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HomeMy WebLinkAboutSUB2015-00013 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: JING LI PO BOX 33129 SEATTLE WA 98133-0129 DATE ISSUED: September 18, 2015 DATE EXPIRES: March 18, 2016 MLA NUMBER: MLA15-00046 PROJECT PLANNER:Anna Bausher PROJECT DESCRIPTION: BOUNDARY LINE ADJUSTMENT - LOT CONSOLIDATION To consolidate five legal lots of record within one parcel. PROJECT LOCATION: Parcel Number: 961806605; Section: 34, Township: 30N, Range: 1W; located off of Maude Street. CONDITIONS: 1.) Consistent with JCC Title 18.35.080 (3), the Statement of Intent shall be recorded with the Jefferson County Auditor. An Excise Tax Affidavit will need to be completed and filed at the Jefferson County Treasurers office. Appropriate documents and fees shall be submitted to the Department of Community Development for department signatures and recording. 2.) Approval of this Boundary Line Adjustment- Lot Consolidation does not guarantee the approval of any future county permits and/or approvals. 3.) Consistent with JCC 18.35.080(5), pursuant to RCW 86.56.345, current year and any delinquent taxes shall be paid before approval of any boundary line adjustment. 4.) Approval of this BLA does not provide any assurance that an onsite sewage system can be approved for the resulting lots. No soils were evaluated as part of this application. Onsite sewage disposal systems shall meet design standards and regulatory requirements in effect at the time of application for a sewage disposal permit. Purchaser should contact the Jefferson County Health Department for procedures concerning permit applications. Any removal of or major disturbances of soil within the proposed drainfield areas may create site conditions that are unacceptable for the installation of sewage disposal systems. 5.) Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements. 6.) Current Jefferson County geographic information systems (GIS) maps identify the presence of an Environmentally Sensitive Area (ESA)such as stream,wetland,flood, landslide hazard, erosion, aquifer recharge area,fish and wildlife habitat, shoreline, etc., lying within and/or adjacent to the revised parcels encompassed by this Boundary Line Adjustment. Prior to any land disturbing activity or construction activity, applicant/owner shall contact the Jefferson County department of community development regarding compliance for such ESAs.Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements. 7.) Your request for a Boundary Line Adjustment(BLA) has been approved. Since no survey was submitted as part of your BLA application, the County accepts no liability for what facts a survey might have revealed. A survey might have revealed that a structure or improvement believed to be on the applicant's property is, in fact, located wholly or partially upon someone else's property or upon property that is not the subject of this BLA. But in the absence of a survey, the applicant bears sole responsibility if such a problem arises. 8.) This parcel is within a no shooting area per JCC 8.50. 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 proposal is consistent with JCC Title 18.35.060(1)(a) in that the proposal will merge lots to improve a buildable parcel. 3.) Consistent with JCC Title 18.35.060(2)(a), the proposal will not create an additional lot, tract, or parcel. 4.) Consistent with JCC Title 18.35.060(2)(b), the proposal is not within a binding site plan. 5.) Consistent with JCC Title 18.35.060(2)(c), the proposal will not relocate an entire lot, tract, or parcel from one parent parcel into another parent parcel. 6.) Consistent with JCC title 18.35.060(2)(d)the proposal does not cross zoning districts. 7.) Consistent with JCC Title 18.35.060(2)(e), the proposal is not inconsistent with any restrictions or conditions of approval for a recorded short plat or long plat. The proposal will not circumvent the short subdivision or long subdivision procedures. 8.) Consistent with JCC Title 18.35.060(2)(f),the proposal will not separate an Accessory Dwelling Unit from the primary use of the property. 9.) Consistent with JCC Title 18.35.060(6),the proposal does not involve more than two lots,tracts or parcels that have been subject to a boundary line adjustment process within five years. 10.) Consistent with JCC 18.35.060(3), the consolidation of two or more lots, tracts, or parcels for the purpose of creating a single lot, tract or parcel that meets the requirements for a buildable lot shall in all cases be considered a minor adjustment of boundary lines and shall not be subject to the short subdivision or long subdivision provisions of this chapter. Lot consolidations shall not require a survey or soil evaluation. 11.) 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)(f). 12.) This approval is for a boundary line adjustment- lot consolidation to remove interior lot lines of five legal lots of record 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. 13.) The proposal is in compliance with JCC 18.35.080(2)(a)-(i), consistent with this code section the proposal may be approved. 14.) The airport Overlay II includes areas that lie beneath the FAA mandated traffic pattern for aircraft ascending or descending from the JCIA. As such, this area is subject to routine aircraft over-flights. It is acknowledged that areas lying outside the delineated Airport Overlay II zone may also be subject to aircraft over-flights. 15.) The parcel has been designated as Rural Residential 1DU/5 acres (RR1:5) under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 16.) Consistent with JCC 18.35.080(1), Sherrie Shold and Charlotte Stockard from the Assessors Office have reviewed and commented on the proposal. 17.) The application was reviewed by the Jefferson County Department of Community Development staff on July 24, 2015 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: coastal seawater intrusion zone. 18.) The parcel is located within a coastal SIPZ(seawater intrusion protection zone)according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Polio (Resolution 61-02, effective September 23, 2002)that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 19.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drillec on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall)and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 20.) 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, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and 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. Portions of Jefferson County, including marine environments are included as "critical habitat"for 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: -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 stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet(1/8th of a mile)of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take" and describes the possible legal consequences when a "take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle/)to learn more about how this law affects your project. 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, or the U.S. Fish and Wildlife Service. 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. UDC Administrator MLA15-00046 11 tidemark\data\forms\F_MLT_IssuePermit_U.rpt 9/18/2015 Page 3 of 3 594491 PGS : 2 BLA 09/29/2015 10:15 AM $73.00 JEFF CO DEPT OF COMMUNITY DEVELOPMEN' Jefferson County WA Auditor's Office - Rose Ann Carroll, Auditor wr1i � 511nir�11,w�ii� 1liiii AFTER RECORDING MAIL TO: Name: Jing Li Address: PO Box 33129 City/State: Seattle,WA 98133 Boundary Line Adjustment—Lot Consolidation MLA15-00046/SUB15-00013 Grantor(s): 1. Jing Li Grantee(s): 1. Jing Li Legal Description:Parcels involved in the adjustment are currently legally described as follows(include Assessor's Property Tax Parcel Account Numbers): Parcel A:TPN:961 806 605. Lots 16 through 20,inclusive in Block 66,Irondale No.2,as per plat recorded in Volume 2 of Plats,Page 129,records of Jefferson County,Washington. Situated in the County of Jefferson,State of Washington.Within,section 34,township 30N,range 1W. Boundary line subject to adjustment described as follows(new legal description): Parcel A: Lots 16 through 20,inclusive in Block 66,Irondale No. 2,as per plat recorded in Volume 2 of Plats, Page 129,records of Jefferson County,Washington.Situated in the County of Jefferson,State of Washington.As a result of the Boundary Line Adjustment,interior lot lines are hereby removed.Within,section 34,township 30N,range 1W. The nature of the adjustment is described as follows: Lot consolidation of five legal lots of record into one parcel by removing interior lots lines. Your request for a Boundary Line Adjustment(BLA)has been approved. Since no survey was submitted as part of your BLA application,the County accepts no liability for what facts a survey might have revealed.A survey might have revealed that a structure or improvement believed to be on the applicant's property is, in fact, located wholly or partially upon someone else's property or upon property that is not the subject of this BLA. But in the absence of a survey,the applicant bears sole responsibility if such a problem arises. 709c8;? 1241153 *9/29/2n 1 5 10.00:* • STATEMENT OF INTENT: This recording is for the purpose of assisting with a boundary line adjustment pursuant to RCW 58.17.040(6). It does not create any additional lots, tracts, parcels, or division as the land described herein shall merge or be integrated into abutting property presently owned by the proponent. Nor does the boundary line adjustment result in any lots, tracts, parcels, or division which contain insufficient area and dimension to meet minimum County and sanitation requirements for width and area for a building site. (Proponents' signature) STATE OF WASHINGTON COUNTY OF JEFFERSON On,_22-6-7.4. jU 200 /'~, personally appeared ,c_/ and proved to me on the basis of satisfactory evidence to the person whose name is subscribed to this instrument, and acknowledged that she executed it. WITNESS my hand and official seal this/6 day of./4/7 -L , 200 /S. Notary Public Notary Public in and for the State of Washington, 1 State of Washington Residing at ,7/Z ' //-7,0e-c42-7 �� LURRENE !MINTER ► f� { My Appointment Expires Jun 13. 2017 f4 This boundary line adjustment has been reviewed and approved by the Jefferson County Development Review Division. Associate Planner Date Department of Revenue Washington State REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt PLEASE TYPE OR PRINT CHAPTER 82.45 RCW—CHAPTER 458-61A WAC when stamped by cashier. THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED (See back of last page for instructions) ❑ Check box if partial sale of property If multiple owners,list percentage of ownership next to name. II Name Jina Li II. Name Jina Li 1:4 O w z Mailing Address PO Box 33129 Mailing Address PO Box 33129 al cn 0 City/State/Zip Seattle WA 98133 m City/State/Zip Seattle, WA 98133 Phone No.(including area code)�O1� 605-1514 Phone No.(including area code)('O) 605-1514 © Send all property tax correspondence to: HI Same as Buyer/Grantee List all real and personal property tax parcel account List assessed value(s) numbers—check box if personal property Name 961806605 ❑ 533.000.00 Mailing Address n City/State/Zip , n Phone No.(including area code) n © Street address of property: Maude Street,Port Hadlock,WA 98339 This property is located in Select Location El Check box if any of the listed parcels are being segregated from another parcel,are part of a boundary line adjustment or parcels being merged. Legal description of property(if more space is needed,you may attach a separate sheet to each page of the affidavit) See Attached IISelect Land Use Code(s): List all personal property(tangible and intangible)included in selling Select Land Use Codes I price. enter any additional codes: (See back of last page for instructions) YES NO . Was the seller receiving a property tax exemption or deferral under ❑ p chapters 8436,84.37,or 84.38 RCW(nonprofit organization,senior citizen,or disabled person,homeowner with limited income)? IIYES NO If claiming an exemption, list WAC number and reason for exemption: Is this property designated as forest land per chapter84.33RCW? ❑ Fl WAC No. (Section/Subsection) 458-61A-109(2b) Is this property classified as cunent use(open space,fans and ❑ D agricultural,or timber)land per chapter 84.34 RCW? Reason for exemption Boundary Line Adjustment(Lot Consolidation) Is this property receiving special valuation as historical property ❑ GI per chapter 84.26 RCW? If any answers are yes,complete as instructed below. Type of Document BLA (1)NOTICE OF CONTINUANCE(FOREST LAND OR CURRENT USE) NEW OWNER(S):To continue the current designation as forest land or Date of Document 7/15/15 classification as current use(open space,farm and agriculture,or timber)land, Gross Selling Price $ you must sign on(3)below.The county assessor must then determine if the land transferred continues to qualify and will indicate by signing below.If the *Personal Property(deduct) $ ' land no longer qualifies or you do not wish to continue the designation or Exemption Claimed(deduct) $ classification,it will be removed and the compensating or additional taxes will be due and payable by the seller or transferor at the time of sale.(RCW Taxable Selling Price $ 0.00 84.33.140 or RCW 84.34.108).Prior to signing(3)below,you may contact Excise Tax : State $ 0.00 your local county assessor for more information. ' 0.0000 Local $ 0.00 This land ❑does ❑does not qualify for continuance. *Delinquent Interest: State $ Local $ DEPUTY ASSESSOR DATE *Delinquent Penalty (2)NOTICE OF COMPLIANCE(HISTORIC PROPERTY) NEW OWNER(S):To continue special valuation as historic property, Subtotal $ 0.00 sign(3)below.If the new owner(s)does not wish to continue,all *State Technology Fee $ 5.00 additional tax calculated pursuant to chapter 84.26 RCW,shall be due and gy payable by the seller or transferor at the time of sale. *Affidavit Processing Fee $ (3) OWNER(S)SIGNATURE Total Due $ 10.00 PRINT NAME A MINIMUM OF$10.00 IS DUE IN FEE(S)AND/OR TAX *SEE INSTRUCTIONS ® I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Signature of /J Signature of (�� Grantor or Grantor's Agent .9� r� Grantee or Grantee's Agent I Name(print) , I 11\11 L Name(print) �/� LL Date&city of signing: g/ i/5)o/S' .E Date&city of signing: g73 i/.1r,/c Perjury:Perjury is a class C felony which is punishable by imprisonment in the state correctional institution for a maximum term of not more than five years,or by a fine in an amount fixed by the court of not more than five thousand dollars($5,000.00),or by both imprisonment and fine(RCW 9A.20.021(1)(C)). REV 84 0001 a(05/21/15) THIS SPACE-TREASURER'S USE ONLY COUNTY TREASURER 709R88 124053 *9/29/2015 10.00* Department of Revenue re Washington State REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt PLEASE TYPE OR PRINT CHAPTER 82.45 RCW—CHAPTER 458-61 A WAC when stamped by cashier. THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED (See back of last page for instructions) ❑ Check box if partial sale of property If multiple owners,list percentage of ownership next to name. 0 Name Jina Li ® Name Jina Li cG [J.1 0 "?.1 Mailing Address PO Box 33129 Mailing Address_PO Box 33129 . pa City/State/Zip Seattle. WA 98133 m City/State/Zip Seattle, WA 98133 Phone No.(including area code) 605-1514 Phone No.(including area code)_,2Qfj) 605-1514 ® Send all property tax correspondence to: is Same as Buyer/Grantee List all real and personal property tax parcel account List assessed value(s) numbers—check box if personal property Name 961806605 ❑ $33,000.00 Mailing Address n City/State/Zip n Phone No.(including area code) n © Street address of property: Maude Street,Port Hadlock,WA 98339 This property is located in Select Location 0 Check box if any of the listed parcels are being segregated from another parcel,are part of a boundary line adjustment or parcels being merged. Legal description of property(if more space is needed,you may attach a separate sheet to each page of the affidavit) See Attached Select Land Use Code(s): El all personal property(tangible and intangible)included in selling Select Land Use Codes I price. enter any additional codes: (See back of last page for instructions) YES NO Was the seller receiving a property tax exemption or deferral under ❑ GI chapters 84.36,84.37,or 84.3812CW(nonprofit organization,senior • citizen,or disabled person,homeowner with limited income)? ® YES NO If claiming an exemption, list WAC number and reason for exemption: Is this property designated as forest land per chapter 84.33 RCW? ❑ TA WAC No. (Section/Subsection) 458-61A-109(2b) Is this property classified as current use(open space,fair and ❑ agricultural,or timber)land per chapter 84.34 RCW? Reason for exemption Boundary Line Adjustment(Lot Consolidation) Is this property receiving special valuation as historical property ❑ Fl per chapter 84.26 RCW? If any answers are yes,complete as instructed below. Type of Document 13LA (1)NOTICE OF CONTINUANCE(FOREST LAND OR CURRENT USE) NEW OWNER(S):To continue the current designation as forest land or Date of Document 7/15/15 classification as current use(open space,farm and agriculture,or timber)land, Gross Selling Price $ you must sign on(3)below.The county assessor must then determine if the land transferred continues to qualify and will indicate by signing below.If the *Personal Property(deduct) $ land no longer qualifies or you do not wish to continue the designation or Exemption Claimed(deduct) $ classification,it will be removed and the compensating or additional taxes will be due and payable by the seller or transferor at the time of sale.(RCW Taxable Selling Price $ 0.00 84.33.140 or RCW 84.34.108).Prior to signing(3)below,you may contact Excise Tax : State $ 0.00 your local county assessor for more information. 0.00 0.0000 Local $ This land ❑does ❑does not qualify for continuance. *Delinquent Interest: State $ Local $ DEPUTY ASSESSOR DATE *Delinquent Penalty $ (2)NOTICE OF COMPLIANCE(HISTORIC PROPERTY) 0.00 NEW OWNER(S):To continue special valuation as historic property, Subtotal $ sign(3)below.If the new owner(s)does not wish to continue,all *State Technology Fee $ 5.00 additional tax calculated pursuant to chapter 84.26 RCW,shall be due and payable by the seller or transferor at the time of sale. *Affidavit Processing Fee $ (3) OWNER(S)SIGNATURE Total Due $ 10.00 PRINT NAME A MINIMUM OF$10.00 IS DUE IN FEE(S)AND/OR TAX *SEE INSTRUCTIONS ® I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Signature of /J Signature of Grantor or Grantor's Agent %/1- � . Grantee or Grantee's Agent r� Name(print) l I nthr iii- Name(print) NTNe L17 Date&city of signing: g/SI bo iS' Date&city of signing: S 33 1/i�/C. a It Perjury:Perjury is a class C felony which is punishable by imprisonment in the state correctional institution for a maximum term of not more than five years,or by a fine in an amount fixed by the court of not more than five thousand dollars($5,000.00),or by both imprisonment and fine(RCW 9A.20.02I (I)(C)). REV 84 0001a(05/21/15) THIS SPACE-TREASURER'S USE ONLY COUNTY TREASURER 709858 124053 *9/29/2015 10.00* AFTER RECORDING MAIL TO: Name: Jing Li Address: PO Box 33129 City/State: Seattle,WA 98133 Boundary Line Adjustment—Lot Consolidation MLA15-00046/SUB15-00013 Grantor(s): 1. Jing Li Grantee(s): 1. Jing Li Legal Description:Parcels involved in the adjustment are currently legally described as follows(include Assessor's Property Tax Parcel Account Numbers): Parcel A:TPN:961 806 605. Lots 16 through 20,inclusive in Block 66,Irondale No.2,as per plat recorded in Volume 2 of Plats,Page 129,records of Jefferson County,Washington. Situated in the County of Jefferson,State of Washington.Within,section 34,township 30N,range 1W. Boundary line subject to adjustment described as follows(new legal description): Parcel A:Lots 16 through 20,inclusive in Block 66,Irondale No.2,as per plat recorded in Volume 2 of Plats, Page 129,records of Jefferson County,Washington.Situated in the County of Jefferson,State of Washington.As a result of the Boundary Line Adjustment,interior lot lines are hereby removed.Within,section 34,township 30N,range 1W. The nature of the adjustment is described as follows: Lot consolidation of five legal lots of record into one parcel by removing interior lots lines. Your request for a Boundary Line Adjustment(BLA)has been approved. Since no survey was submitted as part of your BLA application,the County accepts no liability for what facts a survey might have revealed.A survey might have revealed that a structure or improvement believed to be on the applicant's property is,in fact, located wholly or partially upon someone else's property or upon property that is not the subject of this BLA. But in the absence of a survey,the applicant bears sole responsibility if such a problem arises. STATEMENT OF INTENT: This recording is for the purpose of assisting with a boundary line adjustment pursuant to RCW 58.17.040(6). It does not create any additional lots, tracts, parcels, or division as the land described herein shall merge or be integrated into abutting property presently owned by the proponent. Nor does the boundary line adjustment result in any lots, tracts, parcels, or division which contain insufficient area and dimension to meet minimum County and sanitation requirements for width and area for a building site. (Proponents' signature) STATE OF WASHINGTON COUNTY OF JEFFERSON On, /GLr.7,c %U , 200 5- personally appeared and proved to me on the basis of satisfactory evidence to the person whose name is subscribed to this instrument, and acknowledged that she executed it. WITNESS my hand and official seal this/b day of 14n ,200 /S —.ice - - ♦—i AIL -AL An_.AL + Notary Public in and for the State of Washington, Notary Public /� State of Washington Residing at �7/�i✓4 (��G-f/'7 /�—� LURRENE BAINTER My Appointment Expires Jun 13, 2017 /iL �f/J7off � 9 7J331 AI_. . _ _ _ . _ _ _ _ . This boundary line adjustment has been reviewed and approved by the Jefferson County Development Review Division. Associate Planner Date / 0 ° I F - It ®/ o �$ k f ` I 0 /' e co \ 00 £ EE 3 \ E ch oe & 0 0cs X / & 2J - / - ( m # 8 / ° ( N § Q G $ / � ƒ J / ; ; ¥ o ; o . ; \ ( cm c ° - I / co 2 \ / j Tv' i = » 0 ` 3 ® * G $ m ( � a 4 -J \ / J@ coda 0 •0 CD '0 0 0 00 • • • . • • • • yam.. co JEFFERSON COUNTY { DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend ,4 s v.co.lefre sc ,.�,us co -,:ait,oeveiocmeni 9SHr.<0-(o Te: 360.379.4450 I Fax:360.379.4451 Emaii.dcd(a^,co.iefterson.waus Building Permits&Inspections I Development Consistency Review I Long Range Planninn ■w. - e a.r„ T r enter Master Permit Application I Project Description(include separate sheets as necessary): J U L 1 5 2015 a • ten .1b Tax Parcel Number: 9 , 1 av 6 6,0k- Property Size: " '-' - /squa - feet) r • 1 'II .. . Site Address and/or Directions to Property: C7N'T.OFCO''dMUNITY DEVELOPMENT Property Owner(s)of Record: ���� L2 ��,,, Telephone: Fax: email: ,mac ac �l__ lrcc,' /_n Mailing Address: PQ P3-95. 3-3 ra' / c / LkieV Stcf(- 4 Applicant/Agent(if ffer nt from owner): Telephone: (?06) bad^- Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation ❑Building ❑ Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ❑ Garage Attached/Detached ❑ Conditional Use[C(a),C(d), or C]** ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑ Special Use(Essential Public Facilities)** ❑ Change of Use Boundary Line Adjustment La)..t.. Ctrs o �d�d-�►1 C Address ❑ Road Approach ❑ Short Plat** ❑Home Business ❑ Cottage Industry ❑ Binding Site Plan** ❑Propane ❑ Long Plat** ❑Sign ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑ Stormwater Management ❑ Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination (SPAAD)* El Shoreline Management Substantial Development** ❑Temporary Use ❑ Shoreline Management Variance ❑Wireless Telecommunication* ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑ Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑ Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate 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. further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorneys fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application th he or she wants prior notice. Signature: "1^1 Date: �I /<LCi5 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 re onsibility for adhering to and complying with the ESA. The Applicant has read this disclaim and igns and dates it below. Signature:/1 Date: S 3 / dal_C- 000 07/24/2013 BUILDER STATEMENT CI The signer of this statement does hereby certify that they are the Owners of:he parcel referenced herein.that they are not licenseo contractors and that they wi! be assum ng the responsibility of The General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: ; Type of Sewage Disposal: New Wood Existing: Sewer Addition Steel Proposed: Bank -. Community System 1 Alteration/Remodel _ Concrete Total: Height: :: Individual System Repair Masonry I SEP Permit# • Demolition Other: Bedrooms: Water Supply: Existing: Setback: Private well Two Party Y Type of Heat: Proposed: Public Total: Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: Underground Tank Above ground tank Size of Propane Tank: Heat Stove Cook Stove Woodstove Fireplace .nsert rehtO i evotS telleP i knaT retaW toH i Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings, all property lines, tank location and size, distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 2fd Floor Heated sielerl=BEZIM.: 2. dO SLAr Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: -1Ci 5-0 Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ -42_'- i Receipt Number: 1 S(1Z Cash/Check Number: $( .. ESTIMATED COST(REQUIRED) Date:/I S •Fair market value of all labor and materials foundation to finish Initials: o7/24/2013 JEFFERSON TITLE COMPANY Jefferson Title Company 2205 Washington Street PO Box 256 Port Townsend,WA 98368 Phone: (360)385-2000 Fax: (360) 385-6967 Update No. 1 to the Subdivision Certificate Attention: This Supplemental contains changes which impact Title to Property set forth in the above referenced commitment. Order No.: 81217 ling 1,i P.O. Box 33129 Seattle, WA 98133-0129 ® There has been no change in the title to the property covered by this order since July 6,2015 at 8:00 a.m.,except the matters noted hereinabove. ® Except as the matters reported hereinabovc, the title to the property covered by this order has NOT been reexamined. Dated as of August 10,2015 at 8:00 A.M. Jefferson Title Company By: Susan Brandt,Title Officer AFTER RECORDING MAIL TO: Name: Jing Li Address: PO Box 33129 City/state: Seattle,WA 98133 Boundary Line Adjustment—Lot Consolidation MLA15-00046/SUB15-00013 Grantor(s): 1. Jing Li Grantee(s): 1. Jing Li Legal Description:Parcels involved in the adjustment are currently legally described as follows(include Assessor's Property Tax Parcel Account Numbers): Parcel A:TPN:961 806 605. Lots 16 through 20,inclusive in Block 66,Irondale No.2,as per plat recorded in Volume 2 of Plats,Page 129,records of Jefferson County,Washington. Situated in the County of Jefferson,State of Washington.Within,section 34,township 30N,range 1W. Boundary line subject to adjustment described as follows(new legal description): Parcel A:Lots 16 through 20,inclusive in Block 66,Irondale No.2,as per plat recorded in Volume 2 of Plats, Page 129,records of Jefferson County,Washington. Situated in the County of Jefferson,State of Washington.As a result of the Boundary Line Adjustment,interior lot lines are hereby removed.Within,section 34,township 30N,range I W. The nature of the adjustment is described as follows: Lot consolidation of five legal lot of record into one parcel by removing interior lots lines. Your request for a Boundary Line Adjustment(BLA)has been approved. Since no survey was submitted as part of your BLA application,the County accepts no liability for what facts a survey might have revealed.A survey might have revealed that a structure or improvement believed to be on the applicant's property is, in fact,located wholly or partially upon someone else's property or upon property that is not the subject of this BLA. But in the absence of a survey,the applicant bears sole responsibility if such a problem arises. STATEMENT OF INTENT: Your request for a Boundary Line Adjustment (BLA) has been approved. Since no survey was submitted as part of your BLA application, the County accepts no liability for what facts a survey might have revealed. A survey might have revealed that a structure or improvement believed to be on the applicant's property is, in fact, located wholly or partially upon someone else's property or upon property that is not the subject of this BLA. But in the absence of a survey, the applicant bears sole responsibility if such a problem arises. This recording is for the purpose of assisting with a boundary line adjustment pursuant to RCW 58.17.040(6). It does not create any additional lots, tracts, parcels, or division as the land described herein shall merge or be integrated into abutting property presently owned by the proponent. Nor does the boundary line adjustment result in any lots, tracts,parcels, or division which contain insufficient area and dimension to meet minimum County and sanitation requirements for width and area for a building site. (Proponents' signature) STATE OF WASHINGTON COUNTY OF JEFFERSON On , 20 , personally appeared and proved to me on the basis of satisfactory atisfacto evidence to the person whose name is subscribed to this instrument, and acknowledged that she executed it. WITNESS my hand and official seal this day of ,20 Notary Public in and for the State of Washington, Residing at This boundary line adjustment has been reviewed and approved by the Jefferson County Development Review Division. Associate/Assistant Planner Date 4w�so' co JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend,WA 98368 I Web: www co.iefferson.wa.us/communitydevelopment -rsk" lNd 1e Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd(@.co.jefferson.wa.us SquareONE Resource Center I Building Permits 8 Inspections I Development Review I Long Range Planning August 5, 2015 Jing Li PO Box 33129 Seattle, WA 98133 RE: Additional Information Request MLA15-00046/SUB15-00013 Dear Mrs. Li, After reviewing the proposed Boundary Line Adjustment— Lot Consolidation, the following comments have been received: Assessor's Office commented as follows: On August 3, 2015 Sherrie Shold commented as follows: Statement of Intent(SOI): Page 1 —please add parcel number Description pages—This may be consolidated to one page with the following suggested format/changes. Previous Description: To read the same as Subdivision Certificate— Lots 16 through 20, inclusive in Block 66, Irondale No. 2, as per plat recorded in Volume 2 of Plats, Page 129, records of Jefferson County, Washington. Situated in the County of Jefferson, State of Washington. Resultant Description: Lots 16 through 20, inclusive in Block 66, Irondale No. 2, as per plat recorded in Volume 2 of Plats, Page 129, records of Jefferson County, Washington. Situated in the County of Jefferson, State of Washington. As a result of the Boundary Line Adjustment, interior lot lines are hereby removed (or some wording similar). Department of Community Development commented as follows: The following revisions are needed: 1. The permit application needs to be signed. I have enclosed this application, please return with the appropriate signature. 2. Above Sherry Shold from the Assessor's Office commented that the legal descriptions could be consolidated onto the SOI. I have enclosed an example that could be used for this. Please identify if you would like this to used, or if you choose not to consolidate the legal descriptions onto the SOI as enclosed in the example, if the example is not used then the following is needed: a. Remove name and septic permit number from page with legal descriptions and refer to as existing and resulting legal descriptions. b. Under the legal descriptions for the current parcel and revised parcels on the statement of intent, the parcel number needs to be at the beginning of the description (only for the existing parcel) and a brief legal description (this could just be the Section, Township, and Range) is required to be recorded by the Auditor's Office. For example, Parcel Number 701344008; Section 34, Township 27N, Range 1W; See attached Exhibit A. c. Per JCC 18.35.070(4)the following disclaimer needs to be on the statement of intent: Your request for a Boundary Line Adjustment(BLA) has been approved. Since no survey was submitted as part of your BLA application, the County accepts no liability for what facts a survey might have revealed. A survey might have revealed that a structure or improvement believed to be on the applicant's property is, in fact, located wholly or partially upon someone else's property or upon property that is not the subject of this BLA. But in the absence of a survey, the applicant bears sole responsibility if such a problem arises. d. The description that the proposal is a lot consolidation should be noted next to the BLA title. 3. On the page nature age of the Statement of Intent there is a written sentence of"interior lot line for lots 16 9 thru 20 are hereby removed". This is not an appropriate location for this sentence. This is part of the legal description which is on the first page of the statement of intent. Prior to recording the document this should be removed. Please indicate if you would like me to white this out for you or submit a new signature page excluding this. In addition: A check made out the Jefferson County Auditor's Office for the recording fees of the statement of intent will be needed prior being recorded. I will notify you of the recording costs once the review and revisions have been completed. A Real Estate Excise Tax Affidavit will need to be submitted. The Tillable form can be found on the County Treasurer's website at: http://www.co.iefferson.wa.us/treasurer/Default.asp. If you have questions on completing the form contact the Treasurer's Office at 360-385-9150.A$10.00 check made out to the Treasurer's Office will be needed to file the Tax Affidavit. I have attached an example you can refer to, please review for accuracy the signed affidavit will be needed prior to recording of the statement of intent. An updated Title Certificate, current within 30 days prior to the creation of the Mylar will be needed. Please wait until all revisions are complete to obtain this updated Title Certificate. Please revise the statement of intent as described in the information above. If you have any questions regarding this information please feel free to contact me. Sincerely, Anna Bausher Assistant Planner, Jefferson County Department of Community Development 621 Sheridan Street* Port Townsend, WA 98368 Phone 360-379-4454 * Fax 360-379-4451 abausher@co.jefferson.wa.us Enclosures: Permit Application, SOI, example real estate tax affidavit. Cc: File 2 Department of Revenue t Washington State REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt PLEASE TYPE OR PRINT CHAPTER 82.45 RCW—CHAPTER 458-61A W.AC when stamped by cashier. I THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED (See back of last page for instructions) ❑ Check box if partial sale of property If multiple owners,list percentage of ownership next to name. SName Jina Li ® Name Jima Li ctR w j z Mailing Address PO Box 33129 r Mailing Address PO Box 33129 City/state/zip Seattle WA 98133 m city/state/zip Seattle, WA 98133 Phone No.(including area code)(260) 605-1514 Phone No.(including area code)(260) 605-1514 © Send all property tax correspondence to: 12 Same as Buyer/Grantee List all real and personal property tax parcel account List assessed value(s) numbers—check box if personal property Name 961806605 ❑ $33,000.00 Mailing Address n City/State/Zip n Phone No.(including area code) rl © Street address of property: Maude Street,Port Hadlock,WA 98339 This property is located in Select Location 12 Check box if any of the listed parcels are being segregated from another parcel,are part of a boundary line adjustment or parcels being merged. Legal description of property(if more space is needed,you may attach a separate sheet to each page of the affidavit) See Attached Select Land Use Code(s): List all personal property(tangible and intangible)included in selling I Select Land Use Codes price. enter any additional codes: (See back of last page for instructions) YES NO Was the seller receiving a property tax exemption or deferral under ❑ MI chapters 84.36,84.37,or 84.38 RCW(nonprofit organization,senior citizen,or disabled person,homeowner with limited income)? IIYES NO If claiming an exemption, list WAC number and reason for exemption: Is this property designated as forest land per chapter 84.33 RCW? ❑ 0 WAC No. (Section/Subsection) 458-61A-109(2b1 Is this property classified as current use(open space,farm and ❑ 19 Reason for exemption agricultural,or timber)land per chapter 84.34 RCW? Boundary Line Adjustment(Lot Consolidation) Is this property receiving special valuation as historical property ❑ Fl per chapter 84.26 RCW? • If any answers are yes,complete as instructed below. Type of Document BLA (1)NOTICE OF CONTINUANCE (FOREST LAND OR CURRENT USE) NEW OWNER(S):To continue the current designation as forest land or Date of Document 7/15/15 classification as current use(open space,farm and agriculture,or timber)land, Gross Selling Price $ you must sign on(3)below.The county assessor must then determine if the land transferred continues to qualify and will indicate by signing below.If the *Personal Property(deduct) $ land no longer qualifies or you do not wish to continue the designation or Exemption Claimed(deduct) $ classification,it will be removed and the compensating or additional taxes will be due and payable by the seller or transferor at the time of sale.(RCW Taxable Selling Price $ 0.00 84.33.140 or RCW 84.34.108).Prior to signing(3)below,you may contact Excise Tax : State $ 0.00 your local county assessor for more information. 0.0000 Local $ 0.00 This land ❑does 0 does not qualify for continuance. *Delinquent Interest: State $ Local $ DEPUTY ASSESSOR DATE *Delinquent Penalty $ (2) NOTICE OF COMPLIANCE(HISTORIC PROPERTY) NEW OWNER(S):To continue special valuation as historic property, Subtotal $ 0.00 sign(3)below. If the new owner(s)does not wish to continue,all *State Technology Fee $ 5.00 additional tax calculated pursuant to chapter 84.26 RCW,shall be due and payable by the seller or transferor at the time of sale. *Affidavit Processing Fee $ (3) OWNER(S)SIGNATURE Total Due $ 10.00 PRINT NAME A MINIMUM OF$10.00 IS DUE IN FEE(S)AND/OR TAX *SEE INSTRUCTIONS AI CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Signature of Signature of Grantor or Grantor's Agent Grantee or Grantee's Agent Name(print) Name(print) Date&city of signing: Date&city of signing: Perjury:Perjury is a class C felony which is punishable by imprisonment in the state correctional institution for a maximum term of not more than five years,or by , a fine in an amount fixed by the court of not more than five thousand dollars($5,000.00),or by both imprisonment and fine(RCW 9.\.20.02 I (I)(C)). REV 84 0001a(05/21/15) THIS SPACE-TREASURER'S USE ONLY COUNTY TREASURER 4gON c0 t Al JEFFERSON COUNTY } i i, ;1-4 DEPARTMENT OF COMMUNITY DEVELOPMENT ' ' JUL 1 5 2015 iIJJ 1 'u 621 Sheridan Street • Port Townsend • Washington �$ 'S© 98368j 1 UN COUNTY jj �C 360/379-4450 • 800/831-2678 • 36©1379-4451 Fax ____DFPT.OF COMMUNITY DP/FIDP[I!FNT Boundary Line Adjustment (BLA) Supplemental Application F,AL 1 /(-T A# PROJECT/APPLICANT NAME: J J_Z Submittal Requirements A completed Master Permit Application.Representative authorization is required if application is not signed by owner. Boundary Line Adjustment application fee, as set forth in the Jefferson County Fee Ordinance, as amended. a. A single application may be submitted for multiple BLAs for adjacent parcels, lots,tracts or sites within a binding site plan. However, standard application fee(s)shall apply to each BLA after the first two per additional parcel, lot,tract or site b.in instances of lot consolidation,standard application fee(s)shall apply based on the number of resulting parcels or lots. Three (3)copies of a clean and legible drawing suitable for recording showing the following: a. The proposed lines for all affected lots, tracts or parcels, indicated by bold solid lines; b. The existing lot, tract or parcel lines proposed to be changed, indicated by light broken lines; c. The location and dimensions of all structures/improvements existing upon the affected lots, tracts or parcels and the distance between each such structure/improvement and the proposed boundary lines, with structures proposed to be removed from the site depicted with broken lines and structures to remain on the site depicted with solid lines; d. A north arrow indication and scale; e. All assessors tax parcel numbers for the affected lots,tracts or parcels; f. The location of the property as to quarter/quarter section; g. The location and dimensions of any easements within or adjacent to any affected lots,tracts or parcels; h. The location, right-of-way widths, pavement widths and names of all existing or platted streets or roads, whether public or private, and other public ways within or adjacent to the affected lots, tracts or parcels; i. The area and dimensions of each lot prior to and following the proposed adjustment; j. The existing onsite sewage system components and reserve areas and the proposed location for onsite sewage systems and soil test pits for all affected lots that are not currently served by an onsite sewage system or other approved wastewater treatment system; k. The location of all existing and proposed water and storm drainage facilities;and I. The approximate location and extent of any environmentally sensitive areas designated under Article VI-D of Chapter 18.15 JCC,including any flood hazard areas lying within the existing or revised parcel boundaries. The following notice will be recorded on the drawing when the parcels that are part of the Boundary Line Adjustment include, or are adjacent to, Environmentally Sensitive Areas (ESA): Notice to Public: Current Jefferson County geographic information systems (GIS) maps identify the presence of an Environmentally Sensitive Area (ESA) such as stream, wetland, flood, landslide hazard, erosion, aquifer recharge area, fish and wildlife habitat, shoreline, etc., lying within and/or adjacent to the revised parcels encompassed by this Boundary Line Adjustment. Prior to any land disturbing activity or construction activity, applicant/owner shall contact the Jefferson County department of community development regarding compliance for such ESA's. Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent an approvals of water,septic, bulk and dimensional setbacks, and ESA requirements; m. In cases where the requirement to provide written verification that the resultant lots can accommodate on-site sewage system from the Jefferson County department of environmental health has been waived, the following notice shall be recorded on the drawing: Notice to Public: Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s), Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements. RtA APP DOG REV.8,42006 PanP A copy of any Covenants, Conditions and Restrictions (CC&Rs), deed restrictions, or planned rural residential development (PRRD)agreements pertaining to or affecting the property. If an individual septic system is proposed (i.e., as opposed to connection to either a community drainfield or municipal sewer system), the applicant shall provide written verification from the Jefferson County department of environmental health that the lots, tracts, parcels or sites, as each would exist after the boundary line adjustment, are adequate to accommodate an on-site sewage disposal system. The location of soil logs must be shown on the drawing to show land area sufficient to meet environmental health requirements for each resultant lot, tract or parcel that does not contain a dwelling: An applicant may choose to apply for a Site Plan Approval Advance Determination(SPAAD)to fulfill this requirement. This requirement shall be waived for resultant parcels that: a. Are larger than 2.5 acres; b. Have existing residential structures;or c. Have limited the use of the resultant parcel to agriculture,forestry,or open space through conservation easements, restrictive covenant,or similar legal arrangement. The Open Space Tax program shall not be used to fulfill this requirement w The application shall be accompanied by a current(i.e.,within 30 days)title company certification of the following: a. The legal description of the total parcels sought to be adjusted; b. Those individuals or corporations holding an ownership interest and any security interest (such as deeds or trust or mortgages) or any other encumbrances affecting the title of said parcels. Such individuals or corporations shall sign and approve the final survey prior to final approval; c. Any lands to be dedicated shall be confirmed as being owned in fee title by the owner(s)signing the dedication certificate; d. Any easements or restrictions affecting the properties to be adjusted with a description of purpose and referenced by the auditor's file number andlor recording number;and e. If lands are to be dedicated or conveyed to the county as part of the subdivision,an American Land Title Association (A.L.T.A.)policy may be required by the director of the department of public works. 1. Please provide a brief descriptiggoft a purpose of the proposed boundary line a.j s meet. • v 41 ? _� 1-14-- _ r• L. ... Ara ra .: .1 r •-• t. ?ice f 1, _ 40 • IV".1'0 • r 2. Please provide Existing Legal Descriptions of all affected lots,tracts or parcels.(Attach additional sheets, if necessary.) Parcel A a •* •./0 _ 1:.1 L ... _ti l• 4 . V,/Oh Parcel B: Parcel C: Parcel D: BLAAPP,DOC REV 8/4/2D06 Paget 3. Please provide Proposed Legal Descriptions of alt affected lots,tracts or parcels. (Attach additional sheets if necessary.) Parcel A: Parcel E3: Parcel C: Parcel 0: 4. All owners of the subject properties must sign the application below to signify agreement to the proposed boundary line adjustment. The applicants hereby certify that all of the above statements are true and the plot plan provides an accurate representation of the proposed boundary line adjustment, and the applicants hereby acknowledge that any permit issued on this application may be revoked if any such statement is found to be false. a. Date: 7/(1—fic b. Date: c. Date: d. Date: • n . cc a APP OCC, REV.81412006 AFTER RECORDING MAIL TO: Name: U L4CT L r ] Q Address: P.0 Bos �3 I 1 City/State: eQ, tf'{p� „ Q f 133 Boundary Line Adjustment Grantor(s): J; 61 L; 2. Grantee(s): / 1. Q-;ii LI 2. Legal Description:Parcels involved in the adjustment are currently legally described as follows(include Assessor's Property Tax Parcel Account Numbers):L / j—ort / 7-11441 r`-6 1(Y^ L Parcel A: Parcel B: Parcel C: Parcel D: Boundary line subject to adjustment described as follows(new legal description): The nature of the adjustment is described as follows: 18.35.060 Purpose, scope and limitations. Purpose and Scope.The purpose of this article is to provide procedures and criteria for the review and J(l) approval of adjustments to boundary lines between platted or unplatted lots, tracts or parcels, or both in order to: 0(a) flow the enlargement or merging of lots,tracts or parcels to improve or qualify as a buildable lot or for any other lawful purpose; (b) Rectify defects in legal descriptions; (c)Achieve increased setbacks from property lines or environmentally sensitive areas; (d)Correct situations wherein an established use is located across a lot line; or (e)For other similar purposes. This article is also intended to ensure compliance with the Survey Recording Act, Chapter 58.09 RCW and Chapter 332-130 WAC. (2)Prohibited Boundary Changes.This article shall not apply to boundary changes that would: J(a) Result in the creation of an additional lot, tract, parcel, site within a binding site plan or division as defined in Chapter 18.10 JCC; y(b) Result in a lot,tract or parcel or site within a binding site plan that does not qualify as a buildable lot as defined in Chapter 18.10 JCC; Relocate an entire lot,tract or parcel from one parent parcel into another parent parcel;jc) ; (d)An adjustment that crosses zoning district boundaries. Adjustments may be allowed across J different rural residential densities; i(e)Be inconsistent with any restrictions or conditions of approval for a recorded short plat or long plat; or circumvent the short subdivision or long subdivision procedures set forth in this i c hapter; (f)Separate an accessory dwelling unit from the primary use of the property. ■ •t Consolidation.The consolidation of two or more lots,tracts or parcels for the purpose of creating a single lot,tract or parcel that meets the requirements for a buildable lot shall in all cases be considered a minor adjustment of boundary lines and shall not be subject to the short subdivision or long subdivision provisions of this chapter. Lot consolidations shall not require a survey or soil evaluation. J (4)Adjustments to Binding Site Plans. Recognized lots in an approved binding site plan shall be considered a single site and no lot lines on the site may be altered by a boundary line adjustment to separate lots to another property not included in the original site plan of the subject development. j (5)Rectifying legal defects, such as an established use located across a lot line,and the adjustment of boundary lines to match water bodies, roads, or fence lines, shall be considered minor adjustments and shall not require a soil evaluation and may be allowed regardless of the size of the resultant parcels. J (6)Time Limitations. If more than two lots, tracts or parcels have been subject to a boundary line adjustment process, those lots shall not be permitted to use the boundary line adjustment process again for five years with the exception of lot consolidations,testamentary divisions,civil cases, court orders, rectifying legal defects, or the adjustment of one line between two or more property owners for the purpose of settling a dispute. [Ord. 8- 06§ 1] 18.35.070 Application submittal and contents.t SHARE To be considered complete, applications for boundary line adjustments shall include the following: (1)Applications for boundary line adjustments shall be made on forms provided by the Jefferson County j department of community development and shall be submitted to the department of community development, along with the appropriate fees established under the Jefferson County fee ordinance. i (a)A single application may be submitted for multiple BIAS for adjacent parcels, lots,tracts or IA sites within a binding site plan. However, standard application fee(s)shall apply to each B after the first two per additional parcel, lot, tract or site. i (b) In instances of lot consolidation, standard application fee(s)shall apply based on the number of resulting parcels or lots; (2)A completed land use permit application form, including all materials required pursuant to Chapter 18.40 JCC; 1 I (3)Three copies of a clean and legible drawing suitable for recording showing the following: (a)The proposed lines for all affected lots, tracts or parcels, indicated by bold solid lines; (b)The existing lot, tract or parcel lines proposed to be changed, indicated by light broken lines; (c)The location and dimensions of all structures/improvements existing upon the affected lots, tracts or parcels and the distance between each such structure/improvement and the proposed boundary lines,with structures proposed to be removed from the site depicted with broken lines and structures to remain on the site depicted with solid lines; (d)A north arrow indication and scale; (e)All assessor's tax parcel numbers for the affected lots, tracts or parcels; (f)The location of the property as to quarter/quarter section; (g)The location and dimensions of any easements within or adjacent to any affected lots, tracts or parcels; (h)The location, right-of-way widths, pavement widths and names of all existing or platted streets or roads, whether public or private, and other public ways within or adjacent to the affected lots, tracts or parcels; (i)The area and dimensions of each lot prior to and following the proposed adjustment; (j)The existing on-site sewage system components and reserve areas and the proposed location for on-site sewage systems and soil test pits for all affected lots that are not currently served by an on-site sewage system or other approved wastewater treatment system; (k)The location of all existing and proposed water and storm drainage facilities; and (I)The approximate location and extent of any environmentally sensitive areas designated under Article VI-D of Chapter 18.15 JCC, including any flood hazard areas lying within the existing or revised parcel boundaries.The following notice will be recorded on the drawing when the parcels that are part of the boundary line adjustment include, or are adjacent to, environmentally sensitive areas(ESA): Notice to Public:Current Jefferson County geographic information systems(GIS) maps identify the presence of an Environmentally Sensitive Area(ESA)such as stream,wetland,flood, landslide hazard,erosion, aquifer recharge area,fish and wildlife habitat,shoreline,etc.,lying within and/or adjacent to the revised parcels encompassed by this Boundary Line Adjustment. Prior to any land disturbing activity or construction activity,applicant/owner shall contact the Jefferson County department of community development regarding compliance for such ESAs. Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s).Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks,and ESA requirements. (4)T original legal description of the entire property together with new separate legal descriptions for each o , tract or parcel, labeling them each as existing parcel A, existing parcel B, revised parcel A, revised parcel B, etc. The drawing shall be attached to or include on the face a formal legal declaration of the boundary line adjustment, signed and notarized by all legal owners of the subject properties. In cases where the property has not been surveyed, the following disclaimer shall be recorded on the drawing: DISCLAIMER LANGUAGE FOR BLA STATEMENT OF INTENT:Your request for a Boundary Line Adjustment(BLA) has been approved.Since no survey was submitted as part of your BLA application,the County accepts no liability for what facts a survey might have revealed.A survey might have revealed that a structure or improvement believed to be on the applicant's property is, in fact, located wholly or partially upon someone else's property or upon property that is not the subject of this BLA. But in the absence of a survey,the applicant bears sole responsibility if such a problem arises. /(5)A copy of any covenants, conditions and restrictions(CC&Rs), deed restrictions, or planned rural residential /development(PRRD)agreements pertaining to or affecting the property; and i{ (6) If an individual septic system is proposed (i.e., as opposed to connection to either a community drainfield or v/ municipal sewer system),the applicant shall provide written verification from the Jefferson County department of environmental health that the lots, tracts, parcels or sites, as each would exist after the boundary line adjustment, are adequate to accommodate an on-site sewage disposal system. The location of soil logs must be shown on the drawing to show land area sufficient to meet environmental health requirements for each resultant lot,tract, or parcel that does not contain a dwelling. An applicant may choose to apply for a site plan approval advance determination(SPAAD)to fulfill this requirement. In cases where the requirement to provide written verification that the resultant lots can accommodate on-site sewage system from the Jefferson County department of environmental health has been waived, the following notice shall be recorded on the drawing: Notice to Public:Approval of this Boundary Line Adjustment does not guarantee a I df buildable site within said parcel(s).Such determination is dependent on approvals of (/`�`i ' ,N water,septic, bulk and dimensional setbacks,and ESA requirements. r f This requirement shall be waived for resultant parcels that: (a)Are larger than 2.5 acres; (b)Have existing residential structures; or (c) Have limited the use of the resultant parcel to agriculture, forestry, or open space through conservation easements, restrictive covenant, or similar legal arrangement. The open space tax program shall not be used to fulfill this requirement; (7)The application shall be accompanied by a current(i.e.,within 30 days)title company certification of the following: Lij ` `i K -,1 v C j(a)The legal description of the total parcels sought to be adjusted; (b)Those individuals or corporations holding an ownership interest and any security interest (such as deeds or trust or mortgages)or any other encumbrances affecting the title of said parcels. Such individuals or corporations shall sign and approve the final survey prior to final approval; (c)An Inds to be dedicated shall be confirmed as being owned in fee title by the owner(s) signing the dedication certificate; .V (d)Any easements or restrictions affecting the properties to be adjusted with a description of I urpose and referenced by the auditor's file number and/or recording number; and e)If lands are to be dedicated or conveyed to the county as part of the subdivision, an ( n American Land Title Association (A.L.T.A.) policy may be required by the director of the department of public works. [Ord. 8-06§ 1] 18.35.080 Review process and criteria.0 SHARE f (1)Prior to approval, a proposed boundary line adjustment shall be reviewed by the Jefferson County assessor. J (2)Based on any comments solicited and received from the department of public works,the department of environmental health or other applicable departments and agencies, the administrator shall approve the proposed boundary line adjustment only upon finding that the adjustment would not: J(a)Create any additional lot,tract, parcel, site within a binding site plan or division or relocate any lot,tract, parcel, or site within a binding site plan or division to another parent parcel; J (b) Result in a lot, tract, parcel, site within a binding site plan or division that contains increased density or insufficient area or dimension to meet the minimum requirements for area and dimension as set forth in Chapter 18.15 JCC and state and local health codes and regulations; 1 (c) Diminish or impair drainage,water supply, existing sewage disposal, and access or easement for vehicles or pedestrians, utilities, and fire protection for any lot, tract, parcel, site (i.e.,within an approved binding site plan), or division; J (d)Diminish or impair any public or private utility easement or deprive any parcel of access or utilities; �(e) Diminish or impair the functions and values of environmentally sensitive areas designated under Article VI-D of Chapter 18.15 JCC, or create an unsafe or hazardous environmental condition; (f)Create unreasonably restrictive or hazardous access to the property; (g)Create a nonconforming lot, tract, or parcel or increase the nonconforming aspects of an existing lot,tract or parcel relative to Chapter 18.15 JCC; J (h)Replat or vacate a short plat or long plat, or revise, amend, or violate any of the conditions of approval for any short or long subdivision; or J (i)Create a lot,tract, or parcel that crosses zoning district boundaries, with the exception an adjustment across rural residential densities. (3)Following approval by the administrator, a final record of survey document shall be prepared by a licensed land surveyor in accordance with Chapter 58.09 RCW and Chapter 332-130 WAC.The document shall contain Tland surveyor's certificate and a recording certificate. The final page of the record of survey document shall the following signature blocks: (a)The Jefferson County assessor's office, to be signed by the Jefferson County assessor or his/her designee; and i (b)The department of community development, to be signed by the administrator. (4)Upon approval the following statement of intent shall be recorded by the auditor and referenced by auditor file number on the final survey: THIS RECORDING IS FOR THE PURPOSE OF ASSISTING WITH A BOUNDARY LINE ADJUSTMENT PURSUANT TO RCW 58.17.040(6). IT DOES NOT CREATE ANY ADDITIONAL LOTS,TRACTS, PARCELS, OR A DIVISION AS THE LAND DESCRIBED HEREON SHALL MERGE OR BE INTEGRATED INTO ABUTTING PROPERTY PRESENTLY OWNED BY THE PROPONENTS. NOR DOES THE BOUNDARY LINE ADJUSTMENT RESULT IN ANY LOTS,TRACTS, PARCELS OR DIVISION WHICH CONTAIN INSUFFICIENT AREA AND DIMENSION TO MEET MINIMUM COUNTY AND SANITATION REQUIREMENTS FOR WIDTH AND AREA FOR A BUILDING SITE. i (5)Pursuant to RCW 86.56.345, current year and any delinquent taxes shall be paid before approval of any boundary line adjustment. J (6)Applications for boundary line adjustments shall be processed according to the procedures for Type I land use decisions established in Chapter 18.40 JCC. [Ord. 8-06§ 1] o� JEFFERSON COUNTY '''' .r, DEPARTMENT OF COMMUNITY DEVELOPMENT ‘%:"ft i v;IP 621 Sheridan Street, Port Townsend,WA 983681 Web:www.co.jefferson.wa.us/communitvdevelopment Tel:360.379.4450 I Fax:360.379.4451 ( Email:dcd@co.jefferson.wa.us SquareONE Resource Center/Building Permits&Inspections I Development Review I Long Range Planning August 5, 2015 JING LI PO BOX 33129 SEATTLE WA 98133-0129 RE: SITE ADDRESS: MAUDE ST MLA#: MLA15-00046 Dear JING LI: Jefferson County Department of Community Development staff has reviewed the application materials for the above project proposal and has determined that the application is substantially complete. Additional information needed for project review may be requested in writing by the Director or Project Planner. Please call the Department of Community Development if you have any questions. Sincerely, Anna Bausher Department of Community Development Staff c: File � R;c�r� )64-- Jefferson County Assessor's Office THE HEART OF THE OLYMPIC PENINSULA www.co.jefferson.wa.us SFI1 NO Jeff Chapman, Assessor MEMO from the Office of JEFFERSON COUNTY ASSESSOR TO: Anna Bausher, DCD FROM: Sherrie.ShaZd, Property Qperatton f1) DATE: August 3, 2015 RE: MLA 15-00046-Li MESSAGE: Anna, I have completed my review of the above Lot Consolidation and the following are my comments. 5OI- Page 1-please add parcel number Description pages- This may consolidated to one page with the following suggested format/changes. Previous Description: To read the same as Subdivision Certificate— Lots 16 through 20, inclusive in Block 66, Irondale No. 2, as per plat recorded in Volume 2 of Plats, Page 129, records of Jefferson County, Washington. Situated in the County of Jefferson, State of Washington. Resultant Description: Lots 16 through 20, inclusive in Block 66, Irondale No. 2, as per plat recorded in Volume 2 of Plats, Page 129, records of Jefferson County, Washington. Situated in the County of Jefferson, State of Washington. As a result of the Boundary Line Adjustment, interior lot lines are hereby removed (or some wording similar). Please call with any questions you may have on my comments. P.O.Box 1220, Port Townsend, WA 98368 - Phone(360) 385-9105 - Fax(360)385-9197 Jing Li Parcel Number: 961806605 Permit Number: SEP15-00050 Property Description: Irondale#2 BLK 66, Lots 16 thru 20 Jing Li Parcel Number: 961806605 Permit Number: SEP15-00050 Property Description: Irondale#2 BLK 66, Lots 16 thru 20, interior lot lines for lots 16 thru 20 are hereby removed Anna Bausher From: Charlotte Stockard Sent: Tuesday, August 04, 2015 8:45 AM To: Anna Bausher Subject: MLA15-00046- Li Anna, I have reviewed MLA15-00046, and I saw Sherrie's comments. I have no further comments. Thanks, Charlotte Stockard GIS Analyst Jefferson County PO Box 1220 Port Townsend, WA 98368 1 i N gym._ 0 1 e I rt �-1 L s ? 1 9, s i oz I ■ ii i E A- 5_, 1..-). _,,k1 u ,_, 1-43 CT I i I ! 1 I 4- 1 1 t < i t <r< V t i t .§ t i 1 1 1 ,-t A i ill _il........... , en w i ... i: i til ' 1 I S 1 ..... 1 , 1 1 ...., , f S i i ■1 ' * 1 g Ig 11 5 ch "a --T, 1 .., ti ) t ,.., II -K• 0 -"X• , 1 , I , i i ... 4 r4 1 id 2 ( •:-.. Ala r 111 IIIHIIII81II1III1I II II1III! 9731012 Jefferson o ty Excise Tax Jefferson Canty, WA JIN9 LI OCD 19.0e Aff # 10 3 2 8 Date 19-k\ Tax$ Sales Amt$ By t aik Ili—L. Deputy Treasurer Naar Z GZ/"l e4{-/,/ Address. 200 W , i%4 s� city,slat.,zip ?P't NatO G , w/ ,988337 Quit Claim Deed Reference tl(IIa Grantor(s}:(1)�.� ea' :r (2) Grentees(s):(1) 7t K LZ M onel Grentee(s(m pg. Additional Grantor(s)on pg. Legal Description(abbreviated): iMartr. r - • r n s)m pegs Aasmso(s Tax Parcel IN — THE GRANTOR J J L l�) % 'J�cu������"" """"����L for and in consideration of joVe gnat a7 [ foL conveys and quit claims to 113 f _ r the following described real estate,situated in the County of J rT Y5dt_ State of Washington,together with all after acquired title of the grantor(s)therein. aLk 66, 6-Lc /6 7Xr7-( azo of .Zrnrdcde_ ,_- eiv-Ssvt 007.01- r/ DON co VbRI u J STATE OF WASHINGTON NOTARY—•—PVBtJC MY COS*ASsioN EXPIRES eSOS-08 Dated Lielf""`" , s (Individual) By (Individual) (President) By (Secretary) STATE OF WASHINGTON STATE OF WASHINGTON COUNTY OF Tt�Ff.ERSn.w✓ COUNTY OF On drfs day persarety evyaared before me On this day of 19 L. L, Mc:�(at��r[//r.! before me.the undersigned, a Notary Pubic In end for the State of to me known to be the Nfdivtdual described in and w1r Washington, duly commissioned and sy;om, personally appeared • and executed the within and foregoing Instrument, and acknoledged that...ELL_ signed the same as to me known to be the President and A,.,- Ira and vokintary act and deed, for the secretary,rsspectively,of uses and purposes therein mentioned. tin.corporaion that executed the foregoing instrument,and acknowledged sT the acid instrument to be the free and voluntary act and deed of said GIVEN under my hand and official seal this ?/ nppaatln,Ion the uses and purposes therein mentioned,and on oath day or A Pi?/L .•IP.'rn.c stated that eumortxed to execute the said Instrument end that the seal affixed le the corporate sal of said corporation. Witness my hand and official teal hereto affixed the day and year Notary Public In and for • :le .1 Washington, find above written. residing at My appoln -M - •- Notary Public In and for the State of Washington n ppd II My a O N &e.•, My ppolntmeM expires: WASHINGTON i i r OF WASP tiNGTON ' nsnation .0 Y— F31 IC Transnation Y-_• PUBLIC •, Form 3156-6(Rev.12-96)- ...i • 0 9no .. %;.. .I/COMMISSION EXPIRES &pa.ae �• .L M. ON TIME INSURANCE COMPANY }E ' (NE 1/4 34-30N- 1 OP' n y t;? _ t3: �0 N 1gz-1,1 OO' 01A '�N 0 ,. .,,--00 ,,,,, _ n�RNNV.� - O`�YplN .:O w° ha YI Ya n• v nN- II! Y f N" .... 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W Swaney St 1 .+, %t60Y203, :ej,r 967601207 '..1806706 967608708 'ya, 9 4. „ 81606707 %1606 8� al '! 1. 11 Ott - $ 9618072 ` tl ' ry Y► 981807217 15' ,.1 80704:.9.61806705 %'806716 %1807214 q 4 76 . y618087tj %1806770 } 961806711 ..1806712 ♦ s ,0 .:.1806713 `' Legend " r ' Selected Features >a _ fi JC_Roads _ � Parcels-Fl 9c'62•3'' 96^607301 a 1 2013 Aerial Photos ••1:t.. • .961806605 ;q. einD 961806802 96'807309 %1601308 %19073'0 96tB0060):�y _ , '.1806604, 3 '^ 5 '''i X1606615 0 f - V1 Kitkait St .... I ■ i 96'806503 96180/402 ,,,. If '431 I (_.... %t&$07 � .. 1 961807409 r 96 806508. 96.606510 le ..1606512 26 sow Maps onword M.lelasm Carry Ca'tal&races GIS 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 •rrectness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Jul 24 11:54:22 015 http://gi sserver/servletkom.esri.esrimap.Esrimap?ServiceNam ovmap&ClientV ersion=4.... 7/24/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Map Adf Lr€ '' 96'&_ 5'° se•ec• Lc x:� %L�•J>Ee•o '°ree' •3 x•�..�-_ Legend -' -- Selected Features tangy JC_Roads Parcels-H County Zoning "ti'•Jr 2 2 sy g_rir_• . g_grC? "ti'3C':;yri¢ • tb'&C'fir+?S MPR.Sf Traps 96'8C6 kV 96'u&XI'S'%•.sir.f.l •J5!r_3 Rural Ras.dentol 1:5 'r! Rural Readout rat 1:10 -_•O',3C r,%..&;y1.4 C' 96'506,-5 Ru rai Restlentw 1:20 , .,df:GyC9 9b'lfCb. S . St''U'°61.. %'& 1'C c}.•ocre•• y•. ■1,; NPR-Smola Fanny ?E'CCC 1 9c'8•2 ." 111 NPR-NUe Rangy NPR Resort Complex W Maude SI Parks and Retina ion NPR•Ooer.Sc r_c j .. 1 1 18 0? : Rural Form 9 '8r..:f*/5 'P!.)zEi(i3 rti•L_fic r2 11. Coelnlerera Foley: noel (ores, '1LR1 ■ Heavy lndusl rat 96 B1731O-.. ■ Ampere CPF {•�._�•3 ■ MPRYdlage Genre ■ AP 1:20 __ _. ■ Rum Village C en ter W Kinked SI ■ Resource Bash Ina. Lrgn1 Industrial NPR-Recreation 00/P.. Wame Mora CPF LOA L1• i':f_t:r_'v' Crosroaels-CC G_nS4 ■ Crasreals CC M waxed cry...silencer ■ Crossroad Carry Cenral Sesca Gu •^-®sy_yI ■ AL 1:20 NPR SRN S•mnon C F SOW R LO Commorcor Forest N 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. Fri Jul 24 11:53:43 2015 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 7/24/2015 Map Output Page 1 of 1 1 1 1 Arc,IMS,HTM,,L Viewer Map 96180680 96 8066 • , ' 961807109 961807101 i estimmos , 961806810 961806812 651806813: 961605620 ''j.tr..j. ...._ V4 Smr1419 SI— 1, 1 i 1 II 961037203 261807202 961807201 961806705 A,...0 t■•'• 1 961808708 i 961666707 gislaosros 961806719 661806704 ggi 05 I 951805701 1 ' 1 rK 9i f . l ! I ; 1 II , 1 1----I --- --7 -- Cj7j"j W7°7217961607245 961806705 961806716 1 961807214 98180670 96180611 961509710 981806711 L i _I 1 981806113 Legend - - 1 I Selected Features W Maude St — JC_Roads Parcels-H I 861607316 1. SIPZ g8071 SIPZ 961806605 961806603 i 961808902 96180662' At IR en SIPZ II■■.--- ---1---____ rip R rn SIPZ 961807309 ---_,, D Deco nmrsssoneel SPL . ■ 3611°:30.2. 961607310 1 ] Caanal sex - 961806807 1161110116°D 961806804 961638612 961606613 ' _-------I ---- 1 W Kiikadd St—"--"----- — _ I — 961807401 1 26,80005 961806503 96180/5802 961866501 961807402 1 ( —96180650?— ------ 1 , A 961807409 9618°646 4 1 9618W608 9E0806510 ! 961806612 96,806-f- 514 Meru norreded ty Jelferserr Ccualy Cenral Scrams GIS ""--raL=INi',3011 _ _ 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. Fri Jul 24 11:53:12 2015 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 7/24/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Map ,A.S■Vilney ic—dJ Legend Selected Features JC_Roads IvIaJde Si Parcels-H No Shooting Zones Chimacum Creek Igrinner ' 7 arm nen laic Paoli 1 j OninTlori COMP.Cana[Tracts Bremen Triton Cove en nrocam Creek ri Paint Fon I.aelbsy I So.ulti Cope Pennsula ,n...AKJ SI P3ratlese Bay Ct emacu In lad lock I ala Shore . . 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. Fri Jul 24 11:53:05 2015 ... 7/24/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Map _ . ",-967806612 961806813 %1 6r '.' 'f• C !• C G C• !• C • C• N ' Stoney Sl . .. __ `1-- - __... 11 .i - _ G. • C• G c - r. G•� _ - .`. a4 9678%719%18%704 %1806703 ` , 261808701 _________ . %., ; 1F['I el `;�; F ' C; C• _ . 361806'716 - - ="r %18%710%1806711%I16%712 1 .,r• ."r.; 'r. - _.� _-- I %t6%713 Legend _,—,___I 4•r: Selected Features W Meade St -�,I JC Roads Parcels-H • �• 4'- Airport Overlay r 96180660.1 961806602 %1806601 Type1 "'r• 'F, "G� �C. •. 'Gn "c, w I ® Type2 — _____"T-__-- _ Type .1 7±. - - • .-. • -•__x6607• i 261606800' 561806608 881808612 %1806873 •.. T �- ------ -. 9ti1806505 051608800 081808602 981806501 . ."C C `G ----�_ 1 961806506 lI 981606508 961806510 967806612 I I %ttw6514 I FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Jul 24 11:52:59 I 2015 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4-... 7/24/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Map •6::£5.5"• 95'807'09 961801'0' SE'806210.5 8C62 • 1 t • IN Swaney St 96'BC/iO3 98.80.■2,,)2 96'205/06 \\11 Yro"805/C, ?Az"806/05 , 96'8W2'/ 5 9E'aceios 9e.r/x.7. 8+2■+2'+I St,' • p,c6 .2 gri'806."3 Legend le tr:Lnaud Si JC_Roads Parcels-H SSheorcetleinj Features ee'8CeCOS Sii'804:•603 &awe 56"80E602 1.,3,80,93c,. liii Intenrnealuie Unsrsot 111 Unstable Recent Land 5,,,te '46.8°5631 II 1.1 nal able OxII—VICIsotle 7 Madded K,ni.ad SI 0111011S1=9 12211 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. Fri Jul 24 11:52:47 2015 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 7/24/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Map . 961806707 � I 5618°6706 %t806705_Y 96180 6701 j 9618IX5719 _,y,__96.8i.�?at 561606709 ! ( i i I 961806705 961806717 961806716 . 061806710 i � 66806T �— 1 I - I NJ Maude St ______— T---- Legend --- �e 0 Selected Features lots .1 C_Roads i %1806606 _- Parcels+l H- 1weo1 ■ 1 961806600 961806604 - f I 961806612 r i .___....____.__.__....._._ _. IN Kmka id St 96.805505 lam>u.d1a..c+rx-ui-a.r,,,Iva cc-..cc-.:-.4 i•2Y.:6ya 0 111 .6511. FOR INFORMATIONAL PURPOSES ONLY- 1 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. Fri Jul 24 11:50:13 2015 http://gisserver/servlet/com.e sri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 7/24/2015 Form No. 14 Certificate No.:81217 Subdivision Certificate JD?' OZ U (V[ 15 ?OAS JEFFERSON TITLE COMPANY _. oEpr JfFreks. COU PO Box 256.2205 Washington Street,Port Townsend,WA 98368 r,'f(pp,E� Phone: (360)385-2000 Fax: (360)385-6967 Subdivision Certificate Prepared For: Order No.: 81217 Jing Li Charge: $ 300.00 P.O. Box 33129 Tax: $ 27.00 Seattle, WA 98133-0129 Total: $327.00 In the matter of the Subdivision to be submitted for approval, this Company has examined the records of Jefferson County. This certificate is made for the purpose herein specified, and is not to be used as a basis for closing any transaction. Liability is limited to the charge made for this certificate. From such examination, the Company hereby certifies the title to the following described land, in said Jefferson County,to wit: Lots 16 through 20, inclusive in Block 66, Irondale No. 2,as per plat recorded in Volume 2 of Plats, page 129, records of Jefferson County, Washington. Situate in the County of Jefferson, State of Washington. Is Vested in: Jing Li, as her separate estate Special Exceptions: 1. General taxes for the year 2015 which have been paid. Amount: $ 358.18 Tax Account No.: 961 806 605 Property ID No.: 31412 Assessed value: $ 33,000.00 2. Any claim to(a)ownership of or rights to minerals and similar substances, including but not limited to ores, metals,coal, lignite,oil, gas, uranium, clay,rock, sand, and gravel located in,on,or under the Land or produced from the Land, whether such ownership or rights arise by lease, grant, exception, conveyance, reservation, or otherwise;and(b)any rights, privileges, immunities, rights of way, and easements associated therewith or appurtenant thereto, whether or not the interests or rights excepted in(a)or(b)appear in the Public Records. Dated: July 6,2015 at 8:00 A.M. Your title officer for this transaction is Susan Brandt. If you have any questions concerning this title commitment, please do not hesitate to call me at(360)385-2000 or e-mail susan @jeffersontitlecompany.com By: Susan Brandt,Title Officer Jefferson County Assessor& Treasurer - Property Details - 12 JING LI for Year 2014 - 2... Page 1 of 2 Jefferson County Assessor & Treasurer 31412 JING LI for Year 2014 - 2015 Property Account Property ID: 31412 Legal Description: IRONDALE #2 BLK 66 LOTS 16 THRU 20 Parcel Number: 961806605 Agent Code: Type: Real Tax Area: 0211 - 1-49F1E1H2L1 Land Use Code 91 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: 30N Section: 34 Range: 1W Location Address: Mapsco: Neighborhood: IRONDALE BLOCKS 48- 92 Map ID: Neighborhood CD: 4125 Owner Name: JING LI Owner ID: 20826 Mailing Address: PO BOX 33129 % Ownership: 100.0000000000% SEATTLE, WA 98133-0129 Exemptions: Taxes and Assessment Details Property Tax Information as of 07/24/2015 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 Second Year Statement Half Half penalty Interest Base Amount ID Base Base Paid Due Amt. Amt. ' Statement Details http://trueweb.j p://trueweb.Jeffcowa.us/propertyaccess/Property.aspx?ctd-0&year-2014&prop_td- 314]2 7/24/2015 Jefferson County Assessor& Treasurer - Property Details - 12 JING LI for Year 2014 - 2... Page 2 of 2 2015 21200 $179.14 $179.04 $0.00 $0.00 $358.18 $0.00 R Statement Details 2014 21296 $157.59 $157.52 $0.00 $0.00 $315.11 $0.00 Values Taxing Jurisdiction Improvement J Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement This website is under active development. Some functionality is not yet available and data is not guaranteed. Assessor Home Page Treasurer Home Page County Maps Permits Disclaimer Website version:9.0.32.2200 Database last updated on:7/24/2015 ©2015 True Automation, Inc.All Rights 3:52 AM Reserved. Privacy Notice http://trueweb.jeffcowa.us/propertyaccess/Property.aspx?cid=0&year=2014&prop_id=31412 7/24/2015 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 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(aico.jefferson.wa.us SquareONE Resource Center I Building Permits&Inspections I Development Review I Long Range Planning July 24, 2015 1rf� 'L Dear Relii wer, J e �9 =��I C � RE: MLA15-00046 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: BLA- LOT CONSOLIDATION To consolidate five legal lots of record within one parcel. Location: Parcel Number: 961806605; Section: 34, Township: 30N, Range: 1W; located off of Maude Street. Comments must be received within fourteen (14) calendar days or by August 7, 2015. 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, Anna Bausher Anna Bausher CC: \\tidemark\data\forms\F_MLT_ReviewerLtr.rpt 7/24/2015 Parcel Details Page 1 of 2 4 ` „Weather Station '" Database Teals• ° * ;:Maps M 4r- -- 'rn Home County Info x'. Departments Search Parcel Number: 961806605 SEARCH Parcel Number: 961806605 Printer Friendly Owner Mailing Address: a(� JING LI t PO BOX 33129 C5IS‘.- SEATTLE WA98133-0129 \�/ Site Address: Section: 34 School District: Chimacum (49) Qtr Section: SE1/4 Fire Dist: Chimacum (1) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 0211 Planning area:Tri-Area (4) Sewer: Drainage: Bank: View 1: View 2: Zoning 1: UGA-LDR - Low Density Residential 4-6 Zoning 2: Zoning 3: Sub Division: 9618 - IRONDALE 1-92 Assessor's Land Use Code: 9100 - Vacant Land Property Description: IRONDALE #2 BLK 66 LOTS 16 THRU 20 r— Tax, A/V, Sales, Photos, and Permit Data Bldg Data Ma _Parcel Plats &Surveys . Septic Monitoring Info i ••,. Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later is Windows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?value=961806605 7/17/2015 Parcel Details Page 1 of 2 Je Count M a" 1■ Home County 'Info `®Departments ► + 5 2015 Parcel Number: '961806605 SEARCH I JEEFER3O J Ci.,JNTY Parcel Number: 961806605 Prin erF q tilrvr-Et0,"^-1_ Owner Mailing Address: ]ING LI PO BOX 33129 0.—PS SEATTLE WA98133-0129 ��nn i( .5Q Site Address: Section: 34 School District: Chimacum (49) Qtr Section: SE1/4 Fire Dist: Chimacum (1) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 0211 Planning area:Tri-Area (4) Sewer: Drainage: Bank: View 1: View 2: Zoning 1: UGA-LDR - Low Density Residential 4-6 Zoning 2: Zoning 3: Sub Division: 9618 - IRONDALE 1-92 Assessor's Land Use Code: 9100 - Vacant Land Property Description: IRONDALE #2 BLK 66 LOTS 16 THRU 20 Tax, A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel fats&Surveys Septic Monitoring Info a, HOME I COUNTY INFO I DEPARTMENTS I SEARCH 4? DRAFT - NOT A VALID PERMIT JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: JING LI PO BOX 33129 SEATTLE WA 98133-0129 DATE ISSUED: DATE EXPIRES: MLA NUMBER: MLA15-00046 PROJECT CONTACT:Anna Bausher PROJECT DESCRIPTION: BOUNDARY LINE ADJUSTMENT- LOT CONSOLIDATION To consolidate five legal lots of record within one parcel. PROJECT LOCATION: Parcel Number: 961806605; Section: 34, Township: 30N, Range: 1W; located off of Maude Street. CONDITIONS: 1.) Consistent with JCC Title 18.35.080 (3), the Statement of Intent shall be recorded with the Jefferson County Auditor. An Excise Tax Affidavit will need to be completed and filed at the Jefferson County Treasurers office. Appropriate documents and fees shall be submitted to the Department of Community Development for department signatures and recording. 2.) Approval of this Boundary Line Adjustment- Lot Consolidation does not guarantee the approval of any future county permits and/or approvals. 3.) Consistent with JCC 18.35.080(5), pursuant to RCW 86.56.345, current year and any delinquent taxes shall be paid before approval of any boundary line adjustment. 4.) Approval of this BLA does not provide any assurance that an onsite sewage system can be approved for the resulting lots. No soils were evaluated as part of this application. Onsite sewage disposal systems shall meet design standards and regulatory requirements in effect at the time of application for a sewage disposal permit. Purchaser should contact the Jefferson County Health Department for procedures concerning permit applications. Any removal of or major disturbances of soil within the proposed drainfield areas may create site conditions that are unacceptable for the installation of sewage disposal systems. 5.) Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements. 6.) Current Jefferson County geographic information systems (GIS) maps identify the presence of an Environmentally Sensitive Area (ESA)such as stream, wetland, flood, landslide hazard, erosion, aquifer recharge area,fish and wildlife habitat, shoreline, etc., lying within and/or adjacent to the revised parcels encompassed by this Boundary Line Adjustment. Prior to any land disturbing activity or construction activity, applicant/owner shall contact the Jefferson County department of community development regarding compliance for such ESAs.Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements. 7.) Your request for a Boundary Line Adjustment(BLA)has been approved. Since no survey was submitted as part of your BLA application, the County accepts no liability for what facts a survey might have revealed.A survey might have revealed that a structure or improvement believed to be on the applicant's property is, in fact, located wholly or partially upon someone else's property or upon property that is not the subject of this BLA. But in the absence of a survey, the applicant bears sole responsibility if such a problem arises. 8.) This parcel is within a no shooting area per JCC 8.50. 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 proposal is consistent with JCC Title 18.35.060(1)(a) in that the proposal will merge lots to improve a buildable parcel. 3.) Consistent with JCC Title 18.35.060(2)(a), the proposal will not create an additional lot, tract, or parcel. 4.) Consistent with JCC Title 18.35.060(2)(b), the proposal is not within a binding site plan. 5.) Consistent with JCC Title 18.35.060(2)(c), the proposal will not relocate an entire lot,tract, or parcel from one parent parcel into another parent parcel. 6.) Consistent with JCC title 18.35.060(2)(d)the proposal does not cross zoning districts. 7.) Consistent with JCC Title 18.35.060(2)(e), the proposal is not inconsistent with any restrictions or conditions of approval for a recorded short plat or long plat. The proposal will not circumvent the short subdivision or long subdivision procedures. 8.) Consistent with JCC Title 18.35.060(2)(f), the proposal will not separate an Accessory Dwelling Unit from the primary use of the property. 9.) Consistent with JCC Title 18.35.060(6),the proposal does not involve more than two lots, tracts or parcels that have been subject to a boundary line adjustment process within five years. 10.) Consistent with JCC 18.35.060(3), the consolidation of two or more lots, tracts, or parcels for the purpose of creating a single lot, tract or parcel that meets the requirements for a buildable lot shall in all cases be considered a minor adjustment of boundary lines and shall not be subject to the short subdivision or long subdivision provisions of this chapter. Lot consolidations shall not require a survey or soil evaluation. 11.) 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)(f). 12.) This approval is for a boundary line adjustment- lot consolidation to remove interior lot lines of five legal lots of record 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. 13.) The parcel has been designated as Rural Residential 1DU/5 acres (RR1:5) under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 14.) Consistent with JCC 18.35.080(1), Sherrie Shold and Charlotte Stockard from the Assessors Office have reviewed and commented on the proposal. 15.) The application was reviewed by the Jefferson County Department of Community Development staff on July 24, 2015 for the potential presence of Environmentally Sensitive Areas(ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: coastal seawater intrusion zone. 16.) The airport Overlay II includes areas that lie beneath the FAA mandated traffic pattern for aircraft ascending or descending from the JCIA. As such, this area is subject to routine aircraft over-flights. It is acknowledged that areas lying outside the delineated Airport Overlay II zone may also be subject to aircraft over-flights. 17.) The parcel is located within a coastal SIPZ(seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Polio (Resolution 61-02, effective September 23, 2002)that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 18.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drillec on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge(primarily through rainfall) and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 19.) The proposal is in compliance with JCC 18.35.080(2)(a)-(i), consistent with this code section the proposal may be approved. 20.) 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, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and 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. Portions of Jefferson County, including marine environments are included as "critical habitat"for 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: -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 stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet(1/8th of a mile)of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take" and describes the possible legal consequences when a "take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle/)to learn more about how this law affects your project. 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, or the U.S. Fish and Wildlife Service. 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)candar days of the date of issuance of this land use decision. For more information related to judical appeals see JCC 18.40.340. UDC Administrator MLA15-00046 \\tidemark\data\forms\F_MLT_Type1_Preview.rpt 9/18/2015 DEVEIPMENT REVIEW TIME liEET JING LI MLA15-00046 Date Time Comments . 7/2'-!/15 Il=3C) - i2'Lf n u.ir/C_ e-, I- ta - S !S ,--e. LON h cis �I III I IS "D • . sit rr•ik 1l tidemark\data\forms\R_MLT_Case_CRMIA.rpt July 24,2015 Olt CONSISTENCY REVIE. Project Planner: Master#MLA15-00046 Review Type Proiect Description Q1(111-Ca U j\-\a,(' SUBI5-00013 BLA-LOT CONSOLIDATION Primary: JING LI Site Address: PO BOX 33129 MAUDE ST SEATTLE WA 98133-0129 WA, Project Location: Parcel Number: 961806605 S-T-R: 34-30N-1 W Total Acreage 0 Legal Description IRONDALE#2 BLK 66 LOTS 16 THRU 20 Land Use: 9100 Flood District: Fire District: 1 Planning Area: Flood Map(FIRM)Panel No: .chool D 49 Zoning: 12\ S COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ ] Plot plan states "property line" [ ] Assessor's Map(Property lin submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [ ] Legal Access to Prop YE) NO [ ] Parcel Tags or Scanned Documents YES [ ] ESA's: Special Reportp.k,arby YES 6N0) [ ] Designated Ag YES NO [ ] Shoreline Designation: YE [ ] Shoreline Slope Stability:Cillo NO Stream Type:YES boo FWHCA: YES }t Wetlands: YES Rare Plants:YES Seismic: YES i!) Landslide: YES Flood: YES (to Erosion: YES 0 Aquifer Recharge Area:YES NO SIPZ: none At Risk High Risk (C—o—a—stiadepa. part. ex CMZ: non High Risk Moderate RiskDisc nnected CMZ I Stormwater site P lan s • 'i itted: YesNo /t [ ] Forest Lands: YES NO Adjoining Forest Lands: t n.t Commercial/ Rural/ Inholding [ ] Mineral Lands: YES [ ] Agricultural Lands: Y NI [ ] Archaeology: YES [ ] No Shooting Zone: tibj NO A 441� _J 4 _ ,, Stormwater: New Impervious Surface Land Disturbing Activity ESA's Stormwater Req's:Min Req 142 Min Req#1 thru#5 Min Req#1 thru#10 Engineering [ ] Notice Provisions/Disclosure:Airport k NO MRL YES Forest Lands YES -NO [N if,Landscaping Required: Yes No �J [ PParking Spaces Required NO 2 Other [W`y/r Building Height: 35' UBC Standard [oAImpervious Surface covera ercentage: GJ (/ I' Resource Lands&Public: IOW Rural Residential: 25% Rural Indus. Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only [U f,} Total Building(s) Size: w l RVC:20,000 SF CC: 5,000 SF NC:7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified [kpSetbacks: Front: Left Side: Right Side: Rear: ( � Shoreline Setback: LSHA Setback: [ OIRoad Classification: ('Road Approach: EXISTING NOT REQ'D RAP [ ] SEPA Required: YES EXEMPT, VA.]A L I. — — - g-t ®gp) (. [( (),, Flood Certificate: Ii(/\ [ ] Existing Case(s)&Condition(s): ,4-e_e_ Violations: Yes[ ] Recorded Date of Sc. tvision: .f,,n I (f I 7 I O AFN 2 9 /3 S Over 5yrs=UDC Plat Conditions: <Syrs=Plat Conditions on plat or Old Ordinance [, ,Lots/Require Declaration of Restrictive Covenant YES � submitted: YES NO [N I UGANo Protest Agreement Y NO, submitted: YES NO [ ] Site Visit conducted YES ��\ [ ] Require Final Zoning Approval YES ` aJ [ ] 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 961806605 MLA15-00046 SUB15-00013 P BLA-LOT CONSOLIDATION SEP15-00050 P CASES INDING, CONDITIONS, PERMISSI NS FOR Parcel 961806605 Printed: July 24, 2015 Cases Name Review Status Planner Type SUB15-00013 MLA15-00046 LI I P Anna Bausher Application Received: 7/17/2015 Permit Issued/Case closed: Case Finaled: BLA- LOT CONSOLIUA I ION To consolidate five legal lots of record within one parcel. No findings, conditions, or permissions found. SEP15-00050 LI P David Wayne Johnson Application Received: 4/17/2015 Permit Issued/Case closed: Case Finaled: No findings, conditions, or permissions found. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 7/24/2015 Page 1 of 1