Finaled: 6/26/2000 TENANT IMPROVEMENT BLD00-00216 WWW ENTERPRISES F Application Received: 4/4/2000 Permit Issued/Case closed: 4/11/2000 Case Finaled: 6/26/2000 TENANT IMPROVEMEN I BLD00-00216 WWW ENTERPRISES F Application Received: 4/4/2000 Permit Issued/Case closed: 4/11/2000 Case Finaled: 6/26/2000 TENANT IMPROVEMEN I BLD00-00216 WWW ENTERPRISES F Application Received: 4/4/2000 Permit Issued/Case closed: 4/11/2000 Case Finaled: 6/26/2000 TENANT IMPROVEMENT BLD00-00216 WWW ENTERPRISES F Application Received: 4/4/2000 Permit Issued/Case closed: 4/11/2000 Case Finaled: 6/26/2000 TENANT IMPROVEMENT BLD00-00216 WWW ENTERPRISES F Application Received: 4/4/2000 Permit Issued/Case closed: 4/11/2000 Case Finaled: 6/26/2000 TENANT IMPROVEMEN I BLD00-00216 WWW ENTERPRISES F Application Received: 4/4/2000 Permit Issued/Case closed: 4/11/2000 Case Finaled: 6/26/2000 TENANT IMPROVEMENT BLD00-00216 WWW ENTERPRISES F Application Received: 4/4/2000 Permit Issued/Case closed: 4/11/2000 Case Finaled: 6/26/2000 TENANT IMPROVEMEN I BLD00-00216 WWW ENTERPRISES F Application Received: 4/4/2000 Permit Issued/Case closed: 4/11/2000 Case Finaled: 6/26/2000 TENANT IMPROVEMEN I BLD00-00216 WWW ENTERPRISES F Application Received: 4/4/2000 Permit Issued/Case closed: 4/11/2000 Case Finaled: 6/26/2000 TENANT IMPROVEMENT \\tidemark\data\forms\R_Parcel_CRMLA.rpt 9/3/2013 Page 2 of 17 BLD08-00270 SHOLD BUSINESS PARK I F Application Received: 6/19/2008 Permit Issued/Case closed: 7/1/2008 Case Finaled: 7/28/2008 CHANGE OF USE TCSPRIVAI t OFFICE SPACE BLD08-00270 SHOLD BUSINESS PARK 1 F Application Received: 6/19/2008 Permit Issued/Case closed: 7/1/2008 Case Finaled: 7/28/2008 CHANGE OF USE TO-PKIVAI E OFFICE SPACE BLD08-00270 SHOLD BUSINESS PARK I F Application Received: 6/19/2008 Permit Issued/Case closed: 7/1/2008 Case Finaled: 7/28/2008 CHANGE OF USE TO PKIVAI E OFFICE SPACE BLD08-00270 SHOLD BUSINESS PARK I F Application Received: 6/19/2008 Permit Issued/Case closed: 7/1/2008 Case Finaled: 7/28/2008 CHANGE OF USE TCSPKIVAI E OFFICE SPACE BLD08-00270 SHOLD BUSINESS PARK I F Application Received: 6/19/2008 Permit Issued/Case closed: 7/1/2008 Case Finaled: 7/28/2008 CHANGE OF USE TO PKIVAI E OFFICE SPACE BLD08-00270 SHOLD BUSINESS PARK I F Application Received: 6/19/2008 Permit Issued/Case closed: 7/1/2008 Case Finaled: 7/28/2008 CHANGE OF USE TO-PKIVAI E OFFICE SPACE BLD08-00270 SHOLD BUSINESS PARK I F Application Received: 6/19/2008 Permit Issued/Case closed: 7/1/2008 Case Finaled: 7/28/2008 CHANGE OF USE TO PI-(IVAI E OFFICE SPACE BLD08-00270 SHOLD BUSINESS PARK I F Application Received: 6/19/2008 Permit Issued/Case closed: 7/1/2008 Case Finaled: 7/28/2008 CHANGE OF USE TCTPKIVAI E OFFICE SPACE BLD08-00270 SHOLD BUSINESS PARK I F Application Received: 6/19/2008 Permit Issued/Case closed: 7/1/2008 Case Finaled: 7/28/2008 CHANGE OF USE Tt PKIVAI E OFFICE SPACE BLD08-00270 SHOLD BUSINESS PARK I F Application Received: 6/19/2008 Permit Issued/Case closed: 7/1/2008 Case Finaled: 7/28/2008 CHANGE OF USE TO-PRIVATE-OFFICE SPACE BLD13-00247 SHOLD BUSINESS PARK A Application Received: 8/12/2013 Permit Issued/Case closed: 8/12/2013 Case Finaled: REMODEL INTERIOR WALL, PAINT CARPET AND DEMO RECEOP I ION DESK. BLD13-00247 SHOLD BUSINESS PARK A Application Received: 8/12/2013 Permit Issued/Case closed: 8/12/2013 Case Finaled: REMODEL INTERIOR WALL, PAINT CARPET AND DEMO RECEUP I ION DESK. BLD13-00247 SHOLD BUSINESS PARK A Application Received: 8/12/2013 Permit Issued/Case closed: 8/12/2013 Case Finaled: REMODEL INTERIORWALL, PAINT CARPET AND DEMO RECEOP I ION DESK. BLD13-00247 SHOLD BUSINESS PARK A Application Received: 8/12/2013 Permit Issued/Case closed: 8/12/2013 Case Finaled: REMODEL INTERIOR WALL, PAINT CARPET AND DEMO RECEOP I ION DESK. BLD13-00247 SHOLD BUSINESS PARK A Application Received: 8/12/2013 Permit Issued/Case closed: 8/12/2013 Case Finaled: REMODEL INTERIOR-WALL, PAINT CARPET AND DEMO RECEOP I ION DESK. BLD13-00247 SHOLD BUSINESS PARK A Application Received: 8/12/2013 Permit Issued/Case closed: 8/12/2013 Case Finaled: REMODEL INTERIOR-WALL, PAINT CARPET AND DEMO RECEOP I ION DESK. BLD13-00247 SHOLD BUSINESS PARK A Application Received: 8/12/2013 Permit Issued/Case closed: 8/12/2013 Case Finaled: REMODEL INTERIOR-WALL, PAINT CARPET AND DEMO RECEOP I ION DESK. BLD13-00247 SHOLD BUSINESS PARK A Application Received: 8/12/2013 Permit Issued/Case closed: 8/12/2013 Case Finaled: REMODEL INTERIOR-WALL, PAINT CARPET AND DEMO RECEOP I ION DESK. BLD13-00247 SHOLD BUSINESS PARK A Application Received: 8/12/2013 Permit Issued/Case closed: 8/12/2013 Case Finaled: REMODEL INTERIOR-WALL, PAINT CARPET AND DEMO RECEOP I ION DESK. BLD13-00247 SHOLD BUSINESS PARK A Application Received: 8/12/2013 Permit Issued/Case closed: 8/12/2013 Case Finaled: REMODEL INTERIOFWALL, PAINT CARPET AND DEMO RECEOP I ION DESK. \\tidemark\data\forms\R_parcel_CRMLA.rpt 9/3/2013 Page 3 of 17 • I BUILDING PERMIT APPLICATION BLD 69 Reviee w w T Typype: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00269 Received Date: 9/3/2013 SITE ADDRESS: 207 W PATISON ST PORT HADLOCK, 98339 OWNER: SHOLD BUSINESS PARK PHONE: 360-385-2372 242 TAYLOR ST PORT TOWNSEND WA 983685717 SEVENTH AV AC TR SUBDIVISION: Block: Lot: PARCEL NUMBER: 994200027 Section: 3 Township: 29 N Range: 01 W CONTRACTOR: HANSON SIGN CO INC PHONE: (360)613-9550 PO BOX 928 SILVERDALE WA 98383 Contractor's License HANSOI*221J1 Expires 5/8/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW COMMERCIAL SIGN INSTALL TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP SGN MAIN: INDUSTRIAL: VALUATION 1,200.00 ADD'L: HEAT TYPE CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: NUMBER OF EMPLOYEES: WATER SYSTEM: BATHROOMS: Exist: Prop: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $45.00 MEB 09/03/13 142291 APPROVED Plan Check $29.25 MEB 09/03/13 142291 1- Total: $74.25 SEP 0 3 2013 Jefferson County DCD \\+irlomorlArh+e\fnrmc\C RI Il Ann P1,1 rm. 0/4/9l i • esoN co, JEFFERSON COUNTY o DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend - Washington 9836 Lj DEPT 360/379-4450 • 800/831-2678 . 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment r JEFFERSON COUNTY T.OF CO'MI NITY CD/Ft OPMFNF Sign Permit Supplemental Application MLA# PROJECT/APPLICANT NAME: eriaja rcj do ' P_ Purpose The purpose of the sign permit process is to ensure consistency with the applicable sections of the Unified Development Code(UDC). You will submit a Master Permit Application Form in conjunction with this supplemental application. Refer to the materials accompanying the Master Permit Application Form for additional information. Process Signs are reviewed administratively as Type I permits by the Department of Community Development (DCD). An administrative determination to approve a sign application will be made when the proposal is consistent with section 6.15(SEE ATTACHED)of the Jefferson County Unified Development Code. An administrative determination to deny an application will be made when the proposal is not consistent with the UDC. Denials of applicationS for sign permits will be accompanied by a written statement identifying specific areas in which the proposal is deficient. Supplemental Information Are there any signs currently on If yes, list type, dimensions, square footage of sign area, site? /00 location. TYPE: DIMENSIONS: SIGN AREA(SQ.FT.): LOCATION: TYPE DIMENSIONS: SIGN AREA(SQ.FT.): LOCATION: TYPE DIMENSIONS: SIGN AREA(SQ.FT.): LOCATION: List proposed signs: r TYPE //0(k f I DIMENSIONS: y A 'Q ', SIGN AREA(SQ.FT.): /(p, 1(J 7 LOCATION: (L'�A GL(� r 1 TYPE DIMENSIONS: SIGN AREA(SQ.FT.): LOCATION: The applicant hereby certifies that the statements contained in this application are true and provide an accurate representation of the proposed amendment;and the applicant(s)hereby acknowledges that any approval issued on this application may be revoked if any such statement is found to be false. I�✓f/4. _ ���__ 7/1∎T lZ A'•LICANT'S SIGNATUR_ DATE SIGN PERMIT.DOC REV.9/22/2004 Page 1 ek --- \ tt- ,ie Jtli l—hRSON COUNTY E C l�I v DEPARTMENT OF COMMUNITY DEVELOPMENT D I *q 621 Sheridan Street• PortTownsend•W a s h i i n g t o n 98368 I A r 2 2013 360/379-4450- 360/379-4451 Fax I \,.,..__ www.co jefferson.wa.us/commdevelopment U JEFFERSON COUNTY Master Permit Application LA:DEPT.Of COMMUNITY DEVELOPty"ENT Project Description(include separate sheets as n ary): Np�./ Lc,s�v G. t ? . Tax Parcel Number. 4i..1 000--7 Property Size: (acres/square feet) Site Address and/or Directions to Property: X 07 �GC t t zok) T Property Owner(s)of Record: . • A ' s a t Telephone: Fmc 1 To J email Mailing Address: � %Ou. iv f ..f -. T 7k'T' cL)f!S c i (1i A cif) In r Applicant/Agent(if different from wner): t .D,c,,v a N Al, i r 0 v `1 Telephone c r " (a l - �;S 0 Fax :-.-3(,)C '101 - 5 i S. email:�'.;n r' "v1t t 6te- Mailing Address:P.( _t2),)k G r a. ‘-'4.):t t_} e d/atl t e t "1,01A- c i F Y f"Cg t 1-CL0 tom.L.f..:4;(P . i'..,-1-1 What kind of Permit?(Check each box that applies ❑Budding ❑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 al Use Commercial* ❑Special (Essential Public Facilities)" ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat'* ❑Home Business ❑Cottage Industry ❑Binding Site Plan''°' ❑Propane ❑Long Plat* design ❑Planned Rural Residential Development(PRRD)/Amendments" ❑Allowed`Yes'Use Consistency Analysis 0 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 GIN.I hereby designate .i;1:l OA) ' 1G fl ( c 3 to act as my agent in matters relating to this application for permit(s). ER SIGNATURE Arc./ �% "'�"l Date: "7 -- I(> - By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the ownedagent 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 aeon' 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 appation that he or she wan prior notice. Signature: ? /• > Date: / J /f..2. , The action or actions Applicant will undertake ,- 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-transfgra/ble responsibility for ad eri g to and complying with the ESA. The Applicant has read this disc er nd sigrjs and ales it below. Signature: 9 y _ Date: / / G:\PeanitCcntcc\:roN#rORNISI##\DRD FORMS\Masru Pamir Application 5-29-08.doc • • BUILDER STATEMENT aner of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that tney will be - uming the =.•• , •ility of the - -I Contractor for - proper project.proj Signature t/. // ! 1I/, f♦ /A if a .41 iii .-: 7// g/ / 3 GENERAL CONTRACTOR OR MANU'CTURED HOME INSTALLER: PHONE: FAX: --ict.f-N 0,t) 61ei-1 C. ��n 3.) ( ; ) Q1�-(1 550 ( )(k(5-(-1S1 S` MAILING ADDRESS: `V,C) . C)A q t 1c rtit re tA:ii EMAIL:C>cr�ii t e : f t(vi l� r-a( )act-e lble coil-r CONTRACTORS LICENSE I WAINS i1 NUMBER: k tt\St' s a a c I NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: p New ❑ Wood Existing: CJ Sewer LI Addition ❑ Steel Proposed: Bank ❑Community System ❑ Alteration/Remodel ❑ Concrete Total: Height ❑ Individual System ❑ Repair 0 Masonry SEP Permit# ❑ Demolition ❑ Other. Bedrooms: Water Supply: Existing: Setback: u Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below apply: I Underground Tank I Above ground Tank Size of Propane Tank: I 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 fora 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, includin• the reserve area. S• are Foote•e Current : _-_ _.__... .�_... °v. -w.$... -^ Main Floor Heated -. ----,- EH Bid App Review: N_v E ni 2"0 Floor Heated n ' Consistency Review: ir z 0 Ill Other Heated ::--a Base fee: I i fi- Mezzanine x" - Additional Section: Heated Basement � ` H r r vLL ._ Unheated Basement ---h -- State Surcharge fee: Other Unheated z - Pot Water Review fee: Garage/Carport YA34+•_----. SUBTOTAL 'o Win.- . Decks 911/Rd Approach fee: Other .� TOTAL $ a Receipt Number. ' Li 2251 } Cash/Check Number. 1.4 i ESTIMATED COST(REQUIRED) Date: ��` .F 'r market value of all labor and materials foundation to finish /t200 Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Peanit Application 5-29-08.doc 203 W Patison •St,Port Hadlock-Irondale,WA-Giie Maps . https://maps.google.com/maps?hl=en w te screenTo see,all use the the details"Print"hat link next are visible toi the on mthap. 10 CAL* 5 iilR Wq ` _nK w- A tom i► .. + �.! �� a x (� W Patao iN .M >"' "yi "qy a •� * ., /e8 n. CL1 ;a. I ... +�1,'- '";i _- Y M''',.4( "v i. ! 0-. s• ,, y. I I ' 00 "tyx�. '"Sly. . 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A • CASE•NDING, CONDITIONS, PERMISJS FOR Parcel 994200027 Printed: August 26, 2013 Cases Name Review Type Status Planner BLD00-00216 WWW ENTERPRISES F Application Received: 4/4/2000 Permit Issued/Case closed: 4/11/2000 Case Finaled: 6/26/2000 TENANT IMPROVEMENT No findings, conditions, or permissions found. BLD08-00270 SHOLD BUSINESS PARK I F Application Received: 6/19/2008 Permit Issued/Case closed: 7/1/2008 Case Finaled: 7/28/2008 CHANGE OF USE TO PRIVAI E OFFICE SPACE 1.) This application is for a change of use from a deli to private office space. As the original use of the space was office, no land use review is needed. 2.) PRIOR TO OCCUPANCY& BUILDING FINAL- RECEIPT FOR PUMPING OF SEPTIC TANKS FROM A LICENSED PUMPER(SEP93-194 &SEP02-95)AND VERIFICATION OF REPAIRS TO THE RECIRCULATING GRAVEL FILTER (SEP02-95) BLD13-00247 SHOLD BUSINESS PARK A Application Received: 8/12/2013 Permit Issued/Case closed: 8/12/2013 Case Finaled: REMODEL INTERIOF WALL, PAINT CARPET AND DEMO RECEUP I ION DESK. No findings, conditions, or permissions found. COM08-00039 SHOLD BUSINESS PARK F Application Received: 6/16/2008 Permit Issued/Case closed: Case Finaled: 6/23/2008 FILE CLOSED AND SENT-TO-ARCHIVES 6-23-08. AMS ALLEGED REMODEL OF UNIT, INCL FRAMING, ELECTRICAL AND PLUMBING W/O PERMITS No findings, conditions, or permissions found. BLD02-00143 MLA02-00130 W W W ENTERPRISES I F S HOSKINS Application Received: 3/15/2002 Permit Issued/Case closed: 5/23/2002 Case Finaled: 10/1/2002 ADDING 2ND FLOOR 1.) The application was reviewed by the Jefferson County Department of Community Development staff on March 19, 2002 for the potential presence of Environmentally Sensitive Areas(ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: SUSC, SAPA and COMM Aquifer Recharge,Seismic. 2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 4.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1)All Industrial Land Uses(2) All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit(4) All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit (5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 5.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs)and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 6.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 7.) Maximum lot coverage is not to exceed 60%. 8.) Minimum setback from W Patison St is 20 feet. Minimum setback from Rhody Dr is 30 feet. Minimim setback from eastern property line is 35 feet. Minimum setback from southern property line is 5 feet. 9.) This parcel has been designated as Rural Commercial General Crossroads under the Jefferson County Comprehensive Land Use Maps effective August 28, 1998. 10.) This parcel was created through the Seventh Avenue Acre Tracts subdivision recorded September 1, 1909. 11.) W Patison St (C629309) is a county local access road. The road approach is existing. Addresses of 201 through 231 W Patison St have been assigned. \\tidemark\data\forms\R_MLT Parcel_Cond.rpt 8/26/2013 Page 1 of 7 Cases Name iew T e Status Planner 12.) A building permit(BLD96-00024) finaled on July 29, 1996 for a commercia dition. A building permit • (BLD96-00246)was finaled November 4, 1996 for tenant improvements/office space. A building permit (BLD96-00389)was finaled on November 4, 1996 for tenant improvements/office space with max occupancy load of 95. A building permit(BLD98-00659)was finaled on October 21, 1998 for an oven. A building permit(BLD00-00041) was finaled on January 18, 2001 for interior alterations to the existing commercial building. A building permit (BLD00-00216)was finaled June 26, 2000 for tenant improvements. 13.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(3). The business park was reviewed for SEPA under case IZ-57-92, and a Mitigated Determination of Non-Significance was issued February 26, 1993. 14.) The business park including office space was originally reviewed and approved under IZ-57-92 for zoning requirements. Subsequent to zoning approval for office space, a portion of the building was converted to a gym. The owner would like to revert the space's use to office space under this application. Based on review of the zoning file IZ-57-92, landscaping, parking and traffic were adequately addressed for office space. 15.) This approval is for a Change of Use from gymnasium to office space and adding a second floor only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 16.) The site plan as submitted with the building application on March 15, 2002 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 March 27, 2002 shall be resubmitted for review and approval by Jefferson County Department of Community Development. BLD02-00144 MLA02-00130 W W W ENTERPRISES I F S HOSKINS Application Received: 3/15/2002 Permit Issued/Case closed: 5/23/2002 Case Finaled: 10/1/2002 CHANGE OF USE-GYMNASIUM TO OFFICE SPACE 1.) The application was reviewed by the Jefferson County Department of Community Development staff on March 19, 2002 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: SUSC, SAPA and COMM Aquifer Recharge, Seismic. 2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 4.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1)All Industrial Land Uses (2) All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit(4) All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit (5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 5.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs)and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 6.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 7.) Maximum lot coverage is not to exceed 60%. 8.) Minimum setback from W Patison St is 20 feet. Minimum setback from Rhody Dr is 30 feet. Minimim setback from eastern property line is 35 feet. Minimum setback from southern property line is 5 feet. 9.) This parcel has been designated as Rural Commercial General Crossroads under the Jefferson County Comprehensive Land Use Maps effective August 28, 1998. 10.) W Patison St (C629309) is a county local access road. The road approach is existing. Addresses of 201 through 231 W Patison St have been assigned. 11.) This parcel was created through the Seventh Avenue Acre Tracts subdivision recorded September 1, 1909. 12.) A building permit (BLD96-00024)was finaled on July 29, 1996 for a commercial addition. A building permit (BLD96-00246)was finaled November 4, 1996 for tenant improvements/office space. A building permit (BLD96-00389)was finaled on November 4, 1996 for tenant improvements/office space with max occupancy load of 95. A building permit (BLD98-00659)was finaled on October 21, 1998 for an oven. A building permit (BLD00-00041) was finaled on January 18, 2001 for interior alterations to the existing commercial building. A building permit (BLD00-00216)was finaled June 26, 2000 for tenant improvements. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 8/26/2013 Page 2 of 7 Cases Name iew T e Status Planner 13.) , Jefferson County determined tha s proposal is categorically exempt from re under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(3). The business park was reviewed for SEPA under case IZ-57-92, and a Mitigated Determination of Non-Significance was issued February 26, 1993. 14.) The business park including office space was originally reviewed and approved under IZ-57-92 for zoning requirements. Subsequent to zoning approval for office space, a portion of the building was converted to a gym. The owner would like to revert the space's use to office space under this application. Based on review of the zoning file IZ-57-92, landscaping, parking and traffic were adequately addressed for office space. 15.) The site plan as submitted with the building application on March 15, 2002 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 March 27, 2002 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 16.) This approval is for a Change of Use from gymnasium to office space and adding a second floor only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. PRJ02-00039 MLA02-00130 W W W ENTERPRISES P Application Received: 3/18/2002 Permit Issued/Case closed: Case Finaled: No findings, conditions, or permissions found. BLD04-00826 MLA04-00724 BILL GARRETT SHOLD BUSINE I F M FARFAN Application Received: 12/30/2004 Permit Issued/Case closed: 1/19/2005 Case Finaled: 3/23/2005 NEW SIGN 1.) This parcel is subject to the sign standards identified in Unified Development Code Appendix D, Irondale& Port Hadlock UGA Ordinance No. 10-0823-04. 2.) The application was reviewed by the Jefferson County Department of Community Development staff on Januay 12, 2005 for the potential presence of Environmentally Sensitive Areas(ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: SARPA&SUSC aquifer recharge area; seismic. 3.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 4.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 5.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1)All Industrial Land Uses(2) All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit(4) All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit(5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 6.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 7.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(2)(b). 8.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 9.) The lots within this parcel were created through the Olson's Addition to Irondale plat recorded August 27, 1910 under AFN 30936, Vol 2, P 142 with the Jefferson County Auditor. 10.) No sign shall be placed in the public right-of-way or in the vision clearance triangle of intersections and curb cuts, unless otherwise approved by the Jefferson County Department of Public Works or the Washington State Department of Transportation. 11.) Maximum height for structures in the Urban Commercial land use designation is 70 feet. 12.) The illumination of signs shall be shaded, shielded, or directed so as not to adversely affect surrounding properties o, public and private rights-of-way or create a hazard or nuisance to the traveling public, or to surrounding properties. 13.) There shall be no more than two (2) on-premise free standing or projecting signs or combination thereof. 14.) All signs shall be continuously maintained. Signs that present a hazard shall be subject to abatement. 15.) Free-standing signs shall include measures to restrict vehicles from passing beneath them. All free standing pole signs or projecting signs shall provide pedestrian clearance to a minimum of eight feet (8'), where applicable. 16.) Signs shall be incorporated into the landscaping of the site when landscaping is provided. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 8/26/2013 Page 3 of 7 Cases Name view T e Status Planner 17.). The Jefferson County Building " lal should be contacted to determine whet or not a building permit is required • for the sign. 18.) No sign or part thereof shall consist of rotating, revolving, or moving parts; consist of banners, streamers, or spinners; or involve flashing, blinking, or alternating lights, except electronic reader board signs or message boards. 19.) The site plan as submitted with the sign permit application on December 30, 2004 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 January 12, 2005 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 20.) This approval is for a free standing sign only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 21.) This parcel is subject to the sign standards identified in Unified Development Code Appendix D, Irondale & Port Hadlock UGA Ordinance No. 10-0823-04. PRJ05-00004 MLA04-00724 BILL GARRETT SHOLD BUSINE P Application Received: 1/5/2005 Permit Issued/Case closed: Case Finaled: NEW SIGN No findings, conditions, or permissions found. ZON04-00068 MLA04-00724 SHOLD BUSINESS PARK F M FARFAN Application Received: 1/5/2005 Permit Issued/Case closed: 1/12/2005 Case Finaled: 1/26/2006 NEW SIGN 1.) This parcel is a legal conforming parcel designated Urban Commercial (UC)through the Irondale& Port Hadlock Urban Growth Area Zoning Map effective August 23, 2004 as an amendment to the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 2.) This parcel is subject to the sign standards identified in Unified Development Code Appendix D, Irondale & Port Hadlock UGA Ordinance No. 10-0823-04. 3.) The application was reviewed by the Jefferson County Department of Community Development staff on Januay 12, 2005 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: SARPA&SUSC aquifer recharge area; seismic. 4.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 5.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 6.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1)All Industrial Land Uses(2) All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit(4) All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit (5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 7.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 8.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(2)(b). 9.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs)and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 10.) The lots within this parcel were created through the Olson's Addition to Irondale plat recorded August 27, 1910 under AFN 30936, Vol 2, P 142 with the Jefferson County Auditor. 11.) No sign shall be placed in the public right-of-way or in the vision clearance triangle of intersections and curb cuts, unless otherwise approved by the Jefferson County Department of Public Works or the Washington State Department of Transportation. 12.) Maximum height for structures in the Urban Commercial land use designation is 70 feet. 13.) The illumination of signs shall be shaded, shielded, or directed so as not to adversely affect surrounding properties or public and private rights-of-way or create a hazard or nuisance to the traveling public, or to surrounding properties. 14.) There shall be no more than two (2) on-premise free standing or projecting signs or combination thereof. 15.) All signs shall be continuously maintained. Signs that present a hazard shall be subject to abatement. 16.) Free-standing signs shall include measures to restrict vehicles from passing beneath them. All free standing pole signs or projecting signs shall provide pedestrian clearance to a minimum of eight feet (8'), where applicable. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 8/26/2013 Page 4 of 7 Cases Name • view T e Status Planner 17.). Signs shall be incorporated intoillandscaping of the site when landscaping rovided. • 18.) The Jefferson County Building Official should be contacted to determine whether or not a building permit is required for the sign. 19.) This approval is for a free standing sign only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 20.) No sign or part thereof shall consist of rotating, revolving, or moving parts; consist of banners, streamers, or spinners; or involve flashing, blinking, or alternating lights, except electronic reader board signs or message boards. 21.) The site plan as submitted with the sign permit application on December 30, 2004 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 January 12, 2005 shall be resubmitted for review and approval by Jefferson County Department of Community Development. ZON13-00030 MLA13-00099 SHOLD BUSINESS PARK I P Application Received: 7/19/2013 Permit Issued/Case closed: Case Finaled: NEW COMMERICAL SIGN ON BUILDING No findings, conditions, or permissions found. SEP02-00095 W W W ENTERPRISES F Application Received: 4/29/2002 Permit Issued/Case closed: 5/13/2002 Case Finaled: 12/2/2002 SEP93-194. SEP96-191 now filed here, tank to be used for this new system. 1.) AS PER WAC 246-272 ALL ALTERNATIVE SYSTEMS REQUIRE MONITORING. THIS MONITORING IS PROVIDED BY AGREEMENT BETWEEN THE JEFFERSON COUNTY ENVIRONMENTAL HEALTH DIVISION AND THE JEFFERSON COUNTY PUBLIC UTILITY DISTRICT#1. THIS SEWAGE DISPOSAL SYSTEM WILL REQUIRE AN ACTIVE MONITORING CONTRACT WITH THE PUD#1 PRIOR TO FINAL APPROVAL OF THE SEWAGE DISPOSAL SYSTEM. 2.) An asbuilt drawing and certification of completion by the designer is required prior to final approval. 3.) All components of the septic system are to be completely protected from vehicular traffic or mechanical disturbance. 4.) Permanent barriers are required along/around primary and reserve drainfield areas to protect from parking, driving, and other land disturbing activities prior to final. 5.) Contact designer prior to installation for staking of drainfield area. 6.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 7.) Dose counters are required in the control panel for all drainfield components. 8.) Risers are required to grade with secured lids over the inlet and outlet of the septic tank. Minimum 24" riser over inlet. 9.) Distribution boxes shall be fitted with a riser to grade, constructed of durable materials and a secured lid, adequately sized to allow visible inspection of the liquid level in the box. 10.) Low use water fixtures required, 1.6 gal. flush toilets and 2.5 gpm shower heads. 11.) Approval of this sewage disposal permit does not preclude the permit holder from complying with the Unified Development Code for other/future development on the site. 12.) Compliance with the Environmentally Sensitive Areas Review conditions is required. 13.) This onsite sewage system is designed for domestic strength wastewater only. Disposal of any other waste strength is considered a violation of this permit. 14.) Waste Strength (BOD, TSS, Grease and oils) is to be monitored quarterly for the first year of operation and annually thereafter. Responsibility is that of the owner. Results are to be submitted to the Jefferson County Health Dept. 15.) Exceeding the permitted design flow of 960 gal/day shall constitute a violation of this permit. Water usage monitoring shall be conducted daily for the first two months &weekly thereafter. These monitoring results shall be submitted to the Jefferson County Health Dept. no less than quarterly. 16.) 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. 17.) This system meets Treatment Standard to meet NITROGEN BMP's required for aquifer recharge areas as per state and county code. SOM02-00095 SHOLD BUSINESS PARK F Application Received: 12/2/2002 Permit Issued/Case closed: Case Finaled: No findings, conditions, or permissions found. BLD93-00579 WWW ENTERPRISES F Application Received: 8/13/1993 Permit Issued/Case closed: 9/7/1993 Case Finaled: 5/8/1996 5500 sq ft commercial building; IL-57-92 1.) Approved under IZ57-92 BLD94-00005 WWW ENTERPRISES F Application Received: 1/3/1994 Permit Issued/Case closed: 1/5/1994 Case Finaled: 5/8/1996 OFFICE:shell only No findings, conditions, or permissions found. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 8/26/2013 Page 5 of 7 Cases Name 1111,41" e Status Planner BLD94-00794 • PARADISE BAY CONSTRUCTIOI F • Application Received: 11/14/1994 Permit Issued/Case closed: 11/17/1994 Case Finaled: 1/19/1995 Tenant Improvement No findings, conditions, or permissions found. BLD96-00024 WWW ENTERPRISES F Application Received: 1/16/1996 Permit Issued/Case closed: 1/26/1996 Case Finaled: 7/29/1996 Commercial addition No findings, conditions, or permissions found. BLD96-00246 WWW ENTERPRISES F Application Received: 4/17/1996 Permit Issued/Case closed: 4/24/1996 Case Finaled: 11/4/1996 tenant improvement/o Iceif space No findings, conditions, or permissions found. BLD96-00389 WWW ENTERPRISES F Application Received: 6/24/1996 Permit Issued/Case closed: 7/3/1996 Case Finaled: 11/4/1996 tenant improvement/office space, max occup. load =95 No findings, conditions, or permissions found. BLD97-00169 PARADISE BAY CONSTRUCTIOI F Application Received: 4/1/1997 Permit Issued/Case closed: 4/1/1997 Case Finaled: 5/20/1997 Walkin cooler/freezer to existing tenant space. No findings, conditions, or permissions found. BLD98-00659 BAGEL HAVEN F Application Received: 10/15/1998 Permit Issued/Case closed: 10/19/1998 Case Finaled: 10/21/1998 oven No findings, conditions, or permissions found. BLD99-00647 WWW ENTERPRISES F Application Received: 9/27/1999 Permit Issued/Case closed: 10/13/1999 Case Finaled: 3/17/2000 commercial building alterations in Shold Business Park No findings, conditions, or permissions found. SEP93-00194 WWW ENTERPRISES F Application Received: 12/11/1992 Permit Issued/Case closed: 6/9/1993 Case Finaled: 2/10/1995 SEP96-00191 NOW FILED HERE. see also SEP02-95 this system designed for max of 960 gallons per day EES 6/25/08 1.) System designed for maximum of 1920 gal/day. Individual business plans to be reviewed by Health Dept to determine compliance with this permit's design and conditions. 2.) Only residential waste strength and constituency effluent to be disposed of in system unless prior approval of Health Dept. is received. 3.) Recommend risers to grade on septic tanks. 4.) Any portion of transport line under a driven way is to be double cased or equivalent 5.) All components of the septic system are to be completely protected from vehicular traffic or mechanical disturbance. Protective barriers are required around drainfield. SEP96-00191 WWW ENTERPRISES F Application Received: 6/7/1996 Permit Issued/Case closed: 7/5/1996 Case Finaled: 7/5/1996 NOW FILED W/SEP6 5, ibis tank being disconnected from sep93-194, and new separate system being installed for 960 g.p.d. with resirculating sand filter to handle waste strength from food service and dog groomer. sp 5/13/02 1.) Low use water fixtures required, 1.6 gal. flush toilets and 2.5 gpm shower heads. 2.) All components of the septic system are to be completely protected from vehicular traffic or mechanical disturbance. Protective barriers are required around drainfield. 3.) Divert all sources of drainage away from septic tank and drainfield area. 4.) Any portion of transport line under a driven way is to be double cased or equivalent 5.) Asphaultic emulsion or equivalent required on septic tank and/or pump chamber. 6.) Approval/issuance of a sewage disposal permit does not guarantee the approval of a building permit on this site. 7.) 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. SOM93-00194 SHOLD BUSINESS PARK F Application Received: 2/10/1995 Permit Issued/Case closed: Case Finaled: No findings, conditions, or permissions found. BLD00-00041 WWW ENTERPRISES F Application Received: 1/14/2000 Permit Issued/Case closed: 1/27/2000 Case Finaled: 1/18/2001 INTERIOR ALTERATIONS TO EXISTING COMMERCIAL BUILDING \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 8/26/2013 Page 6 of 7 Cases Name view T e Status Planner No findings, conditions, or permissions nd. • SOM96-00191 SHOLD BUSINESS PARK F Application Received: 7/5/1996 Permit Issued/Case closed: Case Finaled: No findings, conditions, or permissions found. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 8/26/2013 Page 7 of 7 203 W Patison St,Port Hadlock-Irondale, WA-Uoogte Maps https://maps.googte.com/maps?ht=en To see all the details that are visible on the screen, use the"Pri nt"link next to the map. Go )ogle g *n x ',„..'",...`..,,,;:!::-.1„';',"'",,i,,,..'-~ IA ..a. •..wwa+; f : .RA` • N -` _ Pr�dr1 ] >la w.ukw� ha.+` glee. 'I'J 4! .-�" �{ N Sr '0.''''''.4'41' '� 4,., I lS' '� '4 , 1 16`2 gy % Y, ..... 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COIN QOYCLJ 2.03) cn ',- , m xiM g 0 , RECEIVED BY TOTAL ✓ ��"t5 e JEFFERSON COUNTY Q 11FY t 4 PANT OF MMUNITY DEVEtAPMENT 1 62DE'I Sheridan Street CO.Port Townsend•Washiington 98368 AUG 2 2013 , 3601379-4450. 360/379451 Fax www.co_jefferson.wa.us/commdevelopmen t JEFFERSON COUNTY Master Permit Application LA:DEPT OF COMMUNITY DEVELOPMENT Project Description(include separate sheets as necessary): Tax Parcel Number: q9,-1, 000 a'7 Property Size: (acres/square feet) Site Address and/or DDctions to Property: Q 7 �` c Property Owner(s)of Record: . • s ' s I. Telephone: �t Fax 7� email: MailingAddress:� �Q( U1' .�f �� [l' Toc,Ur)S�td /AiA q d in Applicant/Agent(if different fromowner): C.'),c.',t'r t /VI r. �1 rr e v Telephone: '<r r r . (o l ',l - Li 5�0 Fax::.)t'O '101 -'_(S t emal: `.�� v1 Maling Address:(O . 13.`)k C a.P 4.,:(l)t' VC.CI 1 e l 1,01 i i- (i)CUU e.c: ' ;I e . ;.rvl What kind of Permit?(Check each box that applies ❑Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use IC(a),C(d),or CI" ❑ Manufactured Home 0 Modular ❑Discretionary'0"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)*' ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat" ❑Home Business ❑Cottage Industry ❑Binding Site Plan" ❑Propane ❑Long Plat" Sign ❑Planned Rural Residential Development(PRRD)IAmendments** ❑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 i t . •A) ' ) , • to act as my agent in matters relating to this application for permit(s). 0 ER SIGNATURE ( /4... Date: - - I 6 " / . 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 ownerlagent with respect to this application packet may result in this permit being null and void. I further agree to save,Indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs th County in writing at the time of the appjitation that he or she wan prior notice. Signature: . • Date: � The action or actions Applicant will undertake 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 Ac"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 ad e g to and complying with the ESA. The Applicant has read this disc' e igrts and dates it below. Signature: /,►+ '-,/ "+ r/ Date: / /3 G:\PcmritCcntcr\###FOR.ts###\DRD FORMS\Master Permit Application 5-29-08.doc H • A` t F 7;v.' JEFFERSON COUNTY C [E v[ m (04," DEPARTMENT OF COMMUNITY DEVELOPMENT D 621 Sheridan Street•Port Townsend Washington 98368 360/379-4450 3601379-4451 Fax 1 d? ,� 3,q ,,,gyp www.co.jefferson.wa.us/commdevelopment `�' =`'° Master Permit Application y� JEFFERSON COUNTY Project Description(include separate sheets as necessary): . Tax Parcel Number_ q'4 Qua a 7 Property Size: (acres/square feet) Site Address and/or Di ons to Property: 0107 Pry 7 0k_) Property Owner(s)of Record: • • • '. • ' t. Telephone: Fax: email: Mailing Address: Q(1 f�t- -St'. / f�/ T(�!�1!5 P.L 1Gi�u 9 jo�j Applicant/Agent(if different from ): t 1. J m l& M el i v Telephone:;�i r ' (01' - 5 7 0 Fax::)1,?G -613-'I S/5 email: �'.;cml�r • '. Mailing Address:K O . t3;")k c a f.. n;1 o c- v`ctcd e 1 uo R Rf5 f Y (I xu.e_Qc -1 e . .-)ri What kind of Permit?(Check each box that applies OBuilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) O Single Family ❑Garage Attached/Detached 0 Conditional Use IC(a),C(d),or C)" ❑ Manufactured Home ❑ Modular 0 Discretionary"D"or Unnamed Use Classification • Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat" Cl Home Business ❑Cottage Industry 0 Binding Site Plan RR ❑Propane ❑Long Plat" litSign ❑Planned Rural Residential Development(PRRD)IAmendmenfs RR ❑Allowed'Yes"Use Consistency Analysis ❑Plat Vacation/Alteration R" O Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions*' ❑Site Plan Approval Advance Determination(SPAAD)R 0 Shoreline Management Substantial Development RR ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Ad/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre Application Conference ❑Tree Vegetation Request "Requires a Pre-Applption Conference Please identify any other local,state or federal permits required for this proposal,of known: DESIGNATION OF AGENT hereby designate ,10.1; •A) r _ a -- to act as my agent in matters relating to this application for permit(s)., f Date: -7 - �6• ( / 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 ownedagent 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 liabfities,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 review and any required later inspections. Stairs access and right of entry will be assumed unless the applicant informs the C purpose of application County writing at the time of the application that he or she wants prior notice. Signature: Date: The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: - G:\PconilCcntec\### \M Par nit FORMS Pc t Application 5-29401.doc t • . 410 e , • 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 .—uming thq •• '•,ty of the - Contractor for. =proposed project. Signature id d.. / .1I '4 /& if A .1.iA. 1 7/!g// 3 GENERAL CONTRACTOR OR MANU 0CTURED HOME INSTALLER: PHONE: FAX: ians0, -�61 l� (<W) tQt3-q 550 ( o)tcr3-9SILSr MAILING ADDRESS: t�.3f1 gAC7 51o('i' Je w{l EMAR:C,ony ;e.4 ,nAcij(?re cWeLCxble CONTRACTOR'S LICENSE t- I WAINS v NUMBER: Ir■Sl�L r�a (a ( NICER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: O New ❑ Wood Existing: ❑ Sewer ❑ Addition 0 Steel Proposed: Bank 0 Community System O Alteration/Remodel 0 Concrete Total: Height ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# O Demolition 0 Other: Bedrooms: Water Supply: Existing: Setbacic 0 Private well 0 Two Party Type of Heat Proposed: 0 Public Total: Name of System: if this is a Commercial Project you must answer the following: Number of Parking Spaces: Current Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will have Food Service? Yes / No Pa�Y� YPe you 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 I 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, includi . the reserve area. _ • are F.• , .a Current ,. - Main Floor Heated - . EH Bid App Review: ' �' i L MN 2"0 Floor Heated ° "� Consistency Review: I - e7 • �r''- ,-- Other Heated __` . - 'I � Li `} U__ Mezzanine A ' Additional Section: , Mil' - Heated Basement Plan Chedcfee: N !' '� DVFLOPti�Frvr Unheated Basement T State Surcharge fee: Other Unheated -'t€ Pot Water Review fee: Garage/Carport w, SUBTOTAL Decks 911/Rd Approach fee: Otherr TOTAL $ -= Receipt Number: 1 14 2,J\ 1 Cash/Check Number. ESTIMATED COST(REQUIRED) Date:'' �'�` .F market value of all labor and materials foundation to finish i t,2 0 o Initials: • \ G:\PermitCenter\###FORMS###\DRD FORMS\Master Pemit Application 5-29-08.doc I Page 1 of 1 • i }ii,lii?f.{'?i}?'7}iii7711}h'1�{.r'r!"};'h5{'!1."rr�,�.. }.r.;:• .n..r•.rr5{:+ r1i 55 r rt 5 894200037..=°.___ °_.0--_. ._ .... 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Business and Licensing Information Name HANSON SIGN CO INC UBI No. 600251243 Phone 3606139550 Status Active Address Po Box 928 License No. HANSOI*221J1 Suite/Apt. License Type Construction Contractor City Silverdale Effective Date 4/21/1978 State WA Expiration Date 5/8/2014 Zip 98383 Suspend Date County Kitsap Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date HANSON, RANDOLPH J _President 04/21/1978 HANSON, CINDY Vice President 03/14/2007 WALKER, KRISTA L Agent 04/21/1978 03/14/2007 HANSON, HAROLD President 04/21/1978 03/14/2007 HANSON, GLORIAL Secretary 04/21/1978 03/14/2007 Bond Information IBondlBond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 16 ICBIC SD7098 12/17/2001 Until Cancelled $12,000.0012/11/2001 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date American 25 States 02CE159050 05/08/2011 Until Cancelled $1,000,000.0005/11/2011 Insurance Co 24 AMERICAN 02CE159050 05/08/2010 05/08/2011 $1,000,000.0003/29/2010 STATES INS CO 23 AMERICAN 02CC69713790 05/08/2006 05/08/2010 $1,000,000.0004/13/2006 STATES INS CO Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 9/3/2013 Parcel Details Page 1 of 2 • • ''' . ;- iN:I'" 4t4,14t. Jefferson County _ .__.. _ ____ ___ .�,�-�'--=� �{ :. Home : County Info : Departments : larch Parcel Number: 994200027 SEARCH Parcel Number: 994200027 Printer Friendly Owner Mailing Address: SHOLD BUSINESS PARK 242 TAYLOR ST PORT TOWNSEND WA983685717 Site Address: 207 PATISON ST PORT HADLOCK 98339 Section: 3 School District:Chimacum (49) Qtr Section: NE1/4 Fire Dist:Chimacum (1) Township: 29N Tax Status: Taxable Range: 1W Tax Code: 211 Planning area:Tri-Area (4) Sub Division: SEVENTH AV AC TR Assessor's Land Use Code: 6900 - MISC. SERVICES (civic organizations) Property Description: SEVENTH AV AC TR I LOT 143(TAX 3)ENLG BY TAX 38 I SUB) TO EASE I I Click on photo for larger image. • No Assessor Permit Data Data Map Parcel Plats&Surveys Tax,A/V, Sales Info Septic Monitoring Info Available Jefferson Cotiniy HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later 0 Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_NO=994200027 8/26/2013 • • Cr H O = O C Y L.. N a J7 • -) H O o w 1.. Q U CD - CO -3 H I O.:,_ O O O \ O 0 = . W ..._. O O i ,_, . 0)+., _,::, L L . F.--Q J0 U U U H Z o X A o (n �/� F- I- O +°5 2 •ll O O) CO ' -5.....• co ._ CC) a) Imo- I Cr) co "O LC) v.. = 0 I ]C U CO CC Q CO LL I- C = = C+) B F CO CO CO 0 CO ]- J U O C3) -O CO Z C H Y -- .- CO Y 7" CC <C = >- N J CC Q 3 I- CC Z CC CO o_ • -o C>• O f- LLJ o_ LJJ CO C LtJ .- ,--. J LJJ 07 LJJ CL Cr) U CO CO CO CC CO I- Cs O O CC W CO CC O 11J C7) Z -- Cr .- 7C CO LL) X �. 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U CO X ++ U "O X CO CO CL CO -- -- CO E a) I- I- x q- H CO co <f.- )E )E H Q • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00269 Received Date: 8/2/2013 SITE ADDRESS: 207 W PATISON ST Issue Date 9/3/2013 PORT HADLOCK, 98339 Expiration Date 9/3/2014 OWNER: SHOLD BUSINESS PARK PHONE: 360-385-2372 242 TAYLOR ST PORT TOWNSEND WA 983685717 SEVENTH AV AC TR SUBDIVISION: Block: Lot: PARCEL NUMBER: 994200027 Section: 3 Township: 29 N Range: 01 W CONTRACTOR: HANSON SIGN CO INC PHONE: (360)613-9550 PO BOX 928 SILVERDALE WA 98383 Contractor's License HANSOI*221J1 Expires 5/8/2014 PROJECT DESCRIPTION: NEW COMMERCIAL WALL MOUNTED SIGN INSTALL TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP SGN MAIN: INDUSTRIAL: VALUATION 1,200.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BATHROOMS: Permit $45.00 MEB 09/03/13 142291 Exist: Plan Check $29.25 MEB 09/03/13 142291 Prop: Total: $74.25 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 • • Jefferson County Building Division Permit Number: Applicant: BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 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 days 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 FINAL INSPECTION C' 30113 FINAL INSPECTIO MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD13-00269 1.) Signs attached to or painted against the structure to which it relates shall not be computed as a part of the overall total square footage, or number of signs allowed. 2.) The site plan as submitted with the on July 18, 2013 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 3, 2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. it \\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 9/3/2013