HomeMy WebLinkAboutMaple and Viewcrest - Engineering
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00001207 Date 12/07/05
091687
UNASSIGNED
06-30-15-5-1-2800-0000-
CLEARING & GRADING
RS7 RESDNTL SINGLE FAMILY
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Owner
Contractor
ANDERSON CHRIS
8215 184TH DRIVE SE
SNOHOMISH WA 98290
(425) 770-1477
Structure Information 000 000
OWNER
C/G #0524
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
CLEAR & GRADE
C/G #05-24
66704
50.00
12/07/05
6/05/06
Plan Check Fee
valuation
.00
o
BASE FEE
Extension
50.00
Qty Unit Charge Per
Special Notes and Comments
Required silt fence & construction entrance are to be
installed to City standards prior to tree removel.
Fee summary Charged Paid Credited Due
----------------- ---------- ..--------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 50.00 50.00 .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 orwork 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
presum.ee J ". 0 g~' .e.. a. rity to violate or cancel the provisions of any state or local law regulating construction or the performance of
construntion: I
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Date
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
T:\Policies\1102.15R [liDS]
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY 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
YES I NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRlVEW A Y APPROACH
BACK-FLOW DEVICE I I
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W,/ PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT,
BUILDING 417-4815 BUILDING
T:\Policies\1102.15R [1105]
, &12/AJ./2~;S, THU 10: 50 FAX
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III 002
O~-"Z- Ll Page 1
C & G APPUCAllDN Mo. "J J
CLEARING AND GRADING PERMIT APPUCATJON
CITY OF PORT ANGELES
APPLICANT: (' h ('~\
APPUCANT MA1LING ADDRESS:
APPUCANTPHONENUMBE~
PLAN PREPARER CMMIclI~
PREPARER ADDRESS & PHONE<<
. . . . . .
, LOCATION OF 'PROPOSAL(....... arll;lt& I_U): .
J.<:;.,.,()~d,....,'~~ ( t-fit .t:;K-ko
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. 'W the ......, to ...y on.. fallowi.., questlonllla ',ee, an I!$A IIppUcaUon wfth . 8EPA 'ch8ck ... .. ..qul...d ~,'" .ubmlltlld with
thIa appIatlan .net will... PfOOtIUIId .CGOnllng IIg u... QlJ". SGnIIOBdil.t.d pormlt pI'DMd".... ' ,
1. I.. the 8XCIIva1ICIn or, III ...-ocIated wllh 1'18 dlMllopmenl of .1*Idng Ial fat more ~n 20 vehk:lea7 . V 0
z.. Does tha", 811'Dunt Dr ....wa.on Or fill ..aecI100 c.y? '-Ell ,'.
3. 'TJ'~y partIan at the QI8ta1I. aCBVllllon orfill"" 0GaM' within ,200 fOGt of..", at tho ~Jn,.~ LJ 0 ,~ Ui'J $b8em.
40% or grater slope? If the BI18YIeI' to, yes. pie... dleck the approprllll8 CDrldlllon. ~ ' ., _",,'
~.. ; . .' I .. . ..,. ... ~I~. I r _ . _ fI I
The, appllcaot hereby affirms IIIVlI c;;DI11I7IIta tn. Ine Iitfanna~ .......Uw:rd epplic:rdlon Ie eociund. aftd 'Gull.. appl~t ,wltr' '
comply... ~ 18,... .-xl condllloms, r?t the permit and the CIv Of Part On:JIn~." i,
-
01- 05 '.
(Dabt)
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. ~~'~M~DU~TO:"'" ' ~~C~G~ERMrrKEQUIR!:D'
, a i... . LAnd'durInI. ..... ...... ~glng. cIkIng, ~1nt. or....r wodc dUn'lg or...... pttl'lodl: fit...... _"or ~emlqIlacy
cand'" .... .....1Il......... d~ CD ,.. m~. _ 8IIIharized by Iha Q, inaNer.' '
g 8. lAlcI c;III.... .-0', b;' 1M CItJ cOunc./I ~ .....nt of IIXIbIc n~J1(ilD. ,
D C. ~,1IlDIIII1 fit dud, CIJ!Ie"- III dent.... nee wI\Ich ~ ClDI'Idlute . .ald to .. or~; , '
, D I). CIo..q .,. pUDIIc........, fIla fnand1lMd IIIIlIr lIII/rhIn alJub/k; q,.....y CIf utlGfllI'l 0PeRIItnt, fw the p~ elf 1-._ end .........Int
, .............,J ,..,... 0.., or CIaI'M'lLlI~a..lcna ..... '
Q E. C8rne1Hy.,..... ,
NOTEI EXUIPTIClNS.. TMRU~" SHALL NOT'APPLY IN SlrUA110NS WHERB PROPER'11ES INCLuae ENVIRONMENTALLY IINSITNE '
AREU . '. ,.
a F.. 1.lInd .. one __ or..... 1tmIpt..... *:' IICI),ClIIInt .re-. under ItIe ~...... ovrneahlp VI' cI'l8In fiI ~Ip .. been ......, alIempled ID Drill
the cambInecI... .. a I......' then .. .. ancl 8m.1on CI:dIGI..... nDl been ......w..d.
a Go " .}luldng pecmilt ...... no eGGJio.... c1e8llnSJ. gmd_. or ftIIng ~ U1' _~ fee wIII_ ftI~u1Ndi p~ tit............
, .' eablahed in INI mIlI'IU8Iah8lltle .~ 10 lite ....1fICB at pili IlUIIdina perrnl, .,
D K. Dave~ __ a1alt one ecn in ~ are.. .-ved tit pned SII8Ids. ctJbe. ggllerl, ..... dl'linl. and Clther chlnllgelliK:llha, .-
.~brIhoCltr...u-r., ' , " " . ,
a I. Wen...... ,1PPfCWed br UItI Cllt enp.er, kt an 1soIeIBd, .ekontalnec:t .... "there It no de,..,. privaIlt or ~ ~
The propolI8d don he. beert determined fa be fI)tempt from a Clearing and Grading Permit .besed upon the Jnfonnation
prrNided by the appIk:snt me basis tbr trrlS uemptton is 8lS chtldC8d iJbow. '
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99:9I 9121121(;/II2I/(;I
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To: CitY' OfPOl"t Angeles. Attn: Trellia
Fa..-c 360-417-4709
Phone: 360-457-0411
From: Chris A.odeIson
Pages: 02
Date: December 1, 2005
Rc;
Gnnt'a Addition
cc:
o Uq;cnt
181 Fo!: Review
o Please Comn'lent 0 PJe..1.Se Reply
o Please Recycle
Treoia
F.1'Ic:lolo\ed is a cotnpleted copy of the cleat QIld pde application. At this time we only want to
clear the blUSh and tress from the property. install silt feo.ce slong Vicwaest, stxaw all exposed soil
and install canstmction enttance per City of Port Angdt:l:> (;(xie. No soil removal at distwbance
of soil at this time. Thanks for yout help. Please call if you need additional u'lfomlation.
Thanks
Cl:u:i:; Andc.r&on
425-77D-14n Mobile
8215 184lb Drive SE · Snohomish · Washington. 98290. 425-770-1477
C:Ia/'U3 39l;jd
lN3WdOi3^30 ~l;jZ31N3
9EE81t>99c:t>
99:91 913136/113/61
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Page 2
Permit No.
Clearing and Grading Permit
PERMIT CONDITION REVIEW ROUTING:
JZ.;oI-OS
C To Public Works for Engineering requirements Date
C To Planning Department (with engineering's.requirements)
For ESA and SEPA requirements. Date
C Return to Engineering PermiU/ng.
C Copy 0; conditions to applicant
Date
Date
PERMIT FEE CALCULATIONS:
,. Grading and Filling - Plan review and pennlt fee
- 0-250 cy and less then 4' of cut or fill
$
$
$
-251-1,000 cubic yards ($22.50)
-1001 -10,000 cubic yards ($30)
-1O,OOO+e:y ($30+$15/10,000 cy) $
Clearing and Drainage - Plan review and permit fee
-Less then one acre ($30) $
,,-
-One acre-5 acres ($50) i '6 SA-v $ ,7 0 ~
-Over 5 acres ($10 per acre) $
Additional plan review for changes, additions or revisions to approved
plans at $30 per hr. reg. and $60 per hr. overtime.
SEPA review ($100)
~
$
Total PermIt & SEA Review Fees
III. PERMIT APPROVAL:
This certifies. that the named applicant is granted a Clearing .
and Grading Permit for the work described and the purpose
shown in the application. This permit is granted subject to the
terms of the agreement contained in the application, subject to
the terms of the provisions of the City of Port Angeles
Municipal Code and subject to all special conditions which are
attached to this permit or as noted in sections IV thru VIII
following. Nothing permitted hereunder shall be deemed to
override the provisions of any applicable law of the City,
County, State or Federal Government. This permit expires
one year from the date of issuance, unless otherwise
specified by the City Engineer
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SEE REVERSE SIDE FOR PERMIT CONDITIONS