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ZON2003-00023
• JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: CAROL L SAWTELLE 10631 RHODY DR PORT HADLOCK WA 98339 DATE ISSUED: July 22, 2003 DATE EXPIRES: January 22, 2004 MLA NUMBER: MLA03-00207 PROJECT PLANNER: K RUSSELL PROJECT DESCRIPTION: Espresso Cart PROJECT LOCATION: Parcel number 942 903 705, Chalmer's 2nd Addition, Blk 37, Lots 23-25, in Section 03, Township 29, Range 01 West, WM, located at Port Hadlock, WA 98339 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.) The applicant is proposing to site a MOBILE expresso cart on a commercial property. The property is currently occupied by Jefferson TV and contains enough parking, and existing landscaping. 3.) The application was reviewed by the Jefferson County Department of Community Development for the presence of Environmentally Sensitive Areas (ESAs). The Department conducted a review and has concluded that the property DOES NOT contain Environmentally Sensitive Areas. However, future proposals will be subject to a new ESA review and conditions may be added if new ESAs are found on the property. 4.) The site plan as submitted with the zoning application on 4/21/03 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 7/21/03 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 5.) This approval is for a mobile expresso cart only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. The cart SHALL be removed daily from the proposed location. 6.) The proposed stand will be approximately 62-feet from the Rhody Drive. A minimum 50-feet is required per the Jefferson County UDC. This measurement shall be taken from the front line line and measured perpendicularly to the proposed stand. CONDITIONS: 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 new use shall utilize the existing parking and access as established by Jefferson TV. 3.) The proposed espresso cart is classified as a MOBILE UNIT and shall be removed each day upon completion of business. The cart shall not remain when daily operation has closed. The unit must be disconnected and removed daily, upon completion of business. 4.) The espresso unit must comply with all food handling operations as specified by the Jefferson County Environmental Health Department. NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development. Development pursuant to this permit shall be undertaken subject to the applicable development and performance standards of the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that"takes"listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine Fisheries Service can levy penalties. All areas in Jefferson County are included as"critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline,freshwater shoreline, or floodplains are advised to do the following: -Set back buildings, utilities and roads as far as possible from surface waters (streams, rivers, lakes, marine waters), or at least 150 feet from the edge of the water -All development activities should avoid unstable slopes, wetlands,and forested areas near surface waters - Remove minimal vegetation for site development, especially large trees -Allow trees that have fallen into surface waters to remain there - Infiltrate stomiwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches Any individual, group, or agency can bring suit for a listed species "taking," even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle at(206)526-6613, or the U.S. Fish and Wildlife Service at (503)231-6121. APPEALS: Pursuant to 13CW 36.70C, the applicant or any aggrieved party may appeal this final decision to Jefferson County Superior 'thin twenty-one (21)calendar days of the date of issuance of this land use decision. For more inform ionaY `4 =wed to judical appeals see UDC Section 8.5.2. 4010. I/ ■ 03 UD'Administrator 41111•11111, Jefferson County A Environmental Health Department ppli5ant to check appropriate category 615 Sheridan V New Establishment Port Townsend, WA 98368 Remodel 360.385.9444 (Tele) 360.385.9401 (Fax) Ownership Change envhealth @co.jefferson.wa.us Change in Menu/Style of Service www.co.jefferson.wa.us Update 44� /�� Food Service Establishment Permit Application Tl " l 6 1( Rq�9o3 705 STEP 1: BASIC INFORMATION D L C) Name of Establishment ��P/ y L ✓l" PiLess o�ts�� `T_ficEtosoit.) Tr/�5��. P4. NA '/ // r1 Location of Establishment >✓ City ( .Dr![cf* 1 e(3b') ) N>b3 /O3 1 ,�/^e �� // [�g�33� Manager/Operator CR-�-0 L1. 5,q& TeI/C Phone(36 0 )3��Z -43 Legal Owner a l L .. S / e Pi �) //Phone(.34 ) 3£6.-- f 3 Mailing Address /D �J/ U�+S Tbiu City j7 • T7nL7[O[ r S t a t e 1 Bill To(check one) Legal Owner_Establishment Location Other(list) lfel■uel&d Qk jt0 US Water Source(check one)_Public Well Sewage Disposal(check one)jublic Sewer_On-Site sIQI/ dl-r- Number of Seats in Food Establishment Bare/Nen Outside Area r�iird�� Is smoking allowed on premises`?!Yes_No Days Open IP dAy S Hours ChM to 5 p/� PROCEED TO STEP 2 ON THE BACK SIDE OF THIS APPLICATON DO NOT WRITE BELOW THIS LINE Reviewed By Date Plan Review Fees Receipt# Date Permit Fees Receipt# _ Date Permit Number Classification Permit Limitations Jefferson County Food Establishment Application Package - 1 - STEP 2: FOOD PROCESSES Check which procedure will be used to prepare potentially hazardous food items on your menu. Cut/ Cook/Bake Cold Hot Food Thaw I Assemble or Grill Cool Hold Reheat Hold Portion Pkg. (VOW 55D egiV s - Eru; Temperature Control Method(check mark as many as you will be using) A) Hot Holding Steam Table Oven BBQ Gas Grill_Steamer Stove Top_Hot Case Other(list) A-.)0/,-)€- B) Reheating or Cooking Oven_BBQ_Gas Grill Wok_Steamer_Stove Top Other(list) A./DA-le- C) / Cold Holding Refrigerator ✓ Ice ✓ Freezer Other(list) D) During Transport /f)N K E) Cooling to 45° Ice Bath _Refrigerator at 2"to 4"Depth Other(list) Eliminating Bare Hand Contact with Ready to Eat Foods Disposable Gloves Utensils Bakery Tissue Other(list) /J.) Poo Is SIGNATURE The undersigned manager or owner does hereby make application to operate a Food Establishment in compliance with the Rules and Regulations of Washington State(WAC 246-215)and the Local Board of Health Ordinance Chapter R.05 Jefferson County Code. ��11��'' C�gI L, SAvdttI/ C,CvZ -e �iz� l D Printed Name Signature flat Jefferson County Food Establishment Application Package - 2 - Jefferson County Environmental Health Department 615 Sheridan Port Townsend,WA 98368 360.385.9444(Tele)360.385.9401 (Fax) envhealth @co.jefferson.wa.us www.co.jefferson.wa.us Checklist — New or Remodeled Food Establishment Codes, Plans and Permits — Jefferson County Environmental ! Yes ; No j Health Department j I Completed and signed Food Establishment Permit Application Form ■ Plans submitted for review with this checklist i Water system approved for public use I Nl A. j Other Departments and Agencies You May Need to Contact Yes No 1 Zoning(Jefferson County Department of Community Development and/or the City of Port ( (r Townsend) Building Permits(same as above) No tjq;Ili N 6. / i OnSite Septic System Permit(Jefferson County Department of Community Development / and/or Jefferson County Environmental Health Department) [ V j City or County Fire Marshal ✓ I Permit to serve alcohol;Washington State Liquor Control Board Phone 360.664.1606 or web I site www.liq.wa.gov l -- - s Sinks and Dishwashing Yes FNo F Three-compartment sink installed for washing,rinsing and sanitizing equipment and utensils. ISink to be large enough for complete immersion of equipment and utensils,except for fixed ; J j and excessively large equipment. One or two compartment sink installed for food preparation if fresh vegetables are served. llandwashing sink installed in food preparation area with a mixing faucet,towel dispenser, / �� and liquid soap. ! 1/ Mop sink with floor drain installed MA i TSplash from mop,dish,and hand sink is isolated from food preparations /OM i unless chemical disinfection is being used. NOTE: A-4iebwer,4ief and a TWO COMPARTMENT sink may be substituted for the THREE COMPARTMENT sink. Drain boards at dishwashing equipment drain by gravity. Installed for both clean and soiled tableware and equipment. Ifgo.indicate provisions for air drying of cleaned items and 1 il placement of soiled items: �, J Hot and cold running water(under adequate pressure and quatity)is provided to all plumbing fixtures. 3 Drainage (where applicable) Yes No Salad bar indirectly drained to sewage disposal system ! Food preparation sink indirectly drained. g Dishwasher indirectly drained. I II j Dipper well indirectly drained. 1 Ice machine indirectly drained. j ; x I Wash-down drain provided outside walk-in. ! -j Back flow protection provided for ice machines,beverage machines,and dips. 3eff arson County Food Establishment Application Package - 3 - Surfaces Yes Food contact surfaces of utensils and equipment are non-toxic,corrosion resistant,(no enamelware),durable.smooth,non-absorbent,and easy to clean , / fi Cutting blocks are made of hard maple or similar non-absorbent material. {{ Non-food contact surfaces of equipment are corrosion resistant,durable,safe. I !/ Finish material of floors,walls,ceilings,partitions and shelves in all food preparation areas,food storage rooms,and toilet rooms are: smooth,non-absorbent,easy to clean, durable and free from cracks and open seams. 1i)Pc i Four inch mop-board provided at all floor/wall junctures. Carpeting installed m establishment?(Location: N P( ) 1 Food ssttgra a areas constructed so that foods and food containers Yes � No g ers are stored a minimum of b- / i inches off the floor and protected from contamination. V I Y Separate area provided for storage of cleaning equipment such as mops,brooms,etc. I t/ 1 .__ Designated location for employee storage of personal belongings. ✓ j Ventiiation , Yes i No Ventilation and mechanical ventilation equipment installed for facility,toilet rooms and ,I cooking equipment as required. �A Filters or other grease-extracting equipment used in ventilation devices readily removable for cleaning and replacement,or designed to b a cleaned in place. N P ! j ` Bathrooms 1 Yes I No Note: Health Department regulations require public restrooms when customer seating is j i provided. Check with your local building official concerning additional regulations regarding public restrooms: The public must not pass through food preparation areas/j/A Number of toilets provided for each gender(private restrooms): 1----� Employee restroom provided in establishment or within 200 feet. ✓ 1 Handwashing facilities in all testrooms. V I 1 Generai Yes rNo Screening on open windows and doors. NA Grease trap installation. N A P I , 7 Adequate lighting provided throughout establishment. Lights shielded from breakage in the food preparation,service,storage and display areas and where utensils and equipment are / cleaned and stored. V Durable,easily cleanable,leak-proof,covered garbage and refuse containers provided (outside storage area,kitchen and toilet rooms). I / 1 Food transported to other locations. Explain: ,..6tm::ii6csaY-R152Wi17£241:. A?iffi. `,-,c _._... i�LFil5i1C ""A7e'!'hLO:y.:YriR53Sm' Jefferson County Food Establishment Application Package - 4 - tZ Q.jt 11,? k iL,1t=- -,,U T .,,, fi 11 A- (L\L:\. NI af 1\ • rifj e o 1 A7 ‘ -- \ Vtet5d i \i) ,,, JE-IkR-5oP Tv/54 3 Ki c, Iu I . ‘Ng t 0 ?CU-jecit. - V U J 1 112 0-C- - i er)ce --A 1.1 _-__ 7 f-I jq�, I �.' I iit -----I I 6-0)11 ) 49.1)--." t:.-.1- 11 uu t , i' .� Jl�arcr` S a J r /_e--- 47 ,‘,/,- / 6/ee ,v._ _67„,; ;-/...4,...,-..ce. [1ECEIIVIE -n .. APR 2 1 2CO3 JEFFERSON COUNTY ENVIRONMENTAL HEALTH Cli l L.( S/9-cf� // /0 (03/ l2 r DR.' '4 /-1, locK, wil -v33� mac. tvii,k4 'ft e ,q // 0 K-', ' ' .J jh a te 7 .a) Q ` ^ F . Pi 8 FNce / 16 , r"y 7d o c w tof 12;I/e eit) /41--i --,e < c N) b 0 a ri 0 Cr 7 w ml o C yam, ) a L1 Z 1, r c C c.,a < > ---f_ ;. , —t- A r ...r711 (---, i 1----- e : , < 3.?-, T `g ‘' - ti E T F4---/,-"a4---- / 3 , VI Le it descS.:491,01-) - Lod- a-.3 ( 7j 4A) 1 J L-b-i5 -.),y A--a-s' iL„1) C,,ffl . • �v, " 7= -- °t 3• V-1 ; ! / ' Jefferson County Health 6.Human Services 'l if y . NA, 615 SHERIDAN • PORT TOWNSEND,WA 98368 • FAX 360-385-9401 ■ June �, 2!� ')5, © c py - - / a "-►-- Happy Espresso Carol Sawtelle ' 2 I� 15A 2 10361 Rhody Drive D 15 t5 U t5 Port Hadlock, WA 98339 -� JUN RE: Plans for Happy Espresso r JEFFERSON COUNTY Dear Ms. Sawtelle; DEPT. OF COMMUNITY DEVELOPMENT Your plans for the above food service establishment have been reviewed as per the Rules and Regulations of the State Board of Health for Food Service Sanitation, WAC 246-215 and Jefferson County Ordinance 2-77. These plans have been approved subject to the following conditions: 1. Provide easily cleanable, smooth, nonabsorbent, durable surfaces on all equipment and utensils. Walls, floors and ceilings must be easily cleanable, smooth and light colored. 2. Provide space in the dishwashing sink area for adequate storage of dirty dishes and air-drying of the clean dishes. Air drying racks are recommended above the sinks. 3. Back flow protection needs to be provided for all applicable equipment such as ice machines, well dips, food sinks, dishwashing sinks and soda machine. 4. Provide adequate facilities for orderly storage of employees'clothing and personal belongings. 5. Provide thermometers accurate within 3 degrees Fahrenheit on all refrigeration. 6. Ensure that adequate storage of garbage is provided and that the containment is per code. 7. Hot water supply must be sized to meet peak demand requirements. 8. All equipment must meet applicable National Sanitation Foundation Standards or be of comparable design criteria. 9. Please provide me with your policy regarding glove usage in your establishment. 10. All liquid waste shall be disposed of into an approved on-site sewage system sized for the wastewater flow, as indicated on the food service and onsite sewage application. Before the food service permit will be issued all onsite,water,building and zoning requirements need to be met. 11. All employees and owners must have valid food worker cards prior to opening. A pre-opening inspection of the premises is required by the Health Department prior to issuance of the final building inspection and/or occupancy permit and prior to opening/operating a food service establishment. Please provide a minimum of three days' notice for this inspection. Your permit for a Food Service Establishment will be issued at the pre-opening inspection and will have the conditions of your permit listed including the menu limitation allowing only hot and iced 'OMMUNITY ENVIRONMENTAL NATURAL DEVELOPMENTAL SUBSTANCE ABUSE HEALTH HEALTH RESOURCES DISABILITIES &PREVENTION 985 9400 360/385 9444 360/385 9444 360/385-9400 360/385-9400 coffee and coffee beverages, tea, and pre-packaged baked goods (no fruit smoothies or blender . drinks.) The letter of agreement with Sonny's RV for wastewater disposal needs to be updated yearly, and a copy sent to the Health Department. Thank you for working so closely with us on your plans. Sincerely 40P6r/fr AA! • Dana Fickeisen,RN Environmental Health Specialist, 360-379-4496 Copy: Mo-chi Zoe Lindblad,Planning Clerk Jefferson County Department of Community Development Aji-(1,4 I C A 77—) ) 64"(11- 2-A"' tlyla C , ,Ly Saarca-- a161/11tf- j\r(j - 0151 1) 016 c-)Nltpiv I / 6 ter c 5 - ,..4,4FACLaV APR 21 2003 JEFFERSON COUNTY DCD ��ysON 00e, #1"/V\ t I v W�-- w � JEFFERSON COUNTY I I ��,�� o� DEPARTMENT OF COMMUNITY DEVELOPMENT �{'Pl l 4, 621 Sheridan Street• Port Townsend •Washington 98368 k U a� 'Q�1rrINOcS,� 360/379-4450•800/831-2678 •360/379-4451 Fax +3 www.co.jefferson.wa.us/commdevelopment T- 2,(J Master Land Use Permit Application Form 20/V03 — 013 PROPERTY INFORMATION L�(J hI�II ''[//E''I Tax Parcel Number: ® © © I TI 0 El Subdivision Name: TI2-c A ii Lot Number: 45 r.- I,gfjrt.udes" �-s Property Size: 3.�-)2.-S'4 5F t 1 oll'ilacres/square feet) Existing Use of Property: Co A,'�M-e2e �-4 Site Address and/or Directions to Property: /V 631 24%0 Dj 7/C, P-f. /-/, d fpck, IAJ A . 9 gi535 1 APPLICANT& OWNER/INFORMATION Applicant(if applicable): CA 14 L. Sta-to fE11E Telephone: 35s--`7/, o 3 Address:: / /n 663 ZkiyiLE DR-. City: PI, f i/-}dlpC,_ State: A ; , Zip Code: ?S7.3.3% Email Address Applicant's Signature: C -SO Mr c Property Owner(s)of Record: nDcl/D ILO 7h 1 5/S �/� Telephone: 3 65-- 0� 3.3� Address: /D6 3S ftkp �IFL., //'' II �/ City: P4 . �HJ/ k State: W P . Zip Code: Email l Address I acknowledge that the applicant above is applying for a building permit on my property. Owner's Signature: , ./ __.�i,/ ,, f ��_._s4, J I hereby designate to act as my agent in matters relating to this application for permit(s). (l )rl I QC__(.v (PROPERTY OWNER SIGNATURE) (DATE) ^DESCRIPTION OF PROPOSED USE OR ACTIVITY(include separate sheets as nec essa ) / . r CLy Es f SS a C " Cu-`f5,cit q ..- i/ / , �f [THIS SECTION FOR OFFICE USE ONLY] Refer to the specific sections of the UDC referenced below for more information and further requirements.An asterisk(`Jiidicates that a supplemental application or questionnaire may be required. (v` Type I Permits Refer to: V ❑ Septic Permit/Evaluation of Existing System(EES) UDC Section 6.4.1 and Chapter 8.15 JCC ❑ Building/Demolition Permit UDC Section 3.2.1 and Table 3-1 g. Allowed"Yes" Use Consistency Analysis /' o. 03 peg_ 142. UDC Section 3.2.1 and Table 31 ,,.£ r , !} Home Business * Table 3-1 and UDC Secfion':42q¶ ! le. �J- ❑ Stormwater Management UDC Section 6.7 I ,;.w")" ❑ Road Access' UDC Section 6.8 ❑ Boundary Line Adjustment* UDC Section 7.2 ❑ Minor PRRD Amendments UDC Section 3.6.13.15 APR 21 ZU(Ji ❑ Sign Permit* UDC Section 6.15 ❑ Site Plan Approval Advance Determination(SPAAD) UDC Section 8.7 ❑ Shoreline m P uEse mmpaty io bn/e P Teyrpme it IRI oer v Tisyiopne s Ill)`- UUDDC C SSeecctions tio5 4.38 and 41EFFERSON CO Ty VJEFFERSON COUNTY PERMIT CENTER 621 SHERIDAN ST PORT TOWNSEND WA 9836 . '.ii 379-4450 c LIFE / FIRE AND CONSISTENCY REVIEW APPLICATION APR 212003 Please check one: I CHANGE OF USE I54EVIEW SITE ADDRESS: / � (/ // r, 7 JEFFERSON COUNTY DCD 911//ROAD NAME /067.31 k U . 'JR.. P4. f--Jy. dod, Wil^7- // / I �/ -I-0 ZIP 77-33, 9 DIGIT PARCEL ID NUMBER I f )( hike"(Fit Y'f 'Yo — 3 5- Legal Description: o )-1-- Lp�S d(d-a-5-(m 1)0/4A- at eR-s. D-- Subdivision Name I-0T �-�<� f� of L 1-ri Block Lot(s) Section Township North, Range WM APPLICANT e /U I L r S RuJ fC lI t PHONE3 W ::- 92-C3 MAILINGADDRESS /0 631 piZIv i(L-1 p 1)-1. }e�/o a/6, A A . ZIP ( g-z33 L1 PROPERTY OWNER Jt)(L 0 LS O10 PHONE3 53--2 33 MAILING ADDRESS /663 I ' P4-, 4-kd/ock to A - ZIP / K3 3 / CURRENT USE(S) 7-I`//,5f3 I�j1 4 e s�p I / PROPOSED USE(S) 54 I' l l (//Sft't ej/i f O�.- s1 p L()/Ese 255 C� (i a- O 1'/�/..L SEPTIC PERMIT NUMBER UBC OCCUPANCY r UBC TYPE OF CONSTRUCTION Classification Classification NUMBER OF BEDROOMS NUMBER OF BATHROOMS WATER N PROPOSED R PROPOSED %Public Water EXISTING EXISTING / ❑ Private Well TOTAL TOTAL / ❑2-party Well '1 t,,;}� 1 4L.Seerc e ;s- ore," EXISTING#OF PARKING SPACES /.5-6,(L ZD #OF HANDICAP PARKING SPACES . (t-r-s. of C(csc PRr-CA/.., CURRENT NUMBER OF OCCUPANTS(includes owners, PROPOSED NUMBER OF OCCUPANTS(includes owners, tenants,employees,etc) / tenants,employees,etc) CURRENT TOTAL SQUARE FOOTAGE(includes decks, porches,outbuildings,she�Fdvv{{see tc) 1 h. 6 6 r rt PROPOSED TOTAL SQUARE FOOTAG (includes decks,porche ,outbuildings,shed...eh /3r H �6'T J 5 • APPLICANT SIGNATURE Cr S DATE `7 I "1 / 0 3 FOR OFFICE USE ONLY Y�SS u Ct2 r}- CONSISTENCY REVIEW $ 47.00 No B LI I'�rw-^A- I d BASE FEE X RECEIPT# J(0 i (r STATESURQHAIRGE 4.50 CASH/CK# 3 5( 7 " ) TOTAL ( , ,.0 DATE r /' -t / 0 G'IPermitCenter'FORMSBL*. FORMS LIFE FIRE • . CONSISTENCY, "4 EW FORM.DOC11/02 I/ C 6.(2,0 ( t t S,cf-v.)-1--;lJ� I /o 3/ F-1 r • P . /N(d/oa, �4 gg/33`' -----17 .3..1. . mac. ` i ' rbfwfr ems.l-�eq fie a„ G p- - VIZ . Y , 0 m 11°X1 cr 0 -11 lre jr- + • m , ...0 O %v CD t-.0 VA; F" v ' i EZ k.,4' 0 C3 V F NCe / /Car/ i T3: i ./?:' 4602 C----. Z W o der, = < a Z ry ,.'. ,'''.":2)--. „..-.41 1 0 _... at ...2", Y c. „....._____, V '-----L- r (.2 e ��ti o 3a-/ S � 'sf: c Le ,rL deSCL:P t'a P ‘• L'd a-3 (( 71 °011107' 9 1--x' 5 V y4-;-4 l..L_) (l,,,fl u gH,t--C Aid JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPME I ";; a• f II 621 Sheridan, Port Townsend,WA 98368 ^""" '°+ ae, ,r (360)-379-4450 LIFE / FIRE AND CONSISTENCY REVIEW CHECKLIST APR 2 1 Zuua A COMPLETE APPLICATION CONSISTS OF: JEFFERSON COUNTY DCD 'MASTER LAND USE APPLICATION—Must be signed by property owner of record JEFFERSON ❑ FLOOR PLANS—One floor plan showing existing structure and uses. One floor plan showing proposed structure and uses. I HE SITE PLAN—Use the Site Plan checklist on the Master Land Use Application lease include all information requested on the site plan checklist. If the size of the site plan is over 11"x 17"you must provide us j'` with 7 copies at the time of application. LIFE/FIRE AND CONSISTENCY REVIEW APPLICATION e application asks for number of employees, number of bathrooms, number of parking spaces,square footage, heat source, water source. Please sign and date. ❑ LANDSCAPE PLAN(Please include location,type and size of signs,vegetation,parking spaces including handicap parking stall and route of travel.) ❑ PRE-APPLICATION CONFERENCE(The Development Review Division will determine if your project requires a zoning permit or a pre-application conference.) XPERMIT FEES Payable at the time of application. ,.s '- Tt . JEFFERSON COUNTY PERMIT CENTER 621 SHERIDAN ST PORT TOWNSEND WA 98 .: •'. '.1 379-4450 } V LIFE / FIRE AND CONSISTENCY REVIEW APPLICATION APR 21 2003 Please check one: a CHANGE OF USE ,REVIEW SITE ADDRESS: f / I (/ // Oil JEFFERSON COUNTY DCD 911#/ROADNAME / 062_3 ! k 1/ Dg_„ P4. /-1M1ock, kM • �/ o n l `�'f ZIP 1'0 331 9 DIGIT PARCEL ID NUMBER Tit PA lc e-( Li)-— g° J 3 3-O 5- Legal Description: / o / p + Lo/ ay,-)-si21/)Cbt,q-/M€ es.-9136--D- Subdivision Name L-O�r4--2 t 1/ Of 1 �) Block Lot(s) Section W `` Township North, Range M APPLICANT Nall Li 7AGL fCIle PHONE3 FKc-y?-(.;3 MAILINGADDRESS /0 6 31 /Zk..a ell biz-, �j q ?-1-. 14AdioGk, LC) A • ZIP ( K33/ PROPERTY OWNER )t) e-o ©(3 Oki ' PHONE3 S')-33LI MAILING ADDRESS /U( 3_5 P4. /4.ftdlock, �.33 u)A - ZIP l / , PROPOSED USE(S) 5 Ise el/r�Sft-t /* 5-1.-br /,t) IL.s ( 55 0 (-1.4 o -ric,uA SEPTIC PERMIT NUMBER UBC OCCUPANCY UBC TYPE OF CONSTRUCTION Classification Classification NUMBER OF BEDROOMS NUMBER OF BATHROOMS WATER PROPOSED AI P PROPOSED y./ Public Water EXISTING EXISTING / ❑ Private Well TOTAL TOTAL / ❑2-party Well I D_SfHree :L arr° EXISTING#OF PARKING SPACES 45-(9(L 2-V #OF HANDICAP PARKING SPACES . it- . of chsc �fre- .-' CURRENT NUMBER OF OCCUPANTS(includes owners, PROPOSED NUMBER OF OCCUPANTS(includes owners, tenants,employees,etc) / tenants,employees,etc) �v / CURRENT TOTAL SQUARE FOOTAGE(includes decks, porches,outbuildings,shed...ed...btc)Vitt? li b b- 6, il Cr. �ii !! cart* /3 H �� .3 5� f'�. PROPOSED TOTAL SQUARE FOOTAG (includes decks,porche ,outbuildings,s ....etd / APPLICANT SIGNATURE Cr v - DATE `7 I ?-1 I D 3 re-Ss u (j2 r� FOR OFFICE USE ONLY A ,D L D L�rr �- CONSISTENCY REVIEW $ 47.00 /v BASE FEE X RECEIPT# 0 ' I. I STATE SURCHARGE 4.50 CASH/CK# �}�CD C (7 TOTAL c( . S O DATE r/')-I / C G:\PertnitCenteAFORMSZLDG FORMSUJFE FIRE AND CONSISTENCY REVIEW FORM.DOC11/02 �5 >r- CASES, FINDING, CONDITIONS, PERMISSIONS FOR Parcel 942903705 Printed: April 21, 2003 Cases Name Review Type Status Planner BLD90-00002 OLSON F Application Received: 01/02/1990 Permit Issued/Case closed: 01/02/1990 Case Finaled: chimney repair No findings, conditions, or permissions found. ZONO3-00023 MLA03-00207 SAWTELLE I P K RUSSELL Application Received: 04/21/2003 Permit Issued/Case closed: Case Finaled: Espresso Cart No findings, conditions, or permissions found. 1 of 1 Parcel Print Page 1 of 1 Parcel Number: 942903705 Owner Mailing Address: DOROTHY D OLSON PO BOX 1504 PORT HADLOCK WA 983391504 Site Address: 10633 RHODY DR PORT HADLOCK 98339 Section: 3 School District: Chimacum (49) Qtr Section: SE1/4 Fire Dist: Chimacum (1) Township: 29N Tax Status: Taxable Range: 1W Tax Code: 211 Mapped pp 0.73 Planning area: Tn-Area (4) Acreage: Sub Division: CHALMER'S 2ND ADDITION Land Use Code: 1100 - HOUSES (single units, non-farm) Property Description: CHALMER'S 2ND ADDITION BLK 37 LOTS 23(E71' OF N97'), 24 & 25 (ALL) BND TGTH BY BLA #89566 T >x - ' w. /4/445" 4 i Ar '� �C / / • _ Inc , http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?PARCEL_NO=942903705 04/21/2003 Map Output Page 1 of 1 FEATURES NOT SURVEYED - 942 903 705 / Sawtellw Legend 0 Selected Features • Shoreline Photos-H Toms QCosy SmI * Run/Crews f+• Road System Li Parcekai County Zoning .___..r►a4RlES ST pANFRRD AG20 . 5, N1rSSG 000000230 AIRPORT i - COM.FCRLST.i90 . CROSSROADS CC 042000707 I . CROSSROADS GC $4X103702 II CROSSROADS NC ...• GLEN COVE LIC rc.1. 111-- . - HEAVY NDUSTRUnL , NHC D*IG FOREST i ■ LIGHT INDUSTRIAL ws MSfTARY RESER/AT10N ,I . MPR,MULTFAMLY I N. MPR.CPEN SPACE 042005703 ._. 042003705 i '$4'23013505 IC MRLRCF 000000220. MPR.RECREATION I . I MPR-SINGLE FAIR TRCTS III MPR I •SNRLE EMILY I . MPR•VLLACf CENTER 2 I, NATIONAL FCREST SiMM S ST i � RATIONAL REFUGE 0000002,50 I (1 .000000250. PARKS AND RECREATION 4. PORT TO%NSEND UGA -il _. . FRST RES.BASED ND . RURAL M1AGE CENTER &14230:3803 04:,206801: 042$Ct380t 1 1 I 042&02402 . RURAL FOREST.43 • RURAL RES.1.10 RURAL RES.1-20 Maps provided 6Y Jefferson County GIS 0 Imolowl•■■••••',1 1 Oft . RURAL RES.1.5 UNKNOWN \� � WASTE FACLRY j NON RESERVATION OUNAULT RESERVATION IN NATIONAL PARK ul'M 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 ollection. oning information is based on the 1998 Comprehensive Plan Map and does not include changes made •uring the 1999 Comprehensive Plan amendment process. Zoning designations must be confirmed with the De.artment of Communit Develo•ment. http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=parcels&ClientVersion=3.1&Form=True&Enc... 04/21/2003 JEFFERSON COUNTY (00N—"se DEPARTMENT OF COMMUNITY DEVELOPMENT w C ' 621 Sheridan Street 6 Port Townsend, WA 98368 11T. Al Scalf, Director April 21, 2003 CAROL L SAWTELLE 10631 RHODY DR PORT HADLOCK WA 98339 RE: CASE #: MLA03-00207 LOCATION: Parcel number 942 903 705, Chalmer's 2nd Addition, Blk 37, Lots 23-25, in Section 03, Township 29, Range 01 West, WM, located at Port Hadlock,WA 98339 Dear CAROL L SAWTELLE: Jefferson County Department of Community Development staff have received the application materials for the above project proposal and have assigned your case to: Kevin Russell (360) 385-9406 E-mail: krussell @co.jefferson.wa.us Fax: (360) 379-4473 Please direct all questions to Kevin Russell and refer to MLA03-00207. If you need to speak with Kevin Russell in person, please call to schedule an appointment in order to ensure availability. Currently, planners have an average of 50 cases each. Review times vary depending on the type of application and how complete the application is upon submittal. For more information, please visit the Jefferson County Department of Community Development web page at www.co.Jefferson.wa.us/commdevelopment/. Thank you. Sincerely, Department of Community Development Staff c: File DOROTHY D OLSON PO BOX 1504 PORT HAD LOCK WA 98339-1504 Building Permits/ Inspections Development Review Division Long Range Planning (360) 379-4450 FAX: (360) 379-4451 r Cr CO H O) O I' co C3 LL — -O _ci Z LL O ,-- U O 1-1 O 0) H - U) N O U •- -• N C6 � O 4- CD - N O LU Cl) 0 -O — - I .— J O 0 U' O X Cr CO Z C U 0 = H W 0 CD co -I-c -O CD 0) I .- U U W r CC O �J Cl n I— � U I— F— 0 O r' N CD CD O - CO U in N- = O CD) >- U I cc Z co -o co Lid C = 3 m 3 F- Z LL 2 CD \ C) CO 0 CI) O C) F- J U 0 CD 'O C H CD Z Q) C E I— - I— H ._ H .— 3 3 >- CU O ti O Q F— 0 w Z CO 3 -D CC 0 ¢ CO C) LU CD Z C LU d- C') J W O LLI 0. CAD O CU ••• } CO Cr Cl) Oy O Z - S CC O J Y •- C C •-- CV Cl) J I— X \ 0 O U CD CL O F— CC CO O CC <C O O C) CO O v CD Cr I- O Cl) J C7 J CU - J LO O W s— O M ICC CC LID CO 0 I- ).- C U LLI -O CU r. CL CD X LLI 2 X 2 1 Cr U X CO # - I- CD J I— O J a:5 Z 0) 0_ O CO F 0 ¢ Y ¢ O CO CO M CC CC '. CD 2 J cr J Cl) 7 0_ O O O O CD U CO CU CO J -I-1 U O C1 0- O O - -1-1 0 U) O Cl) 7 O CO r• CU m 0 C) CD CU CO J CO CD O O O 0) O O -O L CU U CD CU 7) # C O O CD •. L 3 L C/) X C — CU O -I-1 CD _J CD Q) 7) CD •- 7) CD L CD U CO CD U > CO U L C Q — 0 CO C1 C U CO X +1 U -O X co Cl) CD_ CO •— -- CO CD I— F— X 4- I- CO OD 4- 3E * F- . • 45ON co y7 f2— JEFFERSON COUNTY / tfe luF AT' "TirAL OF 1 DEPARTMENT OF COMMUNITY DEVELOPMENT &fPLt _ , { & . .' 621 Sheridan Street• Pod Townsend •Washington 98368 t7 ^ .D-0+qS, Nis 0 360/379-4450 •800/831-2678 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment -1—`1 fLCT Master Land Use Permit Application Form PROPERTY INFORMATION Tax Parcel Number: ® © ® ® E E © 0 El Subdivision Name: T - ' A Lot Number: Irg." CI A'l/vt ?' Property Size: 3).-))..c.4 5 F plel oit-ilcres/square feet) Existing Use of Property: CID a•M.ek.0"A-'1 Site Address and/or Directions to Property: /V b 31 l t)D bit./ P'`".f ital ioc , bt)A • 98". 35 APPLICANT&OWNER!INFORMATION L C / // , ` Applicant(if applicable): C f}4/ L■ .5$ - )7EII e- Telephone: 35.S 'R 0'b. Address: 'I r `f) cc,3 Z IR-• poi c� City: PI, HAdkCk- State: A ; . Zip Code: ` p J.5/ Email Address Applicant's Signature: �.rjrwvl v ` 'i i' '• Property Owner(s)of Record: /1I)L(1.4-111_‘ �) 5 O ' Telephone: .3 6S - X33 / Address: J 6 3..5 k-koe `L. r City: P4. fJ AJf UE w'State: A . Zip Code: 703 Email Address I acknowledge that the applicant above is applying for a building permit on my property. Owner's Signature: , ! �_.A■Ailr'; ■ 9 ied ,_ ' I hereby designate to act as my agent in matters relating to this application for permit(s). (PROPERTY OWNER SIGNATURE) (DATE) DESCRIPTION OF PROPOSED USE OR ACTIVITY(include separate sheets as necessa ) Es r r g s a O�i5'c t q� . 7 AT [THIS SECTION FOR OFFICE USE ONLY] Refer to the specific sections of the UDC referenced below for more information and further requirements. An asterisk (*) indicates that a supplemental application or questionnaire may be required. Type I Permits Refer to: ❑ Septic Permit/Evaluation of Existing System(EES) UDC Section 6.4.1 and Chapter 8.15 JCC ❑ Building/Demolition Permit UDC Section 3.2.1 and Table 3-1 g. Allowed "Yes" Use Consistency Analysis kyr/° pc L Re. UDC Section 3.2.1 and Table 3-1 , .- r:�,, Home Business Table 3-1 and UDC Section 4.20 ❑ Stormwater Management* UDC Section 6.7 ❑ Road Access* UDC Section 6.8 ❑ Boundary Line Adjustment* UDC Section 7.2 ❑ Minor PRRD Amendments UDC Section 3.6.13.15 APR L 1 1IAM ❑ Sign Permit* UDC Section 6.15 ❑ Site Plan Approval Advance Determination(SPAAD) UDC Section 8.7 ❑ Shoreline Master Program Exemption/Permit Revisions UDC Section 5 [[n )jn, ( (1CQ ❑ Temporary Use(based on use may be Type II or Type Iii)` UDC Sections 4.38 and ql f L ` CN CO`�(��eftj' Type II Permits Refer to: " ❑ Discretionary"D" or Unnamed Use Classification UDC Sections 3.2.1, 3.2.2 and Table 3-1 ❑ Cottage Industry UDC Section 7.3 and Table 3-1 ❑ Short Plat, Preliminary and Final* UDC Section 7.3 ❑ Binding Site Plan* UDC Section 7.5 ❑ Conditional(Administrative)"C(a)" Use UDC Table 3-1 and Section 8.8 ❑ Conditional (Discretionary)"C(d)" Use UDC Table 3-1 and Section 8.8 (Discretionary Permit Review Process Determined by Administrator) ❑ Variance, Minor* UDC Section 8.9 ❑ Wireless Telecommunication Ordinance 06-0712-99(UDC Appendix C) ❑ Shoreline Substantial Development(Primary Use) UDC Section 5 ❑ Forest Practices Act/Release of Six-Year Moratorium for Single- UDC Section 4.16.5(c) Family Residence ❑ Appeal UDC Section 8.4.2 SEPA 8.10.12(b) Type III Permits ❑ Conditional "C" Use UDC Section 8.8 ❑ Long Plat, Preliminary* UDC Section 7.4 ❑ Planned Rural Residential Development Preliminary Approval UDC Section 3.6.13(must be in conjunction with an (PRRD)and Major Amendments* underlying land division application) ❑ Plat Vacation/Alteration UDC Section 7.1.3(d) ❑ Variance, Major" UDC Section 8.9 ❑ Reasonable Economic Use Variance* UDC Section 3.6.4(h) ❑ Wireless Telecommunication Ordinance 06-0712-99 UDC Appendix C ❑ Shoreline Management Substantial Development, Secondary Use* UDC Section 5 ❑ Shoreline Management Conditional Use* UDC Section 5 ❑ Shoreline Management Variance* UDC Section 5 ❑ Appeal UDC Section 8.4.3 SEPA 8.10.12(c) Type IV Permits ❑ Long Plat, Final UDC Section 7.4 ❑ PRRD, Final UDC Section 3.6.13 jef7 W Type V Permits ❑ Special Use(Essential Public Facilities) UDC Section 3.3.5 ❑ Jefferson County Comprehensive Plan/UDC/Land Use District Map UDC Section 9 APR 2 1 2UU Amendment* ❑ Jefferson County Shoreline Master Program Amendment* UDC Section 5 (�iEFFERSON COUNTY DCD ❑ Appeal of SEPA UDC Section 8.10.12 Other Local, State or Federal Permits ❑ Please identify any other local, state or federal permits required for this proposal, if known: ACKNOWLEDGEMENTS [PLEASE NOTE THAT TWO SIGNATURES ARE REQUIRED] By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities, judgments, court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. This right of entry shall expire when the County (through the Administrator or the Administrator's representatives)concludes the application has complied with all applicable laws and regulations.Access and right of entry to the applicant's property.shall be.request d shall occur only during regular business hours. 1. /(o G' a , PROPERTY OWNER ( (DATE) The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take°of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act" or "ESA." Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual, group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code The Applicant acknowledges that he, she or it holds individual and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. 2. „C � �Q, 1; --i� —132 PROPERTY OWNER (DATE) r °�I, JEFFERSON COUNTY 4 DEPARTMENT OF COMMUNITY DEVELOPMENT APR 2 1 [un Q �ti 621 Sheridan Street• Port Townsend •Washington 98368 lSAzNa�. 360/379-4450 800/831-2678 . 360/379-4451 Fax JEFFERSON COUNTY DCD www.co.jefferson.wa.us/commdevelopment Master Land Use Permit - Informational Materials (Detach this section and retain for your records. Do not include these sheets with the application you submit) The Jefferson County Unified Development Code (UDC) groups land use permits required by the County into several different permit types for processing, almost all of which utilize this application packet. The purpose for requiring a permit to conduct a certain land use is to ensure that the proposed use is compatible with the policies of the Jefferson County Comprehensive Plan and the regulations of the UDC. The Comprehensive Plan and the Unified Development Code (UDC) are both available for review at the Department of Community Development Permit Center in Port Townsend or online at www.co.jefferson.wa.us/commdevelopment. A complete list of all individual permits issued under the UDC is found on the Master Land Use Permit Application Form contained in this packet. The Master Land Use Application is required for all permits issued under the UDC, except for Evaluations of Existing Onsite Sewage Systems (EES's) that are only for the sale or transfer of property. Types of Permits Type I Permit — This is an administrative permit (it is approved or denied by the Administrator of the Department of Community Development). If the project application is categorically exempt under SEPA, there is no public notice of the permit application. However, if a Type I permit is not categorically exempt under SEPA, then notice of the application is required and written comments regarding the proposed project are accepted and considered. In all cases, there is no public hearing required on the application. Type II Permit — This is an administrative permit (it is approved or denied by the Administrator of the Department of Community Development). Public notice of the application is required and written comments regarding the proposed project are accepted and considered. There is no public hearing required on these types of applications, except for"C(d)" uses, which may require a public hearing and final decision by the Hearing Examiner, if deemed necessary by the Administrator, or if the Administrator's final decision on a project application is appealed, in which case a public hearing is held and the final decision is made by the Hearing Examiner. Type III Permit—This type of permit application is discretionary in nature and requires public notice and a public hearing before the Jefferson County Hearing Examiner. The final decision is made by the Hearing Examiner, unless appealed. If the project decision is appealed, then a closed-record hearing and final decision are made by the Appellate Hearing Examiner. Type IV Permit — This type of permit application is ministerial in nature and does not require public notice or a public hearing (i.e., final plats). The final decision is made by the Jefferson County Board of Commissioners at a regularly scheduled meeting. Type V Permit — This type 6f permit application is legislative in nature. It involves review by the Jefferson County Planning Commission which make recommendation to the Board of County Commissioners. Public notice and a public hearing are required before the Planning Commission. The final decision is made by the Board of County Commissioners. Permit Review and Approval Process All Permits All permits, including applications for allowed "Yes" uses such as residential building permits, are subject to a planner conducted land use analysis that includes review for consistency with UDC development standards, environmentally sensitive areas(ESA), and stormwater provisions. Process Pre-application conferences with the Department of Community Development staff are required for all Type II and III permit applications and for certain Type I permits (see the Pre-Application Conference Application Sheet) to orient applicants with the provisions, procedures and criteria for permit approval required by the UDC. After a pre-application conference (if required), and an application and the applicable fee's are submitted, the Department • has 28 days to determine if the application is substantially complete. If it is not complete, the applicant has 90 days to provide all the missing information. Once the application is complete, the Department of Community Development will issue a notice of application (if required) and, following a minimum 14 day public comment period, issue a determination pursuant to the State Environmental Policy Act (SEPA). If a determination of non-significance is issued (DNS), in most cases, public notice of the determination and of the application will be posted on the property, mailed to the adjacent property owners, and published in the newspaper. If a determination of significance (DS) is issued, the applicant would begin preparation of an Environmental Impact Statement (EIS). Appeals of SEPA threshold determinations (except for a DS) on most project permits may be made to the Jefferson County Hearing Examiner. An optional DNS process will be utilized in most cases which allows for early notification of the"likely" SEPA threshold determination to be included with the notice of application. Generally, the Permit Center has 120 days or less to issue a permit decision once the application has been determined to be complete. However, this does not include time required for preparation of an EIS, if required, or any period during which the applicant has been requested to provide additional information or if substantial project revisions have been made to the application. Type I Permit — After the public comment period (for non-SEPA exempt applications), the Administrator determines whether the project is consistent with the criteria for approval and may approve, approve with conditions, or deny the application. The Administrator's action on the permit(except for administrative code interpretations) may only be appealed to Superior Court. Type II Permit — After the public comment period, the Administrator reviews the proposal and determines whether the project is consistent with the criteria for approval in the UDC and may approve, approve with conditions, or deny the application. For "C(d)" uses, the Administrator will review the potential impacts of the proposal and, upon determining the application to be complete, make a determination as to whether a public hearing should be required on the application. The Administrator's final decision on the permit may be appealed to the Jefferson County Hearing Examiner by filing a written appeal and appropriate fee within 14 days of the decision. Type III Permit — After the public comment period, the Department of Community Development staff will schedule a public hearing before the Jefferson County Hearing Examiner, and prepare a staff report prior to the hearing. The staff report will analyze whether the proposed project is consistent with the Jefferson County Comprehensive Plan and the provisions of the UDC. At the public hearing, the Hearing Examiner will review the staff report, the applicant's presentation, and all public testimony. Within 10 days after the close of the hearing, the Hearing Examiner will determine whether the proposal is consistent with the applicable criteria for approval in the UDC and may approve, approve with conditions, or deny the application. The Hearing Examiner's final decision on the permit may be appealed by a party of record within 14 days to the Jefferson County Appellate Hearing Examiner by filing a written appeal and appropriate fee. Type IV Permit — The Board of County Commissioners will determine whether the requirements granted under preliminary plat approval have been satisfied in granting final plat approval. The Board's action on the permit may only be appealed to Superior Court. Type V Permit— With certain limitations, Comprehensive Plan amendments may only be made once a calendar year and must conform to the "docketing" schedule established in Section 9 of the UDC. Amendments to the UDC itself (if consistent with the Comprehensive Plan) may occur more frequently. In all cases, a staff report from the DCD will be prepared to analyze the proposed amendments for consistency with the Comprehensive Plan and the Washington state G rowth Management Act. Staff will schedule a public hearing before the Jefferson County Planning Commission. Upon the close of the hearing,the Planning Commission will make a recommendation on the proposed amendments to the Board of County Commissioners. The Board will make the final decision on the proposed amendments. Appeals of the Board's decision on Comprehensive Plan or UDC amendments may be made to the Western Washington Growth Management Hearings Board (WWGMHB). [END] ,c JEFFERSON COUNTY ti DEPARTMENT OF COMMUNITY DEVELOPMENT APR 21 aim 621 Sheridan Street• Port Townsend • Washington 98368 IS ZIT-NO 360/379-4450 • 800/831-2678 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment JEFFERSON COUNTY DCD Master Land Use Permit Application Checklist This packet contains materials to help you make application for permits and approvals under the Unified Development Code. The list below details those documents that constitute a complete application. Yes No N/A ❑ ❑ ❑ Pre-Application Conference held. If the project application is made for a Type II or Type Ill permit or a Type I application proposing impervious surfaces of ten thousand (10,000) square feet or more and/or non-single family structures of five thousand (5,000)square feet or more a conference. is required. Otherwise, this does not apply. ❑ ❑ A completed Master Land Use Permit Application Form (attached) This application must be signed by the property owner(s)and the agent, if an authorized agent is designated. ❑ ❑ The applicable fee, as set forth in the Jefferson County Fee Ordinance(see attached). ❑ ❑ A Site Plan. All site plans shall be drawn with a straight edge and features shall be to scale. For Residential Applications -A site plan printed on 11"x17" (or smaller) paper with a graphic scale of 1"=50' for parcels over one acre in area and 1"=25'for parcels under one acre showing the following. ❑ North arrow ❑ Title block with the project name and address,drawing title,tax parcel number, and the name/address/phone of the person preparing the drawing. ❑ All property boundaries,total parcel acreage or square footage dimensions,and the land use on adjoining parcels ❑ Building footprint and square footage for all proposed and existing structures[for Site Plan Approval Advance Determination (SPAAD)applications show buildable area rather building footprint] ❑ Environmentally sensitive areas such as ravines,seasonal creeks,bodies of water,wetlands, steep slopes, etc. ❑ On-site septic system location or sewer lines(existing or proposed) ❑ Well location or water lines ❑ Impervious surfaces such as driveways or patios ❑ Setback distances from property boundaries to structures,distance between structures,and distance from structures to environmentally sensitive areas such as wetlands,shorelines,steep banks,etc. ❑ Location of any easements and encumbrances such as utility or access easements ❑ Method and location of stormwater disposal facilitates such as drainage swales,tightlines,dry wells,curtain drains,etc. ❑ For applications on marine or river shorelines show ordinary high water mark,top of banks and height of banks For Commercial, Industrial, Multifamily and Small-scale Recreational and Tourist Uses as listed in Table 3-1 - A site plan prepared by a licensed civil engineer, architect, or landscape architect containing the following information in addition to the general information required above (in these instances, site plans may be printed on larger paper). ❑ All existing and proposed development or use areas. ❑ Existing structures and significant features on the subject property and on adjacent properties. ❑ Property lines, adjoining streets, and immediately adjoining properties and their ownership. ❑ The layout of an-internal vehicular and pedestrian circulation system, including location and dimensions of existing and proposed improvements on public rights-of-way such as roads,sidewalks, and curbs. ❑ Corner grades and existing contours of topography at five-foot contour intervals. ❑ Existing and proposed grades and volume and disposition of excavated material, if applicable ❑ Natural drainage direction and storm drainage facilities and improvements. ❑ Locations of all existing and proposed utility connections ❑ Parking spaces and driveways. ❑ Proposed landscaping. ❑ ❑ ❑ A State Environmental Policy Act(SEPA)checklist(unless project is SEPA exempt) ❑ ❑ ❑ Evidence of available and adequate water supply, if applicable, as required by the Jefferson County Department of Health and the Coordinated Water System Plan. ❑ ❑ ❑ Evidence of sewer availability, septic approval, or septic suitability, if applicable, as required by the Jefferson County Department of Health for wastewater disposal. ❑ ❑ ❑ Supplemental application sheets, if applicable. MASTER LAND USE PERMIT.DOC REV.07/24/2002 I ,L)ya-, Go.Ai 191)- / 1 ) 0-rst-e- jtj C SamICA-- S$Yl.ti�.�1 S L-Yvvi / 67, C 7' 1 jib Cwtav APR 21 2003 JEFFERSON COUNTY DCD UDC CONSISTENCY REVIEW Project Planner: K RUSSELL Master#MLA03-00207 Review Type Project Description ZONO3-00023 I Espresso Cart Primary: CAROL L SAWTELLE Site Address: 10631 RHODY DR 3520 RHODODEND DR PORT HADLOCK WA 98339 PORT HADLOCK WA, 98339 DOROTHY D OLSON OWN PO BOX 1504 PORT HADLOCK WA 98339-1504 Project Location: Parcel number 942 903 705, Chalmer's 2nd Addition,Blk 37, Lots 23-25, in Section 03,Township 29,Range 01 West,WM, located at Port Hadlock,WA 98339 Parcel Number: 942903705 S-T-R:3-29N-01W Total Acreage 1 Legal Description CHALMER'S 2ND ADDITION BLK 37 LOTS 23(E71'OF Land Use: 1100 N97'), 24&25 (ALL)BND TGTH BY BLA#89566 Flood District: Fire District: 1 Planning Area: 4 Flood Map(FIRM) Panel No: 53006901708 School 49 Zoning: GC COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: MPR: WATER SUPPLY UTILITY: Service Area PUD: [ ] Plot plan states"property line" [ ] Assesor's Map(Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) Lots/Require Declaration of Restrictive Covenant YES NO [ ] ESA's: Special Reports Nearby YES NO Shoreline Designation:YES NO Stream Type:YES NO Fish&Wildlife:YES NO Wetlands: YES NO Rare Plants:YES NO Seismic: YES NO Landslide: YES NO Flood: YES NO Erosion: YES NO Aquifer Recharge Area:YES NO SIPZ: none At Risk High Risk Coastal Stonnwater site plan submitted: Yes No [ ] Forest Lands: YES NO Adjoining Forest Lands: _ Commercial/ Rural/ Inholding [ ] Mineral Lands: YES NO [ ] Agricultural Lands: YES NO [ ] Stomtwater: New Impervious Surface _Land Disturbing Activity_ ESA's Stormwater Req's: BMPs Small PESCP Large PESCP Engineering [ ] Notice Provisions/Disclosure: Airport YES NO MRL YES NO Forest Lands YES NO [ ] Landscaping Required:Yes No [ ] Parking Spaces Required NO 2 Other [ ] Building Height: 35' UBC Standard [ ] Impervious Surface coverage percentage: Resource Lands&Public: 10% Rural Residential: 25% Rural Industrial: Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only [ ] Total Building(s)Size: RVC:20,000 SF CC:5,000 SF NC:7,500 SF GC: 10,000 SF All others:subject to septic&waterconstrairts/Nore specified [ ] Setbacks: Front: Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: [ ] Road Classification: Road Approach: EXISTING NOT REQ'D RAP [ ] SEPA Required: YES EXEMPT [ ] Flood Certificate: [ ] Existing Case(s)&Condition(s): Violations: Yes No [ ] Recorded Date of Subdivision: AFN Over 5yr5 UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance Declaration of Restrictive Covenant submitted:YES NO [ ] Site Visit conducted YES NO [ ] ADMIN: Setbacks entered in Permit Plan case N/A YES New Parcel Tags entered in Permit Plan N/A YES Special Reports Scanned N/A YES No parcel tags found for parcel Associated CASES status issued finaled description 942903705 BLD90-00002 F 01/02/1990 chimney repair MLA03-00207 ZONO3-00023 P Espresso Cart