HomeMy WebLinkAbout1126 E 7th St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000588 Date
.159664
1126 E 7TH ST
06-30-00-0-2-2110-0000-
RETAINING WALL
10/11/04
RS7 RESDNTL SINGLE -FAMILY
5000
Owner
Contractor
BOWMAN MARK D/NANCY A
1126 E 7TH ST
PORT ANGELES
WA 98362
HOME SERVICE
223 MARSDEN RD
PORT ANGELES
{360} 457-1708
REPAIR RETAINING WALL
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
WA 98362
Structure Information
Construction Type . . . .
Occupancy Type . . . . .
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
RUP#04-14 RETAINING WALL
175.00 Plan Check
7/08/04 Valuation
1/05/05
Fee
.00
5000
N
6"
Qty Unit Charge
Per
BASE FEE
Extension
175.00
Other Fees
STATE SURCHARGE
4.50
fl(
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 175.00 175.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 179.50 179.50 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
l1;J /td /~ /,
/1 ?,k(/ t( 1;/ IZ'~7-;;,"'" / '-'
Signature of Owner (if owner is builder)
I[ C",l_/
Date
T:\PLANNING\FORMS\1102.I5 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTrNGS
WALLS
FOUNDA nON DRArNAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
dAS LINE
BACK FLOW I WATER
AIR'SEAL
WALLS
CEILrNG I
FRAMING
JOISTS I GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS I ROOF I CEILrNG
DRYW ALL (rNTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
W ALL I FLOOR I CEILrNG I
MECHANICAL
HEAT PUMP
GAS LrNE
WOOD STOVE I PELLET I CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELrNE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGrNEERrNG 417-4807 PW I ENGrNEERrNG
FIRE 417-4653 FIRE DEPT.
PLANNrNG DEPT. 417-4750 PLANNrNG DEPT.
BUILDrNG 417-4815 BUlLDrNG
T:\PLANNING\FORMS\1 102.15 [11/14/2003]
FORTANGELES
WAS H I N G TON, U. S. A.
RIGHT OF WAY USE
PERMIT -:;:L 0'1- ~88
NAME OF APPLICANT fV\ A-€-\C( ~Ov,.) ""-A "'-J
MAILING ADDRESS \\ 'l.L, e. i+t.., C:sr. PDe.r
PHONE NUMBER &..( '51- L.l 0 ~ ~
STREET ADDRESS OF PROPOSED STREET USE . \ \ '2. \...
DATE ~ - \ <;;" - l:) "-\
p.. ~a.G"L8'S I W fir 'i <c \ (, "L
6. 1~ ~-r.
DESCRIPTION OF REOUEST (include drawings required for clarity): [If street closure is requested, please state the name
of the street and limits of closure, together with the duration of closure.]
ttE"Vl\\Cl- E''J(,t~i. t2.~--rA-h..J14-.s'-t. l.,A.J~u... .q.r /i).J.O OF P4ut;'\) Ac.l..6""i.
pt=\2.t.-J.:.""U A-1-r C_c.."h..~~.
IS THE USE TEMPORARY OR PERMANENT? Pte~.
HOW LONG WILL THE OBSTRUCTION BE IN PLACE? L..H~ Df' ~nU' c..rvaG"
WHAT ARE THE HOURS OF OPERATION? 14/ ~
HOW IT WlLL BE LIGHTED? f'J./ j.:...
EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET, SIDEWALK OR PLANTING STRIP. ARE THERE
ALTERNATE AREAS THAT COULD BE USED?
~-r~-r ~'OS p,.r l+U...L. - ~ Q A-1.rt'~"'-' A.~ A" A-t("A.-Il.:7Le""
HOLD HARMLESS and INDEMNIFICATION AGREEMENT
In compliance with the Port Angeles Municipal Code, and in consideration of the issuance by the City of Port Angeles of a Street Use
Permit to the undersigned allowing the placement of the above described street use or obstruction, the undersigned for himself and
for his successors in interest, hereby agrees to indemnify, hold hannless, and defend the City of Port Angeles against any claims or
lawsuits for personal injury or property damage arising out of, or in any way connected with, the placement of the use or obstruction.
on the City street, sidewalk, or planting strip. ~ .,
DAT~ED this J day of vn~cAtl 1~1
""",\\, t!J a./f"l. ,.....,...... ~.
r....~:.:.:.~~\:\c)'CJ(i~t'yh, I ,oJ" 'V r'''U-...
,:- '?-. ,.....,.....,..E::b " Applicant
::- ~ ....~':,S\0N ~>.<.,;:/O"l '
f o~.i~"'-'iAf?':'S;K~\ SUBSCRIBED and sworn to before me this 6J,~ day of f)/iaYC.ll ,200?-1
~\:r:: : u ~l '.' ~1': 'Z- ~ j / ..z-;" ,0', ~ / .
,_: _._ vr. " . ,oX!:/:, /. i' .." 1':, 'd /~I' t. ../7;.
~ : :. ..' ~J / -"Lt.r (' . ~ ~(..., r ,. \.- t..-"L ~
'I' LP ". PUBUG V..,.. ; . NO, RY P BLle In And for the, State of
~~.;. \.... . .............,:kOf. .. . W ' ~ington residing a~ ;l'-t>lf f(J:2.'l'."(b:;
111 "'<:- '..f.-.,?::~1,~"'..;;.0.: (ThIS perrmt, if approved, may be termmated by the CIty of Port Angeles WIthout cause d at any time)
ll\\IPF WA5~'..~--':
\, \\\n"""....:" (OFF1CE USE ONL Y]
I~ ,-.... r)
Date application received Ltf> Ocr. Fee paid $/7,) ~ Receipt # N/A
Certificate of Insuranc~ per PAM 11.12.140(B) Agreement to Remove Encroachment signed and
on N/A'lLt7<e~ recorded on N/A
************* ^ .
Application reviewed and recommendation by City Engineer .M-lc.. Date"'7/..-'J/OY is to
~ and with the following cDnditions: '~
Application proved ~ by the Director of Public Works
Date ' r;{ }/13 . --
..........................................................'t...........................................................................................................................................................................
Copies to: Applicant 0 Fire 0 Police 0 Street 0 Other 0 Address file 0 RUP file 0 R U P # OLj - / L/
N:IPWKSILlGHnCONS\CA TEIROWPER.wpd
Copies sent to:
Police
Fire
Planning _
Finance
Date:
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AGREEMENT TO REMOVE ENCROACHMENT
within
PUBLIC RIGHT-OF-WAY
WHEREAS: We, the undersigned owners in fee simple of the following described property:
do hereby acknowledge that private improvements havy been or will be constructted in the next q 0 days by us within the
adjoining public street or roadway described as . he-i~e.e.v.. '-0+ z.. Ao"'-Go '--I-? i B I ~ J;:. 2.2..1
NOW, THEREFORE: We do hereby agree that said encroaching private improvements including, but not limited to,_
, r' ' ~, If\. .... \ and associated appurtenances shall be expeditiously
demolished, reriTbved, modifie ,rebuilt or restored at the undersigned owner's expense within sixty (60) days of receipt of
written notice from the City Engineer with work to be done in accordance with the requirements and conditions deemed
necessary by the City Engineer or his designee at such time as the City finds that it is necessary to modify the use thereof.
If the required work is not done in a timely fashion and/or if the work does not meet the requirements and conditions set forth,
the City is authorized to have the work done and the cost thereof including reasonable overhead and attorneys fees shall
become a civil debt of the property owners and shall be a lien against the property.
We do also hereby agree that the City Engineer may, without notice, remove the private improvements as necessary to repair
utilities or other public facilities and that the City has no obligation to reconstruct or replace such private improvements.
The property owners agree to indemnify, hold harmless and defend the City, its employees, agents and assigns from and
against all claims or lawsuits as alleging injury or damage to persons or property as a result of the construction and location
of the private improvements as provided herein.
It is agreed that this agreement shall run with the land and shall be binding on the undersigned owners, their heirs, devisees,
successors and assigns and all owners now or hereafter of the land described above.
7th 9/ () J..j -JAIl / /J L2
DATED this _ day of "-"( ',)J j , 200J /"~ u. ~
, "7JAA'J1' ~~~..
STATE OF WASHINGTON ) .
) ss.
COUNTY OF CLALLAM )
On t is date, before me the undersigned Notary Public in and for the State of Washington, personally appeared Hi. rI< [?"'-JL-l. " MG\., IU
'1- ), to me known to be the individuals who executed the foregoing Agreement to Remove
Encroachme twithin Public Right-of-Way and aCknoWle~ed to me thatthey signed the same for the uses and contents therein mentioned.
DATED this r)t ~ day of "- ~_l 1-,. I ' 2o~i A ~\ ~ -l J.A. ~_.( ;0\~}-(' 1 ,,~ KL--
! NOTARY P L1C for trashingtoY9
residing at (J .-'L..L '
My commission expires: ~' -:..~ '- - c:)