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BLD2014-00289
M LA14-00059 BUILDING PERMIT APPLICAN Review e: Yp Jefferson County Department of Community Development ZDN i L _ z 621 Sheridan Street Port Townsend, WA 98368 Pl PERMIT#: BLD14-00289 Received Date: 8/8/2014 SITE ADDRESS: 274 S OTTO ST PORT TOWNSEND, 98368 OWNER: AMELL FAMILY LIMITED PARTNERSH PHONE: 1900 LAURA CT CONCORD CA 94521-1423 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001212016 Section: 21 Township: 30 N Range: 1V\ CONTRACTOR: PHONE: PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION Change of Use Permit 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 NUMBER OF EMPLOYEES: WATER SYSTEM: BATHROOMS: Exist: Prop: Total: Routing Date: Type Amount Paid By: Date: Receipt: A D Change of Use or Occupar $456.00 SRE 07/29/14 151321 f1 State Building Code $4.50 SRE 07/29/14 151321 JAN -9 2015 Total: $460.50 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 8/8/2014 -` O (. DEPARTMENT OF COMMUNITY DEVELOPMENT c ,,{ 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment g r ,,io' E-mail:dcd(c�co.jefferson.wa.us s'll CERTIFICATE OF OCCUPANCY PERMIT#: BLD14-00289 APPLICANT: TERESA CORNSTOCK PHONE: 1240 W SIMS WAY#88 PORT TOWNSEND WA 98368 360-774-6310 SITE ADDRESS: 274 OTTO ST Issue Date: 01/9/2015 PORT TOWNSEND, 98368 Final Date: 1/16/2015 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001212016 Section: 21 Township: 30 N Range: 1W PROJECT DESCRIPTION: Change of Use Permit ProducerlProcesser of Cannabis (1-502) THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes n THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 1/16/2015 \\tidemark\data\forms\F_BLD_Occupancy.rpt 1/16/2015 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: TERESA CORNSTOCK 1240 W SIMS WAY#88 PORT TOWNSEND WA 98368 DATE ISSUED: I i 4 DATE EXPIRES: MLA NUMBER: MLA14-00059 � c PROJECT PLANNER: David Wayne Johnson PROJECT DESCRIPTION: Change of Use Permit Producer/Processer of Cannabis (1-502) CHANGE OF USE PERMIT Tier 1 Producer/Processor Cannabis- I-502 PROJECT LOCATION: wnsend, Parcel Number 001 212 016 S21, T3ON, R1W, located at Unit UN 274 Otto St. Port To WA 98368 CONDITIONS: 1.) Approval of this permit does not provide any assurance of future approvals for use of onsite sewage disposal on the property. Actions taken to date and proposed as part of this project may limit or prevent future development proposals. Future proposals must meet current code at the time of application. 2.) 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. 3.) JCPH approval is based on the proponent's statement that processing of'edibles'will be limited to Teas, Dry cocoa mix, oil tonic, dry bud/trim and keif. No other processing other than the use of the crock pots as described by the licensed designer have been approved. Any change in processing or menu will required further review by this office. 4.) The existing septic system on the parcel (SEP13-85) is fitted with a pretreatment device that is intended to ensure only residential waste strength wastewater is discharged into the drainfield. Per conditions of the septic permit-Waste Strength (BOD, TSS, Grease and oils) is to be monitored EVERY 6 MONTHS for the first year of operation and annually thereafter. Responsibility is that of the owner. Results are to be submitted to the Jefferson County Public Health. 5.) Exceeding the permitted design flow of 660 gal/day max. or 435 Gal/day average, shall constitute a violation of this permit. Water usage monitoring shall be monitored monthly. These monitoring results shall be submitted to the Jefferson County Health Dept. no less than quarterly. 6.) The use requires a license from the Washington State Liquour Control Board. 7.) The applicant shall install one (1)designated and signed handicapped parking space near the overheard doors. 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.) 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. 10.) 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. 11.) Loading and unloading must occur on site (off-street). 12.) Commercial and industrial developments located in all zoning districts shall screen from areas frequented by the general public, all materials stored outside buildings or structures which are not for display or immediate sale. Areas frequented by the general public shall be defined as public streets and rights-of-way, and other areas normally used by the general public located adjacent to the subject property. FINDINGS: 1.) The Administrator finds that this application complies with applicable provisions of the Unified Development Code, all other applicable ordinances and regulations, and is consistent with the Jefferson County Comprehensive Plan and Land Use map. 2.) See ZON14-00025 for zoning. The proposed use is consistent with the Light Industial/Commercial Zone. 3.) The site plan as submitted with the Building Permit application on August 8, 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 9, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 4.) This approval is for a Change of Use to Production and Processing of Cannabis 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. APPEALS: Pursuant to RCW 36.70C, the applicant or any aggrieved party may appeal this final decision to Jefferson County Superior Court within twenty-one (21)calendar days of the date of issuance of this land use decision. For more information related to judical appeals see JCC 18.40.340. f .. 1 y ... ........._- UDC Administrator MLA14-00059 \\tidemark\data\forms\F_MLT_IssuePerm it_U.rpt 1/9/2015 Page 2 of 2 L. . • , : • . , : _ • ___.---,-- : --- -- • . . „ . . . . , . . , I „ - r , . , . . 4 ; ; -------, . . : , , ,..,„ : . I • , I I i ■ : t " 1 : . ,../..//it ft-t-,4;;;;./ , st,, t t , • i ; : 't4'•://' ' i i / ; , . 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Date: BLD: / 9-AP Contact Name: Owner: ..1� Contact Number: 360 Address: 7 0 t O U V / 206 Notes: �/ 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 Block&Tile Ceiling •`e- ce)e, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT /� 4. o �sr[� S Tl id / )ate: 113 Time Received: ;Ave; am,(0 Mon. Tue. Wed Thur. Fri. 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' 1 . w I ,--; ' ' I t" ' o- "' .=- T--1 S20 •- : C") co a ...,z. .52.: ,...1 _ (_< _._ --1 a) -•. f- ....- ) '' ..' co CT D rc'1, D Cl CI. a) I .1 • ..........................:, 2,1,7 1-7 NS c) ( `-< 2 _, CD c • IV. --, _ 0 I ....,_ ,.. -0 rcel Bou 75 En cp <:. m 0 °L111. ..0, ir-rqer:ty_p8.,_ (..., — -> N q- , y (/) - - r• • - 0 -,.. ; = ;---,-_. ----------- -- - -- _ I = (3) oo - --Ei - CD CD --I --, ■_..• X A- Nom ra y /t1- JEFFERSON Q�J1 �OG� kLTH 615 Sheridan ; ti h cY wwm ' / lS alit/ cdnfa � �C �S, I September 9, 2014 Mill" ;� (/�-�,e,�Q�Y' _ � L5� 0 V �' AMELL FAMILY LIMITED PARTNERSH / re-- 1900 LAURA CT ,I / CONCORD CA 94521-1423 fret t CH, r // SEP 1 S 2014 RE: SITEADDRESS: 274 OTTO ST 1 *k ( ! i a��+/ JE FtRSUrd COUNTY CASE#: BLb 14-00289 rn'(� j- Gl��� '"'� _....f r 1 r�l f.OF COMMUNITY NATI.OPMENT Dear AMELL FAMILY LIMITED PARTNERSH: We have received the above referenced application for review. We are in need of additional information and/or items as listed below to continue our review of the proposal: I will need a complete description of project intentions to determine adequacy of the septic system and to provide review by the Water Quality Division of the Department of Ecology for Industrial wastewater discharge requirements. Please provide at a minimum: 1. a copy of the operation plan submitted to LCB as a part of the licensing application. 2. how the grow operation is intended to be conducted, 3. proposal for any processing and describe 4. number of employees 5.water use records for all the facilities that enter the septic system from the first of the year I will then forward your proposal to Ecology for their review. If a Monitoring Inspection of the onsite sewage system is required please contact a certified O&M Specialist or Licensed Designer to schedule the inspection. A list of these providers can be found at our website www.ieffersoncountvpublichealth.orq. Please notify this office when the inspection has been completed. Please submit the necessary items in order for us to complete the plan review process of this permit. If you should have any questions,`please feel free to contact me at(360) 385-9444. �p v � `""iS Vl (A.6V�Q., vo�/1,ed a& Yt\/� t'1MAY- �it I " d_ o Q rArs^A- P1 �� , �s Dc\21° t n � �f tau Gwts 36.0 p Lf 6 310 CO-5' 1t 610 i - does T fo 51 Y ? I ""' U umber 601661618002003 A. Describe your processing operation related to the items listed below: 1.Describe the types of products to be processed at this location: � R Dried plant material for smoking,teas ! T 1 C [r': Q �/ f Infused oils for cooking and body care products I j Iir Clones SEP 1 8 'A4 Garden Compost / Lt L I JEFF=RSUN COUNTY TrYwoMENT 2.Describe the methods,equipment,solvents,gases and mediums used: Plants will be dried on lines,dehydrators or paper bags for making material for smoking,teas and oils. , All products will be weighed before packaging Packages of smoking material will be made into two types of products;bulk buds and bud with leaves A rolling machine will be used for making pre-rolled joints for customers Dried material will be grounded using a food grade blender for use in teas and mixed with other natural non-control herbs package into bulk and individual tea bags Crockpots will be used to combine the plant material with different types of food grade oils, butter.By product of this process will be rinsed and strained plant material will be composted, any hash resins will be package for sale Clones will be made with a Clone King type method and transfer in to a growing medium before sale. Compost will be made by mixing non controlled material and with 50/50 controlled material in closed bins or drums 3.Description of packaging and labeling of products processed: Labels will be printed with all required warning and labeling by state. All products will be package in food grade plastic that will be heat sealed and label. Compost will be bagged in 1 cu ft plastic bags will all ingredients listed. L`t 1 1VCIWY"A 56 d 1 Pkki* 6411\45- 1. r tv) � 2 )c12 0111011/4-"A(A9 VVPAk3 W A\ fit" OLt 1, A 01141.107, trieve '°°v\& erv\i-\ 1_ . r (a Docusign Envelope 1D:46EA1 FA6-65F8 4ACF-94E9-D9150457688E 1110 414273 0-) Washing#on Sta#e License Number Liquor Control Board UBI Number 6016616180020003 STAT Trade Name Operating Plan Required Elements — Producer/Processor Submission of an operating plan that demonstrates the applicant is qualified to hold the marijuana license applied for is required as part of the application process listed in Washington Administrative Code (WAC) 31'4-55-020. This operating plan must include a floor plan and/or site plan which illustrates the entire operation being proposed.(WAC 314.55.020(9)) Please describe how your operating plan complies with the requirements listed in the WACs indicated below. Additional sheets utilizing the same format may be attached If necessary. 1. SECURITY (WAC 314-55-083) �A f � L;_ ` a. Employee identification badge (yes/no) Yes SF b. Alarm system as shown on the floor plan you are submitting will be installed and supplied by Security Services Northwest Inc. to state requirements. 1-11..V. I S t O r\ 6 t 4 W W\' c. Video surveillance system and recording device will be supplied by Security Service Northwest Inc. and kept in locked cabinet onsi te. L \Mtov\ 5‘i4ACAIN5 L? Wotcc 1 r Re,60iik,h 0 n t 45- rya -roy�,- ?D Ec 3000 Pacific Ave.SE,Olympia WA 98504-3098,(360)664-1600,www.liq.wa.gov Page 1 of 9 UBtaber 601661618002003 2.Traceability:(WAC 314-55-083(4) All information will be entered into the WSLCB traceability system. • All plant material will be given a code that will include:Year/First 3 letters of strain/plant number/month put into grow sample:14KUS103.This will be tracked on an EXCEL sheet as well as a hard copy with weekly backup backu to a flash drive kept in fire proof safe.This code will be attached to plant by plastic tag. Batches will include each code for plants combine with additional batch number: 14KUS10301, 14KUS20301 etc will follow all packaging including outside shipping box until time of sale.Records will be kept for 12 years. With the business growth I will switch to computerize tracking system hopefully within two years. NN 3.Training for new employees:(WAC 314.55.020(9)) A. Employees will be given a copy of company policy and procedure which they will have to sign that they have read.Orientation will begin after employee has received state issue ID card from DMV(to be used as employee badge)and signed company policy and procedure.Employees will be mentor and monitor for first week of training by their direct supervisor to what their duties will be. Yearly employee update day will cover any new policies and procedure.The training will be in relation to WACs and RCW's also. B.Teresa Comstock has had a lifelong interest in horticulture. Is a founding member of The Happy Valley Pea Patch in Port Townsend Washington. Has worked as a Admin Assistant in a hospital setting for 14yrs working closely with HR and writing policies and procedure for a county funded hospital. Prior to current position at hospital worked as a manager for a hand dipped candle factory in Port Townsend for 5yrs doing marketing,retail sales,quality control,packing,shipping of product. - ! ! ; SFP 1-S DocuSign Envelope ID:46EA1 FA6-65F6-4ACF-94E9-09150457688E 1110 UB1 Number .6616180020003 4. TRANSPORTATION OF PRODUCT (WAC 314.55.085) a. Packaging of product for transportation Product will be boxed in cardboard boxes that will be clearly label with codes that pertains to product inside. Product will be driven in a unmarked Toyota pickup in locked., canopy in back. Driver will not have assess to product while driving. ✓ b. Labeling of product for transportation All product will be clearly label with state required warnings as well as lab results from state certified lab and product codes on the back of product. The front will be the STAT logo and product name. Product will be then put into cardboard boxes sealed with packing tape with sticker "Do not break seal while under transportation" under tape to insure it is tampe� , rproof. Labels with roduct codes, amount will be attached under tape 1 _ as well. =' LA)i i ` !/a , yet Ne,,lh-l" Sfp ' 1 1 ` 1, 'i i, HIV • •,/• p r , 5. DESTRUCTION OF WASTE PRODUCT (WAC 314-55-097) n i 1 a. Storage, security, and management of solid and liquid waste All waste will be run through a chipper and then put into compost bins with food waste and red worms to be broken down for secondary market. DW liquid will have cat litter added and take to proper off site"location either Jefferson county solid waste transfer station or Jefferson County Hazardous waste collection site. Transportation will be done with Toyoto pickup with locked canopy. All material will be kept inside building until ready for transportation. ki M Ytt w� 1i mix 5- /,g will aLio & W CLS k -s-p4 rce 5... PO Box 43098,3000 Pacific Ave.SE,Olympia WA 98504-3098,(360)664-1600,www.liq.wa.gov L1Q1227 09/2013 Page 3 of 9 DocuSign Envelope ID:48EA1FA6.65F6-4ACF-94E9-D9150457688E 4111) UBI Number *16180020003 b. Method of disposal for solid and liquid waste chipped and composted plant material Cat litter for all liquid DW All light bulbs will be package in cardboard and taken to Jefferson county Hazardous Waste transfer site in Port Townsend WA c. Method of rendering plant matter waste unusable prior to leaving facility chipping and adding food compost, animal waste and red worms oy St/0 sE,p ; a , of waste rendered unusable d. Final Destination - J Jefferson county Solid Waste Transfer Site Port Townsend WA ) Jefferson County Hazardous waste collection site Port Townsend WA „T Secondary Market for compost 6. DESCRIPTION OF OPERATION AND PREMISE Standardized scale(1NAC 314-55-099) Describe your scale and any other measuring devices you will use for the traceability and inventory of product Adam Equipment's Highland balances have what it takes for lab work,field use,and various industrial applications.They feature multiple weighing units,RS-232 and USB interfaces(Both Included),rechargeable battery pack and AC operation,capacity tracker,adjustable feet and level,lock down and more.Density and specific gravity determination are easy with the below balance weighing feature,and the removable draft shield eliminates wind di Indoor Grow r` Outdoor Grow Rigid Wall Greenhouse Size category (plant canopy): S X Tier 1 —less than two thousand square feet Tier 2—two thousand one square feet to ten thousand square feet Tier 3—ten thousand one square feet to thirty thousand square feet PO Box 43098,3000 Pacific,Ave.SE,Olympia WA 98504-3098,(360)664-1600,www.liq.wa.gov LIQ1227 092013 Page 4 of 9 DocuSign Envelope ID:46EA1FA6-65F6-4ACF-94F 150457688E UBI Number 016616180020003 a. List the number of square feet you will dedicate to plant canopy (t; 3 ,q s1 -f- one level. 1301- - uo /e v/s. b. List the number of square feet you will dedicate to other business activities (such as office, restroom. quarantine room, etc.) /9 c. Describe your grow operation related to the items listed below: 1. Description of growing media(s) a combination of aeroponic and soil 2. Description of all equipment used in the production processr HID lamps and LED lights,Vent Fan, pots,aeroponic towers, ; n Hose Ii Timer Thermometer , Spray Bottle 11' 1, PH tester r' I �FP ' 8 1 Hygrometer ) i Pruners and Scissors LY I Wire Ties Measuring cups and spoons l_ Moisture meter . Light Meter 3. List of soil amendments, fertilizers, other crop production aids, or pesticides used Liquid biodegradable soap, organic fertilizers, ODC organically derived col 1oi dal s' (aeroponics), animal and fish waste, compost,peat moss,alfalfa meal, blood and bone meal, Safer products, seaweed, insecticial soap, sulfur,sticky traps, / d. Outdoor production only -describe the physical barrier surrounding your outdoor production areas including the method you will use to obscure public view of the grow premise r Iv / PO Box 43098,3000 Pacific Ave.SE,Olympia WA 98504-3098,(360)664-1600,www.liq.wa.gov LIQ1227 09/2013 Page 5 of 9 Dumber 601661618002003 A. Describe your processing operation related to the items listed below: 1. Describe the types of products to be processed at this location: Dried plant material for smoking,teas Infused oils for cooking and body care products Clones Garden Compost 2. Describe the methods,equipment,solvents,gases and mediums used: Plants will be dried on lines,dehydrators or paper bags for making material for smoking,teas and oils. All products will be weighed before packaging Packages of smoking material will be made into two types of products;bulk buds and bud with leaves A rolling machine will be used for making pre-rolled joints for customers Dried material will be grounded using a food grade blender for use in teas and mixed with other natural non-control herbs package into bulk and individual tea bags Crockpots will be used to combine the plant material with different types of food grade oils, butter.By product of this process will be rinsed and strained plant material will be composted, any hash resins will be package for sale Clones will be made with a Clone King type method and transfer in to a growing medium before sale. Compost will be made by mixing non controlled material and with 50/50 controlled material in closed bins or drums 3. Description of packaging and labeling of products processed: Labels will be printed with all required warning and labeling by state. All products will be package in food grade plastic that will be heat sealed and label. Compost will be bagged in 1 cu ft plastic bags will all ingredients listed. ,n L C I_ _ V I� I qPn 8 u � r+ , r �lliidTl `..... , G ;IpITy fl ;lf OPVFl:rT DocuSign Envelope ID:46EA1 FA6-65F6-4ACF-94E9-D9150457688E • UBI Number 0616180020003 (Packaging and Labeling continued) 7. QUALITY ASSURANCE PROTOCOLS (WAC 314-55-102) Describe your testing procedures and protocols Dried product batches samples will be taken and will be sent to state.certified lab for independent testing by lisps with tracking. All batches will be lab ``'th information received by lab required by state. Compost will be tested for nutritional values j1; crizv it SEP S 1 G jl i Li L., 0;- .r i,irffT `FV P°MFNT PO Box 43098,3000 Pacific Ave.SE,Olympia WA 98504-3098,(360)664-1600,www.liq.wa.gov LIQ1227 0912013 Page 7 of 9 DocuSign Envelope ID:46EA1FA6-65F6-44CF-94E9-D91504 57688E UBI Number *6616180020003 (Testing Procedures continued) • Q SE, 8. ATTACH FLOOR PLAN /SITE PLAN (architectural plans are accepted but not required). Plans must be drawn to scale. Please ensure your Floor Plan/Site Plan includes a key referencing the specific areas listed below. For your convenience, an example key is attached. a. Physical barrier enclosing outdoor grows, including all gates b. Grow areas c. Perimeter fencing or other physical barrier enclosing the processing facility d. Processing areas e. Controlled access areas f. Security rooms/areas g. Quarantine area h. Points of ingress/egress to the exterior of the licensed premise i. Location of interior doors within the licensed premise indicating which are locked or secured j. Location of Surveillance System Storage Device k. Location of Surveillance System Cameras Is floor plan attached? x YES NO Continuation Sheet Attached? X YES NO PO Box 43098,3000 Pacific Ave.SE,Olympia WA 98504-3098,(360)664-1600,www.liq.wa.gov LIQ1227 09/2013 Page 8 of 9 ■� Emmanomonnissiaamwomomo ■a�7laraaa�alaaaiLraaa�l�:aaa:�aaa.!�iaaaa x111111�E aa1118111111111111:111111111111111111111111111111111111 a AMR 11111Mat/ llri 111111111111111111111ENIMMIEVEMINIMMINIIP 11114111111111111111 1111.111111111111111111111/111111111111111M11111111iMillt NM • INN urn ci k-. EMIIaala1aaaaaaaaa MD aaaaaaaaaaaaaaaaaair ua iaaaaai N a_a aaai , ■aaaa= ■aa aaa.J1 MINNaa aa1aa a 11111116111111M1111111111111111111111111M RIM aiaaaaaaa:� r i aaaaaaaalaaa ADM aaaaaaaaitaa ° aliaaaiaaaaaaaaa ImmIngsminommamnimmomm um.ins aaaaaaaaaaa.0a 5aiiaiaaaaaE M_ aaaaa MIME a_aaaaaiia111aaa1iaaaaaMaaaaa Wall �aaa 11111111.421111111111111118 MI • 11111111111114111MILIMEIMINIEMIMMINIVI al aaaaaaalac2aaaaaaaaaaiaaaaa 4 ME Immanorammia laaaaaaaaaaa2aaaaaaaaaa vaaaaa aE a 11111111111111111111111111111 MIN aaa�aaaaaaaaaaa►11a1aaaaaaaaaa x111/ • aa111aaaaaaaalllaaaaaaaaaaa OMB__aa aaaaaaaa111115 1aaaaRai01§1115 � iiF�,i'iiiiiiiiiiiiiii��11111 MAIM MOM■aaac a ■1111I NI a_voaaai MI NM1aa` aaa11EMMIUaaraalI aaaaaaaaaaaMaaa 111111111111111 - 1411111111111111 1111111M1111111111111111ER1111111111111111111110111111111111• IN__: __aaRaaaaaaa. aaaaiiaaaaaaa aaaaa�ra aaaaaaaaaar1aaaaaaaaaaaa= �$ O6 JEFFERSON COUNTY al. . '-` r� DEPARTMENT OF COMMUNITY DEVELOPMENT t.�� , DEPART ---- ---- — - — ,- 'A 'N "4! 621 Sheridan Street• Port Townsend •Washington 98368 �_ ' 360/379-4450 • 360/379-4451 Fax p www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: -I— - Project Description(include separate sheets as necessary): , I i°rodkutL ' ' gro CL Ov G tlitto t S Tax Parcel Number: 0 01 2-) 20 (CP - - Property Size: - ' K (acres/square feet) Site Address and/or Directions to Property: ' q U t i 6, y7,• •P aY-/- TA/ovoid / l- 1836E3 Property Owner(s)of Record: 'I -64/ raj/4 i / r"t 1.1-Cd Pav-1r ' Telephone: • D :r DO Fax: email: Mailing Address:_ l°!O© Lou rek Cog✓t r Icing-0 CA '72 1 cZ/ Applicant/Agent(if different from owner): 1io.A,->✓SG( CU -'�� - Telephone: 5(0O" ?q-ti Lic Fax: email:51 -PYUG�(•tC�5 e lMd i Mailing Address:J24/0 'IV, $/✓nS VI ( t(.: 0 /l�WYI � Gt/�1 ---- What kind of Permit?(Check each box that applies ❑Lot or Road Segregation DBuilding ❑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 I r0 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 • ❑Plannea 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: F ' mfAL`An, 6 (, UV v �w 9NrOd: Le�r Pro C -' " LCcti -J DESIGNATION OF AGEN I hereby designate - to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable 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. 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.\p,,,c,„,„\##ffpmmq±t±Hi\npr,ArIDT,c\,--„____.rann n___-- • Jul 10 14 07: 37a M i cha• Flme l l 19256526 p. 1 \o,ON (.0,:� JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street:Port Townsend.WA 98368 j Web:www.co.iefferson.wa.tslcommunitydevelooment iI No Tel:360.37944501 Fax:360.379.4451 I Email:dcdOco.iefferson-wa.us Building Permits&Inspections i Development Consistency Review i Long Range Planning 1 Watershed Stewardship Resource Center Master Permit Application MLA: P option(incl eparate sheets as n }: ,fie /;i; 1 2 oAiic�� At oC CS *r2 4$lj" Tax Parcel Number:0 Vi/.2../ 2 6/6 Property Size•2 f '.ç �yQ .L (acres/square feet) Site Address and/or Direction to Property f ' 4► A 5-'74 , j,1.04,iLT;� As-r- 4/4110349 Property Owner(s)f cord: w i - i n•T• i�ili•Ll.7 J• Telephone: i ` d Fax: � ., email: #f a .a - LL e•49 Mailing Address: ' -. Jr - _ .1 _ lL:..:.g _••L Applicant/Agent(if different from owner): _ A".. � rr nill • /1 Telephone (Q •` / �Y_( 3/G Fax ema•••• �'l'2' 0 • e,.. CYh9#'�'/t. •e-0Mf Mailing Address:/ - • r i ' • � - .. �4 What kind of Permit?(Check each box that applies ❑Lot or Road Segregation OBuilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ❑Single Family C Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C)"'• ❑ Manufactured Home ❑ Modular ❑Discretionary'D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** Change of Use O Boundary Line Adjustment Address ❑Road Approach ❑Short Plat•* ❑Home Business 0 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/and Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment "May require a Pre-Application Conference 0 Tree Vegetation Request "Requires a Pre-Application Conference P eaAse i ntify any other local,state or federal permits requir r this propo if known: /•� • . 5 oyf e- M'"r'ki i4•�4 A9* o botct.� r, oc esse, rrY i-e r v �� �.,� S NATION OF GENT I hereby desi ®ZIQ/ / ").03'/.s , / to a *s agent in matters elating to this application for permit(s). ` OWNER SIGNATURE a�� � �,' Date: / f(/ By signing this appli i on form,the owner/agent attests that the info ation provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result In this permit being null and void. I further agree to save,indemnify and ho•harmie - efferson • my against- liabilities,judgments,court costs.reasonable attorney's fees and expenses which may in any way ac •aga' - •n C•• as a resu or in consequence of the granting of this permit. I further-• -- o prov-• ss igh •f e • Je•• • County,•• • -mployees,representatives or agents for the sole purpose of application review and any r.'/, .f7,-ii -i er in/she - = •- d right. •wit be assumed unless the applicant informs the County in writing at the time of the app'z��• at he.-'she • . •• • Signature: /, l�. Date: 17 -•/0 -/K rr. r 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 individ .1 group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even' ar-in c• li- A h 1 rJefferson'• y development code.The Applicant acknowledges that he,she or ii holds individual and non- Ter- : -s•-,if ibi h, •to and••'*ytng with the ESA. The Applicant has read this 3aimer and signs and dates 1 below. Signature: /1� , / Date: `1, " �y 1)7/24/20 I t �w�SON co G2 JEFFERSON CY • DEPARTMENT OF COMMUNITY DEVELOPMENT ,� , 621 Sheridan Street Port Townsend,WA 98368 I Web:www.co.Jefferson.wa.us/communitvdevelopment lSkr,oz° Tel:360.379.4450 I Fax:360.379.4451 I Email:dcdCco.iefferson.wa.us Building Permits&Inspections(Development Consistency Review J Long Range Planning( Watershed Stewardship Resource Center LIFE / FIRE AND CONSISTENCY REVIEW APPLICATION Please check one: n L,X..,I CHANGE OF USE n REVIEW SITE ADDRESS: LI (A.7 V CI-TO 51- Pc Gl Wizi- ZIP 1 g'3te 0 9 DIGIT PARCEL ID NUMBER 1:)0 /?_ ( 2C) 10 Legal Description: Q p et-4-10-1,`. Subdivision Name 6 ,, ; kj ^o 4-1- Pied— g}�k ' 1,0 y Lot(s) 3 Section 2- ( Township 3 c)INS North, Range 1 khl. WM APPLICANT V es4 ro ms.k PHONE 3(0'0-30S-- col j MAILINGADDRESS 11*0 aW. Sti 5- W� otv fi)y/- 7-6yoh 5 4r►r� /, 77 1'0363 C 1/ ph 3&O- -7f-6,i l `mil ZIP f/T PROPERTY OWNER A- rYl?-/ i -ka141/7 1 , :L'i A Vft cPHONE -j �3�c- �).�.O MAILING ADDRESS / q&) [Aunt,. 0 14- COY Cf)YC( ZIP `7( ci/ CURRENT USE(S) 1 3/i(�, S Q 1 Vi"f' 1 66,, f � r?) 7n PROPOSED USE(S) / )e-,✓ - Pro 4act /pro i � 0 / G ' .5EP 9,0, --1.9--� / I T� i rvz� SEPTICPERMIT NUMBER IBC OCCUPANCY 1 IBC TYPE OF CONSTRUCTION _A��:..�_:.! .i Classification L✓ 4)h Net 1 Classification WOO t> i. / VI NUMBER OF BEDROOMS NUMBER OF BATHROOMS WATER PROPOSED % PROPOSED - -'Public Water Ci d /� In- /k EXISTING EXISTING 1 ❑ Private Well TOTAL TOTAL t ❑ 2-party Well EXISTING#OF PARKING SPACES . J #OF HANDICAP PARKING SPACES 0 CURRENT NUMBER OF OCCUPANTS(includes owners, PROPOSED NUMBER OF OCCUPANTS(includes owners, tenants,employees,etc) 2- (')ViY eN 7 tenants,employees, etc) 2. 01,0nei4 j CURRENT TOTAL SQUARE FOOTAGE(includes decks, porches,outbuildings, shed...etc) l () S 0 PROPOSED TOTAL SQUARE FOOTAGE(includes decks, porches,outbuildings,shed...etc) /0 S-0 APPLICANT SIGNATURE DATE 7 / 3 )v FOR OFFICE USE ONLY CONSISTENCY REVIEW $ BASE FEE RECEIPT# STATE SURCHARGE 4.50 CASH/CK# TOTAL DATE / / L r a�� 1 vi h.C11 Vvl lAC111J • g ,s 6 -6 e Jefferson County Home County Info Departments Search Parcel Number: 1001212016 1 j SEARCH I Parcel Number: 001212016 Printer Friendly Owner Mailing Address: AMELL FAMILY LIMITED PARTNERSH 1900 LAURA CT � �� CONCORD CA94521-1423 \�., Site Address: 274 OTTO ST PORT TOWNSEND 98368 Section: 21 School District: Port Townsend (50) Qtr Section: NW1/4 Are Dist: Chimacum (1) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 0111 Planning area: Quimper (2) Sub Division: Assessor's Land Use Code: 5900 - Other Retail Trade Not Coded Property Description: ZAMPERIN SHORT PLAT LOT 3 Tax,A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac L,a�.,..1/._n.�_. .... :,..FF�_........ __... ._../ /�....__t/_�_....ta_.....t .. --- 1 KTC\—AA 1,1I' Al i -7/I f i11-11 A • • JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: TERESA CORNSTOCK 1240 W SIMS WAY#88 PORT TOWNSEND WA 98368 DATE ISSUED: trip' DATE EXPIRES: (j MLA NUMBER: MLA14-00059 PROJECT PLANNER:David Wayne Johnson PROJECT DESCRIPTION: Change of Use Permit Producer/Processer of Cannabis (1-502) CHANGE OF USE PERMIT Tier 1 Producer/Processor Cannabis-I-502 PROJECT LOCATION: Parcel Number 001 212 016 S21, T3ON, R1W, located at Unit UN 274 Otto St. Port Townsend,WA 98368 CONDITIONS: royals for use of onsite sewage disposal on 1.) Approval of this permit does not provide any assurance of future app the property. Actions taken to date and proposed as part of this project may limit or prevent future development proposals. Future proposals must meet current code at the time of application. 2.) JCPH approval for the septic system connection is approved based on the growing operation using soil as the growing approval is The d on the proponent's statement that processing'of'edibles'will be limited to Teas, Dry 3.) cocoa a ix,oil tonic,is ca docoa mix, oil tonic, n dry designer ner havefbeen approved.processing change n processing for menu will required described by the lice 9 further review by this office. 4.) ensure existing septic tial system waste to on strength wastewater is discharged linto pretreatment of eld device Perr conditions eof the septic ensure only residential avast 9 permit-Waste Strength (BODafterS Responsibility s is that of the ownereResuEs are to be submitted first of operation and annually thereafter. Jefferson County Public Health. 5.) Exceeding the permitted design flow 660 g These Gal/day of this perit. Water uag e monitoring shall bemon tored monthly. mon monitoring results shall be submitted to the Jefferson County Health Dept. no less than quarterly. 6.) The use requires a license from the Washington State Liquour Control Board. 7.) The applicant shall install one (1)designated and signed handicapped parking space near the overheard doors. 8.) The storage and handling of inflammable dr the jurisdiction liquified the petroleum, gases and marshal, the laws of explosives shall comply ocal rules and regulations falling under J line ordinances. Bulk storage of inflammable liquids below ground shall be located no closer to the property than the greatest dimension (diameter, length, or height)of the tank. 9.) Lighting fixtures shall be designed and light being visible outside the boundaries of the property. The intensity or brightness of all lighting, construction and after project completion shall not adversely affect and the use of surrounding shall not exceed properties hirty feet(30')adjoining height from the f nished 10.) Exterior lighting for commercial excepting Exterior lighting for residential an integral shall a building or structure. Ground level lighting is encou aged excepting when such lighting 9 11.) Loading and unloading must occur on site(off-street). 12.) general public,and industrial developments tored outside buildings or structures districts hare not for display or immediate salethe screen from areas frequented by general public, all materials stored Areas frequented by the general public shall be defined as public streets and rights-of-way, and other areas normally used by the general public located adjacent to the subject property"' FINDINGS: 1.) The Administrator finds that this application complies with applicable provisions of the Unified Development Code, all other applicable ordinances and regulations, and is consistent with the Jefferson County Comprehensive Plan and Land Use map. 2.) See ZON14-00025 for zoning. The proposed use is consistent with the Light Industial/Commercial Zone. 3.) The site plan as submitted with the Building Permit application on August 8, 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 9, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 4.) This approval is for a Change of Use to Production and Processing of Cannabis 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. APPEALS: Pursuant to RCW 36.70C,the applicant or any aggrieved party may appeal this final decision to Jefferson County Superior Court within twenty-one(21)calendar days of the date of issuance of this land use decision. For more information related to judical appeals see JCC 18.40.340. ogire VVZ-e/ UDC Administrator MLA14-00059 \\tidemark\data\forms\F_MLT_IssuePermit_U.rpt 1/9/2015 Page 2 of 2 alp Front Parcel Review 40 Parcel 001212016 Printed: September 9, 2014 AMELL FAMILY LIMITED PARTNERSH Site Address(es): 1900 LAURA CT 274 S OTTO ST PORT TOWNSEND, WA 98368 274G OTTO ST PORT TOWNSEND, WA 98368 CONCORD, CA 94521-1423 274P OTTO ST PORT TOWNSEND, WA 98368 274 OTTO ST PORT TOWNSEND, WA 98368 274D OTTO PORT TOWNSEND, WA 98368 274A OTTO ST PORT TOWNSEND, WA 98368 Parcel Number: 001212016 S-T-R: 21-30N-1W Total Acreage 2 Legal Description ZAMPERIN SHORT PLAT LOT 3 Land Use: 5900 Flood District: Fire District: 1 Planning Area: 2 Flood Map(FIRM)Panel No: School District 50 Zoning: COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ Plot Plot plan states "property line" [ i' Assessor's Map(Property lines o bmitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [ V Legal Access to Property ES NO [ Parcel Tags or Scanned Documents L`°% NO •� _ [W J ESA's: Special Reports Nearby YES NO [ /Designated Ag YES [ Shoreline Designation: YES NO [ Shoreline Slope Stability: YES 4 Stream Type:YES NO FWHCA: YES NO Wetlands: YES NO Rare Plants:YES NO Seismic: YES NO Landslide: YES NO Flood: YES NO Erosion: YES NO Aquifer Recharge Area:YES NO SIPZ: none At Risk High Risk Coastal CMZ: none High Risk Moderate RiskDisconnected CMZ Stormwater site plan submitted: YesNo [C Forest Lands: YES 40 Adjoining Forest Lands: Commercial/ Rural/ Inholding [ 14' Mineral Lands: YES [ jx Agricultural Lands: YES O) [ kr Archaeology: YES NO [ No Shooting Zone: YES 6 [ v-- ' Stormwater: New Impervious Surface (V Land Disturbing Activity ESA's Stormwater Req's:Min Req#2 Min Reg I thru#5 Min Req#1 thru#10 Engineering [ V Notice Provisions/Disclosure:Airport YES NO MRL YES NO Forest Lands YES NO [ v r- Landscaping Required: Yes No !i [ vr, Parking Spaces Required No 2 , Other 4111111111111111 f 0,--"Building Height: 5' UBC Standard [ 11 Impervious Surface cover e percentage: Resource Lands&Public: I Rural Residential: 25% Rural Ind l: Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural In us rial Lands only [ 11 Total Building (s) Size: l,� 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 [ VI Setbacks: Front: Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: [ 3'J Road Classification: Road Approach: NOT REQ'D RAP [ 1]_'SEPA Required: YES tvtPT [ I,-]' Flood Certificate: [ f. 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 [ ✓J-- Lots/Require Declaration of Restrictiv- Covenant YE' 0 submitted: YES NO [ UGA No Protest Agree`p. t--3NO ES submitte XES r NO [ 7] Site Visit conducted DES[ vl Re Approval _ c uire Final Zoning YES NO q [ vr ADMIN: Setbacks entered in Permit Plan case ildp YES, New Parcel Tags entered in Permit Plan YES Special Reports Scanned YES Title No es Updated Parcel tags found for parcel 001212016 1.) WSRC Coaching - 2013/09113 09/13/2013 Other SG Parcel tags found for parcel 001212016 2.) WSRC Coaching - 2013-10-10, CZ 10/23/2013 Other Parcel tags found for parcel 001212016 3.) WSRC Coaching - 2013-11-5 12/16/2013 Other Cases Associated with APN 001212016 Review Cases Name Type Status Planner BLD00-00144 BLEAKNEY F Application Received: 3/1/2000 Permit Issued/Case closed: 4/4/2000 Case Finaled: 4/11/2001 CHANGE OF USE/COMMERCIAL RANGE HOOD INSTALLATION BLD00-00436 BLEAKNEY F Application Received: 6/29/2000 Permit Issued/Case closed: 8/15/2000 Case Finaled: 6/27/2005 COMMERCIAL BUILDING (Winery) PRJ00-00152 BLEAKNEY A Application Received: 7/3/2000 Permit Issued/Case closed: Case Finaled: CHANGE OF USE/COMMERCIAL RANGE HOOD INSTALLATION SEP00-00150 BLEAKNEY F Application Received: 7/11/2000 Permit Issued/Case closed: 8/19/2000 Case Finaled: 10/26/2000 filed to SEP13-85. BL000-436. BLD93-00180 MINKLER F Application Received: 4/1/1993 Permit Issued/Case closed: 4/19/1993 Case Finaled: 5/25/1994 commercial office and warehouse BLD93-00272 MINKLER C Application Received: 4/30/1993 Permit Issued/Case closed: 8/3/1993 Case Finaled: mobile home installation: not for commercial purposes BLD94-00237 BLEAKNEY F Application Received: 4/19/1994 Permit Issued/Case closed: 5/16/1994 Case Finaled: 10/4/1994 Auto Clinic:IZA94-0020 \\tidemark\data\forms\R_Parcel_CRMLA.rpt 9/9/2014 Page 2 of 4 • Jefferson County Building Division Permit Number: BLD14-00289 Applicant: COMSTOCK 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 App oval Signature Notes Fire Protection jb J//15 extinguishers Sign exit signage 4,4J I pf' )b 31 ) Miscellaneous f//I///5 r% ADA lanning Approval /A fr git � 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 I/15 ilk FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD14-00289 1.) Approval of this permit does not provide any assurance of future approvals for use of onsite sewage disposal on the property. Actions taken to date and proposed as part of this project may limit or prevent future development proposals. Future proposals must meet current code at the time of application. 2.) 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. 3.) JCPH approval is based on the proponent's statement that processing of'edibles'will be limited to Teas, Dry cocoa mix, oil tonic, dry bud/trim and keif. No other processing other than the use of the crock pots as described by the licensed designer have been approved. Any change in processing or menu will required further review by this office. 4.) The existing septic system on the parcel (SEP13-85) is fitted with a pretreatment device that is intended to ensure only residential waste strength wastewater is discharged into the drainfield. Per conditions of the septic permit-Waste Strength (BOD, TSS, Grease and oils) is to be monitored EVERY 6 MONTHS for the first year of operation and annually thereafter. Responsibility is that of the owner. Results are to be submitted to the Jefferson County Public Health. 5.) Exceeding the permitted design flow of 660 gal/day max. or 435 Gal/day average, shall constitute a violation of this permit. Water usage monitoring shall be monitored monthly. These monitoring results shall be submitted to the Jefferson County Health Dept. no less than quarterly. 6.) The use requires a license from the Washington State Liquour Control Board. 7.) The applicant shall install one(1)designated and signed handicapped parking space near the overheard doors. 8.) The site plan as submitted with the Building Permit application on August 8, 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 9, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 9.) 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. 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.) Loading and unloading must occur on site (off-street). • 13.) Commercial and industrial developments located in all zoning districts shall screen from areas frequented by the general public, all materials stored outside buildings or structures which are not for display or immediate sale. Areas frequented by the general public shall be defined as public streets and rights-of-way, and other areas normally used by the general public located adjacent to the subject property. \\tidemark\data\forms\F_BLD_Perm it_BIdg.rpt 1/9/2015 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00289 Received Date: 8/8/2014 SITE ADDRESS: 274 OTTO ST Issue Date 1/9/2015 PORT TOWNSEND, 98368 Expiration Date 1/9/2016 OWNER: TERESA CORNSTOCK PHONE: 360-774-6310 1240 W SIMS WAY#88 PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001212016 Section: 21 Township: 30 N Range: 1V1 CONTRACTOR: PHONE: PHONE: PROJECT DESCRIPTION: Change of Use Permit Producer/Processer of Cannabis (1-502) 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: DEC K: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 69000 Type Amount Paid By: Date: Receipt: BATHROOMS: Change of Use or Occupar $456.00 SRE 07/29/14 151321 Exist: State Building Code $4.50 SRE 07/29/14 151321 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