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Home My WebLink About622 S Lincoln St - Engineering CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT _ BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation 03 -/ZZ~ 03-00001226 Date 622 S LINCOLN ST 06-30-00-0-1-6690_0000_ RIGHT OF WAY 1/28/04 ------------------------ Contractor 1;~ I ^ 1J I U yl COMMUNITY SHOPPING DISTR o Owner PORT ANGELES MASONIC TEMPLE PO BOX 1076 PORT ANGELES WA 983620203 ------------------------ ------------------------------------------------------------------ Permit Additional desc Permit Fee Issue Date Expiration Date DOWN TO EARTH LANDSCAPING 306 S VALLEY PORT ANGELES WA 98362 (360) 452-0824 RIGHT OF WAY ---------- 45 00 1/26/04 7/24/04 Plan Check Fee Valuation 00 o Qty Unit Charge Per 1 00 45 0000 ECH RIGHT OF WAY PERMIT Extension 45 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 45 00 45 00 00 00 Plan Check Total 00 00 00 00 Grand Total 45 00 45 00 00 00 Sepa",.. Pe..."Is a... ...qu;'ed 10,"leclrical WO'k, SEPA, Sho,ellne, ESA, ufUiffes, pnvate and public Impmvemants. This P"'mn bocomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is Suspended or abandoned 1m a period of 180 days aftenhe wo'k as commenced, 0' If mqul'od Inspoctlons have not been '"quested wtthln 180 days Imm the last Inspoctlon I he...by ce..fy that I have ,"ad and examined this appllca'on and know the same to be true and cooect. All pmvlslons of laws and o",lnances govemlng this type of wock will be complied wtth wheth"' specified he'e;n 0' not. The go,,'ng ot a pe'mlt 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. OAJ F/ !-~- Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date T.IPLANNING\FORMSIII02.15 [11114/2003] FORTANGELES WAS H I N G TON, USA NAME OF APPLICANT Do l>--.\ 1 0 ~. Cl_ -i ~ hil V\(l t., t:d l'l MAILING ADDRESS ? c. (" 5 PHONE NUMBER ;; (o n ~ L./ S ) LJlZ tJ r'v/ t & S5 (; DATE I 2.. - cq - L 'J Sf STREET ADDRESS OF PROPOSED STREET USE r;2z..... S L,. I V\f -c i V\ DESCRIPTION OF REQUEST (include d",wings requi<ed for clarity)' [If sti'eet closure Is requested, please state the name of the street and limits of closure, together with the duration of closure.] IS THE USE TEMPORARY OR PERMANENT? lc lA-\. t HOW LONG WILL THE OBSTRUCTION BE IN PLACE? .). _ tt dt\.~ S WHAT ARE THE HOURS OF OPERATION?----i[ - Y ~ W\ \~ HOW IT WILL BE LIGHTED? ()Cl.~ I, ~h. t . EXPLAIN THE NECESSITY TO U E THE PUBLIC STREET, SIDEWALK OR PLANTING STRIP ARE THERE AL TENATIVE AREAS THAT COULD BE USED? "te '" C-<Ucv<d< ., , 0""< 10.." s,J.,> ct iiic( '10 pC<v'<vc h"~ (jhe!.. Ufic( I HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance wtth the Port Angeles Municipal COde, and In conslde<ation of the Issuance by the City of Port Angeles 01 a Streel Use Pe'mtt to fhe unde<slgned allowtng the placement of the above descnbed street use 0' obstCUction, the unde<signed (0, hlmse' and fo, his succeSSO<s In Interest, he<eby agrees fo Indemnify, hold ha<mless, and defend the City of Port Angeles against any cjaims 0' lawsuits "" pe<sonal Inju'Y 0' pmperty damage anslng out of, 0' In any way connected wtth, the placement of the use 0' obsbuction on the City street, sidewalk, or planting strip \\\\111111I1//111. ~,,\\\ ~INE" 1110 ..~...~'G.."""""'~Y)f:"~ ~, ~ ~ ~ ............ <r V ~ S! 'If" ..... ..... ~ i ~ :::: i().. ~or..q-9 ... ~ :::. :: i:t.l f r::.. J- ; !. =: -. . "'-'ftJ. ,~_... . "'"' _ = '""': Seap7 : +; ::: =~;"o -D4:::: - :~.. U EJ L C ct- ~ : ((\ e.. '.. 0: ~ ~ 0 .... .... "" :~ ~ It:- .......... c> ~ ~ IA. \~ ~ :..:;(.I"......J(A.s~ .....~...,'i. III/ \\\\ '"1111111I11 WashIngton ....idlng aFr=,,,~~~ (This permit, if approved, may be terminated by the City of Port Angeles without cause and at any time) DATED this le- day of ()I-I ,2001; rY' c.flJ............ Applicant SUBSCRIBED and sworn to before me thisz:L day of ~ 0~~~<<; ~\~~D~--:t NOTARY PUBLIC in and for the State of ,2001, Copies sent to' Po/ice Fire Planning _ Finance Date' [OFFICE USE ONL Y] Lf D0 Fee paid $ 7'5 Receipt # Agreement to Remove Encroachment signed and recorded on N/ A ************* Application reviewed and recommendation by City Engineer o r approve and with the Date application received 11- t 'Iv 03 Certificate of Insurance per PAMC 11 12.140(B) on N/A Date following is to deny conditions Application approved or denied by the Director of Public Works Copies to: Applicant 0 Fire 0 Police 0 Street 0 Other N:\POllCY_PI0200_0FF\0209_10WPD [August 13. 2001) Date o Address file 0 RUP file 0 RUP# BUILDING PERMIT INSPECTION RECORD CALL 4]7-4815 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 YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I I MECHANICAL HEA T PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT 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'IPLANNINGIFORMSIII02.15 [11114/2003]