Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
SUB2014-00003
JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: EMMETT G CARTER TRSTEE BERNICE AKA BONNIE CARTER PO BOX 260 BRINNON WA 98320-0260 DATE ISSUED: July 18, 2014 DATE EXPIRES: July 18, 2015 MLA NUMBER: MLA14-00022 PROJECT PLANNER: Colleen Zmolek PROJECT DESCRIPTION: Lot Certification -segregate lots 194, 195 & 196 in the Lazy C Ranch. Create 2 parcels following existing lot lines. Lot 194 parcel A& Lots 195 and 196 parcel B PROJECT LOCATION: CONDITIONS: 1.) This determination does not guarantee an ability to develop the parcels. All development shall comply with the on-site sewage code, the building codes and local development regulations in effect at the time of application. 2.) Parcel numbers are assigned upon recording of Statement of Intent. 3.) Based on the findings, parcel number 996900154 can be considered two (2) separate parcel as described in the legal descriptions submitted with the application. This parcel is an existing legal lots of record, Lazy C Ranch Division 3 Plat, Lots 194, 195 & 196. 4.) The Lot Certification statement of intent legal descriptions shall be recorded with Jefferson County Auditor's office. FINDINGS: 1.) The Administrator finds that this application complies with applicable provisions of the Unified Development Code, all other applicable ordinances and regulations, and is consistent with the Jefferson County Comprehensive Plan and Land Use map. 2.) As the Parcels are found exempt from RCW 58.17 and Jefferson County Code 18.35, a title report is not required. It is the property owner's responsibility to identify and rectify any security interest, conveyances, encumbrances, easements or restrictions affecting the subject properties involved in this county reviewed exemption. 3.) The parcel has been designated as RR 1:5 Rural Residential under the Jefferson County Comprehensive Land use Map effective August 28, 1998. 4.) On 7-7-2014, Sherrie Shold in the Assessor's Office commented as follows: I have reviewed this division and have no objections. 5.) On 7-7-2014, Pat Perryman in the Assessor's GIS department commented as follows: I have no concerns with the property going forward with the lot certification. 6.) RCW 58.17 requires regulation of the division of land and was passed in 1969. 7.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(6)(a). APPEALS: Pursuant to RCW 36.70C, the applicant or any aggrieved party may appeal this final decision to Jefferson County Superior Court within twenty-one (21)calendar days of the date of issuance of this land use decision. For more information related to judical appeals see JCC 18.40.340. UD dmi istrator '42A1 2.0 ky MLA14-00022 585062 PGS : 2 CERT 07/21/2014 11:27 AM $73.00 JEFF CO DEPT OF COMMUNITY DEVELOPMEN1 Jefferson County WA Auditor's Office - Donna Eldridge, Auditor iv NIP�M14�14 'I��rk� 11Y��4�tiP�Idt#�;�'�WMh 11111 AFTER RECORDING MAIL TO: Name: Jefferson County DCD, DRD Address: 621 Sheridan City/State: Port Townsend, WA 98368 All Situate in the County of Jefferson, State of Washington Lot Certification MLA Number: r(\LR et. -000 x. Parcel Number: 966 900 151 Section 3-. Township ate Range avJ Grantor(s): 1. Ricky Carter, as trustee of the Carter Family Trust dated 9/13/2000 Legal Description: Parcel involved in the lot certification are currently legally described as follows (include Assessor's Property Tax Parcel Account Number): Parcel A: Lots 194,195,and 196, Lazy C Ranch Division 3 as per plat recorded in Volume 5 of Plats, pages 61 through 63, records of Jefferson County,Washington. (966 900 152) Parcel B: Lot certification described as follows (new legal description in metes and bounds): Revised Parcel A: Lot 194, Lazy C Ranch, Division 3, as per plat recorded in Volume 5 of Plats, pages 61 through 63, records of Jefferson County,Washington. Revised Parcel B: Lots 195,196 Lazy C Ranch Division 3, as per plat recorded in Volume 5 of Plats, pages 61 through 63, p PaB 9h records of Jefferson County, Washington. This lot certification exemption complies with Jefferson County Code(JCC section 18.35.040(1)or(4) Jefferson County Consistency: This lot certification is compliant with Jefferson County Code 18.35.040(1) or(4) for the purpose of assisting with the segregation of land into lots, tracts or parcels each one of which is of a section of land or larger. (Proponents' signature) STATE OF WASHINGTON COUNTY OF C e-f y5Of' On BTU.- ( ,20j1,personall Rkic....y G.‘kett-j-e-r , QS appeared 1"--,k54.-.' (y 17- .s t 9113/2.e0O and proved to me on the basis of satisfactory evidence to the person whose name is subscribed to this instrument, and acknowledged that he executed it. �- WITNESS my hand and official seal this /day of j—U- ('`� 02 00( , • WADE R. JOHNSTON "� STATE OF WASHINGTON Notary yP lic in and for the State of shi on, NOTARY PUBLIC 01,_,12e___ '? MY COMMISSION EXPIRES , ` 07.31-16 Residing at 61---ldt rc- This Lot Certification has been reviewed and approved by the Jefferson County Treasurer Office and taxes have been paid in full for the year. 9X4 Treasurer Office This Lot Certification has been reviewed and approved by the Jefferson County Development Review Division. �. - 17( 12(4 Associate/Assists lanner Date NOTE LOT 214 81 215 TO '.•Vi�. r•:•: l/�/ BE SOLD AS A UNIT. , ‘.� r(Q • l�/ N 86°48 06'E 2528.46 80.31 80.31 80.00 130.60 . N38°25'41j"y.! 2 '.76 w40.s. . 153.88 /33.1 4 �:- - Aso. 'OAF2I 5 : s,s ti o •:� 214 \ - 4P ! : \�")• �o Si 21 7 c!.' ti� 211 W W aM�_/G - 211_57 ,\ y ti FS . 212 a 213 ° E" . 23\Mr ,- �� . C4 -N M _ — \ 000 (� R A B I A yew, ?�� X6/0 O ,n Z O I^ - �� 0 /oe�/ $- i37 s y 80.00 Z 80.00 Z S �i °\•a. 1.3.‘„,•19 IQ 5'7 3g , 1, d0 v 99 p�• co 9.42 DI Sy3 h�2g 66 \ -I\ ' P y`L �o\s 9e'CO 3 4 2 j'W \ \\g.� .0,, G 8- 0 0\/ 4Q s 3 LANE # Z,43 1�9I 4,\'%9� �i 5���'�9 �� 80 00 eo.00 , . #a o� g6a2� sa o (\ F �3 i 'rL w 13\ ' \.6y r�° c, gR ll 3'�v4, 5 2 01 �' ° 2 p �if1 °�;g 19 2 Sao �s �� ••- #24s°• °v^ o �; \ 0.Z 22. a 0.° N i ,S 6 ip 2 F ,ti. 450.00- :043 ����� �� . % \ �`\!ODflA1N ESMY2\∎//0 NS ,N '692'•W ae�� � in w \5 6 0.Z E N9c \g� y 9032 ss \ RAIN iJ ,-N 88°07'21°W O Si h 6+ �`.r2 /3°3'92 .MT - 0 0° s8' \a�' V. 09 o-h 38.03 0 �� Z. �° .� i 9y p t5'5' 19 4 P\ \ 'hG° tp. a ° O 19 9 ° s � o. h . .A 2 d v- 189 �- Ni'-' ' cr m of /#1O 151.44 RADIAL h� 28 ti cr AD 0 — — — — 11 87°41'42 E \ .p tiTO` �4b N 69°-4203" ti - cri 01 by '''s 50 p•O `Sji\ `Fi_ ■� 18 8 is a 19 5 .m .° _ 6',, Cr' 0 19 8 O 9 4560 -59 6". ,$).... A. / ,Q '/(�,. °h6 ■et, _! SF 2' -' . STS o�ihO I, SF\ ,7//67 26ggti ,�y 0.y o`Q s`''3�q0 0 - - ice, �/2 ,�\to°j ',�• 6828 197 e�9� \2;4346.• , \�6 4:-sco 6/3 N7goue4q�W ``� . N / 198 43ta62g�3 -/y 0.90 r`j`j 2j2g''\ eyi N 3 a N,. i� /Y 488 1 44/6SJ c°qs cos JNi , ,. q'� ts, ,:j ' • ∎ Iy • 6 �ys?oF�FYT I %./Sy6°O J o f I 1 •\\� /2� N 266 Je :3� •AUy f4 �` til / 9�y �\ a �� Ml - 1, o I \\ ``56`O3 � 1 z m ., I U Nj6og v £ I �82W\ Q zi;;4 13f j[ 1 -/,^4;:.- . re).,i C �'i iilLiatte;q: ,\ PART .f ANY i1SE APB; I L.j :..,. 0,\ �� L ?2 CLUB , INC.. .11 lJ .,; , ,...,,.. . ,,,..,..;., 1 'q1 .,, ... 1 .ss.� 06. iCflRSJNI-GOUN • . • C�FT C1 COMMUPITY DGV['np NT 0s Colleen Zmolek From: Sherrie Shold Sent: Tuesday, July 22, 2014 4:31 PM To: Colleen Zmolek Subject: RE: parcel numbers Colleen, Only Lot 194 will have a new parcel number assigned because it is being segged from Lots 194, 195 and 196(#966900154). So, Lot 194 will be assigned a new number being#966900153. am wnr ing nn then nda n.,we. Sherrie From: Colleen Zmolek Sent: Monday, July 21, 2014 1:49 PM To: Sherrie Shold Subject: parcel numbers Sherrie, When you assign the parcel numbers to Carter would you let me know. The lot cert we recorded this morning. I then can attach the building cases &septic case to the right parcel. We call it baby parcel clean up... things that make you go hmmmm. O Thank you, Col-teen Zmo(ek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolekAco.lefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:0o a.m.-4:3o p.m. Monday to Thursday,closed Fridays. 1 Colleen Zmolek From: Sherrie Shold Sent: Monday, July 07, 2014 2:08 PM To: Colleen Zmolek Subject: FW: Lot Cert MLA 14-00022 Carter Subject: RE: Lot Cert MLA 14-00022 Carter Hello Colleen, This past history will still be relevant to the parcel. However,the parcel number on the SOI is incorrect, s/v 966900154. One other item, we show Emmett G. Carter as Trustee not Ricky Carter? Please let me know if you should need another copy of the Owner's request for consolidation or if our records are incorrect with the trustee or have any questions. Sherrie Sherrie Shold Property Operatiows Jeffersow covAtu Assessor's office 360-385-9105 ssholdPco jeffersow.wa.us From: Sherrie Shold Sent: Monday, July 07, 2014 1:57 PM To: Sherrie Shold Subject: FW: Lot Cert MLA 14-00022 Carter From: Sherrie Shold Sent: Tuesday, June 24, 2014 9:31 AM To: Colleen Zmolek Subject: Lot Cert MLA 14-00022 Carter Colleen, It is my opinion the first item that needs to be completed will be all the property in the same ownership. Either Lot 193 needs to be deeded into the Carter Family Trust or Lots 194-196 needs to be deeded out of Carter Family Trust and into Ricky Carter, as an individual. If the Lot Certification is approved and the lots remain in two separate ownerships, we will not be able to complete the Lot Certification process. Lots 194, 195 and 196 were consolidated in June of 1998 at owner's request (letter attached). Please remove parcel number reference from the "resultant" descriptions. 1 This concludes my comments on the above lot certification. sherrae sherr{e shol.d Propertlj operations Je f fersow couwtj Assessor's o f fine 360-3859105 sshoLolPpojeffersow.wa.us 2 Colleen Zmolek From: Pat Perryman Sent: Monday, July 07, 2014 2:12 PM To: Colleen Zmolek Subject: RE: MLA14-00022 SOI Lot certification Hi Colleen Welcome to the Monday after the 3-day weekend. I reviewed this Lot Certification and my only comments are(I)the Parcel number(966900152) is not correct-it should be 966900154 and(2)Lots 194, 195 & 196 were consolidated at the owner's request(see Sherrie's response June 24th to view the letter consolidating them). That's the extent of my comments pertaining to this action (can be translated as"That's All Folks!") Thanks, Pat From: Colleen Zmolek Sent: Thursday, July 03, 2014 2:55 PM To: Pat Perryman; Sherrie Shold Subject: MLA14-00022 SOI Lot certification Importance: High Hi Sherrie& Pat, Ricky Carter has submitted a revised SOI for his lot certification. The lot certification is for parcel 996900152. The original application was for two parcels 996900152 &966900154. Would you review the attached current and new legal descriptions and comment on any relevant history, or anything else that would need to be corrected. I will include your research in the MLA 14-00022 application findings and conditions. Thank you in advance, CoCCeen ZmoCek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolekaco.iefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 12.56 RC,«'. Our office is open to the public 9:oo a.m.-4:3o p.m.Monday to Thursday,closed Fridays. 1 Colleen Zmolek From: Pat Perryman Sent: Tuesday, June 24, 2014 1:15 PM To: Colleen Zmolek Subject: MLA14-00022 Attachments: Carter-MLA14-00022.docx June 24,2014 RE: MLA14-00022 Carter Colleen, Enclosed are my comments concerning this proposed Action. If you have any questions or comments, please do not hesitate to contact me. I wanted to check with Sherrie on one of my comments before I sent this(which explains why I wrote it yesterday and am sending it today). After talking to Sherrie, I realized that we both basically had the same comments but I decided to send mine anyway since it makes the file complete. Thanks, Pat Pat Perryman P. a. Box 1220 Port Townsend, WA 98368 (360)385-9365 or (360)385-9222 e-mail pperrymanPco.iefferson.wa.us 1 OFFICE OF THE JEFFERSON COUNTY ASSESSOR Jeff Chapman, Assessor June 23, 2014 Colleen, RE: MLA14-00022 Carter&Carter Family Trust After reviewing this proposed action, I have the following comment(s): 1. The parcel numbers are 966900152 and 966900154. 2. I am not sure but I think that both parcels would have to be under the same name to be considered for a Lot Certification. Ricky Carter owns Lot 193 and the Carter Family Trust owns Lots 194, 195&196. Even though Ricky is the Trustee of the Trust,the ownership record is not the same. SURVEYORS PLEASE NOTE: This office tries to catch all errors and inconsistencies in the survey and legal descriptions submitted for our review but do not always find every issue. Please be sure to re-review you work so that we all have less frustration in trying to get these projects through to completion. If you have any questions or comments, please do not hesitate to contact me. Thanks, Pat Pat Perryman (36o)385-9222 (36o)385-9365 pperryman@co.jefferson.wa.us Colleen Zmolek From: Sherrie Shold Sent: Tuesday, June 24, 2014 9:29 AM To: Colleen Zmolek Subject: Lot Cert MLA 14-00022 Carter Attachments: 2014 06 24 09 20 47.pdf Colleen, It is my opinion the first item that needs to be completed will be all the property in the same ownership. Either Lot 193 needs to be deeded into the Carter Family Trust or Lots 194-196 needs to be deeded out of Carter Family Trust and into Ricky Carter, as an individual. If the Lot Certification is approved and the lots remain in two separate ownerships, we will not be able to complete the Lot Certification process. Lots 194, 195 and 196 were consolidated in June of 1998 at owner's request(letter attached). Please remove parcel number reference from the "resultant" descriptions. This concludes my comments on the above lot certification. sherrL.e Sherrie Shold Property operatlows jeffersow oouwtu Assessors office 360-3859105 sshold@co jeffersow.wa.us 1 „.. , ,...) A , r. ,. \;I .. \ ,)■,, L') r\—) 4.) \-....) 14 .........\,. , .” ! . , , o , .,..) z.N. ‘..." . '''.. ." (p ,..., ......) isri 1-4.1..,) (3, \ :■ .,.... kIN --... ) \.....1., ,..,......15 -1 1 t...4 \-....:) .4, s"--.1 ■ %--...k..N, -N., Nu" --„,‘ 31, ....,..3 ...., (cS•- 4''' -‘' ,-. ' , \ v■ ,:: ... i ,..2,1,Y4 - \ 1 CiN 1 k....,'‘ 1 •" 4 . t 7 ',.' . '"'•!..,,,.„ ' ‘e .4C.-'4 \.) . . "` ''' 4. • \..\\‘4 ., ''.1 1, ' ‘,.•ki (-.41 .'.> ...,„... a.....:...... ,..., i,...., ,t, ) '71 , .... CA ...... Lii ■ , E -,r-• ',. -":, ' r ri ■., '''' -._ 1 ts- 1 LIJ . , ■, / 7 -1. -- • ".-.......,... C-'. ,..4 1 ') t sA ,.. ,„..„ .... ......., _ ,..„.., ..., 1.1.1 ;\\‘‘' , N • „,--- ./. / „--5 .„-- - , H ■-"'' 4 t v.. -..”- 41,- .... tlf ' } JEFFERSON COUNTY k` „tip DEPARTMENT OF COMMUNITY .� .,�, "j DEVELOPMENT ._,,.y '°7i 1 lun 621 Sheridan Street, Port Townsend,WA 98368 I Web:www.co.Jefferson.wa.us/communitydevelopment Tel: 360.379.4450 I Fax: 360.379.4451 I Email:dcd a(�.co.jefferson.wa.us SquareONE Resource Center I Building Permits&Inspections I Development Review I Long Range Planning June 23, 2014 Dear Reviewer, RE: MLA14-00022 Jefferson County has forwarded the attached application to you for review and comment because your agency is responsible for determining compliance with state and federal requirements or may otherwise be affected by the following proposal: Lot Certification - segregate lots 193, 194, 195 and 196 in the Lazy C Ranch. 2 parcels, Lots 193 and 194 a parcel & Lots 195 and 196 a parcel. Location: Comments must be received within fourteen (14) calendar days or by July 7, 2014. If no written response has been received within fourteen (14) days, your agency will be presumed to have no comments. If necessary, the UDC administrator may grant an extension of time for comment. Please contact at (360)379-4450 if you desire an extension of time or have additional questions regarding this proposal. Thank you in advance for your attention to this matter. Sincerely, Colleen Zmolek Colleen Zmolek cc:, \\tidemarkldata\forms\F_MLT_ReviewerLlcrpt 6/23/2014 JEFFERSON COUNTY 41DEPARTMENT OF COMMUNITY ,y DEVELOPMENT 4'> ; Parcel Details Page 1 of 2 Jefferson County a u N Weather Station 4t' Database Tools Maps . Wekucam -onle County Info Depoitments Search Parcel Number: 966900154 I SEARCH Parcel Number: 966900154 Printer Friendly Owner Mailing Address: EMMETT CARTER TRSTEE BERNICE AKA BONNIE CARTER PO BOX 260 BRINNON WA983200260 Site Address: 41 WELSCH LN BRINNON 98320 Section: 34 School District: Brinnon (46) Qtr Section: NW1/4 Fire Dist: Brinnon (4) Township: 26N Tax Status: Taxable Range: 2W Tax Code: 440 Planning area: Brinnon (11) Sub Division: LAZY C RANCH DIV 3 Assessor's Land Use Code: 1101 - MOBILE HOMES (owns mobile & land) Property Description: LAZY C RANCH DIV 3 I LOTS 194,195 & 196 Click on photo for larger image. 1.:� x No 2nd Photo Availabl Permit Data Assessor Bldg Data Map Parcel Plats&Surveys Tax,A/V, Sales Info Septic Monitoring Into JBff$rs0n Count HOME I COUNTY INFO I DEPARTMENTS I SEARCH od" Best viewed with Microsoft Internet Explorer 6.0 or later 010 Windows- Mac http://v ww.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_NO=96... 6/23/2014 Jefferson County Assessor& Treasurer- Property Details - 58 EMMETT G C... Page 1 of 1 Jefferson County Assessor & Treasurer 34158 EMMETT G CARTER TRSTEE for Year 2013 - 2014 Property Account Property ID: 34158 Legal Description: LAZY C RANCH DIV 3 LOTS 194,195& 196 Parcel Number: 966900154 Agent Code: Type: Real Tax Area: 0440-1-46F4E4H2C1L1Z1P2 Land Use Code 11M Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location Address: 41 WELSCH LN Mapsco: BRINNON,WA 98320 Neighborhood: LAZY C RANCH DIV 1/LAZY C RANCH DIV 3 Map ID: Neighborhood CD: 1375 Owner Name: EMMETT G CARTER TRSTEE Owner ID: 12861 Mailing Address: BERNICE AKA BONNIE CARTER %Ownership: 100.0000000000% PO BOX 260 BRINNON,WA 98320-0260 Exemptions: Taxes and Assessment Details Property Tax Information as of 07/08/2014 Amount Due if Paid on NOTE:If you plan to submit payment on a future date,make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on"Statement Details"to expand or collapse a tax statement. First Half Second Statement Base Amount Year ID Base Half Penalty Interest Paid Due Amt. Base Amt. ■Statement Details 2014 24040 $234.06 $233.98 $14.05 $14.05 50.00 $496.14 ■Statement Details 2013 24115 $232.34 $232.29 $0.00 $0.00 $464.63 $0.00 Values (+) Improvement Homesite Value: + $0 (+) Improvement Non-Homesite Value: + $13,694 (+) Land Homesite Value: + $0 (+)Land Non-Homesite Value: + $40,900 (+)Curr Use(HS): + $0 $0 http://trueweb.j effcowa.us/propertyaccess/Property.aspx?cid=0&year=2013&pro... 7/8/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map 96949A9r16b4 i an 3f 6 9C '72 9669UO 73.' . J i9s4#7 3 96T9?Ot71 ` 4 tT6 a ' 96690Gtby &'�'la`4lfNJi49 9569e0162 966940129 >' r• Legend 41669GXS8sh 'a 95fi47::K'S2 /'"..1. `,; 95#sbew•�is �+ , r Selected f rues Lods 9440' X191 di.914.J 47 187 ti65+Y]9YS8 +w� JC_Roads 96ii4KRi'55 ' Parcels-4i .—`` 966900983 � 955904227 996904144 9eb9CYk'>GS �'� 9696W i&6 96f9d]O(Yi Syu6yTR3t'PO! W B� " %., 96Ti909+43 ' 'rq ,: �aXxai wpb ✓ -, 4.8 96641)0 ■ , , Rv,,,, , !,1,Gn uor.dedlrr.xY.kr icon Carina.Se can GtS , 011=====1634i 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. Tue Jul 08 12:08:27 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&Client... 7/8/2014 4i, gOAT 006,, JEFFERSON COUNTY A 3 It . '• '\. � DEPARTMENT OF COMMUNITY DEVELOPMENT "' '\ '< 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax .a 9231-Na c) www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: - I4—ZZ P. je Description(include separate sheets as necessary): f k`0 Yt.. i 9 S'� 116 lA lot 1'11 to 0 t-te00., 51A`�1�, Lot S&P .r j o_I�1 Tax Par�el .`i ber:R a F P .0 s f 5 Y fl b"roperty Size: (acres/square feet) Site Address and/or Directions to Property: h .l, V 5''zC-. ei' -\ s c-\''c L h Lo 2 c r aln 6 J1,) 3 n non wk, tl Property Owner(s)of Record: _,: is L 'L- 11h A " Tt Telephone: -1100 �p�(e '19-q Fax: a il: i Mailing Address: Cr) P 0)( �' ISr 1 1)\1\o\\ t)o� O � 1 c�0 5 C�\ Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit? (Check each box that applies Lot or Road Segregation ❑Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit El Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ❑Garage Attached/Detached ❑ Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home .❑ Modular ❑Discretionary"D"or ..a-d Use Classification O Commercial* ❑Special Use(Essen a ^ O Change of Use ❑ Boundary Line Adju•t ti- v E ❑ Address_ ❑ Road Approach_ ❑Short Plat** ❑ Home Business ❑ Cottage Industry ❑ Binding Site Plan** I ❑ Propane ❑ Long Plat** i MA p ❑3iyn ❑Planned Rurai Res t Ot Develdpment P Am: • is"'* ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alter- n ❑Stormwater Management ❑Shoreline Master • ogram`Exe ption/Permit.--• 'i - ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Manage ent - fiatDevelopnYent** ❑Temporary Use ❑Shoreline Manageme r- - AUNITY DEVELOPMENT ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amen.ment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference 0 Tree Vegetation Request **Requires a Pre-Application Conference 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 required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the ap• ication that he • she wants prior notice. Oy+ r 1 Signature: & - . . • __.y I f U AR-t_ e' w M Date: �' td' 19 The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the 'Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trar(}�fe"r�bllee responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and s'gns and dates it below. Signature: CetOtt.IN Date: T 6 ..f G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the 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: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTORS LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: E New ❑ Wood Existing: P Sewer C Addition ❑ Steel Proposed: Bank 0 Community System ❑ Alteration/Remodel 0 Concrete Total: Height: 0 Individual System 0 Repair ❑ Masonry -- SEP Permit# L Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: umber of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed • IBC Occupancy: IBC Type of construction: ill you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all ite s below that apply: Underground Tank i Above ground Tank Size of Propa t e Tank: Heat Stove Cook Stove Woodstove i Fireplace Insert I Hot W. er Tank Pellet Stove Other Is this appliance being installed in a Manufactured/Mobile Home? es / No When applying for a permit to install a propane tank you must also ubmit a site plan showing all of the buildings,all property lines,tank location and size, distances from the propane tank to • l property lines,buildings and septic system components, including the reserve area. —I Square Footage Current Proposed For Office Us Only Amount Revision Main Floor Heate. A EH Bld App Review: _ 2nd Floor Heated Consistency Review: Other Heated Base fee: Mezzanine Additional eetiatr-- Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: ( "lt 4 S Cash/Check Number: r M (i1.)..ESTIMATED COST(REQUIRED) Date: yvty/r f .Fair market value of all labor and materials foundation to finish "1 Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Current DAD Forms\Master Permit Application 5-29-08.doc Map Output Page 1 of 1 ArcIMS HTML Viewer Map ., Ale Legend Selected Features JC_Roads j Purge ls-H County Zoning ' MPRSF Trans R u•ai Resdenl es 1.5 l r3�22/2i0:: R u•m ResMenl Ne 1:10 I Rual Resdentsy 1:20 6Y9228100t 692272000 M PR Smgk Family ■ NPR.M uedamry MPR Resell Cenelan Parinand Rocreation u.Egry 6y %V X!'7' S>^';a'r:!.1 P tN3690Y,2,!•2 ■ MPR.Osen Some 966`.4.X,',.Y.7 d++ 9>=62X• '6 d Rural Forest ;.�.r„! sac o sw�.133r ¢ ..r.,..r `']e 966av_:6r 90390-]'Y9 �0 . Commercial Foram 5 _,'64 3 o Sw 39"' 19 %66 922.3 00 Ins old mg Foram 0f sV(}P' '1. YffiU'(]2']/ ( 4! S66gti'82 y66wn2,,M Nwy mdumrW 9669Y+0" 3 9669;,r:!Yl) S+FFY[%:'YS Y6ti9IX:2'0 Aileen CPF 9664'X"C6 '26c"'9Ury'83 ycav_'nl'Yi ■ MPRVdtege Center �'y>-''16 9569X,9,1 ".-,,,,,-,:.,:,_•.:r Y:; 9664:9_1'.16 rny2wgy 1111 AP 1,23 yeey{CrY]_, `n. }'�! 9 9'Y: 4.1 g5,3,,V:' ■ Rural Viasgo Canter '9 4 cYar69233'0:i d 669: 69669_+:1'81 ■ Resource Rased MG. 5 9666690,X2 �!+y1 96690.7009 00d 9 96690.:g9 L■ln mdustw% 966SXXX:64 '46 9664s.XY9 q /p N1231.10ti3 9ta;wvvy,3 V �7 MPR Rev-oaten . "(YYYV ... • ..v+.1., /1 966906vo' yyrv_r+'2 xi•____�9 W6wv-ye -^ lv b• - gr, s._rv9v Wama Mgnd CPf !� �a:50rvrv,l 96'6ypYrtyy 4:5'?fY 38 u'M .i p '...,..."...X.,241:1 `.Y669CCS7.vi 966,.#29'36 f7 �,,,/ .ig4iYY 6' , 96620X.N. 9e.a'.,rrvY1+6 UCry, d 51+:96X':_.18 LI'C Y'LiJYY�h6 •1'56.99':m 9fi596F_W7 602Y11CV2 Crossroads(iC AA 94,:9:69 9f34:'(.vatil G< ■ CrosxeadrCC _:233';'0•!! N L rY 7 60230.200: 602342006 1a 9EN4 lS ■ 5C,2 33- <w;vrr n Y5690CYXr2 r�h64rVY..>,'1fi Crossroads NC 9463LY-lY? 602342W? '.14'''''''&-d n'_c^atrr.Ge.r:..a r..v xv crS GO 96690oc9" Omomomr32ell . AL 1,20 UGA-Urban Commercial VGA Urban Lg01 Indus/13i UGA MDR UGA 1108 UGA-Peek UGA LDR ElUGA Vanier Or..nlcd Comnercal MPR MN nrmnen C F-80'MRLO Commercial Forest• M moral Resource Overlay 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 Jun 26 16:45:42 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&Client... 6/26/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map i I 8112272000 • '- `` 662281001 ! 602272000 �ti. f k �-- — _'966000167 _ 966900171 —- �-g mot 74 1C..... .... "•",��^2.... 966910166 ■ 966900172• ati 966900176 2.' -}• -^ 966900170 966960150 w q Le 9e nd p�riif010 — 1 r- ,;.41.y�y00177 °, -`-" c Selected Features 966900164 966900229 n 9Fi8999 49' 96690'�e- JC_Roads �_+_966900165, \ 9Eti9(]0201 .602331001 j` 1689001591; 966900147 966900162 .966900206 Parcels-H �- ' 9669- 96 156 _ `y 966900145 900 0(YL10`• 602331011 t'--- -- fs _ 966940183 g�y,b900 DNR FP Stream - 1� 1 Classification • 96690090T 966900145 966900185 966904141 r� of -F Feh Ilacnal ' -• 9Bfia6MU1 + 9669001 43 96, ...^3'' N Non Inn ilabnal 8?;2331001 ______%q. _• 87 ,rr l /1/ Np-Non inn llabnal Parannul r96y6-19r0r{0700100 9 q' y // 6/P F -0169 N 7 $ / 96B97cas4 4*4- ' n �jd 662.344003 /vi Na Non fish llabnal Seasonal rtr,, 6012 /966900055 .__ 96690y0,052 98e9o044r. O 966900191; �.J g.lnvontorod Snorelma ,rvC 4 .966900(773 966900459 `i- 9669"r 1 ! '£ry C7 9 "..0, 6 556900075644 if 1. ..69669GTX?48 II -r ' 9E690604! 624202 {111 966900079- 966900_+x, o 60233'008 ( ! C� 80234244: -"9id 60233tcxra ' ' 96GB041�, y�y:��ri3 9fi59I.Y:S.N38 WZZj4tW May fronded SF-e`ovsai Ca/q'(:drat$races 645 966y omoimmm.32611 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 Jun 26 16:46:09 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&Client... 6/26/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map I ,: .....' __ '. e :! _._ 4 te rI 906960167, - 96690017/__- _,%seam 74 ...... . _. . 9659,"`:`-:` --X6900166 966900172 `"` aS 9€6)1/6 r_._„.--8966900170; 96690)150 •; '` otc . c. Legend 9669`10'99 0 9669001631117 1 ,,, 968900177 my� Selected Features 966904164 4k 666600224'&t 966900149 \ 95690022a Q, ./ .JC Roads 966900165 966900/61 ' w - . b9L ! 1" — 'z331001 i 966900156! 966900147'. +M`'82 ` `-'0'2`',, n Parcels-H 966900158 9669001541` 9.X5 9,. 96650=='n ` .. .. Seismic Hazard 966901156 9669!X.'85 96690/209 Fc. '`.... 966900'46 956__ 9669Y_'4S ' al Landslide Hazard tYYV,, Yl emu.. :0 85 .y 9669S.Y_.05 966900227 9569Yx d'1 9569_'{'.56 .., .. Skies C 119h . r, •C nrx]' 956943 95590X09 C�n � ri/7 q„ 9569()189. Matlarao 3' Q i:o-rr'aN �t, �'Y'rr.•r. q 8Rx 'kg 60231.1..-._ Shq III 'Y-F'.V'rlv2 _—_'6u_00'S5 955l-____c 9669r-v)'40 qc, rY:.:�YY'::ll (� X70 .TF.•.s_:..!'F" ...X_0!_-.1. ....... .... q�YrO::•5 ....... A 95c _18 A , y.;.,.r.X., �'__ ry., ?.'Eiy Y.-1! 5.7231 "r? ______ __ ay. ro 95rv'_n5.1 6 ....,.,.;a.v. M1 an C1 60234200' --`-- 'R 966960°95 96690 6923.12000= _2 M1'029 M9r'+::riY6 966900101'"" c:..96tii1'?i_�'13 ~"_'<11,120':' 11IJ..J<-Jal J..c 91!'orry Guts Sena CAS 09. 0®32611 _.. 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 Jun 26 16:47:50 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&Client... 6/26/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map } h9(X:t l4 VC 4669U(7'l• ,__ Legend ..Gr.� t c 9e x e t t� 9669x`94 a y 5 9669W177 .m..tzb I Selected Features .. ... 1i'4 966900144 9669CX}228.. 16'.: JC Roads Am4669o0f58c 966900147 96690 82 966-M no :.\ Pa rcels.H .. +:6900156 96690015/. ', 96k9 0 95 li.9b6 --' ''. 6023310— 966900156 .956400,83 966900200 Critical Aquifer Recharge -�Y6, %6900t46 966900794.. Areas 96690300/�:--. 966960/46 9615900,45 - .. :.: T 9669001005 966900227 96890014496690(1;85 0 S115C-URK ++�� " "'""' 966900193.- .vtapt _. 4968966902 1 �'?q 9 6 69 0 41-03.966900187 El SARPA•SLSC 9661900 09 q, ''16- 669(.C+]S4 g6 -Ors615900yas sUSC { 9669(lf70i0 47 r -..:96ti4(XXt53 Ra tit9 N_'i5.110 r'-1 SARPA 466900012 A 9669L�04S5 `--7-,:9€69U(X?SL q669-‘="':, I "�'�'466,AUX)t3 u S4RPAr❑NK 690(10;4 1 9E 5TXX}31 cry 3N 01 9000,6 96690756 z,2 �.:.... A '%364C'Crt.13 9889i1(.C68 d 966900079 =-.• t 6i-233'008 MSS 60233..1. ap.4 066400095 966900082 „6400086 . -. ,.i,- 966900104'aa"'a pt 966900083 � ..'.� Maa>aoded 1, c o m Garay a:ewa.Sumo:0 s '966900091 ft 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 Jun 26 16:48:43 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&Client... 6/26/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map 1 7:22.+1'.:./.., i. ,.` C 22,22 .. 22_22 966900167 966900'r'..,2222 .=i.tk_CzCL 9669801:. 966900172. a\' �t. V ■ 966400170 9E69oo1 ®eaP _ $� Legend 21'010 46 9ebv.'.99 • Wit4031 $ 6 56.- ,-;, attb ,) Selected Features 96690016400966903229 @$ t49 "'")228 0 JC Roads ' W1 966900t6S' 9669610J ti �.� 9669X241 ..'642331601 966900<56 l-5 966900'4' -:: _ 96690020 Parcels-H 966SOCIMISili 9669X154 .,c, to:i.Ko•96''t 96.4"2.4.• 6023310tt 96694156 '6€6900187 966900209 Areas Critical Aquifer Recharge 96000'46 966940)94,...tom-., 966600007 W , 96694i 46690485 966600405 96690(}* 49E6'AM86 ' _ I I SI13C=UNN 60239/001 1 9�^ . 4569X:93 ❑ 466901 9669W 43{w9�6,6940)$7 SARPA•SUS. !9669X'89 I I SUS. 9869404/0 q ,1: 966900psd &R �^� 602344(3 1 SARPA • 9fi64+X'S3a0 . 96'89(X%)12 At%8900055 - 966800052 966900,40 4. .96644X714'1 I SARPA*UNN 9669f1LY1y' 966900073 y trokr• g�g�s 2222 P • 9 64'Y`+w• ! '' s ,.`'�. - 136 ' r i7/6 ..._ u A .2v18 96698%X7'6.96598706.+S t� .��(r ,.: o-, +/y I ` 9665r.0]'W 1 avr f2''I••.C1 96648x•.�e .k t ,: ,. er fi42342Xt .' 1X6 "44 966SCODOS 9669874131 Aar I. 6G1342LX]ti 6ffi331409' 166g0010,441014-p,9669_'J0 +-X900016 '6023•1X' AI mr cctd�!a C-tm Ces,w c.ra s�hcm GC 2222♦*':'' . 0" .. .. r 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 correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Jun 26 16:48:43 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&Client... 6/26/2014 ArcIMS Viewer Page 2 of 2 http://gisserver/website/ms/MapFrame.htm 6/26/2014 Parcel Details Page 1 of 2 Jefferson County Weather Station ` Database Tom' a� : Webcam. Home County Info Departments Search Parcel Number: 966900152 I SEARCH I Parcel Number: 966900152 Printer Friendly Owner Mailing Address: RICKY CARTER PO BOX 201 BRINNON WA983200201 Site Address: Section: 34 School District: Brinnon (46) Qtr Section: NW1/4 Fire Dist: Brinson (4) Township: 26N Tax Status: Taxable Range: 2W Tax Code: 440 Planning area: Brinnon (11) Sub Division: LAZY C RANCH DIV 3 Assessor's Land Use Code: 9100 - VACANT LAND Property Description: LAZY C RANCH DIV 3 I LOT 193 I I I Click on photo for larger image. x No X No 2nd Photo Photo Availabi Availabl No Assessor No Permit Data Available Data Map Parcel Plats &Surveys Available Tax, A/V, Sales Info 1pfler4on ((Rifle HOME l COUNTY INFO I DEPARTMENTS j SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later 40 Windows - Mac http://www.co.j efferson.wa.us/assessors/parcel/parteldetai1.asp?Parcel_N O=96... 6/23/2014 CASES, FINDING, CONDITIONS, PERMISSIONS FOR Parcel 966900154 Printed: June 23, 2014 Cases Name Review Status Planner Type CAM14-00042 CARTER TRSTEE NA M Donna Frostholm Application Received: 1/22/2014 Permit Issued/Case closed: 1/22/2014 Case Finaled: UNDO GROUPING OF LOl S No findings, conditions, or permissions found. CAM14-00138 CARTER TRSTEE NA M Zoe Ann Lamp Application Received: 3/4/2014 Permit Issued/Case closed: 3/4/2014 Case Finaled: wants to segregate lots No findings, conditions, or permissions found. SUB14-00003 MLA14-00022 CARTER TRSTEE I P Colleen Zmolek Application Received: 3/18/2014 Permit Issued/Case closed: Case Finaled: Lot Certification - segregate lots 193, 194, 195 and 196 in the Lazy C Ranch. 2 parcels, Lots 193 and 194 a parcel & Lots 195 and 196 a parcel. No findings, conditions, or permissions found. SEP73-00211 RANDALL F Application Received: 6./14/1973 Permit Issued/Case closed: 6/14/1973 Case Finaled: 7/2/1973 LAZY C RANCH DIV 3 I LOl S 194,195 & 196 41 WELSCH LN No findings, conditions, or permissions found. SOM73-00211 CARTER TRSTEE F Application Received: 6/14/1973 Permit Issued/Case closed: Case Finaled: No findings, conditions, or permissions found. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 6/23/2014 Page 1 of 1 CASES, FINDING, CONDITIONS, PERMISSIONS FOR Parcel 966900154 Printed: June 23, 2014 Cases Name Review Status Planner Tvp SUB14-00003 MLA14-00022 CARTER TRSTEE I P Colleen Zmolek Application Received: 3/18/2014 Permit Issued/Case closed: Case Finaled: Lot Certification - segregate lots 193, 194, 195 and 196 in the Lazy C Ranch. 2 parcels, Lots 193 and 194 a parcel & Lots 195 and 196 a parcel. No findings, conditions, or permissions found. \\tidemark\data\forms\R_MLT_Parcel_Cond rpt 6/23/2014 Page 1 of 1 ss ! . = x i , . 1-�.. . F L II._( 1} v APPALOOSA DPI* 1 II t' P ,',--- #4141"14r07 ' 4, ---IIIPPP y *) /414 iti4 • ii, - 0 401 C# Atittirtglatt - * 4■44, ...fitip tilt, 4470;,v0 't ...4,0 Norik• wAtkikbgattipmr4lirglOr wo, r- CV* ill il Ser.42.7.A it '"fd` d' i N • %..i., t 3 P i # s 1 t Y 6 '� g . s P 3 ti .7 A / it, 4ellip kilt4, dh. .11 B 6 44 �� �� 11 _ t r„,,,o. .. _ Vii 1111161": brots 8:341E1 SrB77p#35flD % - "q QP.0. . 1 r' lot, At,.., ,-...,. ...:,46 e.i/ 1 § giiirOAv _ ri i'll —1:111 °3 IPeltto ■4bir �9 �� i li 34 ',.I q M —I di: z D N 5 S $ a 3 ,� i U t`iloiiii 2,3 A ! fs s vF gk $7 z w 1 (SeiNhs9Nyrco-Q) April 24, 2014 EMMETT G CARTER TRSTEE BERNICE AKA BONNIE CARTER PO BOX 260 BRINNON WA 98320-0260 RE: SITE ADDRESS: 41 WELSCH LN CASE#: MLA14-00022 Dear EMMETT G CARTER TRSTEE: The Department of Community Development is in the process of reviewing your application. The following information is needed to continue review of your project. Submit a statement on intent with current and revised legal descriptions. Please submit the above information to the Department of Community Development by July 23, 2014. Pursuant to Jefferson County Code, JCC 18.40.110(3) and (6), if the applicant does not submit the additional information or does not request additional time to submit the required information within the ninety (90) calendar day period, the application will be considered abandoned and therefore withdrawn and the applicant shall forfeit the application fee. The Department of Community Development shall not be responsible for notifying the applicant of an impending expiration. Sincerely, 11-11 Department of C..1/ unity Development Staff c: File '1)11).LS \\tidemark\data\forms\F MLT_AddInfo_Requst.rpt 4/24/2014 • D n H H 0 v Q 0 Q o -i a I x m 1 I n m - ( -o m -sn o n m m I m N ffl ( Cp XI m - o Oc) z m 0. co m m 0 A - I * � o �. ° mo o J (\ .a 91 3 E..-,:.-o 3 C7 CD CD CD \/ 3 -.I F n `Cfl ry h Fir A 0_ 0 c 0 g o O Im N k a 0 z O - z O Y (� c ;,G ,-I OI W ^ Q o A m 0) m (A (A 69 0 I, � • W O CD N N W a O N o oo o f2 . --1\ V\ CP r0 il' ' ' ''' '.2 .---\ t::::,' __Ini: .2......1..„ . . . _..... (.dl o) .is, _ ► . • 7. 4. E Cf...4 ot • o'� Jefferson County Escrow 1 P.O. Box 88 Brinnon, WA 98320 Phone:(360) 796-4603 • Pax:(360) 796-4999 1-800-9763 Z� �j�[ CCCCCCC // j y ecellv,, , y ,,,N ;1 D 2 20��. 69 7-4 .���CF-GAG` ' g3 6 � DEPr �eFrFRSC;u`_`---_.J 11—j ` �CQ. OF COMMUNITY LOUN�PMENT `�a� �� 25 CCi DF1'F CC-e 6e4414: 16(1 CA-C by y°ou Cyr.fQ�- Co u,ld 61-6 f kci /its /1/4_,4 CLo6-Lt1+' l2-( 7 rep 1.44/d de3e-S eyop 740 L Zes C <� ��1: /c foe 6/44( etoc- 6'.4r_ • V L A -' A S;, 14-?..),/ /.n-R= c p`` 12 el- l d oC u t akej are(i' e j c/ . Veit • yOCt 71-0 -chid• A 7 ez/( ' b c• V �il�C ( Ja4 9- i ()Sri r L0+ 19 6�q�� b, o, 5 i ot\ %S f -r-' pia- rc_Loraj j, ih U© A kik m t. S i3\ (0-3 ec -e- 5 lc ( TEC -E5VEr MAR 1 3 2014 �I (�LJ JEFFERSON COUNTY DEPT OF COMMUNITY DEVELOPMENT h S e " D s7 7F.-, .t. , fr Jefferson County Escrow 3 f�]�.f PO. T3n,W zCo 1 ( � 03 $xAnnan,WA 99320 ?hone: (360) 796.4607 • Fax: (360)796-4999 500332-4W � :f y• • -'.' ,,'- `y° � V "°AO(\/9 V b rcam V r. - \�a 'Con FAX COVER SHEET DATE 171/1/ flq �j_ 4/ Y ATTN if' ; rr ^ C /.75" FAX# 37? -, f-`-(5-7 • PHONE# NO. OF PAGES INCLUDING COVER SHEET ( �� /l0 dO /sV vISSAGE: :7--tW- --i' l CMA1.1.15• P221'-e----C-1 ?°6/53‘ Zy C / . , fr4,-- 4 us f breez-zYaA 744(5 p e/ l 4t �l- e yip r t s gc1r-e A_ G" c� " A f &6_6 p y,.. A `ei-Le ' �t_hG poJ-rcr -e ft Je fh ro, -ddr P4' s -- �,/ 1 co . f� etf l o. e ,-! re S C-631 Veil rence 7�e ‘A vim" 5 —Dr 1-H 0 E UV E ll / ql )(‘) 1 AO )6 7' 4_1,,,z, _ ,...7.i . A.,0,...____ 7,, -,,,, /1) )0- / wk -)0 , , , �T�i APR - 9 2014 1, I \ cJ' f__./ a Or JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT " \n '� ,0 i fl d Vu `l"1 r Screen: 01 REAL PROPERTY MASTER Mode : INQUIRY Auto Roll : OFF Parcel # 000966900154 Geo Cd 260234211441 LAZY C RANCH DIV 3 Nbhd Cd 1375 LOTS 194, 195 & 196 Loc ID * Taxpayer Cd CART 1000 CARTER TRSTEE, EMMETT G T/P Chg Dt * Title Owner T/P Chg Usr Tax Code 0440 Status TX TAXABLE Land Use 1101 MANU HM W/LN Affidavit Vol/Page / C/U Code COMPLETE ADDRESS WINDOW Taxpayer CART1000 EMMETT G CARTER TRSTEE BERNICE AKA BONNIE CARTER PO BOX 260 BRINNON WA 98320-0260 Search Key CMD 6 : End Window CMD 7: End of Job \\ 3 AFTER RECORDING MAIL TO: Name: Jefferson County DCD. DRD Address: 621 Sheridan City/State: Port Townsend. WA 98368 All Situate in the County of Jefferson, State of Washington Lot Certification MLA Number: ,' /I Parcel Num er: t b, 'tbe' i S Li Section '' Township a.,1.:,0 Range a. Grantor(s): 1. Legal Description: Parcl involved in the lot certification are currently legally described as follows(include Assessor's Property Tax Parcel Account Number):ciu, Q UU t 5,41 Parcel A: Lo- ,Gkt\ L00 Z4 C. i,,,v, \. 0 \U - cy5 (Per off, ike c o r d s d( ,,,, 0 0 N,„V\e... s o� C c?( cs 1 vo e,� 6t 0 63 Iv\G1.u,SIJ� I l�e.Gorci) S (" Parcel B: 3 - 0 \ Co a LI V�at S 1r) K\ 5 Lot certification described as follows (new legal description in metes and bounds): Revised Parcel A: Revised Parcel B: D1E C hi ✓'otEtif c3*ion exemption complies with Jefferson County Code(JCC section 18.35.040(1)or(4) �i MAR 1 3 2014 I J J' I JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT 1 r� 1 Jefferson County Consistency: This lot certification is compliant with Jefferson County Code 18.35.040(1) or(4) for the purpose of assisting with the segregation of land into lots, tracts or parcels each one of which is one-sixteenth/o^f a section of land or larger. (Proponents' signature) STATE OF WASH TON COUNTY OF Qk On L L et. , 24e-,personally appeared R/ ' C—lJ _F�'�t and proved to me on the basis of satisfactory evid nce to the person whose name is subscribed to this instrument, and acknowledged that he executed it. WITNESS my hand and official seal this l3 day of ,��/� WADE R. JOHNSTON 7 �•� �` STATE OF WASHINGTON NOTARY PUBLIC Notd he in and for the State of ashi i on, Q� / , PAY COMMISSION EXPIRES / _• • I 07.31.16 Residing at g,_;,,,,)0,1( (-R.- This Lot Certification has been reviewed and approved by the Jefferson County Treasurer Office and taxes have been paid in full for the year. Treasurer Office This Lot Certification has been reviewed and approved by the Jefferson County Development Review Division. Associate/Assistant Planner Date -- p . s P r r Z 1, A z p - 1 _ _ k _ -j3L LL r _ - - - - - - . °0 .0 0 ,?,,, --k- c r.:_ic. lik C} p- p vi -c,-- ry us v G p �, '� a o 0 C:- ; 5 o PVI tt 0 c - b �� i. r s -2,s �"3 ''I% 79 ,63 Oi I\ AFTER RECORDING MAIL TO: Name: Jefferson County DCD, DRD 1a' \)[j.i Address: 621 Sheridan City/State:Port Townsend, WA 98368 All Situate in the County of Jefferson, State of Washington Lot Certification MLA Number: Parcel Number: Section Township Range Grantor(s): 1. Ricky Carter and Ricky Carter as Trustee of the Carter Family Trust Legal Description: Parcel involved in the lot certification are currently legally described as follows(include Assessor's Property Tax Parcel Account Number): Parcel A: Lot 193, Lazy C Ranch Division 3 as per plat recorded in Volume 5 of Plats, pages 61 through 63, records of Jefferson County, Washington. (966 900 152) Parcel B: Lots 194,195,and 196, Lazy C Ranch Division 3, as per plat recorded in Volume 5 of Plats, pages 61 through 63, records of Jefferson County, Washington. (966900154) Lot certification described as follows (new legal description in metes and bounds): Revised Parcel A: Lots 193 and 194, Lazy C Ranch Division 3 as per plat recorded in Volume 5 of Plats, pages 61 through 63, records of Jefferson County, Washington. (966 900 152) Revised Parcel B• Lots 195 and 196, Lazy C Ranch Division 3, as per plat recorded in Volume 5 of Plats, pages 61 through 63, records of Jefferson County, Washington. (966900154) This lot certification exemption complies with Jefferson County Code(JCC section 18.35.040(1)or(4) Jefferson County Consistency: This lot certification is compliant with Jefferson County Code 18.35.040(1) or(4) for the purpose of assisting with the segregation of land into lots, tracts or parcels each one of which one-sixteenth of a section of land or larger. (Proponents' signature) STATE OF WASHINGTON COUNTY OF J"� 1-;o/J Ong �7 , 0 ' ,personally appeared 6*Cl� �"�e"r and proved to me on the basis of satisfactory eviden a to the person whose name is subscribed to this instrument, and acknowledged that he executed it. WITNESS my hand and official seal this 27 day of May , 200 . WADE R. JOHNSTON STATE OF WASHINGTON Notary Publ. in and for the State of Wash' gton, NOTARY PUBLIC 4 MY COMMISSION EXPIRES ` �'� 07-31.16 Residing at (�!7 (�JC( This Lot Certification has been reviewed and approved by the Jefferson County Treasurer Office and taxes have been paid in full for the year. Treasurer Office This Lot Certification has been reviewed and approved by the Jefferson County Development Review Division. Associate/Assistant Planner Date UDC CONSISTENCY REVIEW . - ' Project Planner: Master#MLA14-00022 Review Type Project Description SEP14-00022 I SEP73-170 valid and filed here w/this tank only replacement. (pump vault) SUB14-00003 I Lot Certification-segregate lots 193, 194, 195 and 196 in the Lazy C Ranch.2 parcels, Lots 193 and 194 a parcel&Lots 195 and 196 a parcel. Primary: ROGER A WERTH Site Address: 1562 FLORAL CT 131 PARADISE COVE LONGVIEW WA 986323406 BRINNON WA, 98320 Project Location: Parcel Number: 966900152 S-T-R: 34-26N-02W Total Acreage 0 Legal Description LAZY C RANCH DIV 3 LOT 193 Land Use: 9100 Flood District: Fire District: 4 Planning Area: 11 Flood Map(FIRM) Panel No: chool D 46 Zoning: Parcel Number: 966900154 S-T-R: 34-26N-02W Total Acreage 1 Legal Description LAZY C RANCH DIV 3 LOTS 194,195 & 196 Land Use: 1101 Flood District: Fire District: 4 Planning Area: 11 Flood Map(FIRM) Panel No: chool D 46 Zoning: Parcel Number: 983700005 S-T-R: 29-25N-02W Total Acreage 0 Legal Description PARADISE COVE LOT 8 Land Use: 9800 Flood District: Fire District: 4 Planning Area: 11 Flood Map(FIRM) Panel No: chool D 46 Zoning: 7.1120,' COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ t] Plot plan states "property line" [ ] Assessor's Map(Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [ ] Legal Access to Property YES NO [ ] Parcel Tags or Scanned Documents YES NO [ ] ESA's: Special Reports Nearby YES NO [ ] Designated Ag YES NO [ ] Shoreline Designation: YES NO [ ' ] Shoreline Slope Stability: YES NO Stream Type:YES ®O p ekes co.D• FWHCA: YES date k Wetlands: YES 4il'J Rare Plants:YES • Seismic: Y ,`ice Landslide: 0 42,______n_crAWM_Ar.) Flood: YES a4 Erosion: YES do Aquifer Recharge Are. 0 NO ,F Su.SC. SIPZ: CP At Ris High Risk Coastal CMZ: Ion- High Risk Moderate RiskDisconnected CMZ / Stormwater site plan submitted: Yes Forest Lands: YES NO Adjoining Forest Lands: Commercial/ Rural/ Inholding [1 Mineral Lands: YES 1 [/ Agricultural Lands: [� Archaeology: YES NO [/( No Shooting Zone: 7010 [ ] Stormwater: New 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 YES NO Landscaping Required: Yes No [ ] Parking Spaces Required NO 2 Other f 1 Building Height: 35' UBC Standard [ ] Impervious Surface coverage percentage: . Resource Lands&Public: 10% Rural Residential: 25% Rural Industrial: Per UDC Sec 6.7 A Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only [ ] Total Building (s) Size: RVC:20,000 SF CC: 5,000 SF NC: 7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified [ ] Setbacks: Front: Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: [ ] Road Classification: Road Approach: EXISTING NOT REQ'D RAP [ ] SEPA Required: YES 6. ExEM-P� [ ] Flood Certificate: [ ] Existing Case(s)& Condition(s): `��OI/�n Violations: Yes No "�, A ��mot"" [ ] Recorded Date of Subdivision: L.AL1 e.. AF N L`J r'r�nl` Over Syrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ ] Lots/Require Declaration of Restrictive Covenant YES NO, submitted: YES 0 [ ] UGA No Protest Agreement YES NO, submitted: YES Ilieltio [ ] Site Visit conducted YES NO [ Require Final Zoning Approva S [ ] ADMIN: Setbacks entered in Permit Plan case N/A YES New Parcel Tags entered in Permit Plan N/A YES Special Reports Scanned N/A YES Title Notes Updated Parcel tags found for parcel 983700005 1.) WSRC Coaching - 2013!09/12 9/12/13 CAO SG Parcel tags found for parcel 983700005 2.) WSRC Coaching - 2013/09/12 9/12/13 SMP SG Parcel tags found for parcel 983700005 3.) WSRC Coaching - septic! bldg permit records 9/24/13 Other Parcel tags found for parcel 983700005 4.) WSRC Coaching - 2013-11-20 12/16/13 Other Parcel tags found for parcel 983700005 5.) WSRC Coaching - 2013-11-20 12/16/13 SMP Parcel tags found for parcel 983700005 6.) WSRC Coaching - LID 2013-11-20 12/16/13 Parcel tags found for parcel 983700005 7.) WSRC Coaching - 2013-11-20 12/16/13 CAO Parcel tags found for parcel 983700005 8.) Customer Assistance CAM14-00008: R. Werth 01/09/2014: 1 hr. 15 min. - 1/10/14 Mtg Req property development, maps Parcel tags found for parcel 966900154 9.) Customer Assistance cam14-00042 1/22/14 Mtg Req Associated CASES status issued finaled description 983700005 CAM14-00008 M 1/8/2014 Is this lot a buildable lot? MLA 14-00022 SEP14-00022 P SEP73-170 valid and filed here w/this tank only replacement. (pump vault) MLA14-00025 BLD14-00205 P Garage,no heat,no plumb w/heated workshop upstairs. SDP14-00007 P Shoreline exemption permit for a septic application SEP14-0022 PRJ14-00026 P Shoreline exemption permit for a septic application SEP14-0022 MLA14-00041 ZON14-00016 P Tree removal PRJ14-00025 P SEP73-170 SEP73-00170 F 7/12/1973 4/16/2004 Now filed w/ SEP14-22 S0M73-00170 VlO 12/30/2013 PRJ14-00046 P Tree removal