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HomeMy WebLinkAboutBLD2013-00293 •UILDING PERMIT APPLICAtON BLD13-00293 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00293 Received Date: 9/20/2013 SITE ADDRESS: 4261 CASSELARY RD PORT TOWNSEND, 98368 OWNER: STATE OF WASHINGTON-DNR PHONE: PO BOX 47014 OLYMPIA WA 985047014 SUBDIVISION: Block: Lot: T 1+ PARCEL NUMBER: 902103001 Section: 10 Township: 29 N Range: 02 W CONTRACTOR: CORNERSTONE ENGINEERING, INC PHONE: 425-487-1732 6928 WOODENVILLE-REDMOND RD#2 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP Addition of FOUR microwave dishes to existing cell tower. TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP ADD MAIN: INDUSTRIAL: VALUATION 13,600.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: NUMBER OF EMPLOYEES: WATER SYSTEM: BATHROOMS: Exist: Prop: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $201.00 MEB 09/20/13 145377 APPROVED Plan Check $130.65 MEB 09/20/13 145377 State Building Code $4.50 MEB 09/20/13 145377 OCT 14 2Q13 Total: $336.15 Jefferson County DCD • \\fi,4ammk1riah\fnrn NC RI fl Ann RIA mm/ onn/On1. L. Sally Ellis From: Cheri Axtell <caxtell @mutionline.com> Sent: Tuesday, June 23, 2015 2:52 PM To: #dcd Subject: Final Building Inspection-Third Party Inspection report Attachments: 2015-05-18 SE33XC104 Field Report.pdf; 2015-05-18 SE72XC213 Beaver Valley Field Report.pdf Good Afternoon, Please see the attached third party inspection report to the following sites for cell tower modification.These also have expired fess which I have just received information regarding where to send payment in order to have the following signed off and complete. Cascade# Zoning Jurisdiction BP# Address SE33XC104 Jefferson County BLD13-00293 4261 Casselary Rd, Port Townsend,Jeff SE72XC213 Jefferson County BLD12-00363, 00143 735 N. Sandy Shore Road, Chimacum,J Should you have any questions please feel free to contact me. Thank you, Cheri Axtell Office Manager/Project Assistant MUTI •2334 Stagecoach Rd, Suite A • Stockton, CA 95215 (0) 209-469-0665 X-201 (F) 209-469-0659 (M) 217-954-8024 Sabre 8m—anal Tolacom l_ .:bat www.mutionline.com This email has been scanned for email related threats and delivered safely by Mimecast. For more information please visit http://www.mimecast.com 1 QIFIELFIELD&Associates,inc. REPORT NO.: 15076DFR051815-JM Geotechnlcal Engineering•Environmental Engineering Construction Testing and Inspection DATE: 5/18/2015 CONTRACTOR: PROJECT#: 10615076 PERMIT#: PROJECT: SE33XC104 INSPECTOR Juan Martinez LOCATION: 4261 CASSELARY RD JURISDICTION: PORT TOWNSEND WA KA P.M.: WEATHER: CLEAR TEMP: 73° 1 arrived at the gate to this site at approximately 8:30 am.I was unable to unlock this gate. I made the decision to hike the short distance(4.5mi)to the Tower site.My narrative report follows. FCC TOWER# 10322014/CROWN CASTLE BU#870638. Using a OLYMPUS XRT RANGE FINDER(W/6X MONO)I able to observe the completed installation of several Antennas/RRU'S. ALPHA SECTOR: MW/RRU/PANEL antenna appear to be securely fastened to the pipe mast with U bolts.Center line elevation of MW @ 98'.0"Centerline measurement of the panel antenna @ 97'.0" BETA SECTOR: MW/RRU/PANEL Antenna appear to be securely fastened to the pipe mast with U bolts. Center line elevation of TOW @ 98'.0"Centerline measurement of the panel antenna @ 97'.O" GAMMA SECTOR: This sector contains one RRU that appears to be securely fastened @ 97'.0".All of the newly installed coaxial cable is routed and secured to the tower lattice structure. The installation of these items has been completed,to the best of my knowledge,in accordance with all of the required local and state regulations. Reviewed By: V ASTM Test k: Equipment/Asset Numberls): To tee best of my knowledge,the above WAS performed in accordance with the approved plane,specifications and thigulatory requirements. Superintendent/Representative: Technician: .E..r+O l..inetlewc Vent on-, ars, QCO t'.XF. tan Ctol7 Offices Serving the Western United States Lynnwood(425)485-5519•Poulsbo(360)598-2126•Puyallup(253)939-2500 n•ilyrstld Rep= Revision Effafiv,0271312013 nog 4.sstlh p,aalat areepuli{RaM tftcerne use Kale eta.Tr lemma s{temp: .Vi.4 Wm•Wm ar•]l1iW rdtern'M Cast-.Wdlly.71,nw.Sll our wawa .MM,y.,sb 1O°lW dC OMdiooa dmeow NvtlY fl i1 ..dtia°'pit F\i mar C.dl n•mE1l tI LNr Sb Ipri.coo *,La Da mat a;,nab h v112.4 or d.itiLsksslk°WL pen.ult'Kb1 la 9/16/13 Fedl_xShip Manager-Print Your Label(s) Return Shipment Instructions Please return'Teal Lake"and 'NW Jefferson"Sprint building permits, submitted by Ryka Consulting on behalf of Sprint, to Ryka upon approval Thank you. -Jesse London FedEx®Return Shipment Instructions Prepare Your Package With Care. • Pack items in a sturdy box using cushioning materials to keep them secure. • Remove or black out any old shipping labels,including the original shipping barcode. • Seal the box with shipping tape • Affix the return label to the outside of the box. Ship Your Return Package By: • Including it with your regular scheduled pickup. • Dropping it off at any FedEx location. o Go to fedex.com and click the Locations link to find the closestdropoff location. o Call I.800.GoFedEx 1.800.463.3339 to find the closest dropoff location. • Scheduling a pickup by: o Requesting on fedex.com for FedEx Ground labels with"G"at the following link: https://www.fedex.com/grdirpplShowRPP.do o Calling 1.800.GoFedEx 1.800.463.3339. • For FedEx Ground labels with"G"request a'Retum Manager or"PRP"pickup. • For FedEx Express labels with"E"request an"Express Retum"pickup. Helpful Hints • When you call to schedule a pickup,FedEx may requestsome numbers printed below the large barcode on the return-shipping label,so have the label with you. • It is not necessary to provide a FedEx account number fora return pickup. • Fed Ex Express®,FedEx Ground®and FedEx Express®Freight pickups must be scheduled separately. • For more information about how to ship your return package,go to fedex.com/retums. Special Instructions(200-character limit): • • https://wnw.fedexcomishipping/r nShipActon.handle?method=doContinue 4/5 • S Memo: Explanation of Plan Revision To: Jefferson County From: Jesse London Date: 11/18/2013 Re: Building Permit: BLD13-00293 Sprint Spectrum is altering its plans for an existing cell tower, a project previously approved under the building permit number referenced above. The addition of four microwave dishes was approved. The attached edited plan page shows that Sprint is no longer planning on adding one of these four dishes. Per Mary Blain and Frank Benskin, this notification will suffice as notification to Jefferson County, and neither additional permit applications nor fees are necessary. Feel free to contact me with questions, using the information below. Sincerely, Jesse London jlondon @rykaconsultinq.com 206.523.1941 Ryka Consulting on behalf of Sprint Spectrum Ryka Consulting I 918 S. Horton St #1002 Seattle, WA 98134 0 I $ E[ s I u t ibeilli e ' . O F e i �E i pk ` E ,`6 b [z ea i_ N J 0 F E g 1 d l' f w oE W gg a =U T W,e IF ® x d [ sr !;111" i 1 F gg 446 Li 1 n 1 4 i e T .V/ E R 11 ii RN le., 1I // i5. 11 11 11 '411V,A 7..1461/4 Ili Lcs t t t t I,'_ M __., ! b 2 y9 Z w 33 GF ¢ a 7 b is Z S o D p 6 0 re 3 � kg o ` kg a 4 ,, ek,,, ,. , if lw ..C, 5. i 1 i /..., Z (::, it ,, . .., ,, 1 ,.. s OM f 7— 1111 ill / a Z7 w 0 Iiii Iii 1 1 ie r; [iv V a zE 4l e 111 c ; v, . 1 i Bs ,Y8 i o . ill /II 111E JEFFERSON COUNTY NO. el DATE' °t f w/ I3 RECEIVED FROM ~�� V�"1 �`""--N e�'I DESCRIPTION /� RAPP SSA AMOUN- ` CURRENCY lV A\ Ili 4/ 7,0 tt ,(/4) I COIN nl" ��/� �U"�7�'" (� o ,`- CHECK pew ��C� 211— 3 k Li, 5—: `"' 2 46 tb 3 ail 0 cn m m n 0 v RECEIVED BY TOTAL 3 ‘L-1- 1 ' N • IPSE33XC104 NW Jefferson • CO42, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 -7K•arl 360/379-4450 • 360/379-4451 Fax �� 4 - $ .,y„ eo. *p wow.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description(include separate sheets as necessary): The addition of four microwave dishes to an existing cell tower. Tax Parcel Number: 902103001 Property Size: 14 .2 (lacresrsquare feet) Site Address and/or Directions to Property: 4261 Casselary Rd. Port Townsend, WA 98368 Property Owner(s)of Record:Washington State Department of Natural Resources Telephone: Fax: email: Mailing Address: PO Box 47014 Olympia, WA 98504 ApplicantlAgent(if different from owner): Jesse London (Ryka Consulting) c/o Sprint Telephone: 2 06-52 3-1941 Fax: 206-260-7930 emaiijlondon @rykaconsulti g.com Mailing Address: 918 S. Horton St . #1002 Seattle, WA 98134 What kind of Permit'(Check each box that applies ' Building El Critical Areas Stewardsh'• • = ❑ Demolition Permit ❑Variance(Minor,Major o •---• ;;i.•I - ❑Single Family ❑Garage Attached/Detached ❑ Conditional Use[C(a),C(. ,o elm,- ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unna =• e Classification ❑ Commercial* ❑Special Use(Essential Pu, --i ilities).;-`F \ 9 2,M3 CI Change of Use ❑Boundary Line Adjustment ❑ Address ❑ Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan** U0 ❑Propane ❑Long Plat*'` )EFFERSON;O,P `OPMEPIf ❑Sign ❑Planned Rural Residential aevelo rM L'iu.t ,•.: • -n s** ❑Allowed°Yes°Use Consistency Analysis ❑Plat Vacation/Alteration" 1--- 0 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 El Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request "*Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal,If known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 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 attorneys 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 requir later ins. lions Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicati hat h-,.(she w- prior notice. • G Signature: .r _ - _ _ Date: 6 The action or actions •plicant 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 of 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 mpliance h the Je rson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable ret nsibility f. ' ering and complying with the ESA. The Applicant has read this disclaimer�!d sign and dates it below. Signature: / -1 Date: h 9 ' } 3 G:\PermitCenter\###NORMS###\DM)FORMS\Master Permit Application 5-29-08.doc . • • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Fax: TBD (will notify upon issuance) ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: Cornerstone Engineering, Inc PHONE (425) 487-1732FAx:( ) MAILINGADDRESS-6925 Woodinville-Redmond Rd. 121 ItMAIL Project Type: Frame Type: Bathrooms: N/A Shoreline: Type of Sewage Disposal: ❑ New II Wood Existing: I Sewer N/A ❑ Addition ❑ Steel Proposed: Bank ❑ Community System : Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair I: Masonry N SEP Permit# n Demolition p4 Other: Bedrooms: N/A Water Supply: Tower Existing: Setback: ❑ Private well G Two Party Type of Heat: Proposed: ❑ Public N/A Total: Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: N/A Proposed: N/A Number of ADA Parking Spaces: N/A Number of occupants(includes owners,tenants,employees,etc) Current N/A Proposed N/A IBC Occupancy: N/A IBC Type of construction: Te l e c omm. Will you have Food Service? Yes / No If this is a Propane Tank andlor Appliance Installation permit,mark all items below that apply: N/A I Underground Tank I Above ground Tank Size of Propane Tank: I Heat Stove 1 Cook Stove I Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No N/A 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, includin• the reserve area. alp � 'a � .r•a S•uare Foota!a Current Pro•osed t .q `kr s 4 a,"'"` .. • ' Main Floor Heated ) M N= EH Bld App Review: ,k-. _*< 2"0 Floor Heated " t Consistency Review: rsL s Other Heated 444,- fti i� w Base fee: a1I ' as , , Mezzanine 6 >r . "i Additional Section: �ti 11 Heated Basement h•/, 'ri 4.I Plan Check fee: Unheated Basement ry State Surcharge fee: Other Unheated e Pot Water Review fee: Garage/Carport f- SUBTOTAL -:,,,ix,,'ir . .,4 Decks i") " '_ is 911/Rd Approach fee: Other si $ r£' TOTAL: $ Four microwave dishes t,:s " 2a"r Receipt Number: / u , Cash/Check Number. larr 1., 4 ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish $13 , 600 Initials: G:\PemtitCenter\###FORMS###\DRD FORMS\Master Permit' Application 5-29-08.doc D -I X 9E fi CO CO --♦ -b X -1 -1 CD 0) -. -- 0) - Cl) O X C1 C) r+ X 0) O -, 'O 0) O - -O -5 Z O 0) < C1 (D CO C) CD S CO C - CD CD CC CD CD -1 CD r1- C7 CD 7 7C D -5 E -s .. CD -1 O 7 lIt C -A - CD C7 C r1 co o O 0_ 0 0 o N co C7 C7 - o . _ co (D . O) .....I C7 . D N -4 f . 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Date: 9/13/2013 i p9 1S�k ' Re: Building Permit Application for Sprint Spectrum Site SE33XC104 Pinnacle Towers Enclosed, please find the building permit application for the above mentioned Sprint Spectrum wireless site(s). Please acknowledge receipt of this package by signing below and faxing (206-260- 7930) or emailing to jlondon @rykaconsultinq.corn Received b Jefferson County: t, Signature: g‘*-6-1-1 ',. IA)/ 5 , Date Recd: q /4 BP File #: 1.4 ' 213 I a °; Sincerely Jesse London 206.523.1941 Ryka Consulting on behalf of Sprint Spectrum Ryka Consulting 919 S. Horton St #1002 Seattle, WA 98134 x-K fix.' 4 •Up Front Parcel Review' Parcel 902103001 Printed: September 24, 2013 STATE OF WASHINGTON-DNR Site Address: PO BOX 47014 4281 CASSELARY RD EXT OLYMPIA WA 985047014 OLYMPIA, WA 985047014 PORT TOWNSEND WA, 98368 Parcel Number: 902103001 S-T-R: 10-29N-02W Total Acreage 144 Legal Description S10 T29 R2W SW1/4(LS TAX 1) Land Use: 9100 Flood District: Fire District: 5 Planning Area: 5 Flood Map(FIRM)Panel No: School District 50 Zoning: L ,I2 I ; 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 pnperty lines as identified on theAssessor's 1/4 map) [ ] Legal Access to Property eFS NO [ ] Parcel Tags or Scanned Documents YES NO [ ] ESA's: Special Reports Nearby YES ✓NO [ ] Designated Ag YES F [ ] Shoreline Designation: YES N9/ [ ] Shoreline Slope Stability: YES NOS Stream Type:YES Fish&Wildlife:YES Nf Wetlands: YES N J Rare Plants:YES NO Seismic: YES N2/ Landslide: YES N.9, Flood: YES N9. Erosion: YE NO Aquifer Rec arge Area:YES N7' SIPZ: no At Risk High Risk Coastal CMZ: n High Risk Moderate Risk Disconnected CMZ Stormwater site plan submitted: YesNo [ ] Forest Lands: NO / Adjoining Forest Lands: V/ Commercial/ Rural/ Inholding [ ] Mineral Lands: YES N9/ [ ] Agricultural Lands: YES N7 [ ] Archaeology: YES N.9.. [ ] No Shooting Zone: YES N [ ] Stormwater:Aew Impervious Surface Land Disturbing Activity ESA's Stormwater Req's:Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering [ ] Notice Provisions/Disclosure:Airport YES No/ MRL YES NO/ Forest Lands [ ] Landscaping Required: Yes Ny [ ] Parking Spaces Required ` Other f 1 Building H eights: 35'x\\ UBC Standard n f o-fG ' 1 1�l S wa-a reuiee,o P �'dCt � Cd - '-/�9 - f nA— iyfGV� fi " . ��VrC-wed a sa- Tye l -- go A- [ ] , Impervious Surface cover ercentage: .A\O Resource Lands&Public: 10 Rural Residential: 25% Rural Indu. 1: Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage: 60%in Rural Industrial Lands only [ ] Total Building (s) Size: ��i� :,k RVC:20,000 SF CC: 5,000,SF NC: 7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/.7e specified [ ] Setbacks: Front: )0 tI Left Side: f-5 / Right Side: / Rear: Shoreline Setback: — LSHA Setback: - [ ] Road Classification: Road Approach: E N, NOT REQ'D RAP [ ] SEPA Required: YES \ EXEMPT [ ] Flood Certificate: 1'It 1 /\ [ ] Existing Case(s) & Condition(s): Violations: Yes No [ ] Recorded Date of Subdivision: AEN 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 NQ;'submitted: YRS NO [ ] Site Visit conducted YES NO- [ ] Require Final Zoning Approval YES N [ ] ADM1N: 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 902103001 1.) WSRC Coaching - 2012-02-21, CZ 08/26/2013 Other Parcel tags found for parcel 902103001 2.) WSRC Coaching - CZ 08/26/2013 Other Parcel tags found for parcel 902103001 3.) WSRC Coaching - 2010-08-31, CZ 09/03/2013 Other Cases Associated with APN 902103001 Cases Name Review Type Status Planner BLD01-00099 ST OF WA NATURAL RECOURC F Application Received: 2/13/2001 Permit Issued/Case closed: 2/13/2001 Case Finaled: 8/2/2001 PROPANE TANK INS I ALLAI ION FOR CELL TOWER EMERGE-FM-POWER BLD01-00099 ST OF WA NATURAL RECOURC F Application Received: 2/13/2001 Permit Issued/Case closed: 2/13/2001 Case Finaled: 8/2/2001 PROPANE TANK INS IALLATION FOR CELL TOWER EMERGENCY POWER BLD01-00099 ST OF WA NATURAL RECOURC F Application Received: 2/13/2001 Permit Issued/Case closed: 2/13/2001 Case Finaled: 8/2/2001 PROPANE TANK INS IALLATION FOR CELL TOWER EMERGENCY POWER BLD01-00099 ST OF WA NATURAL RECOURC F Application Received: 2/13/2001 Permit Issued/Case closed: 2/13/2001 Case Finaled: 8/2/2001 PROPANE TANK INS IALLAI ION FOR CELL TOWER EMERGENCY-POWER BLD01-00099 ST OF WA NATURAL RECOURC F Application Received: 2/13/2001 Permit Issued/Case closed: 2/13/2001 Case Finaled: 8/2/2001 PROPANE TANK INS IALLAI ION FOR CELL TOWER EMERGENCY POWER BLD01-00099 ST OF WA NATURAL RECOURC F Application Received: 2/13/2001 Permit Issued/Case closed: 2/13/2001 Case Finaled: 8/2/2001 PROPANE TANK INS IALLATION FOR CELL TOWER EMERGENCY-PO ER BLD13-00293 STATE OF WASHINGTON-DNR P Application Received: 9/20/2013 Permit Issued/Case closed: Case Finaled: Addition of FOUR microwave dishes to existing cell tower. \\tidemark\data\forms\R_Parcel_CRMLA.rpt 9/24/2013 Page 2 of 16 DEVELOPMENT REVIEW TIME SET Date Time Comments 1..1 t O/?//6) 7Q7 G , ai&• ft/71 d U-hyrIos 1\tidemark\data\forms\R_MLT_Case_CRMtA.rpt September 18,2012 BLD13-00293 • STATE OF WASHINGTON-DNR • P Application Received: 9/20/2013 Permit Issued/Case closed: Case Finaled: Addition of FOUR microwave dishes to existing cell tower. BLD13-00293 STATE OF WASHINGTON-DNR P Application Received: 9/20/2013 Permit Issued/Case closed: Case Finaled: Addition of FOUR microwave dishes to existing cell tower. BLD13-00293 STATE OF WASHINGTON-DNR P Application Received: 9/20/2013 Permit Issued/Case closed: Case Finaled: Addition of FOUR microwave dishes to existing cell tower. BLD13-00293 STATE OF WASHINGTON-DNR p Application Received: 9/20/2013 Permit Issued/Case closed: Case Finaled: Addition of FOUR microwave dishes to existing cell tower. BLD13-00293 STATE OF WASHINGTON-DNR P Application Received: 9/20/2013 Permit Issued/Case closed: Case Finaled: Addition of FOUR microwave dishes to existing cell tower. BLD90-00619 PT TOWNSEND CABLE TV F Application Received: 9/10/1990 Permit Issued/Case closed: 9/11/1990 Case Finaled: installation of cable tv antennas and microwave transmit site BLD90-00619 PT TOWNSEND CABLE TV F Application Received: 9/10/1990 Permit Issued/Case closed: 9/11/1990 Case Finaled: installation of cable tv antennas and microwave transmit site BLD90-00619 PT TOWNSEND CABLE TV F Application Received: 9/10/1990 Permit Issued/Case closed: 9/11/1990 Case Finaled: installation of cable tv an ennas and microwave transmit site BLD90-00619 PT TOWNSEND CABLE TV F Application Received: 9/10/1990 Permit Issued/Case closed: 9/11/1990 Case Finaled: installation of cable tv antennas and microwave transmit site BLD90-00619 PT TOWNSEND CABLE TV F Application Received: 9/10/1990 Permit Issued/Case closed: 9/11/1990 Case Finaled: installation of cable tv antennas and microwave transmit site BLD90-00619 PT TOWNSEND CABLE TV F Application Received: 9/10/1990 Permit Issued/Case closed: 9/11/1990 Case Finaled: installation of cable tv antennas and microwave transmit site BLD95-00443 US WEST NEW VECTOR GROUI F Application Received: 8/2/1995 Permit Issued/Case closed: 8/10/1995 Case Finaled: 10/17/1995 Modify kstw tower& guyed footings/install equip vault BLD95-00443 US WEST NEW VECTOR GROUI F Application Received: 8/2/1995 Permit Issued/Case closed: 8/10/1995 Case Finaled: 10/17/1995 Modify kstw tower& guyed footings/install equip vault BLD95-00443 US WEST NEW VECTOR GROUI F Application Received: 8/2/1995 Permit Issued/Case closed: 8/10/1995 Case Finaled: 10/17/1995 Modify kstw tower& guyed footings/install equip vault BLD95-00443 US WEST NEW VECTOR GROUI F Application Received: 8/2/1995 Permit Issued/Case closed: 8/10/1995 Case Finaled: 10/17/1995 Modify kstw tower& guyed footings/install equip vault BLD95-00443 US WEST NEW VECTOR GROUI F Application Received: 8/2/1995 Permit Issued/Case closed: 8/10/1995 Case Finaled: 10/17/1995 Modify kstw tower&guyed footings/install equip vault BLD95-00443 US WEST NEW VECTOR GROUI F Application Received: 8/2/1995 Permit Issued/Case closed: 8/10/1995 Case Finaled: 10/17/1995 Modify kstw tower&guyed tootings/install equip vault BLD96-00414 ONECOMM CORPORATION F Application Received: 7/3/1996 Permit Issued/Case closed: 7/25/1996 Case Finaled: 3/11/1997 To construct, operate, maintain a mobile radio comm. facility &shed. BLD96-00414 ONECOMM CORPORATION F Application Received: 7/3/1996 Permit Issued/Case closed: 7/25/1996 Case Finaled: 3/11/1997 To construct, operate, maintain a mobile radio comm. facility & shed. BLD96-00414 ONECOMM CORPORATION F Application Received: 7/3/1996 Permit Issued/Case closed: 7/25/1996 Case Finaled: 3/11/1997 To construct, operate, maintain a mobile radio comm. facility & shed. \\tidemark\data\forms\R_Parcel_CRMIA.rpt 9/24/2013 Page 3 of 16 BLD96-00414 • ONECOMM CORPORATION F Application Received: 7/3/1996 Permit Issued/Case closed: 7/25/1996 Case Finaled: 3/11/1997 To construct, operate, maintain a mobile radio comm. facility & shed. BLD96-00414 ONECOMM CORPORATION F Application Received: 7/3/1996 Permit Issued/Case closed: 7/25/1996 Case Finaled: 3/11/1997 To construct, operate, maintain a mobile radio comm. facility & shed. BLD96-00414 ONECOMM CORPORATION F Application Received: 7/3/1996 Permit Issued/Case closed: 7/25/1996 Case Finaled: 3/11/1997 To construct, operate, main ain a mobile radio comm. facility &shed. PRE99-00051 VOICE STREAM WIRELESS M M FARFAN Application Received: 9/9/1999 Permit Issued/Case closed: 10/5/1999 Case Finaled: Undecided. PRE99-00051 VOICE STREAM WIRELESS M M FARFAN Application Received: 9/9/1999 Permit Issued/Case closed: 10/5/1999 Case Finaled: Undecided. PRE99-00051 VOICE STREAM WIRELESS M M FARFAN Application Received: 9/9/1999 Permit Issued/Case closed: 10/5/1999 Case Finaled: Undecided. PRE99-00051 VOICE STREAM WIRELESS M M FARFAN Application Received: 9/9/1999 Permit Issued/Case closed: 10/5/1999 Case Finaled: Undecided. PRE99-00051 VOICE STREAM WIRELESS M M FARFAN Application Received: 9/9/1999 Permit Issued/Case closed: 10/5/1999 Case Finaled: Undecided. PRE99-00051 VOICE STREAM WIRELESS M M FARFAN Application Received: 9/9/1999 Permit Issued/Case closed: 10/5/1999 Case Finaled: Undecided. BLD90-00696 GAYLORD BRO CO.(KSTW TV) F Application Received: 10/12/1990 Permit Issued/Case closed: 3/14/1991 Case Finaled: communication tower BLD90-00696 GAYLORD BRO CO.(KSTW TV) F Application Received: 10/12/1990 Permit Issued/Case closed: 3/14/1991 Case Finaled: communication tower BLD90-00696 GAYLORD BRO CO.(KSTW TV) F Application Received: 10/12/1990 Permit Issued/Case closed: 3/14/1991 Case Finaled: communication tower BLD90-00696 GAYLORD BRO CO.(KSTW TV) F Application Received: 10/12/1990 Permit Issued/Case closed: 3/14/1991 Case Finaled: communication tower BLD90-00696 GAYLORD BRO CO.(KSTW TV) F Application Received: 10/12/1990 Permit Issued/Case closed: 3/14/1991 Case Finaled: communication tower BLD90-00696 GAYLORD BRO CO.(KSTW TV) F Application Received: 10/12/1990 Permit Issued/Case closed: 3/14/1991 Case Finaled: communication tower BLD93-00319 GOLDSPAR COMMUNICATIONS F Application Received: 5/17/1993 Permit Issued/Case closed: 5/18/1993 Case Finaled: 6/28/1994 tower&accessory building BLD93-00319 GOLDSPAR COMMUNICATIONS F Application Received: 5/17/1993 Permit Issued/Case closed: 5/18/1993 Case Finaled: 6/28/1994 tower& accessory building BLD93-00319 GOLDSPAR COMMUNICATIONS F Application Received: 5/17/1993 Permit Issued/Case closed: 5/18/1993 Case Finaled: 6/28/1994 tower&accessory building BLD93-00319 GOLDSPAR COMMUNICATIONS F Application Received: 5/17/1993 Permit Issued/Case closed: 5/18/1993 Case Finaled: 6/28/1994 tower& accessory building BLD93-00319 GOLDSPAR COMMUNICATIONS F Application Received: 5/17/1993 Permit Issued/Case closed: 5/18/1993 Case Finaled: 6/28/1994 tower&accessory building 11 tidemarkldatalfomis\R_Parcel_CRMLA.rpt 9/24/2013 Page 4 of 16 BLD93-00319 • GOLDSPAR COMMUNICATIONS./ F Application Received: 5/17/1993 Permit Issued/Case closed: 5/18/1993 Case Finaled: 6/28/1994 tower&accessory building IZA94-00024 SIMMONS CELLULAR OF WASE A Application Received: 4/5/1994 Permit Issued/Case closed: 5/25/1994 Case Finaled: IZA94-00024 SIMMONS CELLULAR OF WASF A Application Received: 4/5/1994 Permit Issued/Case closed: 5/25/1994 Case Finaled: IZA94-00024 SIMMONS CELLULAR OF WASF A Application Received: 4/5/1994 Permit Issued/Case closed: 5/25/1994 Case Finaled: IZA94-00024 SIMMONS CELLULAR OF WASF A Application Received: 4/5/1994 Permit Issued/Case closed: 5/25/1994 Case Finaled: IZA94-00024 SIMMONS CELLULAR OF WASE A Application Received: 4/5/1994 Permit Issued/Case closed: 5/25/1994 Case Finaled: IZA94-00024 SIMMONS CELLULAR OF WASE A Application Received: 4/5/1994 Permit Issued/Case closed: 5/25/1994 Case Finaled: M LA01-00596 BLD01-00677 MLA01-00596 STATE OF WASHINGTON-NAT F I F K RUSSELL Application Received: 12/6/2001 Permit Issued/Case closed: 1/8/2002 Case Finaled: 11/1/2002 CHANGE OUT EXIS I ING FUEL TANK BLD01-00677 MLA01-00596 STATE OF WASHINGTON-NAT F I F K RUSSELL Application Received: 12/6/2001 Permit Issued/Case closed: 1/8/2002 Case Finaled: 11/1/2002 CHANGE OUT EXISTING FUEL TANK BLD01-00677 MLA01-00596 STATE OF WASHINGTON-NAT F I F K RUSSELL Application Received: 12/6/2001 Permit Issued/Case closed: 1/8/2002 Case Finaled: 11/1/2002 CHANGE OUT EXISTING FUEL IANK BLD01-00677 MLA01-00596 STATE OF WASHINGTON-NAT R I F K RUSSELL Application Received: 12/6/2001 Permit Issued/Case closed: 1/8/2002 Case Finaled: 11/1/2002 CHANGE OUT EXIS I ING FUEL TANK BLD01-00677 MLA01-00596 STATE OF WASHINGTON-NAT R I F K RUSSELL Application Received: 12/6/2001 Permit Issued/Case closed: 1/8/2002 Case Finaled: 11/1/2002 CHANGE OUT EXIST ING FUEL TANK BLD01-00677 MLA01-00596 STATE OF WASHINGTON-NAT F I F K RUSSELL Application Received: 12/6/2001 Permit Issued/Case closed: 1/8/2002 Case Finaled: 11/1/2002 CHANGE OUT EXIS I ING FUEL TANK MLA03-00429 ZONO3-00060 MLA03-00429 COMMUNICATION SERVICES IN I F S HOSKINS Application Received: 10/13/2003 Permit Issued/Case closed: 12/17/2003 Case Finaled: 1/24/2006 Site Plan Approval Advance Determination (SPAAD) for a collocation for"Rescue 21" on the existing communication facility identified as U.S. Corps of Engineers Maynard Hill Coast Guard Site: The proposal includes extending the guyed tower 60 feet with the highest antenna appurtenance extending to a total structure height of 194 feet. A new 8'x12' pre-fabricated shelter will be placed at the base of the existing tower and wholly within the existing communications site compound. The Administrator has determined this proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. ZONO3-00060 MLA03-00429 COMMUNICATION SERVICES II I F S HOSKINS Application Received: 10/13/2003 Permit Issued/Case closed: 12/17/2003 Case Finaled: 1/24/2006 Site Plan Approval Advance Determination (SPAAD) for a collocation for"Rescue 21" on the existing communication facility identified as U.S. Corps of Engineers Maynard Hill Coast Guard Site: The proposal includes extending the guyed tower 60 feet with the highest antenna appurtenance extending to a total structure height of 194 feet. A new 8'x12' pre-fabricated shelter will be placed at the base of the existing tower and wholly within the existing communications site compound. The Administrator has determined this proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. \\tidemarkldatalforms\R_Parcel_CRMLA.rpt 9/24/2013 Page 5 of 16 ZONO3-00060 MLA03-00429 • COMMUNICATION SERVICES IF I F S HOSKINS Application Received: 10/13/2003 Permit Issued/Case closed: 12/17/2003 Case Finaled: 1/24/2006 Site Plan Approval Advance Determination (SPAAD) for a collocation for"Rescue 21" on the existing communication facility identified as U.S. Corps of Engineers Maynard Hill Coast Guard Site: The proposal includes extending the guyed tower 60 feet with the highest antenna appurtenance extending to a total structure height of 194 feet. A new 8'x12' pre-fabricated shelter will be placed at the base of the existing tower and wholly within the existing communications site compound. The Administrator has determined this proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. ZONO3-00060 MLA03-00429 COMMUNICATION SERVICES IN I F S HOSKINS Application Received: 10/13/2003 Permit Issued/Case closed: 12/17/2003 Case Finaled: 1/24/2006 Site Plan Approval Advance Determination (SPAAD) for a collocation for"Rescue 21" on the existing communication facility identified as U.S. Corps of Engineers Maynard Hill Coast Guard Site: The proposal includes extending the guyed tower 60 feet with the highest antenna appurtenance extending to a total structure height of 194 feet. A new 8'x12' pre-fabricated shelter will be placed at the base of the existing tower and wholly within the existing communications site compound. The Administrator has determined this proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. ZONO3-00060 MLA03-00429 COMMUNICATION SERVICES IN I F S HOSKINS Application Received: 10/13/2003 Permit Issued/Case closed: 12/17/2003 Case Finaled: 1/24/2006 Site Plan Approval Advance Determination (SPAAD) for a collocation for"Rescue 21" on the existing communication facility identified as U.S. Corps of Engineers Maynard Hill Coast Guard Site: The proposal includes extending the guyed tower 60 feet with the highest antenna appurtenance extending to a total structure height of 194 feet. A new 8'x12' pre-fabricated shelter will be placed at the base of the existing tower and wholly within the existing communications site compound. The Administrator has determined this proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. ZONO3-00060 MLA03-00429 COMMUNICATION SERVICES IN I F S HOSKINS Application Received: 10/13/2003 Permit Issued/Case closed: 12/17/2003 Case Finaled: 1/24/2006 Site Plan Approval Advance Determination (SPAAD) for a collocation for"Rescue 21" on the existing communication facility identified as U.S. Corps of Engineers Maynard Hill Coast Guard Site: The proposal includes extending the guyed tower 60 feet with the highest antenna appurtenance extending to a total structure height of 194 feet. A new 8'x12' pre-fabricated shelter will be placed at the base of the existing tower and wholly within the existing communications site compound. The Administrator has determined this proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. M LA04-00472 BLD04-00503 MLA04-00472 STATE OF WASHINGTON-NAT F I F S HOSKINS Application Received: 7/29/2004 Permit Issued/Case closed: 9/3/2004 Case Finaled: 2/23/2005 CO-LOCATE ANTENNA BLD04-00503 MLA04-00472 STATE OF WASHINGTON-NAT F I F S HOSKINS Application Received: 7/29/2004 Permit Issued/Case closed: 9/3;2004 Case Finaled: 2/23/2005 CO-LOCATE ANTENNA BLD04-00503 MLA04-00472 STATE OF WASHINGTON-NAT F I F S HOSKINS Application Received: 7/29/2004 Permit Issued/Case closed: 9/3/2004 Case Finaled: 2/23/2005 CO-LOCATE ANTENNA BLD04-00503 MLA04-00472 STATE OF WASHINGTON-NAT F I F S HOSKINS Application Received: 7/29/2004 Permit Issued/Case closed: 9/3/2004 Case Finaled: 2/23/2005 CO-LOCATE ANTENNA BLD04-00503 MLA04-00472 STATE OF WASHINGTON-NAT F I F S HOSKINS Application Received: 7/29//2004 Permit Issued/Case closed: 9/3/2004 Case Finaled: 2/23/2005 CO-LOCATE ANTENNA BLD04-00503 MLA04-00472 STATE OF WASHINGTON-NAT F I F S HOSKINS Application Received: 7/29/2004 Permit Issued/Case closed: 9/3/2004 Case Finaled: 2/23/2005 CO-LOCATE ANTENNA M LA04-00688 \\tidemark\data\forms\R_Parcel_CRMLA.rpt 9/24/2013 Page 6 of 16 BtD04-00783 MLA04-00688 • STATE OF WASHINGTON-NAT F I F S HOSKINS Application Received: 12/10/2004 Permit Issued/Case closed: 4/4/2005 e Finaled: 7/1/2005 NEW COMMUNICATION SHEL I ER - CO-LOCATE TOWER: Construction of 152 SF communications equipment shelter and co-location of three antennas on the existing 120-foot existing communication facility identified as U.S. Navy Tower at Blyn Mountain: All construction is proposed within the existing 42'-6"x 50'-6"fenced U.S. Navy compound. This proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. BLD04-00783 MLA04-00688 STATE OF WASHINGTON-NAT R I F S HOSKINS Application Received: 12/10/2004 Permit Issued/Case closed: 4/4/2005 Case Finaled: 7/1/2005 NEW COMMUNICATIONTSHELTER - CO-LOCATE TOWER: Construction of 152 SF communications equipment shelter and co-location of three antennas on the existing 120-foot existing communication facility identified as U.S. Navy Tower at Blyn Mountain: All construction is proposed within the existing 42'-6"x 50'-6"fenced U.S. Navy compound. This proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. BLD04-00783 MLA04-00688 STATE OF WASHINGTON-NAT F I F S HOSKINS Application Received: 12/10/2004 Permit Issued/Case closed: 4/4/2005 Case Finaled: 7/1/2005 NEW COMMUNICATION SHEL I ER - CO-LOCATE TOWER: Construction of 152 SF communications equipment shelter and co-location of three antennas on the existing 120-foot existing communication facility identified as U.S. Navy Tower at Blyn Mountain: All construction is proposed within the existing 42'-6"x 50'-6" fenced U.S. Navy compound. This proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. BLD04-00783 MLA04-00688 STATE OF WASHINGTON-NAT R I F S HOSKINS Application Received: 12/10/2004 Permit Issued/Case closed: 4/4/2005 Case Finaled: 7/1/2005 NEW COMMUNICATION SHELi ER -CO-LOCATE TOWER: Construction of 152 SF communications equipment shelter and co-location of three antennas on the existing 120-foot existing communication facility identified as U.S. Navy Tower at Blyn Mountain: All construction is proposed within the existing 42'-6"x 50'-6"fenced U.S. Navy compound. This proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. BLD04-00783 MLA04-00688 STATE OF WASHINGTON-NAT R I F S HOSKINS Application Received: 12/10/2004 Permit Issued/Case closed: 4/4/2005 Case Finaled: 7/1/2005 NEW COMMUNICATION SHEL I ER -CO-LOCATE TOWER: Construction of 152 SF communications equipment shelter and co-location of three antennas on the existing 120-foot existing communication facility identified as U.S. Navy Tower at Blyn Mountain: All construction is proposed within the existing 42'-6" x 50'-6"fenced U.S. Navy compound. This proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. BLD04-00783 MLA04-00688 STATE OF WASHINGTON-NAT F I F S HOSKINS Application Received: 12/10/2004 Permit Issued/Case closed: 4/4/2005 Case Finaled: 7/1/2005 NEW COMMUNICATION SHEL I ER - CO-LOCATE TOWER: Construction of 152 SF communications equipment shelter and co-location of three antennas on the existing 120-foot existing communication facility identified as U.S. Navy Tower at Blyn Mountain: All construction is proposed within the existing 42'-6"x 50'-6" fenced U.S. Navy compound. This proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. M LA06-00098 BLD06-00099 MLA06-00098 NEXTEL WEST CORP F Z LAMP Application Received: 3/8/2006 Permit Issued/Case closed: 4/7/2006 Case Finaled: 9/9/2008 REMOVAL OF 2 EXIS I MICROWAVE DISHES & INSTALL 1 REPLACEMEN I- DISH BLD06-00099 MLA06-00098 NEXTEL WEST CORP F Z LAMP Application Received: 3/8/2006 Permit Issued/Case closed: 4/7/2006 Case Finaled: 9/9/2008 REMOVAL OF 2 EXIS I MICROWAVE DISHES & INSTALL 1 REPLACEMEN f DISH BLD06-00099 MLA06-00098 NEXTEL WEST CORP F Z LAMP Application Received: 3/8/2006 Permit Issued/Case closed: 4/7/2006 Case Finaled: 9/9/2008 REMOVAL OF 2 EXIST-MICROWAVE DISHES & INSTALL 1 REPLACEMEN f DISH BLD06-00099 MLA06-00098 NEXTEL WEST CORP F Z LAMP Application Received: 3/8/2006 Permit Issued/Case closed: 4/7/2006 Case Finaled: 9/9/2008 REMOVAL OF 2 EXIS I MICROWAVE DISHES & INSTALL 1 REPLACEMEN I DISH BLD06-00099 MLA06-00098 NEXTEL WEST CORP F Z LAMP Application Received: 3/8/2006 Permit Issued/Case closed: 4/7/2006 Case Finaled: 9/9/2008 REMOVAL OF 2 EXIS I MICROWAVE DISHES & INSTALL 1 REPLACEMEN f DISH BLD06-00099 MLA06-00098 NEXTEL WEST CORP F Z LAMP Application Received: 3/8/2006 Permit Issued/Case closed: 4/7/2006 Case Finaled: 9/9/2008 REMOVAL OF 2 EXIS(MICROWAVE DISHES & INSTALL 1 REPLACEMEN f DISH \\tidemark\datalforms\R_Parcel_CRMLA.rpt 9/24/2013 Page 7 of 16 MLA07-00527 • ZON07-00072 MLA07-00527 VERIZON WIRELESS III F Application Received: 9/7/2007 Permit Issued/Case closed: 3/10/2008 Case Finaled: 10/29/2009 Verizon Wireless is proposing o construct a cellular communications facility at Maynard Peak. The proposed-Malty would consist of a 245 ft tall steel lattice tower and associated 12 ft x 30 ft equipment shelter within a 125 ft x 45 ft fenced compound. The maximum antenna tip height for this cell-site would be 255 ft. The FAA issued a Determination of No Hazard to Air Navigation on July 10, 2007. The tower is required to be lighted in accordance with the FAA Determination. The subject parcel is approximately 147 acres and is zoned Rural Residential 1:20. The parcel contains other telecommunications towers and associated equipment shelters and buildings. This proposal required a Type III Conditional Use permit review procedure and compliance with the applicable criteria in Chapter 18.42, Jefferson County Code(Personal Wireless Service Facilities). ZON07-00072 MLA07-00527 VERIZON WIRELESS Ill F Application Received: 9/7/2007 Permit Issued/Case closed: 3/10/2008 Case Finaled: 10/29/2009 Verizon Wireless is proposing o construct a cellular communications facility at Maynard Peak. l he proposed facility would consist of a 245 ft tall steel lattice tower and associated 12 ft x 30 ft equipment shelter within a 125 ft x 45 ft fenced compound. The maximum antenna tip height for this cell-site would be 255 ft. The FAA issued a Determination of No Hazard to Air Navigation on July 10, 2007. The tower is required to be lighted in accordance with the FAA Determination. The subject parcel is approximately 147 acres and is zoned Rural Residential 1:20. The parcel contains other telecommunications towers and associated equipment shelters and buildings. This proposal required a Type III Conditional Use permit review procedure and compliance with the applicable criteria in Chapter 18.42, Jefferson County Code(Personal Wireless Service Facilities). ZON07-00072 MLA07-00527 VERIZON WIRELESS III F Application Received: 9/7/2007 Permit Issued/Case closed: 3/10/2008 Case Finaled: 10/29/2009 Verizon Wireless is proposing fo construct a cellular communications facility at Maynard Peak. 1 he proposed facility would consist of a 245 ft tall steel lattice tower and associated 12 ft x 30 ft equipment shelter within a 125 ft x 45 ft fenced compound. The maximum antenna tip height for this cell-site would be 255 ft. The FAA issued a Determination of No Hazard to Air Navigation on July 10, 2007. The tower is required to be lighted in accordance with the FAA Determination. The subject parcel is approximately 147 acres and is zoned Rural Residential 1:20. The parcel contains other telecommunications towers and associated equipment shelters and buildings. This proposal required a Type III Conditional Use permit review procedure and compliance with the applicable criteria in Chapter 18.42, Jefferson County Code(Personal Wireless Service Facilities). ZON07-00072 MLA07-00527 VERIZON WIRELESS III F Application Received: 9/7/2007 Permit Issued/Case closed: 3/10/2008 Case Finaled: 10/29/2009 Verizon Wireless is proinFIcfc57onstruct a cellular communications facility at Maynard Peak. I he proposed facility would consist of a 245 ft tall steel lattice tower and associated 12 ft x 30 ft equipment shelter within a 125 ft x 45 ft fenced compound. The maximum antenna tip height for this cell-site would be 255 ft. The FAA issued a Determination of No Hazard to Air Navigation on July 10, 2007. The tower is required to be lighted in accordance with the FAA Determination. The subject parcel is approximately 147 acres and is zoned Rural Residential 1:20. The parcel contains other telecommunications towers and associated equipment shelters and buildings. This proposal required a Type III Conditional Use permit review procedure and compliance with the applicable criteria in Chapter 18.42, Jefferson County Code(Personal Wireless Service Facilities). ZON07-00072 MLA07-00527 VERIZON WIRELESS 111 F Application Received: 9/7/2007 Permit Issued/Case closed: 3/10/2008 Case Finaled: 10/29/2009 Verizon Wireless is proposing fo construct a cellular communications facility at Maynard Peak. 1 he proposed facility would consist of a 245 ft tall steel lattice tower and associated 12 ft x 30 ft equipment shelter within a 125 ft x 45 ft fenced compound. The maximum antenna tip height for this cell-site would be 255 ft. The FAA issued a Determination of No Hazard to Air Navigation on July 10, 2007. The tower is required to be lighted in accordance with the FAA Determination. The subject parcel is approximately 147 acres and is zoned Rural Residential 1:20. The parcel contains other telecommunications towers and associated equipment shelters and buildings. This proposal required a Type III Conditional Use permit review procedure and compliance with the applicable criteria in Chapter 18.42, Jefferson County Code(Personal Wireless Service Facilities). ZON07-00072 MLA07-00527 VERIZON WIRELESS III F Application Received: 9/7/2007 Permit Issued/Case closed: 3/10/2008 Case Finaled: 10/29/2009 Verizon Wireless is proposing construct a cellular communications facility at Maynard Peak. I he proposed facility would consist of a 245 ft tall steel lattice tower and associated 12 ft x 30 ft equipment shelter within a 125 ft x 45 ft fenced compound. The maximum antenna tip height for this cell-site would be 255 ft. The FAA issued a Determination of No Hazard to Air Navigation on July 10, 2007. The tower is required to be lighted in accordance with the FAA Determination. The subject parcel is approximately 147 acres and is zoned Rural Residential 1:20. The parcel contains other telecommunications towers and associated equipment shelters and buildings. This proposal required a Type III Conditional Use permit review procedure and compliance with the applicable criteria in Chapter 18.42, Jefferson County Code(Personal Wireless Service Facilities). MLA08-00256 \\tidemarkldatalforms\R Parcel_CRMLA.rpt 9/24/2013 Page 8 of 16 BLD08-00224 MLA08-00256 S VERIZON WIRELESS • 1 F Application Received: 5/29/2008 Permit Issued/Case closed: 11/20/2008 Case Finaled: 11/5/2009 245' TOWER W/ANTENNAS AND 12' X 30' EQUIPMENT SHELI ER NO PLUMBING CONDITIONAL USE PERMIT APPROVED UNDER MLA07-00527 (ZON07-00072) BLD08-00224 MLA08-00256 VERIZON WIRELESS I F Application Received: 5/29/2008 Permit Issued/Case closed: 11/20/2008 Case Finaled: 11/5/2009 245' TOWER W/ANTENNAS AND 12' X 30' EQUIPMENT SHELI ER NO PLUMBING CONDITIONAL USE PERMIT APPROVED UNDER MLA07-00527 (ZON07-00072) BLD08-00224 MLA08-00256 VERIZON WIRELESS I F Application Received: 5/29/2008 Permit Issued/Case closed: 11/20/2008 Case Finaled: 11/5/2009 245' TOWER W/ANTENNAS AND 12' X 30' EQUIPMENT SHEL I ER NO PLUMBING CONDITIONAL USE PERMIT APPROVED UNDER MLA07-00527 (ZON07-00072) BLD08-00224 MLA08-00256 VERIZON WIRELESS I F Application Received: 5/29/2008 Permit Issued/Case closed: 11/20/2008 Case Finaled: 11/5/2009 245' TOWER W/ANTENNAS AND 12' X 30' EQUIPMENT SHELI ER NO PLUMBING CONDITIONAL USE PERMIT APPROVED UNDER MLA07-00527 (ZON07-00072) BLD08-00224 MLA08-00256 VERIZON WIRELESS I F Application Received: 5/29/2008 Permit Issued/Case closed: 1 1/20,2008 Case Finaled: 11/5/2009 245' TOWER W/ANTENNAS AND 12'X 30' EQUIPMENT SHEL I ER NO PLUMBING CONDITIONAL USE PERMIT APPROVED UNDER MLA07-00527 (ZON07-00072) BLD08-00224 MLA08-00256 VERIZON WIRELESS I F Application Received: 5/29/2008 Permit Issued/Case closed: 11/20/2008 Case Finaled: 11/5/2009 245' TOWER W/ANTENNAS AND 12' X 30' EQUIPMENT SHELI ER NO PLUMBING CONDITIONAL USE PERMIT APPROVED UNDER MLA07-00527 (ZON07-00072) M LA09-00399 BLD09-00408 MLA09-00399 JEFF COM 911 COMMUNICATIC I F Application Received: 12/9/2009 Permit Issued/Case closed: 2/8/2010 Case Finaled: 2/9/2011 INSTALL NEW EQUIPMEN I SHELTER, GENERATOR, FUEL I'ANK& 8 NEW ANTENNAS FOR JEFF CUM 911 - located within existing compound footprint BLD09-00408 MLA09-00399 JEFF COM 911 COMMUNICATIC I F Application Received: 12/9/2009 Permit Issued/Case closed: 2/8/2010 Case Finaled: 2/9/2011 INSTALL NEW EQUIFTIEN I SHELTER, GENERATOR, FUEL TANK& 8 NEW ANTENNAS FOR JEFF CUM 911 - located within existing compound footprint BLD09-00408 MLA09-00399 JEFF COM 911 COMMUNICATIC I F Application Received: 12/9/2009 Permit Issued/Case closed: 2/8/2010 Case Finaled: 2/9/2011 INSTALL NEW EQUIPMEN I SHELTER, GENERATOR, FUEL TANK& 8 NEW ANTENNAS FOR JEFF COM 911 - located within existing compound footprint BLD09-00408 MLA09-00399 JEFF COM 911 COMMUNICATIO I F Application Received: 12/9/2009 Permit Issued/Case closed: 2/8/2010 Case Finaled: 2/9/2011 INSTALL NEW EQUIPMEN I SHELTER, GENERATOR, FUEL TANK& 8 NEW ANTENNAS FOR JEFF COM 911 - located within existing compound footprint BLD09-00408 MLA09-00399 JEFF COM 911 COMMUNICATIC I F Application Received: 12/9/2009 Permit Issued/Case closed: 2/8/2010 Case Finaled: 2/9/2011 INSTALL NEW EQUIFTICIEN I SHELTER, GENERATOR, FUEL TANK& 8 NEW ANTENNAS FOR JEFF CUM 911 - located within existing compound footprint BLD09-00408 MLA09-00399 JEFF COM 911 COMMUNICATIC I F Application Received: 12/9/2009 Permit Issued/Case closed: 2/8/2010 Case Finaled: 2/9/2011 INSTALL NEW EQUIPMEN I SHELTER, GENERATOR, FUEL TANK& 8 NEW ANTENNAS FOR JEFF CUM 911 - located within existing compound footprint MLA10-00173 BLD10-00145 MLA10-00173 STATE OF WASHINGTON-NAT R I F Application Received: 5/6/2010 Permit Issued/Case closed: 5/24/2010 Case Finaled: 2/9/2011 INSTALL 20' EXTENSION ON EXISTING JEFFCOM 911 TOWER \\tidemark\data\forms\R_Parcel_CRMLA.rpt 9/24/2013 Page 9 of 16 BLD10-00145 MLA10-00173 • STATE OF WASHINGTON-NAT F. I F Application Received: 5/6/2010 Permit Issued/Case closed: 5/24/2010 Case Finaled: 2/9/2011 INSTALL 20' EXTENSION ON EXISTING JEFFCOM 911 TOWER BLD10-00145 MLA10-00173 STATE OF WASHINGTON-NAT F I F Application Received: 5/6/2010 Permit Issued/Case closed: 5/24/2010 Case Finaled: 2/9/2011 INSTALL 20' EXTENSION-077M STI NG JEFFCOM 911 TOWER BLD10-00145 MLA10-00173 STATE OF WASHINGTON-NAT F I F Application Received: 5/6/2010 Permit Issued/Case closed: 5/24/2010 Case Finaled: 2/9/2011 INSTALL 20' EXTENSION ON EXISTING JEFFCOM 911 TOWER BLD10-00145 MLA10-00173 STATE OF WASHINGTON-NAT F I F Application Received: 5/6/2010 Permit Issued/Case closed: 5/24/2010 Case Finaled: 2/9/2011 INSTALL 20' EXTENSION ON EXISTING JEFFCOM 911 TOWER BLD10-00145 MLA10-00173 STATE OF WASHINGTON-NAT F I F Application Received: 5/6/2010 Permit Issued/Case closed: 5/24/2010 Case Finaled: 2/9/2011 INSTALL 20' EXTENSION ON EXISTING JEFFCOM 911 TOWER MLA10-00350 BLD10-00336 MLA10-00350 STATE OF WASHINGTON-NAT F I F Application Received: 9/20/2010 Permit Issued/Case closed: 10/20/2010 Case Finaled: 9/17/2012 SELF STANDING 801- I RADIO I OWER & EQUIPMENT SHED-On October 19, 2010, the UDC;Administrator approved ZON10-00081, a Discretionary"D" Use permit application for processing as a Type !Allowed "Yes" Use. BLD10-00336 MLA10-00350 STATE OF WASHINGTON-NAT F I F Application Received: 9/20/2010 Permit Issued/Case closed: 10/20/2010 Case Finaled: 9/17/2012 SELF STANDING 80F I RADIO I UWER & EQUIPMENT SHED - On October 19, 2010, the UDU Administrator approved ZON10-00081, a Discretionary"D" Use permit application for processing as a Type I Allowed "Yes" Use. BLD10-00336 MLA10-00350 STATE OF WASHINGTON-NAT F I F Application Received: 9/20/2010 Permit Issued/Case closed: 10/20/2010 Case Finaled: 9/17/2012 SELF STANDING 80F f RADIO I UWER & EQUIPMENT SHED - On October 19, 2010, the UDC Administrator approved ZON10-00081, a Discretionary "D" Use permit application for processing as a Type I Allowed "Yes" Use. BLD10-00336 MLA10-00350 STATE OF WASHINGTON-NAT F I F Application Received: 9/20/2010 Permit Issued/Case closed: 10/20/2010 Case Finaled: 9/17/2012 SELF STANDING 80F i RADIO I OWER & EQUIPMENT SHED - On October 19, 2010, the UDC Administrator approved ZON 10-00081, a Discretionary"D" Use permit application for processing as a Type I Allowed "Yes" Use. BLD10-00336 MLA10-00350 STATE OF WASHINGTON-NAT F I F Application Received: 9/20/2010 Permit Issued/Case closed: 10/20/2010 Case Finaled: 9/17/2012 SELF STANDING 80F T RADIO I OWER & EQUIPMENT SHED -On October 19, 2010, the UDU Administrator approved ZON10-00081, a Discretionary"0" Use permit application for processing as a Type I Allowed "Yes" Use. BLD10-00336 MLA10-00350 STATE OF WASHINGTON-NAT F I F Application Received: 9/20/2010 Permit Issued/Case closed: 10/20/2010 Case Finaled: 9/17/2012 SELF STANDING 80F I RADIO I UWER & EQUIPMENT SHED -On October 19, 2010, the UDC Administrator approved ZON10-00081, a Discretionary"D" Use permit application for processing as a Type I Allowed "Yes" Use. PRJ10-00295 MLA10-00350 STATE OF WASHINGTON-NAT F P Application Received: 9/20/2010 Permit Issued/Case closed: Case Finaled: SELF STANDING 80F I RADIO I UWER & EQUIPMENT SHED PRJ10-00295 MLA10-00350 STATE OF WASHINGTON-NAT F P Application Received: 9/20/2010 Permit Issued/Case closed: Case Finaled: SELF STANDING 80F I RADIO I OWER & EQUIPMENT SHED PRJ10-00295 MLA10-00350 STATE OF WASHINGTON-NAT F P Application Received: 9/20/2010 Permit Issued/Case closed: Case Finaled: SELF STANDING 801-I RADIO I OWER & EQUIPMENT SHED PRJ10-00295 MLA10-00350 STATE OF WASHINGTON-NAT F P Application Received: 9/20/2010 Permit Issued/Case closed: Case Finaled: SELF STANDING 80F I RADIO I OWER & EQUIPMENT SHED PRJ10-00295 MLA10-00350 STATE OF WASHINGTON-NAT F P Application Received: 9/20.%2010 Permit Issued/Case closed: Case Finaled: SELF STANDING 80F I RADIO I OWER & EQUIPMENT SHED PRJ10-00295 MLA10-00350 STATE OF WASHINGTON-NAT F P Application Received: 9/20/2010 Permit Issued/Case closed: Case Finaled: SELF STANDING 801-I RADIO I OWER & EQUIPMENT SHED 1l tidemark1data lforms1R_Parcel_CRMLA.rpt 9/24/2013 Page 10 of 16 ZON10-00081 MLA10-00350 STATE OF WASHINGTON-NAT R• II F Application Received: 9/20/2010 Permit Issued/Case closed: Case Finaled: 11/4/2010 80 FOOT RADIO TOWER & EQUIPMENT SHED- In April 2009 the Federal Communications Commission (I-CC) awarded the Port Townsend Seventh-day Adventist Church, a non-profit 501(c)(3) organization, a construction permit to build a full power non-commercial FM radio station with the frequency of 91.1. KROH (Radio of Hope) has as its primary mission the airing of programming that will educate the listening audience in the Christian gospel, family values, lifestyle issues and health principals. Additionally, KROH will provide listeners with additional information of a public service nature such as weather forecasts and alerts as provided by the National weather Service, tsunami warnings, seismic events and related issues concerning homeland security, adverse road conditions, and school closings/delays during severe storm events. KROH will participate in the Emergency Alert System (EAS). KROH's broadcasting area is expected to include at a minimum Port Townsend, Sequim, Whidbey Island, the San Juan Islands, and areas in the vicinity of Stanwood. Siting of the tower and un-manned equipment shelter will be located on Maynard Peak 130 feet south of the Jefferson County tower on land leased by the Department of Natural Resources (DNR). This proposal requires a Type II Discretionary"D" Use permit for an unnamed utility in and Rural Residential 1:20 zone. A SEPA determination of non-significance was issued by DNR as lead agency on September 7, 2010. ZON10-00081 MLA10-00350 STATE OF WASHINGTON-NAT F II F Application Received: 9/20/2010 Pen-nit Issued/Case closed: Case Finaled: 11/4/2010 80 FOOT RADIO TOWER & EQUIPMENT SHED- In April 2009 the Federal Communications Commission (I-CC) awarded the Port Townsend Seventh-day Adventist Church, a non-profit 501(c)(3) organization, a construction permit to build a full power non-commercial FM radio station with the frequency of 91.1. KROH (Radio of Hope) has as its primary mission the airing of programming that will educate the listening audience in the Christian gospel, family values, lifestyle issues and health principals. Additionally, KROH will provide listeners with additional information of a public service nature such as weather forecasts and alerts as provided by the National weather Service, tsunami warnings, seismic events and related issues concerning homeland security, adverse road conditions, and school closings/delays during severe storm events. KROH will participate in the Emergency Alert System(EAS). KROH's broadcasting area is expected to include at a minimum Port Townsend, Sequim, Whidbey Island, the San Juan Islands, and areas in the vicinity of Stanwood. Siting of the tower and un-manned equipment shelter will be located on Maynard Peak 130 feet south of the Jefferson County tower on land leased by the Department of Natural Resources (DNR). This proposal requires a Type II Discretionary"D" Use permit for an unnamed utility in and Rural Residential 1:20 zone. A SEPA determination of non-significance was issued by DNR as lead agency on September 7, 2010. ZON10-00081 MLA10-00350 STATE OF WASHINGTON-NAT R II F Application Received: 9/20/2010 Permit Issued/Case closed: Case Finaled: 11/4/2010 80 FOOT RADIO TOWER&-EQUIPMENT SHED- In April 2009 the Federal Communications Commission (I-CC) awarded the Port Townsend Seventh-day Adventist Church, a non-profit 501(c)(3)organization, a construction permit to build a full power non-commercial FM radio station with the frequency of 91.1. KROH (Radio of Hope) has as its primary mission the airing of programming that will educate the listening audience in the Christian gospel, family values, lifestyle issues and health principals. Additionally, KROH will provide listeners with additional information of a public service nature such as weather forecasts and alerts as provided by the National weather Service, tsunami warnings, seismic events and related issues concerning homeland security, adverse road conditions, and school closings/delays during severe storm events. KROH will participate in the Emergency Alert System (EAS). KROH's broadcasting area is expected to include at a minimum Port Townsend, Sequim, Whidbey Island, the San Juan Islands, and areas in the vicinity of Stanwood. Siting of the tower and un-manned equipment shelter will be located on Maynard Peak 130 feet south of the Jefferson County tower on land leased by the Department of Natural Resources (DNR). This proposal requires a Type II Discretionary"D" Use permit for an unnamed utility in and Rural Residential 1:20 zone. A SEPA determination of non-significance was issued by DNR as lead agency on September 7, 2010. ZON10-00081 MLA10-00350 STATE OF WASHINGTON-NAT R II F Application Received: 9/20/2010 Permit Issued/Case closed: Case Finaled: 11/4/2010 80 FOOT RADIO TOWER&EQUIPMENT SHED- In April 2009 the Federal Communications Commission (I-CC) awarded the Port Townsend Seventh-day Adventist Church, a non-profit 501(c)(3)organization, a construction permit to build a full power non-commercial FM radio station with the frequency of 91.1. KROH (Radio of Hope) has as its primary mission the airing of programming that will educate the listening audience in the Christian gospel, family values, lifestyle issues and health principals. Additionally, KROH will provide listeners with additional information of a public service nature such as weather forecasts and alerts as provided by the National weather Service, tsunami warnings, seismic events and related issues concerning homeland security, adverse road conditions, and school closings/delays during severe storm events. KROH will participate in the Emergency Alert System (EAS). KROH's broadcasting area is expected to include at a minimum Port Townsend, Sequim, Whidbey Island, the San Juan Islands, and areas in the vicinity of Stanwood. Siting of the tower and un-manned equipment shelter will be located on Maynard Peak 130 feet south of the Jefferson County tower on land leased by the Department of Natural Resources (DNR). This proposal requires a Type II Discretionary"D" Use permit for an unnamed utility in and Rural Residential 1:20 zone. A SEPA determination of non-significance was issued by DNR as lead agency on September 7, 2010. 1l tidemark ldatalforms\R_Parcel_CRMLA.rpt 9/24/2013 Page 11 of 16 ZON10-80081 MLA10-00350 • STATE OF WASHINGTON-NAT F. II F Application Received: 9/20/2010 Permit Issued/Case closed: Case Finaled: 11/4/2010 80 FOOT RADIO TOWER & EQUIPMENT SHED - In April 2009 the Federal Communications Commission (I-CC) awarded the Port Townsend Seventh-day Adventist Church, a non-profit 501(c)(3) organization, a construction permit to build a full power non-commercial FM radio station with the frequency of 91.1. KROH (Radio of Hope) has as its primary mission the airing of programming that will educate the listening audience in the Christian gospel, family values, lifestyle issues and health principals. Additionally, KROH will provide listeners with additional information of a public service nature such as weather forecasts and alerts as provided by the National weather Service, tsunami warnings, seismic events and related issues concerning homeland security, adverse road conditions, and school closings/delays during severe storm events. KROH will participate in the Emergency Alert System (EAS). KROH's broadcasting area is expected to include at a minimum Port Townsend, Sequim, Whidbey Island, the San Juan Islands, and areas in the vicinity of Stanwood. Siting of the tower and un-manned equipment shelter will be located on Maynard Peak 130 feet south of the Jefferson County tower on land leased by the Department of Natural Resources (DNR). This proposal requires a Type II Discretionary"D" Use permit for an unnamed utility in and Rural Residential 1:20 zone. A SEPA determination of non-significance was issued by DNR as lead agency on September 7, 2010. ZON10-00081 MLA10-00350 STATE OF WASHINGTON-NAT F II F Application Received: 9/20/2010 Permit Issued/Case closed: Case Finaled: 11/4/2010 80 FOOT RADIO TOWER EQUIPMENT SHED- In April 2009 the Federal Communications Commission (I-CC) awarded the Port Townsend Seventh-day Adventist Church, a non-profit 501(c)(3) organization, a construction permit to build a full power non-commercial FM radio station with the frequency of 91.1. KROH (Radio of Hope) has as its primary mission the airing of programming that will educate the listening audience in the Christian gospel, family values, lifestyle issues and health principals. Additionally, KROH will provide listeners with additional information of a public service nature such as weather forecasts and alerts as provided by the National weather Service, tsunami warnings, seismic events and related issues concerning homeland security, adverse road conditions, and school closings/delays during severe storm events. KROH will participate in the Emergency Alert System (EAS). KROH's broadcasting area is expected to include at a minimum Port Townsend, Sequim, Whidbey Island, the San Juan Islands, and areas in the vicinity of Stanwood. Siting of the tower and un-manned equipment shelter will be located on Maynard Peak 130 feet south of the Jefferson County tower on land leased by the Department of Natural Resources (DNR). This proposal requires a Type II Discretionary"D" Use permit for an unnamed utility in and Rural Residential 1:20 zone. A SEPA determination of non-significance was issued by DNR as lead agency on September 7, 2010. M LA10-00374 BLD10-00361 MLA10-00374 VERIZON WIRELESS I S Application Received: 10/13/2010 Permit Issued/Case closed: 10/18/2011 Case Finaled: CO-LOCATE SIX (6) 1-001 MICROWAVE ANTENNA ON EXIS1 ING I OWER BLD10-00361 MLA10-00374 VERIZON WIRELESS I S Application Received: 10/13/2010 Permit Issued/Case closed: 10/18/2011 Case Finaled: CO-LOCATE SIX (6) I-001 MICROWAVE ANTENNA ON EXIS1 ING 1 OWER BLD10-00361 MLA10-00374 VERIZON WIRELESS I S Application Received: 10/13/2010 Permit Issued/Case closed: 10/18/2011 Case Finaled: CO-LOCATE SIX (6) 1-001 MICROWAVE ANTENNA ON EXISTING TOWER BLD10-00361 MLA10-00374 VERIZON WIRELESS I S Application Received: 10/13/2010 Permit Issued/Case closed: 10/18/2011 Case Finaled: CO-LOCATE SIX (6) 1-001 MICROWAVE ANTENNA ON EXIST ING 1 OWER BLD10-00361 MLA10-00374 VERIZON WIRELESS I S Application Received: 10/13/2010 Permit Issued/Case closed: 10/18/2011 Case Finaled: CO-LOCATE SIX (6) 1-001 MICROWAVE ANTENNA ON EXIS1 ING I OWER BLD10-00361 MLA10-00374 VERIZON WIRELESS I S Application Received: 10/13/2010 Permit Issued/Case closed: 10/18/2011 Case Finaled: CO-LOCATE SIX (6) FOOT MICROWAVE ANTENNA ON EXIS1 ING I OWER M LA11-00094 BLD11-00103 MLA11-00094 VERIZON WIRELESS I R Application Received: 4/27/2011 Permit Issued/Case closed: 3/26/2012 Case Finaled: REMOVE TEN (10) F001 MICROWAVE &ADD NEW EIGHT (8) MICROWAVE ANTENNA DISH ON EXISTING 250' LATTICE TOWER BLD11-00103 MLA11-00094 VERIZON WIRELESS I R Application Received: 4/27/2011 Permit Issued/Case closed: 3/26/2012 Case Finaled: REMOVE TEN (10) F001 MICROWAVE &ADD NEW EIGHT (8) MICROWAVE ANTENNA DISH ON EXISTING 250' LATTICE TOWER \\tidemarkldatalforms\R_Parcel_CRMLA.rpt 9/24/2013 Page 12 of 16 BLD11-00103 MLA11-00094 • VERIZON WIRELESS • I R Application Received: 4/27/2011 Permit Issued/Case closed: 3/26/2012 Case Finaled: REMOVE TEN (10) FUU I MICROWAVE &ADD NEW EIGHT (8) MICROWAVE ANTENNA DISH ON EXISTING 250' LATTICE TOWER BLD11-00103 MLA11-00094 VERIZON WIRELESS I R Application Received: 4/27/2011 Permit Issued/Case closed: 3/26/2012 Case Finaled: REMOVE TEN (10) FUU I MICROWAVE &ADD NEW EIGHT (8) MICROWAVE ANTENNA DISH ON EXISTING 250' LATTICE TOWER BLD11-00103 MLA11-00094 VERIZON WIRELESS I R Application Received: 4/27/2011 Permit Issued/Case closed: 3/26/2012 Case Finaled: REMOVE TEN (10) FUU I MICROWAVE &ADD NEW EIGHT (8) MICROWAVE ANTENNA DISH ON EXISTING 250' LATTICE TOWER BLD11-00103 MLA11-00094 VERIZON WIRELESS I R Application Received: 4/27/2011 Permit Issued/Case closed: 3/26/2012 Case Finaled: REMOVE TEN (10) FOO I MICROWAVE & ADD NEW EIGHT (8) MICROWAVE ANTENNA DISH ON EXISTING 250' LATTICE TOWER M LA11-00095 BLD11-00104 MLA11-00095 VERIZON WIRELESS I S Application Received: 4/27/2011 Permit Issued/Case closed: 10/20/2011 Case Finaled: REPLACE 12 PANEL AN FENNAS ON EXISTING 250' LATTICE UUWER BLD11-00104 MLA11-00095 VERIZON WIRELESS I S Application Received: 4/27/2011 Permit Issued/Case closed: 10/20/2011 Case Finaled: REPLACE 12 PANELAN I ENNAS ON EXISTING 250' LATTICE TOWER BLD11-00104 MLA11-00095 VERIZON WIRELESS I S Application Received: 4/27/2011 Permit Issued/Case closed: 10/20/2011 Case Finaled: REPLACE 12 PANELAN I ENNAS ON EXISTING 250' LATTICE TOWER BLD11-00104 MLA11-00095 VERIZON WIRELESS I S Application Received: 4/27/2011 Permit Issued/Case closed: 10/20/2011 Case Finaled: REPLACE 12 PANELAN I ENNAS ON EXISTING 250' LATTICE TOWER BLD11-00104 MLA11-00095 VERIZON WIRELESS I S Application Received: 4/27/2011 Permit Issued/Case closed: 10/20/2011 Case Finaled: REPLACE 12 PANEL ANTENNAS ON EXISTING 250' LATTICE TOWER BLD11-00104 MLA11-00095 VERIZON WIRELESS I S Application Received: 4/27/2011 Permit Issued/Case closed: 10/20/2011 Case Finaled: REPLACE 12 PANEL AN I ENNAS ON EXISTING 250' LATTICE TOWER M LA11-00149 ZON11-00019 MLA11-00149 VERIZON WIRELESS II A Application Received: 6/30/2011 Permit Issued/Case closed: 8/3/2011 Case Finaled: CONDITIONAL ADMINISTRAI IVE USE PERMIT-Verizon Wireless is proposing to modify an existing cellular communication lattice tower by installing a new 6 foot microwave at 55 feet, new 8 foot microwave at 180 foot and removal of a 10 foot microwave at 245 feet. This proposal requires a Type II Conditional Administrative "C(a)" Use permit with SEPA review. ZON11-00019 MLA11-00149 VERIZON WIRELESS II A Application Received: 6/30/2011 Permit Issued/Case closed: 8/3/2011 Case Finaled: CONDITIONAL ADMINISTRA IIVE USE PERMIT-Verizon Wireless is proposing to modify an existing cellular communication lattice tower by installing a new 6 foot microwave at 55 feet, new 8 foot microwave at 180 foot and removal of a 10 foot microwave at 245 feet. This proposal requires a Type II Conditional Administrative "C(a)" Use permit with SEPA review. ZON11-00019 MLA11-00149 VERIZON WIRELESS II A Application Received: 6/30/2011 Permit Issued/Case closed: 8/3/2011 Case Finaled: CONDITIONAL ADMINISTRAI IVE USE PERMIT -Verizon Wireless is proposing to modify an existing cellular communication lattice tower by installing a new 6 foot microwave at 55 feet, new 8 foot microwave at 180 foot and removal of a 10 foot microwave at 245 feet. This proposal requires a Type II Conditional Administrative "C(a)" Use permit with SEPA review. ZON11-00019 MLA11-00149 VERIZON WIRELESS II A Application Received: 6/30/2011 Permit Issued/Case closed: 8/3/2011 Case Finaled: CONDITIONAL ADMINISTRA I IVE USE PERMIT-Verizon Wireless is proposing to modify an existing cellular communication lattice tower by installing a new 6 foot microwave at 55 feet, new 8 foot microwave at 180 foot and removal of a 10 foot microwave at 245 feet. This proposal requires a Type II Conditional Administrative "C(a)" Use permit with SEPA review. 1\tidemark\data\forms\R_Parcel_CRMLA.rpt 9/24/2013 Page 13 of 16 ZON11-00019 MLA11-00149 III VERIZON WIRELESS • II A Application Received: 6/30/2011 Permit Issued/Case closed: 8/3/2011 Case Finaled: CONDITIONAL ADMINIS I KAI IVE USE PERMIT-Verizon Wireless is proposing to modify an existing cellular communication lattice tower by installing a new 6 foot microwave at 55 feet, new 8 foot microwave at 180 foot and removal of a 10 foot microwave at 245 feet. This proposal requires a Type II Conditional Administrative "C(a)" Use permit with SEPA review. ZON11-00019 MLA11-00149 VERIZON WIRELESS II A Application Received: 6/30/2011 Permit Issued/Case closed: 8/3/2011 Case Finaled: CONDITIONAL ADMINIS IRA I IVE USE PERMIT-Verizon Wireless is proposing to modify an existing cellular communication lattice tower by installing a new 6 foot microwave at 55 feet, new 8 foot microwave at 180 foot and removal of a 10 foot microwave at 245 feet. This proposal requires a Type II Conditional Administrative "C(a)" Use permit with SEPA review. MLA13-00012 BLD13-00017 MLA13-00012 SPRINT SPECTRUM LLC I A Application Received: 1/16/2013 Permit Issued/Case closed: 2/26/2013 Case Finaled: Building Permit with SEPA: I he proposal is to install three (3) new panel antennas, two (2) new microwave dish antennas, remove six (6) panel antennas on a 100 ft. self-supporting communication tower and replace ground equipment cabinets. The subject parcel is zoned Rural Residential 1:20 and the size of the new antennas is over the size for a microcell as defined in SEPA under WAC 197-11-800(25). As a result, the proposal required review under the State Environmental Policy Act(SEPA). BLD13-00017 MLA13-00012 SPRINT SPECTRUM LLC I A Application Received: 1/16/2013 Permit Issued/Case closed: 2/26/2013 Case Finaled: Building Permit with SEPA: I he proposal is to install three (3) new panel antennas, two (2) new microwave dish antennas, remove six (6) panel antennas on a 100 ft. self-supporting communication tower and replace ground equipment cabinets. The subject parcel is zoned Rural Residential 1:20 and the size of the new antennas is over the size for a microcell as defined in SEPA under WAC 197-11-800(25). As a result, the proposal required review under the State Environmental Policy Act (SEPA). BLD13-00017 MLA13-00012 SPRINT SPECTRUM LLC I A Application Received: 1/16/2013 Permit Issued/Case closed: 2/26/2013 Case Finaled: Building Permit with SEPA: The proposal is to install three (3) new panel antennas, two(2) new microwave dish antennas, remove six (6) panel antennas on a 100 ft. self-supporting communication tower and replace ground equipment cabinets. The subject parcel is zoned Rural Residential 1:20 and the size of the new antennas is over the size for a microcell as defined in SEPA under WAC 197-11-800(25). As a result, the proposal required review under the State Environmental Policy Act (SEPA). BLD13-00017 MLA13-00012 SPRINT SPECTRUM LLC I A Application Received: 1/16/2013 Permit Issued/Case closed: 2/26/2013 Case Finaled: Building Permit with SEPA: I he proposal is to install three (3) new panel antennas, two (2) new microwave dish antennas, remove six (6) panel antennas on a 100 ft. self-supporting communication tower and replace ground equipment cabinets. The subject parcel is zoned Rural Residential 1:20 and the size of the new antennas is over the size for a microcell as defined in SEPA under WAC 197-11-800(25). As a result, the proposal required review under the State Environmental Policy Act(SEPA). BLD13-00017 MLA13-00012 SPRINT SPECTRUM LLC I A Application Received: 1/16/2013 Permit Issued/Case closed: 2/26/2013 Case Finaled: Building Permit with SEPA: I he proposal is to install three (3) new panel antennas, two (2) new microwave dish antennas, remove six (6) panel antennas on a 100 ft. self-supporting communication tower and replace ground equipment cabinets. The subject parcel is zoned Rural Residential 1:20 and the size of the new antennas is over the size for a microcell as defined in SEPA under WAC 197-11-800(25). As a result, the proposal required review under the State Environmental Policy Act (SEPA). BLD13-00017 MLA13-00012 SPRINT SPECTRUM LLC I A Application Received: 1/16/2013 Permit Issued/Case closed: 2/26/2013 Case Finaled: Building Permit with SEPA: I he proposal is to install three (3) new panel antennas, two (2) new microwave dish antennas, remove six (6) panel antennas on a 100 ft. self-supporting communication tower and replace ground equipment cabinets. The subject parcel is zoned Rural Residential 1:20 and the size of the new antennas is over the size for a microcell as defined in SEPA under WAC 197-11-800(25). As a result, the proposal required review under the State Environmental Policy Act(SEPA). PRE07-00013 STATE OF WASHINGTON-NAT F F Z LAMP Application Received: 3/16/2007 Permit Issued/Case closed: 3/29/2007 Case Finaled: Verizon Wireless proposes to construct and operate a wireless communications facility consisting of a 245' tall lattice tower with microwave antennas and panel antennas mounted to the top of the tower and a 12' x 30' equipment shelter located at the base of the tower all of which would be located within a fenced compound. 1\tidemark\data\forms\R_Parcel CRMLA.rpt 9/24/2013 Page 14 of 16 PRE07-00013 • STATE OF WASHINGTON-NAT F. F Z LAMP Application Received: 3/16/2007 Permit Issued/Case closed: 3/29/2007 Case Finaled: Verizon Wireless proposes of construct and operate a wireless communications facility consisting of a 245' tall lattice tower with microwave antennas and panel antennas mounted to the top of the tower and a 12' x 30' equipment shelter located at the base of the tower all of which would be located within a fenced compound. PRE07-00013 STATE OF WASHINGTON-NAT F F Z LAMP Application Received: 3/16/2007 Permit Issued/Case closed: 3/29/2007 Case Finaled: Verizon Wireless proposes to construct and operate a wireless communications facility consisting of a 245' tall lattice tower with microwave antennas and panel antennas mounted to the top of the tower and a 12' x 30' equipment shelter located at the base of the tower all of which would be located within a fenced compound. PRE07-00013 STATE OF WASHINGTON-NAT F F Z LAMP i Application Received: 3/16/2007 Permit Issued/Case closed: 3/29/2007 Case Finaled: Verizon Wireless proposes to construct and operate a wireless communications facility consisting of a 245' tall lattice tower with microwave antennas and panel antennas mounted to the top of the tower and a 12' x 30' equipment shelter located at the base of the tower all of which would be located within a fenced compound. PRE07-00013 STATE OF WASHINGTON-NAT R F Z LAMP Application Received: 3/16/2007 Permit Issued/Case closed: 3/29/2007 Case Finaled: Verizon Wireless proposes to construct and operate a wireless communications facility consisting of a 245' tall lattice tower with microwave antennas and panel antennas mounted to the top of the tower and a 12' x 30' equipment shelter located at the base of the tower all of which would be located within a fenced compound. PRE07-00013 STATE OF WASHINGTON-NAT F F Z LAMP Application Received: 3/16/2007 Permit Issued/Case closed: 3/29/2007 Case Finaled: Verizon Wireless proposes to construct and operate a wireless communications facility consisting of a 245' tall lattice tower with microwave antennas and panel antennas mounted to the top of the tower and a 12' x 30' equipment shelter located at the base of the tower all of which would be located within a fenced compound. PRE10-00021 TOWNSEND SEVENTH DAYADI F Application Received: 7/19/2010 Permit Issued/Case closed: 8/24/2010 Case Finaled: PRE APPLICATION FOR A SELF- STANDING 80FT TOWER PRE10-00021 TOWNSEND SEVENTH DAY AD\ F Application Received: 7/19/2010 Permit Issued/Case closed: 8/24/2010 Case Finaled: PRE APPLICATION FUR A SELF- STANDING 80FT TOWER PRE10-00021 TOWNSEND SEVENTH DAYADI F Application Received: 7/19/2010 Permit Issued/Case closed: 8/24/2010 Case Finaled: PRE APPLICATION FIIR A SELF STANDING 80FT TOWER PRE10-00021 TOWNSEND SEVENTH DAY AD\ F Application Received: 7/19/2010 Permit Issued/Case closed: 8/24/2010 Case Finaled: PRE APPLICATION FOR A SELF STANDING 80FT TOWER PRE10-00021 TOWNSEND SEVENTH DAYADI F Application Received: 7/19/2010 Permit Issued/Case closed: 8/24/2010 Case Finaled: PRE APPLICATION FUR A SELF STANDING 80FT TOWER PRE10-00021 TOWNSEND SEVENTH DAYAD\ F Application Received: 7/19/2010 Permit Issued/Case closed: 8/24/2010 Case Finaled: PRE APPLICATION FDR A SELF STANDING 80FT TOWER PRE11-00017 STATE OF WASHINGTON-NAT F F Application Received: 7/6/2011 Permit Issued/Case closed: 8/2/2011 Case Finaled: PRE APPLICATION FOR NEW MICROWAVE DISH TO REPLACE DISH AT LOWER HEIGHT, REPLACE EXISTING PANEL ANTENNAS & NEW COAX PRE11-00017 STATE OF WASHINGTON-NAT R F Application Received: 7/6/2011 Permit Issued/Case closed: 8/2/2011 Case Finaled: PRE APPLICATION FOR NEW MICROWAVE DISH TO REPLACE EXIS I ING DISH AT LOWER HEIGHT, REPLACE EXISTING PANEL ANTENNAS & NEW COAX PRE11-00017 STATE OF WASHINGTON-NAT R F Application Received: 7/6/2011 Permit Issued/Case closed: 8/2/2011 Case Finaled: PRE APPLICATION FUTIKIEW171CROWAVE DISH TO REPLACE EXIS I ING DISH AT LOWER HEIGHT, REPLACE EXISTING PANEL ANTENNAS & NEW COAX PRE11-00017 STATE OF WASHINGTON-NAT F F Application Received: 7/6/2011 Permit Issued/Case closed: 8/2/2011 Case Finaled: PRE APPLICATION FOR NEW-MICROWAVE DISH TO REPLACE EXIS I ING DISH AT LOWER HEIGHT, REPLACE EXISTING PANEL ANTENNAS & NEW COAX 11tidemark\data\forms\R_Parcel_CRMLA.rpt 9/24/2013 Page 15 of 16 PRE11-00017 STATE OF WASHINGTON-NAT F Application Received: 7/6/2011 Permit Issued/Case closed: 8/2/2011 se Finaled: PRE APPLICATION FOR NEW MICROWAVE DISH TO REPLACE EXIS I ING DISH AT LOWER HEIGHT, REPLACE EXISTING PANEL ANTENNAS & NEW COAX PRE11-00017 STATE OF WASHINGTON-NAT F F Application Received: 7/6/2011 Permit Issued/Case closed: 8/2/2011 Case Finaled: PRE APPLICATION FOR NEW-IMIICROWAVE DISH TO REPLACE EXIS I ING DISH AT LOWER HEIGHT, REPLACE EXISTING PANEL ANTENNAS & NEW COAX \\tidemark\data\forms\R_Parcel_CRMLA.rpt 9/24/2013 Page 16 of 16 • • • 8 mW giRgmg a g -.n ost 'o Ail ,'6m:', '-',' _ 0 ��,5 • gv Ail QCnz H 0 mr2 EWf.i 3., A 6 gP, Em R€ 0f . +-- R Aom m spa �a 4 ' I' 8. _ o II 1 n - a n V p 88 § m g— a m Ni:LO (SE 1/4 9-29N-2W9 26% 268496 V�/J\\\ (NE 1/4 9-29N-2N) P t4 J*O\N N O O Z +' A N O .n > O H A Y O z N F N ~f i m m Zmi..,\ T N W V'O f A Q O V N N O _� P U af0 m_0 N v Z a O N N Z * =o o '* N ' Z N F 15 N 74 o -z m * Z J N 14 N m N N A AN P m\t f p m p N O P o °mm oz,,1 IV MO o * 2° =9, O f * m 1: J+m -.\N 25852? 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Data contained in this map is limited by the method and accuracy of its collection.Thu Sep 26 13:38:23 2013 _ http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 9/26/2013 Y Map Output • • Page 1 of 1 ArcIMS HTML Viewer Ma. , iiiiiiiiiii r +I I 1 I I 1 1 1 1 1' I l � { i + i �1 y 1 - -+ � -------i-- _ _— I I ,F__________, 1 r— C i 1 1 I ------ I' 1 1 i ' I Y - T-___,_ i------ I i - _ - — —T �--- Legend ~ L.--'- - Selected Features - i I F y� // Township Lines I [ JC_Roads � I �� 1- �`—`-� Parcels-H 1 2011 Aerial Photos ti II I ww—„�—-- — - S 4 1 r j New wendrd try Jefferson Cosh Catl&rocas GS FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its orrectness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Sep 26 13:38:58 2013 http://gisserver/servlet/com.e sri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 9/26/2013 Map Output . • Page 1 of 1 ArcIMS HTML Viewer Map • Legend � Selected Features f f6 '�T' *` f Township Lines f 1 f JC_Roads 4t': if F Parcels-H 4 in • f 1 . .ronded .Jellerem Couty Cer4s Senecas-: g/. .;3Bpt1 FOR INFORMATIONAL PURPOSES ONLY- - Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Thu Sep 26 13:39:17 2013 http://gisserver/servlet/com.esri-esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 9/26/2013 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map .., il I II r rl t , — L �� — --- t —i-- - r Legend — Solicited Features // Township Linos Fl ,,kJ JC Rosda Parcels-hi D I I I . 1 Z 0 iii■Ii■'X8211 I FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. 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Data contained in this map is limited by the method and accuracy of its collection.Thu Sep 26 12:26:16 2013 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 9/26/2013 E Map Output Page 1 of 1 ArcIMS HTML Viewer Map i I, V A .tI �I t - 14./ ----)--) 1 I I I .< . 4 _ r 1 — — 1 Legend Selected Features Township Lines JC_Roads ii Parcels-H f DNR Streams ; Type I4/ Type S -< Tye i p Type k i r��/ Type t + Other A(I): ! ----\\ ...... .,, . %ter,"wetted ey le9a a e sun CMt/Ctri Sewer tl5 ,_ •� 1 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Sep 26 12:26:35 2013 http://gisserver/servl et/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion°4.... 9/26/2013 Map Output • Page 1 of 1 ArcIMS HTML Viewer Map 1y I i I Legend _--- -° Selected Features Township Lines JC_Roads Parcels.H Landslide Hazard 5'oes uqn Meacrsa �,..,, ... _. Sipm 0 I a . *A:ci-ro-ad St:dbsm Cast,Cana Sr.:ces QS i-1382[1 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Sep 26 13:11:31 2013 http://gi sserver/servlet/com.e sri.esrimap.Esrimap?ServiceN ame=ovmap&ClientV ersio n=4.... 9/26/2013 Map Output • Page 1 of 1 ArcIMS HTML Viewer Map ' )' 1 1 1 — Legend Selected Features Township Lines JC_Roads -t Pareels+l Ill Ennio%Huard II I. --- 1 ti 7 1 ___ c, I v %I U.o ockbl by Jefra'Canty CentN Sexces GIS _-13132h g FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Sep 26 13:11:59 2013 http://g i sserver/servlet/com.esri.esrimap.Esrimap?S ervic eName=ovmap&ClientV ersion=4.... 9/26/2013 � t J B• UILDING PERMIT APPLICAfON BLD13-00293 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD13-00293 Received Date: 9/20/2013 SITE ADDRESS: 4261 CASSELARY RD PORT TOWNSEND, 98368 OWNER: STATE OF WASHINGTON-DNR PHONE: PO BOX 47014 OLYMPIA WA 985047014 SUBDIVISION: Block: Lot: T 1+ PARCEL NUMBER: 902103001 Section: 10 Township: 29 N Range: 02 W CONTRACTOR: CORNERSTONE ENGINEERING, INC PHONE: 425-487-1732 6928 WOODENVILLE-REDMOND RD#2 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI Addition of FOUR microwave dishes to existing cell tower. TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP ADD MAIN: INDUSTRIAL: VALUATION 13,600.00 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 $201.00 MEB 09/20/13 145377 Plan Check $130.65 MEB 09/20/13 145377 State Building Code $4.50 MEB 09/20/13 145377 Total: $336.15 11 firlar,nrk\,i�fulv,.rn,e1G RI n Ann RI,4.e4 O/7f1/1R1Z gON c �� • SE33XC104 NW Jefferson Oa. JEFFERSON COUNTY \1 �r7 DEPARTMENT OF COMMUNITY DEVELOPMENT 4 621 Sheridan Street• Port Townsend •Washington 98368 ��:Kyr A ,y, 360/379-4450 • 360/379-4451 Fax *?g4TNO, 0 wtivw.co.jefferson.wa.us/commdevelopment �Master Permit Application MLA: 0/16 13 - Zq3 , Project Description(include separate sheets as necessary): The addition of four microwave dishes to an existing cell tower. Tax Parcel Number: 902103001 Property Size: 14 . 2 acre s uare feet) Site Address and/or Directions to Property: 4261 Casselary Rd. Port Townsend, WA 98368 Property Owner(s)of Record:Washington State Department of Natural Resources Telephone: Fax: email: Mailing Address: PO Box 47014 Olympia, WA 98504 Applicant/Agent(if different from owner): Jesse London (Ryka Consulting) c/o Sprint Telephone: 206-523-1941 Fax: 206-260-7930 emaiolondon @ryka con sulting. con Mailing Address: 918 S . Horton St . #1002 Seattle, WA 98134 What kind of Permit?(Check each box that applies ®Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Re (� ❑Single Family ❑ Modular Attached/Detached ❑Conditional Use[C(a),C(d,l uon�..— -/ ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unname� eat ionCommercial* ❑Special Use(Essential Putilic i ❑ Change of Use ❑Boundary Line Adjustment' I ❑ Address ❑Road Approach ❑Short Plat"* lildlitresre`c 1 1 . 2013❑Home Business ❑Cottage Industry ❑Binding Site Plan`* I, J❑Propane ❑Long Plat'*❑ Sign ❑Planned Rural Residential n ❑Allowed'Tee Use Consistency Analysis ❑Plat Vacation/Alteration*' r r,,,,P;(oi �ry L� � NT ❑Stormwater Management ❑ Shoreline Master Program evisions** ❑Site Plan Approval Advance Determination(SPAAD)* IT Shoreline Management Substantial Development'* ❑Temporary Use ❑Shoreline Management Variance Di Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request "'Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 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 require later ins ctions,. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application'that h she wattt"S prior notice. Signature: 1% /L Date: 6 9 //-- ---// (3 The action or actions plicant 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,p�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 jr(F.ompliance wilh 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 signls and dates it below. Signature: l - 9 /l } i 7� �� , z Date: b r G:\PemtitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • .. II BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of parcel referenced herein,tha t t h ey are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: TBD (will notify upon issuance) ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: Cornerstone Engineering, Inc PHONE (425) 487-1732 FAX:( ) MAILINGADDRESS-6928 Woodinville-Redmond Rd. 1t21ltMAIL Project Type: Frame Type: Bathrooms: N/A Shoreline: Type of Sewage Disposal: u New ❑ Wood Existing: n Sewer N/A Addition ❑ Steel Proposed: Bank El Community System a Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System El Repair ❑ Masonry N A SEP Permit# Demolition a Other. Bedrooms: N/A Water Supply: Tower Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public N/A Total: Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: N/A Proposed: N/A Number of ADA Parking Spaces: N/A Number of occupants(includes owners,tenants,employees,etc) Current N/A proposed N/A IBC Occupancy: N/A IBC Type of construction: Te 1 ecomm. Will you have Food Service? Yes I No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: N/A I Underground Tank I Above ground Tank Size of Propane Tank: Heat Stove I Cook Stove I Woodstove 1 Fireplace Insert I Hot Water Tank I Pellet Stove I Other Is this appliance being installed in a Manufactured!Mobile Home? Yes / No N/A 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, incfudin• the reserve area. N ssr`ba... 4{ , - ♦ m7 va ' tg t S•uare Foota•e Current Pro posed � �Am x4 1� tt � 1F 1 Main Floor Heated aA EH Bid App Review: i 241 Floor Heated s'coklqilft, Consistency Review:44Other Heated - Base fee: x ' Mezzanine `g 's Additional Section: Heated Basement 4'. 7701,,,0'4. Plan Check fee: Unheated Basement State Surcharge fee: 9 Other Unheated r%T.I't?ii,tit Pot Water Review fee: Garage/Carport l SUBTOTAL Deckst `rte, 911/Rd Approach fee: r Others is TOTAL: $ Four microwave dishes a# t, At Receipt Number: Cash/Check Number. •r ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish $13 , 600 Initials: • G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc N 0) V/ —I of y n m <Ir m Zm m0 0) { r— I Nmv . D Dan Z om, 4 O z D Z ^mi 0 O 0 D I o M , I m1 z V W r- Im I A O b � II I I I II - �1 111/ 1/ 1 I I _'4 I t— I - _ PROPERTY LIN t2875') 10.9 _�-��__ 1 �0 O w N m m C � I ,1- A IWa O W �� Y W T D 1- ( I 1 yQ o w 0 ` i I r� I tn� m 41 I r • _T. 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J AC0^ m 0 o z -t w cess�.tTES I 1 gs 4o1 3a�'m r� • , • {i',3A ti m n� 0> m A_i y0y* • 7 4. 0 = 8~ og p sgp hem I ��� 2 EID ' t g y w O sew IZIi m�> w� • /I xiz ®D a ®D g mom i 1 • o h �� dos 32.g, M A/ co C O Cy i-14, a:m M H KFE 7 t7d� y§ fy. m " S m ■ C rV r -CINKFE to 5 Q "� - NCf r K c.� z j 2 no N g O y m m E 2 Lo N r A y g }9 mi m m D A m ipu 'RI ) i m 3 �f qp� w m 3 1 1 (7T�Ar'Tt, .6 1- 0 gxi z$ QN 71 Z7 4Ft, m m z 7w goz o .n z furl D O "tr N ° z <iz ' g(2'i: <i (n—< 31r u z m � � y m c¢CI g to `• 55y CO CD ✓ = r SUp Front Parcel Reviews Parcel 902103001 Printed: September 24, 2013 • STATE OF WASHINGTON-DNR Site Address: PO BOX 47014 4281 CASSELARY RD EXT OLYMPIA WA 985047014 OLYMPIA, WA 985047014 PORT TOWNSEND WA, 98368 Parcel Number: 902103001 S-T-R: 10-29N-02W Total Acreage 144 Legal Description S10 T29 R2W SW1/4(LS TAX 1) Land Use: 9100 Flood District: Fire District: 5 Planning Area: 5 Flood Map(FIRM)Panel No: 'School District 50 Zoning: P1 I ; 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 poperty lines as identified on theAssessor's 1/4 map) [ ] Legal Access to Property 'FMS NO [ ] Parcel Tags or Scanned Documents YES NO [ ] ESA's: Special Reports Nearby YES ✓NO [ ] Designated Ag YES NJ' [ ] Shoreline Designation: YES N9/ [ ] Shoreline Slope Stability: YES NCB Stream Type:YES Nocc)/ Fish & Wildlife:YES 19/ Wetlands: YES N9. Rare Plants:YES NO Seismic: YES N9/ Landslide: YES Ny Flood: YES Nc9, Erosion: YE,S/ NO Aquifer Rec arge Area:YES N7' SIPZ: no At Risk High Risk Coastal CMZ: n High Risk Moderate RiskDisconnected CMZ Stormwater site plan submitted: YesNo [ ] Forest Lands: F NO / Adjoining Forest Lands: V Commercial/ Rural/ Inholding [ ] Mineral Lands: YES NO [ ] Agricultural Lands: YES N7 [ ] Archaeology: YES N$ [ ] No Shooting Zone: YES N [ ] Stormwater:AWew Impervious Surface Land Disturbing Activity ESA's Stormwater Req's:Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering [ ] Notice Provisions/Disclosure:Airport YES No/ MRL YES N/ Forest Lands [ ] Landscaping Required: Yes Np/ [ ] Parking Spaces Required CO Other I- 1 Building Height: 35'OUBC Standard /\a -f 6 wo atria() ed 6a-1 e d � C`'(�r�i�a r�'✓� , ��v�cu,ed a a Type / - SID [ ] , Impervious Surface coverercentage: \''\\(\ Resource Lands&Public: 10111. Rural Residential: 25% Rural Indu, 1: Per UDC Sec 6.7 Rural Commercial: 600/0 Area of Building Coverage: 60%in Rural Industrial Lands only [ ] Total Building (s) Size: ,.\\ }1 RVC:20,000 SF CC: 5,000 F NC:7,500 SF GC: 10,000 SF All others:subject to septic&water constraint,le specified [ ] Setbacks: Front: ' 1 Left Side: �j 1 Right Side: I Rear: Shoreline Setback: — LSHA Setback: [ ] Road Classification: Road Approach: E dTIN,II NOT REQ'D RAP [ ] SEPA Required: YES EXEMPT [ ] Flood Certificate: .'v \ A [ ] Existing Case(s) & Condition(s): Violations: Yes No (1 [ ] Recorded Date of Subdivision: AFN Over 5yrs°UDC Plat Conditions: 61\.0,-_ <5yrs=Plat Conditions on plat or Old Ordinance [ ] Lots/Require Declaration of Restrictive Covenant YES NO submitted: YES NO [ ] UGA No Protest Agreement YES N, , submitted: YE NO [ ] Site Visit conducted YES N [ ] Require Final Zoning Approval YES N.2- [ ] ADM1N: 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 902103001 1.) WSRC Coaching - 2012-02-21, CZ 08/26/2013 Other Parcel tags found for parcel 902103001 2.) WSRC Coaching - CZ 08/26/2013 Other Parcel tags found for parcel 902103001 3.) WSRC Coaching - 2010-08-31, CZ 09/03/2013 Other Cases Associated with APN 902103001 Cases Name Review Type Status Planner BLD01-00099 ST OF WA NATURAL RECOURC F Application Received: 2/13/2001 Permit Issued/Case closed: 2/13/2001 Case Finaled: 8/2/2001 PROPANE TANK INS IALLATION FOR CELL TOWER EMERGENCY-POWER BLD01-00099 ST OF WA NATURAL RECOURC F Application Received: 2/13/2001 Permit Issued/Case closed: 2/13/2001 Case Finaled: 8/2/2001 PROPANE TANK INS IALLATION FOR CELL TOWER EMERGENCY-POWER BLD01-00099 ST OF WA NATURAL RECOURC F Application Received: 2/13/2001 Permit Issued/Case closed: 2/13/2001 Case Finaled: 8/2/2001 PROPANE TANK INS IALLATION FOR CELL TOWER EMERGENCY-POWER BLD01-00099 ST OF WA NATURAL RECOURC F Application Received: 2/13/2001 Permit Issued/Case closed: 2/13/2001 Case Finaled: 8/2/2001 PROPANE TANK INS IALLATON FOR CELL TOWER EMERGENCY-POWER BLD01-00099 ST OF WA NATURAL RECOURC F Application Received: 2/13/2001 Permit Issued/Case closed: 2/13/2001 Case Finaled: 8/2/2001 PROPANE TANK INS IALLAI ION FOR CELL TOWER EMERGENCY-POWER BLD01-00099 ST OF WA NATURAL RECOURC F Application Received: 2/13/2001 Permit Issued/Case closed: 2/13/2001 Case Finaled: 8/2/2001 PROPANE TANK INS IALLATION FOR CELL TOWER EMERGENCY-POWER BLD13-00293 STATE OF WASHINGTON-DNR P Application Received: 9/20/2013 Permit Issued/Case closed: Case Finaled: Addition of FOUR microwave dishes to existing cell tower. 11tidemark ldatalforms\R_Parcel_CRMLA.rpt 9/24/2013 Page 2 of 16 • DEVELOPMENT REVIEW TIME SIFET Date Time / Comments /OA RO/ 7 / /e) i f/ d0 ,720fS • \\tidemarkl datalforms\R_MLT_Case_CRMIA.rpt September 18,2012 BLD13-00293 • STATE OF WASHINGTON-DNR • p Application Received: 9/20/2013 Permit Issued/Case closed: Case Finaled: Addition of FOUR microwave dishes to existing cell tower. BLD13-00293 STATE OF WASHINGTON-DNR P Application Received: 9/20/2013 Permit Issued/Case closed: Case Finaled: Addition of FOUR microwave dishes to existing cell tower. BLD13-00293 STATE OF WASHINGTON-DNR P Application Received: 9/20/2013 Permit Issued/Case closed: Case Finaled: Addition of FOUR microwave dishes to existing cell tower. BLD13-00293 STATE OF WASHINGTON-DNR P Application Received: 9/20/2013 Permit Issued/Case closed: Case Finaled: Addition of FOUR microwave dishes to existing cell tower. BLD13-00293 STATE OF WASHINGTON-DNR P Application Received: 9/20/2013 Permit Issued/Case closed: Case Finaled: Addition of FOUR microwave dishes to existing cell tower. BLD90-00619 PT TOWNSEND CABLE TV F Application Received: 9/10/1990 Permit Issued/Case closed: 9/11/1990 Case Finaled: installation of cable tv an ennas and microwave transmit site BLD90-00619 PT TOWNSEND CABLE TV F Application Received: 9/10/1990 Permit Issued/Case closed: 9/11/1990 Case Finaled: installation of cable tv antennas and microwave transmit site BLD90-00619 PT TOWNSEND CABLE TV F Application Received: 9/10/1990 Permit Issued/Case closed: 9/11/1990 Case Finaled: installation of cable tv antennas and microwave transmit site BLD90-00619 PT TOWNSEND CABLE TV F Application Received: 9/10/1990 Permit Issued/Case closed: 9/11/1990 Case Finaled: installation of cable tv antennas and microwave transmit site BLD90-00619 PT TOWNSEND CABLE TV F Application Received: 9/10/1990 Permit Issued/Case closed: 9/11/1990 Case Finaled: installation of cable tv antennas and microwave transmit site BLD90-00619 PT TOWNSEND CABLE TV F Application Received: 9/10/1990 Permit Issued/Case closed: 9/11/1990 Case Finaled: installation of cable tv antennas and microwave transmit site BLD95-00443 US WEST NEW VECTOR GROUI F Application Received: 8/2/1995 Permit Issued/Case closed: 8/10/1995 Case Finaled: 10/17/1995 Modify kstw tower& guyed footings/install equip vault BLD95-00443 US WEST NEW VECTOR GROUI F Application Received: 8/2/1995 Permit Issued/Case closed: 8/10/1995 Case Finaled: 10/17/1995 Modify kstw tower&guyed footings/install equip vault BLD95-00443 US WEST NEW VECTOR GROUI F Application Received: 8/2/1995 Permit Issued/Case closed: 8/10/1995 Case Finaled: 10/17/1995 Modify kstw tower& guyed footings/install equip vault BLD95-00443 US WEST NEW VECTOR GROUI F Application Received: 8/2/1995 Permit Issued/Case closed: 8/10/1995 Case Finaled: 10/17/1995 Modify kstw tower&guyed footings/install equip vault BLD95-00443 US WEST NEW VECTOR GROUI F Application Received: 8/2/1995 Permit Issued/Case closed: 8/10/1995 Case Finaled: 10/17/1995 Modify kstw tower& guyed tootings/install equip vault BLD95-00443 US WEST NEW VECTOR GROUI F Application Received: 8/2/1995 Permit Issued/Case closed: 8/10/1995 Case Finaled: 10/17/1995 Modify kstw tower&guyed footings/install equip vault BLD96-00414 ONECOMM CORPORATION F Application Received: 7/3/1996 Permit Issued/Case closed: 7/25/1996 Case Finaled: 3/11/1997 To construct, operate, main ain a mobile radio comm. facility & shed. BLD96-00414 ONECOMM CORPORATION F Application Received: 7/3/1996 Permit Issued/Case closed: 7/25/1996 Case Finaled: 3/11/1997 To construct, operate, maintain a mobile radio comm. facility & shed. BLD96-00414 ONECOMM CORPORATION F Application Received: 7/3/1996 Permit Issued/Case closed: 7/25/1996 Case Finaled: 3/11/1997 To construct, operate, maintain a mobile radio comm. facility &shed. 1\tidemark\data1forms\R_Parcel_CRMLA.rpt 9/24/2013 Page 3 of 16 BLD96-00414 • ONECOMM CORPORATION • F Application Received: 7/3/1996 Permit Issued/Case closed: 7/25/1996 Case Finaled: 3/11/1997 To construct, operate, mailn a mobile radio comm. facility &shed. BLD96-00414 ONECOMM CORPORATION F Application Received: 7/3/1996 Permit Issued/Case closed: 7/25/1996 Case Finaled: 3/11/1997 To construct, operate, maintain a mobile radio comm. facility& shed. BLD96-00414 ONECOMM CORPORATION F Application Received: 7/3/1996 Permit Issued/Case closed: 7/25/1996 Case Finaled: 3/11/1997 To construct, operate, maintain a mobile radio comm. facility & shed. PRE99-00051 VOICE STREAM WIRELESS M M FARFAN Application Received: 9/9/1999 Permit Issued/Case closed: 10/5/1999 Case Finaled: Undecided. PRE99-00051 VOICE STREAM WIRELESS M M FARFAN Application Received: 9/9/1999 Permit Issued/Case closed: 10/5/1999 Case Finaled: Undecided. PRE99-00051 VOICE STREAM WIRELESS M M FARFAN Application Received: 9/9/1999 Permit Issued/Case closed: 10/5/1999 Case Finaled: Undecided. PRE99-00051 VOICE STREAM WIRELESS M M FARFAN Application Received: 9/9/1999 Permit Issued/Case closed: 10/5/1999 Case Finaled: Undecided. PRE99-00051 VOICE STREAM WIRELESS M M FARFAN Application Received: 9/9/1999 Permit Issued/Case closed: 10/5/1999 Case Finaled: Undecided. PRE99-00051 VOICE STREAM WIRELESS M M FARFAN Application Received: 9/9/1999 Permit Issued/Case closed: 10/5/1999 Case Finaled: Undecided. BLD90-00696 GAYLORD BRO CO.(KSTW TV) F Application Received: 10/12/1990 Permit Issued/Case closed: 3/14/1991 Case Finaled: communication tower BLD90-00696 GAYLORD BRO CO.(KSTW TV) F Application Received: 10/12/1990 Permit Issued/Case closed: 3/14/1991 Case Finaled: communication tower BLD90-00696 GAYLORD BRO CO.(KSTW TV) F Application Received: 10/12/1990 Permit Issued/Case closed: 3/14/1991 Case Finaled: communication tower BLD90-00696 GAYLORD BRO CO.(KSTW TV) F Application Received: 10/12/1990 Permit Issued/Case closed: 3/14/1991 Case Finaled: communication tower BLD90-00696 GAYLORD BRO CO.(KSTW TV) F Application Received: 10/12/1990 Permit Issued/Case closed: 3/14/1991 Case Finaled: communication tower BLD90-00696 GAYLORD BRO CO.(KSTW TV) F Application Received: 10/12/1990 Permit Issued/Case closed: 3/14/1991 Case Finaled: communication tower BLD93-00319 GOLDSPAR COMMUNICATIONS F Application Received: 5/17/1993 Permit Issued/Case closed: 5/18/1993 Case Finaled: 6/28/1994 tower&accessory building BLD93-00319 GOLDSPAR COMMUNICATIONS F Application Received: 5/17/1993 Permit Issued/Case closed: 5/18/1993 Case Finaled: 6/28/1994 tower&accessory building BLD93-00319 GOLDSPAR COMMUNICATIONS F Application Received: 5/17/1993 Permit Issued/Case closed: 5/18/1993 Case Finaled: 6/28/1994 tower& accessory building BLD93-00319 GOLDSPAR COMMUNICATIONS F Application Received: 5/17/1993 Permit Issued/Case closed: 5/18/1993 Case Finaled: 6/28/1994 tower&accessory building BLD93-00319 GOLDSPAR COMMUNICATIONS F Application Received: 5/17/1993 Permit Issued/Case closed: 5/18/1993 Case Finaled: 6/28/1994 tower&accessory building 1\tidemark\data\forms\R_Parcel_CRMLA.rpt 9/24/2013 Page 4 of 16 BLD93-00319 • GOLDSPAR COMMUNICATIONS• F Application Received: 5/17/1993 Permit Issued/Case closed: 5/18/1993 Case Finaled: 6/28/1994 tower& accessory building IZA94-00024 SIMMONS CELLULAR OF WASE A Application Received: 4/5/1994 Permit Issued/Case closed: 5/25/1994 Case Finaled: IZA94-00024 SIMMONS CELLULAR OF WASh A Application Received: 4/5/1994 Permit Issued/Case closed: 5/25/1994 Case Finaled: IZA94-00024 SIMMONS CELLULAR OF WASh A Application Received: 4/5/1994 Permit Issued/Case closed: 5/25/1994 Case Finaled: IZA94-00024 SIMMONS CELLULAR OF WASE A Application Received: 4/5/1994 Permit Issued/Case closed: 5/25/1994 Case Finaled: IZA94-00024 SIMMONS CELLULAR OF WASE A Application Received: 4/5/1994 Permit Issued/Case closed: 5/25/1994 Case Finaled: IZA94-00024 SIMMONS CELLULAR OF WASE A Application Received: 4/5/1994 Permit Issued/Case closed: 5/25/1994 Case Finaled: M LA01-00596 BLD01-00677 MLA01-00596 STATE OF WASHINGTON-NAT F I F K RUSSELL Application Received: 12/6/2001 Permit Issued/Case closed: 1/8/2002 Case Finaled: 11/1/2002 CHANGE OUT EXIS I IN(.0 FUEL TANK BLD01-00677 MLA01-00596 STATE OF WASHINGTON-NAT F I F K RUSSELL Application Received: 12/6/2001 Permit Issued/Case closed: 1/8/2002 Case Finaled: 11/1/2002 CHANGE OUT EXIS I INC I-UEL TANK BLD01-00677 MLA01-00596 STATE OF WASHINGTON-NAT F I F K RUSSELL Application Received: 12/6/2001 Permit Issued/Case closed: 1/8/2002 Case Finaled: 11/1/2002 CHANGE OUT EXIST ING FUEL TANK BLD01-00677 MLA01-00596 STATE OF WASHINGTON-NAT F I F K RUSSELL Application Received: 12/6/2001 Permit Issued/Case closed: 1/8/2002 Case Finaled: 1 1/1/2002 CHANGE OUT EXISIINCU FUEL TANK BLD01-00677 MLA01-00596 STATE OF WASHINGTON-NAT F I F K RUSSELL Application Received: 12/6/2001 Permit Issued/Case closed: 1/8/2002 Case Finaled: 11/1/2002 CHANGE OUT EXISTING FUEL TANK BLD01-00677 MLA01-00596 STATE OF WASHINGTON-NAT F I F K RUSSELL Application Received: 12/6/2001 Permit Issued/Case closed: 1/8/2002 Case Finaled: 11/1/2002 CHANGE OUT EXISTING FUEL TANK MLA03-00429 ZONO3-00060 MLA03-00429 COMMUNICATION SERVICES lh F S HOSKINS Application Received: 10/13/2003 Permit Issued/Case closed: 12/17/2003 Case Finaled: 1/24/2006 Site Plan Approval Advance Determination (SPAAD) for a collocation for "Rescue 21" on the existing communication facility identified as U.S. Corps of Engineers Maynard Hill Coast Guard Site: The proposal includes extending the guyed tower 60 feet with the highest antenna appurtenance extending to a total structure height of 194 feet. A new 8'x12' pre-fabricated shelter will be placed at the base of the existing tower and wholly within the existing communications site compound. The Administrator has determined this proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. ZONO3-00060 MLA03-00429 COMMUNICATION SERVICES II\ I F S HOSKINS Application Received: 10/13/2003 Permit Issued/Case closed: 12/17/2003 Case Finaled: 1/24/2006 Site Plan Approval Advance Determination (SPAAD)for a collocation for"Rescue 21" on the existing communication facility identified as U.S. Corps of Engineers Maynard Hill Coast Guard Site: The proposal includes extending the guyed tower 60 feet with the highest antenna appurtenance extending to a total structure height of 194 feet. A new 8'x12' pre-fabricated shelter will be placed at the base of the existing tower and wholly within the existing communications site compound. The Administrator has determined this proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. \1tidemark\data\forms\R_Parcel_CRMLA.rpt 9/24/2013 Page 5 of 16 ZONO3-00060 MLA03-00429 5 COMMUNICATION SERVICES IN• I F S HOSKINS Application Received: 10/13/2003 Permit Issued/Case closed: 12/17/2003 Case Finaled: 1/24/2006 Site Plan Approval Advance Determination (SPAAD) for a collocation for"Rescue 21" on the existing communication facility identified as U.S. Corps of Engineers Maynard Hill Coast Guard Site: The proposal includes extending the guyed tower 60 feet with the highest antenna appurtenance extending to a total structure height of 194 feet. A new 8'x12' pre-fabricated shelter will be placed at the base of the existing tower and wholly within the existing communications site compound. The Administrator has determined this proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. ZONO3-00060 MLA03-00429 COMMUNICATION SERVICES IN I F S HOSKINS Application Received: 10/13/2003 Permit Issued/Case closed: 12/17/2003 Case Finaled: 1/24/2006 Site Plan Approval Advance Determination (SPAAD) for a collocation for"Rescue 21" on the existing communication facility identified as U.S. Corps of Engineers Maynard Hill Coast Guard Site: The proposal includes extending the guyed tower 60 feet with the highest antenna appurtenance extending to a total structure height of 194 feet. A new 8'x12' pre-fabricated shelter will be placed at the base of the existing tower and wholly within the existing communications site compound. The Administrator has determined this proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. ZONO3-00060 MLA03-00429 COMMUNICATION SERVICES IF' I F S HOSKINS Application Received: 10/13/2003 Permit Issued/Case closed: 12/17/2003 Case Finaled: 1/24/2006 Site Plan Approval Advance Determination (SPAAD) for a collocation for "Rescue 21"on the existing communication facility identified as U.S. Corps of Engineers Maynard Hill Coast Guard Site: The proposal includes extending the guyed tower 60 feet with the highest antenna appurtenance extending to a total structure height of 194 feet. A new 8'x12' pre-fabricated shelter will be placed at the base of the existing tower and wholly within the existing communications site compound. The Administrator has determined this proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. ZONO3-00060 MLA03-00429 COMMUNICATION SERVICES IN I F S HOSKINS Application Received: 10/13/2003 Permit Issued/Case closed: 12/17/2003 Case Finaled: 1/24/2006 Site Plan Approval Advance Determination (SPAAD) for a collocation for"Rescue 21" on the existing communication facility identified as U.S. Corps of Engineers Maynard Hill Coast Guard Site: The proposal includes extending the guyed tower 60 feet with the highest antenna appurtenance extending to a total structure height of 194 feet. A new 8'x12' pre-fabricated shelter will be placed at the base of the existing tower and wholly within the existing communications site compound. The Administrator has determined this proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. M LA04-00472 BLD04-00503 MLA04-00472 STATE OF WASHINGTON-NAT F I F S HOSKINS Application Received: 7/29/2004 Permit Issued/Case closed: 9/3/2004 Case Finaled: 2/23/2005 CO-LOCATE ANTENNA BLD04-00503 MLA04-00472 STATE OF WASHINGTON-NAT F I F S HOSKINS Application Received: 7/29/2004 Permit Issued/Case closed: 9/3/2004 Case Finaled: 2/23/2005 CO-LOCATE ANTENNA BLD04-00503 MLA04-00472 STATE OF WASHINGTON-NAT F I F S HOSKINS Application Received: 7/29/2004 Permit Issued/Case closed: 9/3/2004 Case Finaled: 2/23/2005 CO-LOCATE ANTENNA BLD04-00503 MLA04-00472 STATE OF WASHINGTON-NAT R I F S HOSKINS Application Received: 7/29/2004 Permit Issued/Case closed: 9/3/2004 Case Finaled: 2/23/2005 CO-LOCATE ANTENNA BLD04-00503 MLA04-00472 STATE OF WASHINGTON-NAT F I F S HOSKINS Application Received: 7/29/2004 Permit Issued/Case closed: 9/3/2004 Case Finaled: 2/23/2005 CO-LOCATE ANTENNA BLD04-00503 MLA04-00472 STATE OF WASHINGTON-NAT F I F S HOSKINS Application Received: 7/29/2004 Permit Issued/Case closed: 9/3/2004 Case Finaled: 2/23/2005 CO-LOCATE ANTENNA M LA04-00688 \\tidemark\data\forms\R_Parcel_CRMLA.rpt 9/24/2013 Page 6 of 16 BLD04-00783 MLA04-00688 • STATE OF WASHINGTON-NAT F I F S HOSKINS Application Received: 12/10/2004 Permit Issued/Case closed: 4/4/2005 e Finaled: 7/1/2005 NEW COMMUNICATION SHELI ER - CO-LOCATE TOWER: Construction of 152 SF communications equipment shelter and co-location of three antennas on the existing 120-foot existing communication facility identified as U.S. Navy Tower at Blyn Mountain: All construction is proposed within the existing 42'-6"x 50'-6"fenced U.S. Navy compound. This proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. BLD04-00783 MLA04-00688 STATE OF WASHINGTON-NAT F I F S HOSKINS Application Received: 12/10/2004 Permit Issued/Case closed: 4/4/2005 Case Finaled: 7/1/2005 NEW COMMUNICATION SHELI ER - CO-LOCATE TOWER: Construction of 152 SF communications equipment shelter and co-location of three antennas on the existing 120-foot existing communication facility identified as U.S. Navy Tower at Blyn Mountain: All construction is proposed within the existing 42'-6"x 50'-6" fenced U.S. Navy compound. This proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. BLD04-00783 MLA04-00688 STATE OF WASHINGTON-NAT F I F S HOSKINS Application Received: 12/10/2004 Permit Issued/Case closed: 4/4/2005 Case Finaled: 7/1/2005 NEW COMMUNICATION SHELI ER - CO-LOCATE TOWER: Construction of 152 SF communications equipment shelter and co-location of three antennas on the existing 120-foot existing communication facility identified as U.S. Navy Tower at Blyn Mountain: All construction is proposed within the existing 42'-6"x 50'-6" fenced U.S. Navy compound. This proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. BLD04-00783 MLA04-00688 STATE OF WASHINGTON-NAT F I F S HOSKINS Application Received: 12/10/2004 Permit Issued/Case closed: 4/4/2005 Case Finaled: 7/1/2005 NEW COMMUNICATION SHELI ER - CO-LOCATE TOWER: Construction of 152 SF communications equipment shelter and co-location of three antennas on the existing 120-foot existing communication facility identified as U.S. Navy Tower at Blyn Mountain: All construction is proposed within the existing 42'-6" x 50'-6"fenced U.S. Navy compound. This proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. BLD04-00783 MLA04-00688 STATE OF WASHINGTON-NAT F 1 F S HOSKINS Application Received: 12/10/2004 Permit Issued/Case closed: 4/4/2005 Case Finaled: 7/1/2005 NEW COMMUNICATION SHELI ER -CO-LOCATE TOWER: Construction of 152 SF communications equipment shelter and co-location of three antennas on the existing 120-foot existing communication facility identified as U.S. Navy Tower at Blyn Mountain: All construction is proposed within the existing 42'-6" x 50'-6" fenced U.S. Navy compound. This proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. BLD04-00783 MLA04-00688 STATE OF WASHINGTON-NAT F I F S HOSKINS Application Received: 12/10/2004 Permit Issued/Case closed: 4/4/2005 Case Finaled: 7/1/2005 NEW COMMUNICATION SHEL I ER -CO-LOCATE TOWER: Construction of 152 SF communications equipment shelter and co-location of three antennas on the existing 120-foot existing communication facility identified as U.S. Navy Tower at Blyn Mountain: All construction is proposed within the existing 42'-6" x 50'-6"fenced U.S. Navy compound. This proposal qualifies as an exemption per Section 18.42.020.b.5 of the Jefferson County Wireless Telecommunication Facilities Ordinance. MLA06-00098 BLD06-00099 MLA06-00098 NEXTEL WEST CORP F Z LAMP Application Received: 3/8/2006 Permit Issued/Case closed: 4/7/2006 Case Finaled: 9/9/2008 REMOVAL OF 2 EXIS I MICROWAVE DISHES & INSTALL 1 REPLACEMEN f DISH BLD06-00099 MLA06-00098 NEXTEL WEST CORP F Z LAMP Application Received: 3/8/2006 Permit Issued/Case closed: 4/7/2006 Case Finaled: 9/9/2008 REMOVAL OF 2 EXISTMICROWAVE DISHES & INSTALL 1 REPLACEMENT DISH BLD06-00099 MLA06-00098 NEXTEL WEST CORP F Z LAMP Application Received: 3/8/2006 Permit Issued/Case closed: 4/7/2006 Case Finaled: 9/9/2008 REMOVAL OF 2 EXIS I MICROWAVE DISHES & INSTALL 1 REFLACEMEN f DISH BLD06-00099 MLA06-00098 NEXTEL WEST CORP F Z LAMP Application Received: 3/8/2006 Permit Issued/Case closed: 4/7/2006 Case Finaled: 9/9/2008 REMOVAL OF 2 EXIS I MICROWAVE DISHES & INSTALL 1 REPLACEMEN f DISH BLD06-00099 MLA06-00098 NEXTEL WEST CORP F Z LAMP Application Received: 3/8/2006 Permit Issued/Case closed: 4/7/2006 Case Finaled: 9/9/2008 REMOVAL OF 2 EXIS I MICROWAVE DISHES & INSTALL 1 REPLACEMEN f DISH BLD06-00099 MLA06-00098 NEXTEL WEST CORP F Z LAMP Application Received: 3/8/2006 Permit Issued/Case closed: 4/7/2006 Case Finaled: 9/9/2008 REMOVAL OF 2 EXIS I MICROWAVE DISHES & INSTALL 1 REPLACEMEN f DISH 1\tidemark\data\forms\R_Parcel_CRMLA.rpt 9/24/2013 Page 7 of 16 M LA07-00527 • . ZON07-00072 MLA07-00527 VERIZON WIRELESS III F Application Received: 9/7/2007 Permit Issued/Case closed: 3/10/2008 Case Finaled: 10/29/2009 Verizon Wireless is proposing o construct a cellular communications facility at Maynard Peak. 1 he proposed facility would consist of a 245 ft tall steel lattice tower and associated 12 ft x 30 ft equipment shelter within a 125 ft x 45 ft fenced compound. The maximum antenna tip height for this cell-site would be 255 ft. The FAA issued a Determination of No Hazard to Air Navigation on July 10, 2007. The tower is required to be lighted in accordance with the FAA Determination. The subject parcel is approximately 147 acres and is zoned Rural Residential 1:20. The parcel contains other telecommunications towers and associated equipment shelters and buildings. This proposal required a Type III Conditional Use permit review procedure and compliance with the applicable criteria in Chapter 18.42, Jefferson County Code(Personal Wireless Service Facilities). ZON07-00072 MLA07-00527 VERIZON WIRELESS III F Application Received: 9/7/2007 Permit Issued/Case closed: 3/10/2008 Case Finaled: 10/29/2009 Verizon Wireless is proposing o construct a cellular communications tacility at Maynard Peak. The proposed facility would consist of a 245 ft tall steel lattice tower and associated 12 ft x 30 ft equipment shelter within a 125 ft x 45 ft fenced compound. The maximum antenna tip height for this cell-site would be 255 ft. The FAA issued a Determination of No Hazard to Air Navigation on July 10, 2007. The tower is required to be lighted in accordance with the FAA Determination. The subject parcel is approximately 147 acres and is zoned Rural Residential 1:20. The parcel contains other telecommunications towers and associated equipment shelters and buildings. This proposal required a Type III Conditional Use permit review procedure and compliance with the applicable criteria in Chapter 18.42, Jefferson County Code(Personal Wireless Service Facilities). ZON07-00072 MLA07-00527 VERIZON WIRELESS III F Application Received: 9/7/2007 Permit Issued/Case closed: 3/10/2008 Case Finaled: 10/29/2009 Verizon Wireless is proposing onstruct a cellular communications facility at Maynard Peak. (Tiie proposed facility would consist of a 245 ft tall steel lattice tower and associated 12 ft x 30 ft equipment shelter within a 125 ft x 45 ft fenced compound. The maximum antenna tip height for this cell-site would be 255 ft. The FAA issued a Determination of No Hazard to Air Navigation on July 10, 2007. The tower is required to be lighted in accordance with the FAA Determination. The subject parcel is approximately 147 acres and is zoned Rural Residential 1:20. The parcel contains other telecommunications towers and associated equipment shelters and buildings. This proposal required a Type III Conditional Use permit review procedure and compliance with the applicable criteria in Chapter 18.42, Jefferson County Code (Personal Wireless Service Facilities). ZON07-00072 MLA07-00527 VERIZON WIRELESS III F Application Received: 9/7/2007 Permit Issued/Case closed: 3/10/2008 Case Finaled: 10/29/2009 Verizon Wireless is proposing to construct a cellular communications facility at Maynard Peak. (Fe proposed facility would consist of a 245 ft tall steel lattice tower and associated 12 ft x 30 ft equipment shelter within a 125 ft x 45 ft fenced compound. The maximum antenna tip height for this cell-site would be 255 ft. The FAA issued a Determination of No Hazard to Air Navigation on July 10, 2007. The tower is required to be lighted in accordance with the FAA Determination. The subject parcel is approximately 147 acres and is zoned Rural Residential 1:20. The parcel contains other telecommunications towers and associated equipment shelters and buildings. This proposal required a Type III Conditional Use permit review procedure and compliance with the applicable criteria in Chapter 18.42, Jefferson County Code(Personal Wireless Service Facilities). ZON07-00072 MLA07-00527 VERIZON WIRELESS III F Application Received: 9/7/2007 Permit Issued/Case closed: 3/10/2008 Case Finaled: 10/29/2009 Verizon Wireless is proposing fo construct a cellular communications facility at Maynard Peak. fTie proposed facility would consist of a 245 ft tall steel lattice tower and associated 12 ft x 30 ft equipment shelter within a 125 ft x 45 ft fenced compound. The maximum antenna tip height for this cell-site would be 255 ft. The FAA issued a Determination of No Hazard to Air Navigation on July 10, 2007. The tower is required to be lighted in accordance with the FAA Determination. The subject parcel is approximately 147 acres and is zoned Rural Residential 1:20. The parcel contains other telecommunications towers and associated equipment shelters and buildings. This proposal required a Type III Conditional Use permit review procedure and compliance with the applicable criteria in Chapter 18.42, Jefferson County Code(Personal Wireless Service Facilities). ZON07-00072 MLA07-00527 VERIZON WIRELESS III F Application Received: 9/7/2007 Permit Issued/Case closed: 3/10/2008 Case Finaled: 10/29/2009 Verizon Wireless is proposing to construct a cellular communications facility at Maynard Peak. Me proposed facility would consist of a 245 ft tall steel lattice tower and associated 12 ft x 30 ft equipment shelter within a 125 ft x 45 ft fenced compound. The maximum antenna tip height for this cell-site would be 255 ft. The FAA issued a Determination of No Hazard to Air Navigation on July 10, 2007. The tower is required to be lighted in accordance with the FAA Determination. The subject parcel is approximately 147 acres and is zoned Rural Residential 1:20. The parcel contains other telecommunications towers and associated equipment shelters and buildings. This proposal required a Type III Conditional Use permit review procedure and compliance with the applicable criteria in Chapter 18.42, Jefferson County Code(Personal Wireless Service Facilities). MLA08-00256 \\tidemark\datalforms\R_Parcel_CRMLA.rpt 9/24/2013 Page 8 of 16 BLD08-00224 MLA08-00256 • VERIZON WIRELESS • I F Application Received: 5/29/2008 Permit Issued/Case closed: 11/20/2008 Case Finaled: 11/5/2009 245' TOWER W/ANTENNAS AND 12' X 30' EQUIPMENT SHELI ER NO PLUMBING CONDITIONAL USE PERMIT APPROVED UNDER MLA07-00527 (ZON07-00072) BLD08-00224 MLA08-00256 VERIZON WIRELESS I F Application Received: 5/29/2008 Permit Issued/Case closed: 11/20/2008 Case Finaled: 11/5/2009 245' TOWER W/ANTENNAS AND 12'X 30' EQUIPMENT SHEL I ER NO PLUMBING CONDITIONAL USE PERMIT APPROVED UNDER MLA07-00527 (ZON07-00072) BLD08-00224 MLA08-00256 VERIZON WIRELESS I F Application Received: 5/29/2008 Permit Issued/Case closed: 11/20/2008 Case Finaled: 11/5/2009 245'TOWER W/ANTENNAS AND 12' X 30' EQUIPMENT SHELI ER NO PLUMBING CONDITIONAL USE PERMIT APPROVED UNDER MLA07-00527 (ZON07-00072) BLD08-00224 MLA08-00256 VERIZON WIRELESS I F Application Received: 5/29/2008 Permit Issued/Case closed: 11/20/2008 Case Finaled: 11/5/2009 245' TOWER W/ANTENNAS AND 12' X 30' EQUIPMENT SHELI ER NO PLUMBING CONDITIONAL USE PERMIT APPROVED UNDER MLA07-00527 (ZON07-00072) BLD08-00224 MLA08-00256 VERIZON WIRELESS I F Application Received: 5/29/2008 Permit Issued/Case closed: 1 1/20/2008 Case Finaled: 11/5/2009 245' TOWER W/ANTENNAS AND 12'X 30' EQUIPMENT SHEL I ER NO PLUMBING CONDITIONAL USE PERMIT APPROVED UNDER MLA07-00527 (ZON07-00072) BLD08-00224 MLA08-00256 VERIZON WIRELESS I F Application Received: 5/29/2008 Permit Issued/Case closed: 11/20/2008 Case Finaled: 11/5/2009 245' TOWER W/ANTENNAS AND 12' X 30' EQUIPMENT SHELI ER NO PLUMBING CONDITIONAL USE PERMIT APPROVED UNDER MLA07-00527 (ZON07-00072) M LA09-00399 BLD09-00408 MLA09-00399 JEFF COM 911 COMMUNICATIC I F Application Received: 12/9/2009 Permit Issued/Case closed: 2/8/2010 Case Finaled: 2/9/2011 INSTALL NEW EQUIPMEN I SHELTER, GENERATOR, FUEL TANK& 8 NEW ANTENNAS FOR JEI-I- GUM 011 - located within existing compound footprint BLD09-00408 MLA09-00399 JEFF COM 911 COMMUNICATIC I F Application Received: 12/9/2009 Permit Issued/Case closed: 2/8/2010 Case Finaled: 2/9/2011 INSTALL NEW EQUIPMEN I SHELTER, GENERATOR, FUEL TANK& 8 NEW ANTENNAS FOR JEI-1- GUM 911 - located within existing compound footprint BLD09-00408 MLA09-00399 JEFF COM 911 COMMUNICATIC I F Application Received: 12/9/2009 Permit Issued/Case closed: 2/8/2010 Case Finaled: 2/9/2011 INSTALL NEW EQUIPMEN I SHELTER, GENERATOR, FUEL TANK& 8 NEW ANTENNAS FOR JEFF CUM 911 - located within existing compound footprint BLD09-00408 MLA09-00399 JEFF COM 911 COMMUNICATIC I F Application Received: 12/9/2009 Permit Issued/Case closed: 2/8/2010 Case Finaled: 2/9/2011 INSTALL NEW EQUIPMEN I SHELTER, GENERATOR, FUEL TANK&8 NEW ANTENNAS FOR JEI-I- GUM 911 - located within existing compound footprint BLD09-00408 MLA09-00399 JEFF COM 911 COMMUNICATIC I F Application Received: 12/9/2009 Permit Issued/Case closed: 2/8/2010 Case Finaled: 2/9/2011 INSTALL NEW EQUIPMEN I SHELTER, GENERATOR, FUEL IANK& 8 NEW ANTENNAS FOR JEFF GUM 911 - located within existing compound footprint BLD09-00408 MLA09-00399 JEFF COM 911 COMMUNICATIC I F Application Received: 12/9/2009 Permit Issued/Case closed: 218/2010 Case Finaled: 2/9/2011 INSTALL NEW EQUIPMEN I SHELTER, GENERATOR, FUEL TANK &8 NEW ANTENNAS FOR JEFF CUM 911 - located within existing compound footprint M LA10-00173 BLD10-00145 MLA10-00173 STATE OF WASHINGTON-NAT R I F Application Received: 5/6/2010 Permit Issued/Case closed: 5/24/2010 Case Finaled: 2/9/2011 INSTALL 20' EXTENSION EXISTING JEFFCOM 911 TOWER \\tidemark\data\forms\R_Parcel_CRMLA.rpt 9/24/2013 Page 9 of 16 BLD10-00145 MLA10-00173 S STATE OF WASHINGTON-NAT F• I F Application Received: 5/6/2010 Permit Issued/Case closed: 5/24/2010 Case Finaled: 2/9/2011 INSTALL 20' EXTENSION UN EXISTING JEFFCOM 911 TOWER BLD10-00145 MLA10-00173 STATE OF WASHINGTON-NAT F 1 F Application Received: 5/6/2010 Permit Issued/Case closed: 5/24/2010 Case Finaled: 2/9/2011 INSTALL 20' EXTENSION EXTENSTONTWIPKISTING JEFFCOM 911 TOWER BLD10-00145 MLA10-00173 STATE OF WASHINGTON-NAT F I F Application Received: 5/6/2010 Permit Issued/Case closed: 5/24/2010 Case Finaled: 2/9/2011 INSTALL 20' EXTENSION UN EXISTING JEFFCOM 911 TOWER BLD10-00145 MLA10-00173 STATE OF WASHINGTON-NAT F 1 F Application Received: 5/6/2010 Permit Issued/Case closed: 5/24/2010 Case Finaled: 2/9/2011 INSTALL 20' EXTENSION UN EXISTING JEFFCOM 911 TOWER BLD10-00145 MLA10-00173 STATE OF WASHINGTON-NAT F I F Application Received: 5/6/2010 Permit Issued/Case closed: 5/24/2010 Case Finaled: 2/9/2011 INSTALL 20' EXTENSION JEFFCOM 911 TOWER M LA10-00350 BLD10-00336 MLA10-00350 STATE OF WASHINGTON-NAT F I F Application Received: 9/20/2010 Permit Issued/Case closed: 10/20/2010 Case Finaled: 9/17/2012 SELF STANDING 801- I RADIO I UWER & EQUIPMENT SHED -On October 19, 2010, the UDC Administrator approved ZON10-00081, a Discretionary"D" Use permit application for processing as a Type I Allowed "Yes" Use. BLD10-00336 MLA10-00350 STATE OF WASHINGTON-NAT F I F Application Received: 9/20/2010 Permit Issued/Case closed: 10/20/2010 Case Finaled: 9/17/2012 SELF STANDING 80F I RADIO 1 UWER & EQUIPMENT SHED -On October 19, 2010, the UDC Administrator approved ZON10-00081, a Discretionary"D" Use permit application for processing as a Type !Allowed "Yes" Use. BLD10-00336 MLA10-00350 STATE OF WASHINGTON-NAT F I F Application Received: 9/20/2010 Permit Issued/Case closed: 10/20/2010 Case Finaled: 9/17/2012 SELF STANDING 80F I RADIO I OWER & EQUIPMENT SHED - On October 19, 2010, the UDC Administrator approved ZON10-00081, a Discretionary"D" Use permit application for processing as a Type !Allowed "Yes" Use. BLD10-00336 MLA10-00350 STATE OF WASHINGTON-NAT F I F Application Received: 9/20/2010 Permit Issued/Case closed: 10/20/2010 Case Finaled: 9/17/2012 SELF STANDING 80F I RADIO I UWER & EQUIPMENT SHED -On October 19, 2010, the UDC Administrator approved ZON10-00081, a Discretionary"D" Use permit application for processing as a Type I Allowed "Yes" Use. BLD10-00336 MLA10-00350 STATE OF WASHINGTON-NAT F I F Application Received: 9/20/2010 Permit Issued/Case closed: 10/20/2010 Case Finaled: 9/17/2012 SELF STANDING 80F I RADIO I UWER & EQUIPMENT SHED- On October 19, 2010, the UDC Administrator approved ZON10-00081, a Discretionary "D" Use permit application for processing as a Type I Allowed "Yes" Use. BLD10-00336 MLA10-00350 STATE OF WASHINGTON-NAT F I F Application Received: 9/20/2010 Permit Issued/Case closed: 10/20/2010 Case Finaled: 9/17/2012 SELF STANDING 80F I RADIO I OWER & EQUIPMENT SHED - On October 19, 2010, the UDC;Administrator approved ZON10-00081, a Discretionary "D" Use permit application for processing as a Type I Allowed "Yes" Use. PRJ10-00295 MLA10-00350 STATE OF WASHINGTON-NAT F P Application Received: 9/20/2010 Permit Issued/Case closed: Case Finaled: SELF STANDING 801- I RADIO I UWER & EQUIPMENT SHED PRJ10-00295 MLA10-00350 STATE OF WASHINGTON-NAT F P Application Received: 9/20/2010 Permit Issued/Case closed: Case Finaled: SELF STANDING 80F I RADIO I UWER & EQUIPMENT SHED PRJ10-00295 MLA10-00350 STATE OF WASHINGTON-NAT F P Application Received: 9/20/2010 Permit Issued/Case closed: Case Finaled: SELF STANDING 80F I RADIO I UWER & EQUIPMENT SHED PRJ10-00295 MLA10-00350 STATE OF WASHINGTON-NAT F P Application Received: 9/20/2010 Permit Issued/Case closed: Case Finaled: SELF STANDING 80F I RADIO I OWER & EQUIPMENT SHED PRJ10-00295 MLA10-00350 STATE OF WASHINGTON-NAT F P Application Received: 9/20,/2010 Permit Issued/Case closed: Case Finaled: SELF STANDING 80F I RADIO I OWER & EQUIPMENT SHED PRJ10-00295 MLA10-00350 STATE OF WASHINGTON-NAT F P Application Received: 9/20/2010 Permit Issued/Case closed: Case Finaled: SELF STANDING 80F I RADIO I OWER & EQUIPMENT SHED \\tidemark\data\forms\R_Parcel_CRMLA.rpt 9/24/2013 Page 10 of 16 Z'ON10-00081 MLA10-00350 • STATE OF WASHINGTON-NAT • II F Application Received: 9/20/2010 Permit Issued/Case closed: Case Finaled: 11/4/2010 80 FOOT RADIO TOWER-&-EQUIPMENT SHED- In April 2009 the Federal Communications Commission (I-CC) awarded the Port Townsend Seventh-day Adventist Church, a non-profit 501(c)(3) organization, a construction permit to build a full power non-commercial FM radio station with the frequency of 91.1. KROH (Radio of Hope) has as its primary mission the airing of programming that will educate the listening audience in the Christian gospel, family values, lifestyle issues and health principals. Additionally, KROH will provide listeners with additional information of a public service nature such as weather forecasts and alerts as provided by the National weather Service, tsunami warnings, seismic events and related issues concerning homeland security, adverse road conditions, and school closings/delays during severe storm events. KROH will participate in the Emergency Alert System (EAS). KROH's broadcasting area is expected to include at a minimum Port Townsend, Sequim, Whidbey Island, the San Juan Islands, and areas in the vicinity of Stanwood. Siting of the tower and un-manned equipment shelter will be located on Maynard Peak 130 feet south of the Jefferson County tower on land leased by the Department of Natural Resources (DNR). This proposal requires a Type II Discretionary"D" Use permit for an unnamed utility in and Rural Residential 1:20 zone. A SEPA determination of non-significance was issued by DNR as lead agency on September 7, 2010. ZON10-00081 MLA10-00350 STATE OF WASHINGTON-NAT R II F Application Received: 9/20/2010 Permit Issued/Case closed: Case Finaled: 11/4/2010 80 FOOT RADIO TOWER-&EQUIPMENT SHED - In April 2009 the Federal Communications Commission (I-CC) awarded the Port Townsend Seventh-day Adventist Church, a non-profit 501(c)(3) organization, a construction permit to build a full power non-commercial FM radio station with the frequency of 91.1. KROH (Radio of Hope) has as its primary mission the airing of programming that will educate the listening audience in the Christian gospel, family values, lifestyle issues and health principals. Additionally, KROH will provide listeners with additional information of a public service nature such as weather forecasts and alerts as provided by the National weather Service, tsunami warnings, seismic events and related issues concerning homeland security, adverse road conditions, and school closings/delays during severe storm events. KROH will participate in the Emergency Alert System(EAS). KROH's broadcasting area is expected to include at a minimum Port Townsend, Sequim, Whidbey Island, the San Juan Islands, and areas in the vicinity of Stanwood. Siting of the tower and un-manned equipment shelter will be located on Maynard Peak 130 feet south of the Jefferson County tower on land leased by the Department of Natural Resources (DNR). This proposal requires a Type II Discretionary"D" Use permit for an unnamed utility in and Rural Residential 1:20 zone. A SEPA determination of non-significance was issued by DNR as lead agency on September 7, 2010. ZON10-00081 MLA10-00350 STATE OF WASHINGTON-NAT F II F Application Received: 9/20/2010 Permit Issued/Case closed: Case Finaled: 11/4/2010 80 FOOT RADIO TOWER&EQUIPMENT SHED- In April 2009 the Federal Communications Commission (I-CC) awarded the Port Townsend Seventh-day Adventist Church, a non-profit 501(c)(3) organization, a construction permit to build a full power non-commercial FM radio station with the frequency of 91.1. KROH (Radio of Hope) has as its primary mission the airing of programming that will educate the listening audience in the Christian gospel, family values, lifestyle issues and health principals. Additionally, KROH will provide listeners with additional information of a public service nature such as weather forecasts and alerts as provided by the National weather Service, tsunami warnings, seismic events and related issues concerning homeland security, adverse road conditions, and school closings/delays during severe storm events. KROH will participate in the Emergency Alert System (EAS). KROH's broadcasting area is expected to include at a minimum Port Townsend, Sequim, Whidbey Island, the San Juan Islands, and areas in the vicinity of Stanwood. Siting of the tower and un-manned equipment shelter will be located on Maynard Peak 130 feet south of the Jefferson County tower on land leased by the Department of Natural Resources (DNR). This proposal requires a Type II Discretionary"D" Use permit for an unnamed utility in and Rural Residential 1:20 zone. A SEPA determination of non-significance was issued by DNR as lead agency on September 7, 2010. ZON10-00081 MLA10-00350 STATE OF WASHINGTON-NAT R II F Application Received: 9/20/2010 Permit Issued/Case closed: Case Finaled: 11/4/2010 80 FOOT RADIO TOWER&EQUIPMENT SHED - In April 2009 the Federal Communications Commission (I-CC) awarded the Port Townsend Seventh-day Adventist Church, a non-profit 501(c)(3) organization, a construction permit to build a full power non-commercial FM radio station with the frequency of 91.1. KROH (Radio of Hope) has as its primary mission the airing of programming that will educate the listening audience in the Christian gospel, family values, lifestyle issues and health principals. Additionally, KROH will provide listeners with additional information of a public service nature such as weather forecasts and alerts as provided by the National weather Service, tsunami warnings, seismic events and related issues concerning homeland security, adverse road conditions, and school closings/delays during severe storm events. KROH will participate in the Emergency Alert System(EAS). KROH's broadcasting area is expected to include at a minimum Port Townsend, Sequim, Whidbey Island, the San Juan Islands, and areas in the vicinity of Stanwood. Siting of the tower and un-manned equipment shelter will be located on Maynard Peak 130 feet south of the Jefferson County tower on land leased by the Department of Natural Resources (DNR). This proposal requires a Type II Discretionary"D" Use permit for an unnamed utility in and Rural Residential 1:20 zone. A SEPA determination of non-significance was issued by DNR as lead agency on September 7, 2010. \\tidemark\data\fomrs\R_Parcel_CRMLA.rpt 9/24/2013 Page 11 of 16 ZON10-80081 MLA10-00350 • STATE OF WASHINGTON-NAT Fii) II F Application Received: 9/20/2010 Permit Issued/Case closed: Case Finaled: 11/4/2010 80 FOOT RADIO TOWER & EQUIPMENT SHED- In April 2009 the Federal Communications Commission (I-CC) awarded the Port Townsend Seventh-day Adventist Church, a non-profit 501(c)(3) organization, a construction permit to build a full power non-commercial FM radio station with the frequency of 91.1. KROH (Radio of Hope) has as its primary mission the airing of programming that will educate the listening audience in the Christian gospel, family values, lifestyle issues and health principals. Additionally, KROH will provide listeners with additional information of a public service nature such as weather forecasts and alerts as provided by the National weather Service, tsunami warnings, seismic events and related issues concerning homeland security, adverse road conditions, and school closings/delays during severe storm events. KROH will participate in the Emergency Alert System (EAS). KROH's broadcasting area is expected to include at a minimum Port Townsend, Sequim, Whidbey Island, the San Juan Islands, and areas in the vicinity of Stanwood. Siting of the tower and un-manned equipment shelter will be located on Maynard Peak 130 feet south of the Jefferson County tower on land leased by the Department of Natural Resources (DNR). This proposal requires a Type II Discretionary"D" Use permit for an unnamed utility in and Rural Residential 1:20 zone. A SEPA determination of non-significance was issued by DNR as lead agency on September 7, 2010. ZON10-00081 MLA10-00350 STATE OF WASHINGTON-NAT R II F Application Received: 9/20/2010 Permit Issued/Case closed: Case Finaled: 11/4/2010 80 FOOT RADIO TOWER &-EQUIPMENT SHED- In April 2009 the Federal Communications Commission (I-CC) awarded the Port Townsend Seventh-day Adventist Church, a non-profit 501(c)(3) organization, a construction permit to build a full power non-commercial FM radio station with the frequency of 91.1. KROH (Radio of Hope) has as its primary mission the airing of programming that will educate the listening audience in the Christian gospel, family values, lifestyle issues and health principals. Additionally, KROH will provide listeners with additional information of a public service nature such as weather forecasts and alerts as provided by the National weather Service, tsunami warnings, seismic events and related issues concerning homeland security, adverse road conditions, and school closings/delays during severe storm events. KROH will participate in the Emergency Alert System (EAS). KROH's broadcasting area is expected to include at a minimum Port Townsend, Sequim, Whidbey Island, the San Juan Islands, and areas in the vicinity of Stanwood. Siting of the tower and un-manned equipment shelter will be located on Maynard Peak 130 feet south of the Jefferson County tower on land leased by the Department of Natural Resources (DNR). This proposal requires a Type II Discretionary"D" Use permit for an unnamed utility in and Rural Residential 1:20 zone. A SEPA determination of non-significance was issued by DNR as lead agency on September 7, 2010. M LA10-00374 BLD10-00361 MLA10-00374 VERIZON WIRELESS I S Application Received: 10/13/2010 Permit Issued/Case closed: 10/18/2011 Case Finaled: CO-LOCATE SIX (6) 1-001 MICROWAVE ANTENNA ON EXIS I!NU I OWEN BLD10-00361 MLA10-00374 VERIZON WIRELESS I S Application Received: 10/13/2010 Permit Issued/Case closed: 10/18/2011 Case Finaled: CO-LOCATE SIX(6) FOOT MICROWAVE ANTENNA ON EXIS1 ING I OWEN BLD10-00361 MLA10-00374 VERIZON WIRELESS I S Application Received: 10/13/2010 Permit Issued/Case closed: 10/18/2011 Case Finaled: CO-LOCATE SIX (6) 1-001 MICROWAVE ANTENNA ON EXIS1 ING IOWEFt BLD10-00361 MLA10-00374 VERIZON WIRELESS I S Application Received: 10/13/2010 Permit Issued/Case closed: 10/18/2011 Case Finaled: CO-LOCATE SIX (6) 1-00 I MICROWAVE ANTENNA ON EXIS1 ING I OWEN BLD10-00361 MLA10-00374 VERIZON WIRELESS I S Application Received: 10/13/2010 Permit Issued/Case closed: 10/18/2011 Case Finaled: CO-LOCATE SIX(6) FOOT MICROWAVE ANTENNA ON EXIS1 ING I OWEN BLD10-00361 MLA10-00374 VERIZON WIRELESS I S Application Received: 10/13/2010 Permit Issued/Case closed: 10/18/2011 Case Finaled: CO-LOCATE SIX (6) 1-001 MICROWAVE ANTENNA ON EXIS I!NU I OWEN MLA11-00094 BLD11-00103 MLA11-00094 VERIZON WIRELESS I R Application Received: 4/27/2011 Permit Issued/Case closed: 3/26/2012 Case Finaled: REMOVE TEN (10) FOO I MICROWAVE &ADD NEW EIGHT (ti) MICROWAVE ANTENNA DISH ON EXISTING 250' LATTICE TOWER BLD11-00103 MLA11-00094 VERIZON WIRELESS I R Application Received: 4/27/2011 Permit Issued/Case closed: 3/26/2012 Case Finaled: REMOVE TEN (10) FOO I MICROWAVE &ADD NEW EIGHT (8) MICROWAVE ANTENNA DISH ON EXISTING 250' LATTICE TOWER 1\tidemark\data\forms\R_Parcel_CRMLA.rpt 9/24/2013 Page 12 of 16 BLD11-00103 MLA11-00094 • VERIZON WIRELESS • I R Application Received: 4/27/2011 Permit Issued/Case closed: 3/26/2012 Case Finaled: REMOVE TEN (10) FOOT MICROWAVE & ADD NEW EIGHT (8) MICROWAVE ANTENNA DISH ON EXISTING 250' LATTICE TOWER BLD11-00103 MLA11-00094 VERIZON WIRELESS I R Application Received: 4/27/2011 Permit Issued/Case closed: 3/26/2012 Case Finaled: REMOVE TEN (10) F001 MICROWAVE &ADD NEW EIGHT (8) MICROWAVE ANTENNA DISH ON EXISTING 250' LATTICE TOWER BLD11-00103 MLA11-00094 VERIZON WIRELESS I R Application Received: 4/27/2011 Permit Issued/Case closed: 3/26/2012 Case Finaled: REMOVE TEN (10) F001 MICROWAVE &ADD NEW EIGHT (SAVE ANTENNA DISH ON EXISTING 250' LATTICE TOWER BLD11-00103 MLA11-00094 VERIZON WIRELESS I R Application Received: 4/27/2011 Permit Issued/Case closed: 3/26/2012 Case Finaled: REMOVE TEN (10) FOU I MICROWAVE &ADD NEW EIGHT (8) MICROWAVE ANTENNA DISH ON EXISTING 250' LATTICE TOWER M LA11-00095 BLD11-00104 MLA11-00095 VERIZON WIRELESS I S Application Received: 4/27/2011 Permit Issued/Case closed: 10/20/2011 Case Finaled: REPLACE 12 PANEL AN I ENNAS ON EXISTING 250' LATTICE TOWER BLD11-00104 MLA11-00095 VERIZON WIRELESS I S Application Received: 4/27/2011 Permit Issued/Case closed: 10/20/2011 Case Finaled: REPLACE 12 PANEL AN I ENNAS ON EXISTING 250' LATTICE TOWER BLD11-00104 MLA11-00095 VERIZON WIRELESS I S Application Received: 4/27/2011 Permit Issued/Case closed: 10/20/2011 Case Finaled: REPLACE 12 PANEL AN I ENNAS ON EXISTING 250' LATTICE TOWER BLD11-00104 MLA11-00095 VERIZON WIRELESS I S Application Received: 4/27/2011 Permit Issued/Case closed: 10/20/2011 Case Finaled: REPLACE 12 PANEL ANTENNAS ON EXISTING 250' LATTICE I OWER BLD11-00104 MLA11-00095 VERIZON WIRELESS I S Application Received: 4/27/2011 Permit Issued/Case closed: 10/20/2011 Case Finaled: REPLACE 12 PANEL ANTENNAS ON EXISTING 250' LATTICE TOWER BLD11-00104 MLA11-00095 VERIZON WIRELESS I S Application Received: 4/27/2011 Permit Issued/Case closed: 10/20/2011 Case Finaled: REPLACE 12 PANEL AN I ENNAS ON EXISTING 250' LATTICE TOWER M LA11-00149 ZON11-00019 MLA11-00149 VERIZON WIRELESS II A Application Received: 6/30/2011 Permit Issued/Case closed: 8/3/2011 Case Finaled: CONDITIONAL ADMINIS I RAI IVE USE PERMIT-Verizon Wireless is proposing to modify an existing cellular communication lattice tower by installing a new 6 foot microwave at 55 feet, new 8 foot microwave at 180 foot and removal of a 10 foot microwave at 245 feet. This proposal requires a Type II Conditional Administrative "C(a)" Use permit with SEPA review. ZON11-00019 MLA11-00149 VERIZON WIRELESS II A Application Received: 6/30/2011 Permit Issued/Case closed: 8/3/2011 Case Finaled: CONDITIONAL ADMINIS I RAI IVE USE PERMIT-Verizon Wireless is proposing to modify an existing cellular communication lattice tower by installing a new 6 foot microwave at 55 feet, new 8 foot microwave at 180 foot and removal of a 10 foot microwave at 245 feet. This proposal requires a Type II Conditional Administrative "C(a)" Use permit with SEPA review. ZON11-00019 MLA11-00149 VERIZON WIRELESS II A Application Received: 6/30/2011 Permit Issued/Case closed: 8/3/2011 Case Finaled: CONDITIONAL ADMINIS I RAI IVE USE PERMIT-Verizon Wireless is proposing to modify an existing cellular communication lattice tower by installing a new 6 foot microwave at 55 feet, new 8 foot microwave at 180 foot and removal of a 10 foot microwave at 245 feet. This proposal requires a Type II Conditional Administrative "C(a)" Use permit with SEPA review. ZON11-00019 MLA11-00149 VERIZON WIRELESS II A Application Received: 6/30/2011 Permit Issued/Case closed: 8/3/2011 Case Finaled: CONDITIONAL ADMINIS I RAI IVE USE PERMIT-Verizon Wire ess Ids proposing to modify an existing cellular communication lattice tower by installing a new 6 foot microwave at 55 feet, new 8 foot microwave at 180 foot and removal of a 10 foot microwave at 245 feet. This proposal requires a Type II Conditional Administrative "C(a)" Use permit with SEPA review. \\tidemark\data\forms\R_Parcel_CRMLA.rpt 9/24/2013 Page 13 of 16 ZON11-00019 MLA11-00149 10 VERIZON WIRELESS • II A Application Received: 6/30/2011 Permit Issued/Case closed: 8/3/2011 Case Finaled: CONDITIONAL ADMINIS I RAI IVE USE PERMIT-Verizon ess ids proposing to modify an existing cellular communication lattice tower by installing a new 6 foot microwave at 55 feet, new 8 foot microwave at 180 foot and removal of a 10 foot microwave at 245 feet. This proposal requires a Type II Conditional Administrative "C(a)" Use permit with SEPA review. ZON11-00019 MLA11-00149 VERIZON WIRELESS II A Application Received: 6/30/2011 Permit Issued/Case closed: 8/3/2011 Case Finaled: CONDITIONAL ADMINISTRA IVE USE PERMIT-Verizon Wire ess il—s proposing to modify an existing cellular communication lattice tower by installing a new 6 foot microwave at 55 feet, new 8 foot microwave at 180 foot and removal of a 10 foot microwave at 245 feet. This proposal requires a Type II Conditional Administrative"C(a)" Use permit with SEPA review. M LA13-00012 BLD13-00017 MLA13-00012 SPRINT SPECTRUM LLC I A Application Received: 1/16/2013 Permit Issued/Case closed: 2/26/2013 Case Finaled: Building Permit with SEPA: The proposal is to install three (3) new pane an ennas, two (2) new microwave dish antennas, remove six (6) panel antennas on a 100 ft. self-supporting communication tower and replace ground equipment cabinets. The subject parcel is zoned Rural Residential 1:20 and the size of the new antennas is over the size for a microcell as defined in SEPA under WAC 197-11-800(25). As a result, the proposal required review under the State Environmental Policy Act(SEPA). BLD13-00017 MLA13-00012 SPRINT SPECTRUM LLC I A Application Received: 1/16/2013 Permit Issued/Case closed: 2/26/2013 Case Finaled: Building Permit with SEPA: I he proposal is to install three (3) new panel antennas, two(2) new microwave dish antennas, remove six(6) panel antennas on a 100 ft. self-supporting communication tower and replace ground equipment cabinets. The subject parcel is zoned Rural Residential 1:20 and the size of the new antennas is over the size for a microcell as defined in SEPA under WAC 197-11-800(25). As a result, the proposal required review under the State Environmental Policy Act(SEPA). BLD13-00017 MLA13-00012 SPRINT SPECTRUM LLC I A Application Received: 1/16/2013 Permit Issued/Case closed: 2/26/2013 Case Finaled: Building Permit with SEPA: The proposal is to install three (3) new panel antennas, two(2) new microwave dish antennas, remove six(6) panel antennas on a 100 ft. self-supporting communication tower and replace ground equipment cabinets. The subject parcel is zoned Rural Residential 1:20 and the size of the new antennas is over the size for a microcell as defined in SEPA under WAC 197-11-800(25). As a result, the proposal required review under the State Environmental Policy Act(SEPA). BLD13-00017 MLA13-00012 SPRINT SPECTRUM LLC I A Application Received: 1/16/2013 Permit Issued/Case closed: 2/26/2013 Case Finaled: Building Permit with SEPA: I he proposal is to install three (3) new panel antennas, two(2) new microwave dish antennas, remove six (6) panel antennas on a 100 ft. self-supporting communication tower and replace ground equipment cabinets. The subject parcel is zoned Rural Residential 1:20 and the size of the new antennas is over the size for a microcell as defined in SEPA under WAC 197-11-800(25). As a result, the proposal required review under the State Environmental Policy Act(SEPA). BLD13-00017 MLA13-00012 SPRINT SPECTRUM LLC I A Application Received: 1/16/2013 Permit Issued/Case closed: 2/26/2013 Case Finaled: Building Permit with SEPA: I he proposal is to install three (3) new panel antennas, two(2) new microwave dish antennas, remove six (6) panel antennas on a 100 ft. self-supporting communication tower and replace ground equipment cabinets. The subject parcel is zoned Rural Residential 1:20 and the size of the new antennas is over the size for a microcell as defined in SEPA under WAC 197-11-800(25). As a result, the proposal required review under the State Environmental Policy Act(SEPA). BLD13-00017 MLA13-00012 SPRINT SPECTRUM LLC I A Application Received: 1/16/2013 Permit Issued/Case closed: 2/26/2013 Case Finaled: Building Permit with SEPA: I he proposal is to install three (3) new panel antennas, two(2) new microwave dish antennas, remove six (6) panel antennas on a 100 ft. self-supporting communication tower and replace ground equipment cabinets. The subject parcel is zoned Rural Residential 1:20 and the size of the new antennas is over the size for a microcell as defined in SEPA under WAC 197-11-800(25). As a result, the proposal required review under the State Environmental Policy Act(SEPA). PRE07-00013 STATE OF WASHINGTON-NAT F F Z LAMP Application Received: 3/16/2007 Permit Issued/Case closed: 3/29/2007 Case Finaled: Verizon Wireless proposes to construct and operate a wireless communications facility consisting of a 245' tall lattice tower with microwave antennas and panel antennas mounted to the top of the tower and a 12'x 30' equipment shelter located at the base of the tower all of which would be located within a fenced compound. lltidemarkldata\forms\R_ParceLCRMLA.rpt 9/2412013 Page 14 of 16 PRE07-00013 S STATE OF WASHINGTON-NAT S F Z LAMP Application Received: 3/16/2007 Permit Issued/Case closed: 3/29/2007 Case Finaled: Verizon Wireless proposes to construct and operate a wireless communications facility consisting of a 245'tall lattice tower with microwave antennas and panel antennas mounted to the top of the tower and a 12' x 30' equipment shelter located at the base of the tower all of which would be located within a fenced compound. PRE07-00013 STATE OF WASHINGTON-NAT F F Z LAMP Application Received: 3/16/2007 Permit Issued/Case closed: 3/29/2007 Case Finaled: Verizon Wireless proposes to construct and operate a wireless communications facility consisting of a 245' tall lattice tower with microwave antennas and panel antennas mounted to the top of the tower and a 12'x 30' equipment shelter located at the base of the tower all of which would be located within a fenced compound. PRE07-00013 STATE OF WASHINGTON-NAT F F Z LAMP Application Received: 3/16/2007 Permit Issued/Case closed: 3/29/2007 Case Finaled: Verizon Wireless proposes o construct and operate a wireless communications facility consisting of a 245' tall lattice tower with microwave antennas and panel antennas mounted to the top of the tower and a 12' x 30' equipment shelter located at the base of the tower all of which would be located within a fenced compound. PRE07-00013 STATE OF WASHINGTON-NAT F F Z LAMP Application Received: 3/16/2007 Permit Issued/Case closed: 3/29/2007 Case Finaled: Verizon Wireless proposes to construct and operate a wireless communications facility consisting of a 245' tall lattice tower with microwave antennas and panel antennas mounted to the top of the tower and a 12' x 30' equipment shelter located at the base of the tower all of which would be located within a fenced compound. PRE07-00013 STATE OF WASHINGTON-NAT F F Z LAMP Application Received: 3/16/2007 Permit Issued/Case closed: 3/29/2007 Case Finaled: Verizon Wireless proposes to construct and operate a wireless communications facility consisting of a 245' tall lattice tower with microwave antennas and panel antennas mounted to the top of the tower and a 12' x 30' equipment shelter located at the base of the tower all of which would be located within a fenced compound. PRE10-00021 TOWNSEND SEVENTH DAY AD\ F Application Received: 7/19/2010 Permit Issued/Case closed: 8/24/2010 Case Finaled: PRE APPLICATION FOR ASELF STANDING 80FT TOWER PRE10-00021 TOWNSEND SEVENTH DAY AD F Application Received: 7/19/2010 Permit Issued/Case closed: 8/24/2010 Case Finaled: PRE APPLICATION FOR A SELF STANDING 80FT TOWER PRE10-00021 TOWNSEND SEVENTH DAY AD\ F Application Received: 7/19/2010 Permit Issued/Case closed: 8/24/2010 Case Finaled: PRE APPLICATION FOR A SELF STANDING SOFT TOWER PRE10-00021 TOWNSEND SEVENTH DAY AD\ F Application Received: 7/19/2010 Permit Issued/Case closed: 8/24/2010 Case Finaled: PRE APPLICATION FUR A SELF STANDING 80FT TOWER PRE10-00021 TOWNSEND SEVENTH DAY AD\ F Application Received: 7/19/2010 Permit Issued/Case closed: 8/24/2010 Case Finaled: PRE APPLICATION I-OR A SELF STANDING 80FT TOWER PRE10-00021 TOWNSEND SEVENTH DAY AD\ F Application Received: 7!19,'2010 Permit Issued/Case closed: 8/24/2010 Case Finaled: PRE APPLICATION FOR A SELF STANDING 80FT TOWER PRE11-00017 STATE OF WASHINGTON-NAT F F Application Received: 7/6/2011 Permit Issued/Case closed: 8/2/2011 Case Finaled: PRE APPLICATION roRITIEW171CROWAVE DISH TO REPLACE EXIS I ING DISH AT LOWER HEIGHT, REPLACE EXISTING PANEL ANTENNAS & NEW COAX PRE11-00017 STATE OF WASHINGTON-NAT F F Application Received: 7/6/2011 Permit Issued/Case closed: 8/2/2011 Case Finaled: PRE APPLICATION FOR NEW MICROWAVE DISH TO REPLACE EXIS I ING DISH AT LOWER HEIGHT, REPLACE EXISTING PANEL ANTENNAS & NEW COAX PRE11-00017 STATE OF WASHINGTON-NAT F F Application Received: 7/6/2011 Permit Issued/Case closed: 8/2/2011 Case Finaled: PRE APPLICATION FOR-REW MICROWAVE DISH TO REPLACE EXIS I ING DISH AT LOWER HEIGHT, REPLACE EXISTING PANEL ANTENNAS & NEW COAX PRE11-00017 STATE OF WASHINGTON-NAT F F Application Received: 7/6/2011 Permit Issued/Case closed: 8/2/2011 Case Finaled: PRE APPLICATION FOR NEW MIICROWAVE DISH TO REPLACE EXIS I ING DISH AT LOWER HEIGHT, REPLACE EXISTING PANEL ANTENNAS & NEW COAX 11tidemark\data1forms\R_Parcel_CRMLA.rpt 9/24/2013 Page 15 of 16 PRE11-00017 • STATE OF WASHINGTON-NAT F Application Received: 7/6/2011 Permit Issued/Case closed: 8/2/2011 se Finaled: PRE APPLICATION FLEW MICROWAVE DISH TO REPLACE EXIS I ING DISH AT LOWER HEIGHT, REPLACE EXISTING PANEL ANTENNAS & NEW COAX PRE11-00017 STATE OF WASHINGTON-NAT F F Application Received: 7/6/2011 Permit Issued/Case closed: 8/2/2011 Case Finaled: PRE APPLICATION FOR-NEW-MICROWAVE DISH TO REPLACE EXIS I ING DISH AT LOWER HEIGHT, REPLACE EXISTING PANEL ANTENNAS & NEW COAX \\tidemark\data\forms\R_Parcel_CRMLA.rpt 9/24/2013 Page 16 of 16 . . . . §zl,l,t4!!!! ° 2ll ! • > ; : §;§\§!§[; } �! m§,fr . • !!!!.g- .; ; _ ; : f �' //§GA\ ( § _)) \ ;) !/i}/j m ; G£ { ( ;!! f.-M —; R -{\ (• (�§w!|/{ „ E� / § ! `�9 \a ( ,|!/! - F! § \\ , {/ p = | / : 0 _ ° \ ) E ° ;;4 - 1 ` — J\ ( 1/ < astes o ~` (NE& 1/ , o , - }i ;� , t : °v\ - k •° . ° �) ` \ }k r| , j§ ,/§ • o 7.5 °{7 •\ # 4 / } : . - • 7 ° 00 ` \ / . • » 2 w w G _, ,./\ - LI a m , * / ~ CD iv / k / o M 2 9 o° ) } � k \ / )§ �) v ® = , . . 0 §5 « $ o Map Output • • Page 1 of 1 ArcIMS HTML Viewer Ma. ,MIIIIIIIIirh I i , 1:t —1 Legend Selected Features / Township Lines JC_Roads ParcelsJl I County Zoning I `) MPR"SF Iron ,1 I I---'r--j-- — ! 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Data contained in this map is limited by the method and accuracy of its collection.Thu Sep 26 13:34:56 2013 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 9/26/2013 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map 1 ,, n ,_ . , . . '-%, . . _ Aild'' '' 1 . • \s -. • •,1/2 ,_ . ___,...., -7 . ' z....r 9 r • Legend. . �`1�y !'</ t •�. ',�� Selected Features ,f ; I Township Lines r_ r. .,. ` ..JJ f { /�4 ! J r 1 1 JC Roc ds 511l I t Ili ' ) k .l1'4 ^.- -.,,` !'iy/ /r/i �'7 rt II I. - � I . /r1 \k I \ `'t A, ot..,ld �\ 'I/f:/ t ' ,/ �r r:.. Parcels-H ■ .•• t\ � r ) 1. -.` .."// ,t-. t!/ N/j4.' 11SGS Topos• fi \ `� }\::` -- X1 / !/ �-f ._ . _ r..�- ��i ri / ) l/r/ /---J `7 ,,,al - l ..• 111 ),1 i 3 . 11, ,�I!/ J.f/ r (/' ( if r// /- ' - '�'r . ~ lf) 'l r r I" .'1 1 1 f 1 • l+ /, ks I I ;/, )1 it 1 . As , I ,' /, / ,r, I d /� � t i ,t1 - ' f ■ `, it r .r i.. 1' , ./r _ FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Sep 26 13:38:23 2013 http://gisserver/servlet/com.e sri.e srimap.Esrimap?ServiceName=ovmap&C lient V ersion=4.... 9/26/2013 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Ma. i II ll i i-----1"-----11____ __I----,---r--- 1 II i Iliblarin IZ 1 j ; j,i 1 44- i 1 1 J 1 Il&PX r --- -� ,+- —�i ii , ,' - I �i t-------- t-----.— , Legend "'j Selected Features ■ - 1 _i 7�s - Township Lines 1 I i r 6 i j - - �.d Parcels-I-1 2011 Aerial Photos I I - 1 I 1 —.---__7__i l � 1 tJaa prneded by Jbbam Carry Central Serea CIS - i FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its orrectness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Sep 26 13:38:58 2013 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 9/26/2013 Map Output • . Page 1 of 1 ArcIMS HTML Viewer Map t ,..- r r r�s !' • Legend 1 �.f j Selected Features s ' '. ;! f Township Lines ' ; (d r,L' �/ + , j JC_Rcads -- _. Parcels-H ..22FN2s` -A x yr- Y p .,v' t' y' ,,. '. . ,aa:�atlnaa,Ca n,,ce+.s Sn•.o�FiS „ ,- J •xil!1 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Sep 26 13:39:17 2013 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 9/26/2013 Map Output • Page 1 of 1 ArcIMS HTML Viewer Map . t , , • , ft . J _• i k- ----11 1' 1 ' __ se nd Selected Features I I. �, Township Lines JC_Roads 1 — Parcels-H I i 29N2W I .___ / CI I. n llse:�u:@f<r:_c4-•..ri G'cu cG-r.:r 4�r c�-(�tS �,∎•'.lu,21I p. FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Sep 26 12:25:04 2013 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 9/26/2013 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map v A . •____4_____1_ F il i . _______ , : _i______t_____„_. , • I i -t--7___4_ ___I_____+.____ i 1 1 I ! A 1..1 it + — i! - -,� _ I Legend - Selected Features Towip Lines f JC_ oads i i . ____. Parcelc-H nshR DNS FP Stream Classification I ? N F F MI Nanna _ NN•Non,'MI Neoax -- lor , Alp on+hrl Na1.Paen n uv 00406 IgEiat• easonai l..\ /d ..b..rar.a Swaim 0 L.... .."..----"''''f/ •]L';kr t 1 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Sep 26 12:26:16 2013 http://gisserver/servlet/com.e sri.e srimap.Esrimap?ServiceName=ovmap&C lientV ersion=4.... 9/26/2013 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map \\ \ . I LLJL1 i j \ i I I i_ 1 i I _+_,..______ —______--- --— I r -� Legend ----- Selected Features f Township Lines JC Roads -------- Parcels-H 2942W DNR Streams TYpe9 ./ Typo 5 • �" Typo,. _.— .l Type 1 1 ) - ---- ----,-- N,........\\...„11) . + 01 ha, • • v I 9 Elea worded try Jarrson COirty Cotta Sereoes GM 0i■I".'::- 74 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Sep 26 12:26:35 2013 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 9/26/2013 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map � I? Legend Selected features J f. Township Lines + JC_Roads I Parcels•!i 2WJ2W Landslide Hazard SlqeS Ilgn .._ Moaarma 9pm C.) t,I CCU r:.Gn.a FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Sep 26 13:11:31 2013 http://gisserver/servlet/com.esri.esri map.Esrimap?ServiceName=ovmap&ClientVersion=4.... 9/26/2013 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map Legend " Selected Features f ---- Township Lines • t' JC_Raads -_--- Parcels-H \__-- ■ Erosion Hazard I ? Mars vended by JNersan Corry Ceta Serwas GS v®'3E2/. FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Sep 26 13:11:59 2013 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&C1 ientVersion=4.... 9/26/2013 • B f BUILDING PERMIT APPLICA ON BRLD1e 002p93 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD13-00293 Received Date: 9/20/2013 SITE ADDRESS: 4261 CASSELARY RD PORT TOWNSEND, 98368 OWNER: STATE OF WASHINGTON-DNR PHONE: PO BOX 47014 OLYMPIA WA 985047014 SUBDIVISION: Block: Lot: T 1+ PARCEL NUMBER: 902103001 Section: 10 Township: 29 N Range: 02 W CONTRACTOR: CORNERSTONE ENGINEERING, INC PHONE: 425-487-1732 6928 WOODENVILLE-REDMOND RD#2 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP Addition of FOUR microwave dishes to existing cell tower. TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP ADD MAIN: INDUSTRIAL: VALUATION 13,600.00 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 $201.00 MEB 09/20/13 145377 Plan Check $130.65 MEB 09/20/13 145377 State Building Code $4.50 MEB 09/20/13 145377 Total: $336.15 Ulblcmnrk.in+n1fnrmmc\C PI fl Ann Rid rn■ 0/0/1P,111^1 Jefferson County Building •sion Permit Nu•r: BLD13-00293 Applicant: STATE OF WASHINGTON-DNR BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Miscellaneous Third party inspection required. Report to building department required FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • 0 CONDITIONS for Building Permit# :BLD13-00293 1.) 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. 2.) The site plan, as submitted with the building application on September 19, 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 October 2, 2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 3.) dlf llfiriemarkldatalfnrms\F RI n Permit Rldn mf 10/14/9013 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00293 Received Date: 9/20/2013 SITE ADDRESS: 4261 CASSELARY RD# Issue Date 10/14/2013 PORT TOWNSEND, 98368 Expiration Date 10/14/2014 OWNER: STATE OF WASHINGTON-DNR PHONE: PO BOX 47014 OLYMPIA WA 985047014 SUBDIVISION: Block: Lot: T 1+ PARCEL NUMBER: 902103001 Section: 10 Township: 29 N Range: 02 W CONTRACTOR: SINE WAVE PHONE: 253-770-9283 10820 150TH ST E PUYALLUP WA 98374 Contractor's License SINEWWE922M1 Expires 7/21/2014 PROJECT DESCRIPTION: Addition of FOUR microwave dishes to existing cell tower. TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP ADD INDUSTRIAL: MAIN: VALUATION 13,600.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: SETBACK: CONST TYPE: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BATHROOMS: Permit $201.00 MEB 09/20/13 145377 Exist: Plan Check $130.65 MEB 09/20/13 145377 Prop: State Building Code $4.50 MEB 09/20/13 145377 Total: Total: $336.15 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