HomeMy WebLinkAbout116 1/2 W 8th St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000155 Date 2/24/04
.932115
116 1/2 W 8TH ST
06-30-00-0-2-6700-0000-
CAPACITY PROVISIONING INC
RIGHT OF WAY
COMMERCIAL NEIGHBORHOOD
o
Owner
Contractor
ELKHART VERN
108 W 8TH ST
PORT ANGELES
OWNER
WA 983626032
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
RIGHT OF WAY USE
60.00
2/24/04
8/22/04
#04-05
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
Extension
60.00
BASE FEE
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60.00 60.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 60.00 60.00 .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 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 exammed 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 herem or not. The grantmg of a permit does not
presume to give authonty 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
Signature of Owner (If owner is builder)
T \PLANNING\FORMS\1102 15 [11/14/2003]
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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:
Tenant nbr, name
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000120 Date 2/11/04
.860480
116 1/2 W 8TH ST
06-30-00-0-2-6700-0000-
CAPACITY PROVISIONING INC
PUBLIC WORKS UTILITES
COMMERCIAL NEIGHBORHOOD
o
Owner
Contractor
ELKHART VERN
108 W 8TH ST
PORT ANGELES
OWNER
WA 983626032
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
OMC, WASH-CHAM,
60.00
2/11/04
8/09/04
JONES-LIBERTY
Plan Check Fee
Valuation
.00
o
-
-
Qty Unit Charge Per
BASE FEE
Extension
60.00
o
:(
rJ
Fee swnmary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60.00 60.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 60.00 60.00 .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 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 Owner (If owner IS builder)
Date
Signature of Contractor or Authorized Agent
Date
T \PLANNING\FORMS\I 102 15 [11114/2003]
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
Property Use
Property Zoning . . .
Applicat10n valuat10n
05-00000104 Date 2/11/05
.162952
116 1/2 W 8TH ST
06-30-00-0-2-6700-0000-
DOYLE ST PUMP STATATION
PUBLIC WORKS UTILITES
COMMERCIAL NEIGHBORHOOD
o
Owner
Contractor
CPI VENTURES
116 1/2 W 8TH ST
PORT ANGELES
( 36) 565-8400
WA 983626032
EXCEL UTILITIES CONSTRUCTION
54 MISTY LN
PORT ANGELES WA 98362
(360) 452-1110
Perm1t
Additional desc
permi t Fee
Issue Date
Exp1ration Date
RIGHT OF WAY
RUP# 05-04
.00
2/11/05
8/10/05
Plan Check Fee
Valuation
.00
o
0-
N'"
Fee summary Charged Paid Cred1ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total .00 .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 or work is ~lJspended or abandoned
for a period of 180 days atter 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 7' / uthority to violate or cancel the provisions of any state or local law regulating construction or the performance of
constru ti ,
._ :z
~-11-6r-
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Pohcles\II02 15R [1/05]
.
u. s. A.
NAME OF APPLICANT
MAILING ADDRESS
PHONE NUMBER
C
JIlt W ~ T2-
1~6 - ~400
DATE
J/t.uJos
Fi ,lit), ,J/ 10
STREET ADDRESS OF PROPOSED STREET USE
EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET, SIDEWALK OR PLANTING STRIP. ARE THERE I
ALTERNATE AREAS THAT COULD BE USED?
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 harmless, and defend the City of Port Angeles against any claims or
lawsuits for p~",'_ or property damage arising out of, or in any way connected with, the placement of the use or obstruction
on the Ci~<<r~ '-9): planting strip.
~ ~~""""""O"""" ~ DATE~)hiSdaY of-Fe~ ,200$"
S~". ~M)I'". ~ ./ D
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gcp: ...~.'\.~ :5~ Applicant
_: . 1'1' ,0 "~-
~fi.""" ~U61\,.; ."~j SUBSCRIBED and sworn to before me this....B- day of "'Fe~ ,20CS;
"t",;-. ofl.Jea ..~ $ ~~ .
; "'"l of':.iJ"r>-S,'-''l 0r>~'? \",\~c,. 't-' 1 ~--lc
; /1//1""11\\\\\ ; NOTARY PUBLIC in and for the State of
~ ~ W~shington residing a~~.,..... ';:>-PGc. r-l ~
M................................... (This permit, if approved. may be terminated by the City of Port Angeles without cause and at any time)
[OFFICE USE ONLY]
Copies sent to:
Police
Fire
Planning _
Finance
Date:
pO
Date application received Fee paid $ (aJ - Receipt #
Certificate of Insurance per PA Agreement to Remove Encroachment signed and
on NI A recorded on NI A
************* ^ ~ - I,. j.:",
Applicatio~wed and recommendation by City Engineer / J _ gate ~ is to
tit:,. Fj \Jf ~ and with the following conditions: '
Application
Date
by the Director of Public Works
C1 ..0 S.
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Appl1cation Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
Property Use
Property Zoning . . .
Applicat10n valuation
05-00000103 Date
.007539
116 1/2 W 8TH ST
06-30-00-0-2-6700-0000-
BORE ACROSS 0 STREET
PUBLIC WORKS UTILITES
2/11/05
COMMERCIAL NEIGHBORHOOD
o
Owner
Contractor
CPI VENTURES
116 1/2 W 8TH ST
PORT ANGELES
(360) 565-8400
WA 983626032
EXCEL UTILITIES CONSTRUCTION
54 MISTY LN
PORT ANGELES WA 98362
(360) 452-1110
Permit
Add1tional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
RUP#05-05
60.00
2/11/05
8/10/05
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
BASE FEE
Extens10n
60.00
()
i'(""
N
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60.00 60.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 60.00 60.00 .00 .00
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7-
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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 requeste-d 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 giv If rity to violate or cancel the provisions of any state or local law regulating construction or the performance of
con~ /. ~'I \ t/)
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policles\1102.15R [1105]
ORTANGELES
H I N G TON, U. S. A.
NAME OF APPLICANT C P \
MAILING ADDRESS / 1~'k.lN- ~~ ~.\.-
PHONE NUMBER , <:b, ~'-foo
STREET ADDRESS OF PROPOSED STREET USE ~"" e'0r CLt--R
DATE b{-;:" o:S-
rJ~
DESCRIPTION OF REQUEST (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,] \
flDS. So ~ 0<-
IS THE USE TEMPORARY OR PERMANENT? -P-U--/V\ANC"'-'+-
HOW LONG WILL THE OBSTRUCTION BE IN PLACE?
WHAT ARE THE HOURS OF OPERATION?
HOW IT WILL BE LIGHTED?
EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET, SIDEWALK OR PLANTING STRIP. ARE THERE
ALTERNATE AREAS THAT COULD BE USED?
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 succesM~I' i. terest, hereby agrees to indemnify, hold harmless, and defend the City of Port Angeles against any claims or
lawsuits f~~ uti or property damage arising out of, or in any way connected with, the placement of the use or obstruction
on the ~~ r planting strip. ~ d ~
~~... ..ROJ...."" ~ DATED this of .;~ ,~
::: ~.. t'\ 1 r'" e. ~ \ /JI/C/J Lh
~<t"f.+v.'''''''~':~'E (8.;",-- ~bevrJ& ) /4' 1JN ' . r ~'5-
=: 0 ~ ""pS'.'" 0 :2!:: ,Applicant
~ i.. P 6".... :C!1~ C-
~~f.....~ }..~ SUBSCRIBED and sworn to before me this --=:L day of ~E:B ,~
;,/o"'/,.~ e.a ~~ ~ : Q' . f\ _' ~.
f/"'J OF'l'J l.'\""" i ~~LC'\Cz J \l
1 '1I1"\I\\~ i NARY PUBLIC in and or the State of
~ ~ Washington residing at ~ ~r--\.~
~................................... (This permit, if approved, may be terminated by the City of Port Angeles without cause and at any time)
(OFFICE USE ONL Y]
Copies sent to:
Police
Fire
Planning _
Finance _
Date: _
-
Date application received ;7- 7- t)~
Certificate of Insurance per PAMC 11.12.140(B)
Application a
Date
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A:\r1:IWpef.wpclIJanuary 5. 2001)
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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:
Tenant nbr, name
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000195 Date 3/10/04
.818790
116 1/2 W 8TH ST
06-30-00-0-2-6700-0000-
CAPACITY PROVISIONING INC
RIGHT OF WAY
COMMERCIAL NEIGHBORHOOD
o
Owner
Contractor
ELKHART VERN
108 W 8TH ST
PORT ANGELES
OWNER
WA 983626032
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
FIBER OPTIC,NIPPON PAPER 03-36
60.00 Plan Check Fee
3/10/04 Valuation
9/06/04
.00
o
--'
Qty Unit Charge Per
BASE FEE
Extension
60.00
0-
~
rJ
Fee summary Charged
Paid
Credited
Due
Permit Fee Total
',Plan Check Total
":~rand_Total
60.00
.00
60.00
60.00
.00
60.00
.00
.00
.00
.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 or work is suspended or abandoned
for a period gf 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.
Of\) t=/LF'
Signature of Contractor or Authorized Agent
Date
Signature of Owner (If owner is bUilder)
Date
T \PLANNING\FORMS\1102 15 [11/14/2003]
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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:
Tenant nbr, name
Application descr~ption
Subdivision Name
Property Use
Property Zon~ng . . .
Appl~cation valuation
04-00000507 Date 6/07/04
.697405
116 1/2 W 8TH ST
06-30-00-0-2-6700-0000-
CAPACITY PROVISIONING INC
PUBLIC WORKS UTILITES
COMMERCIAL NEIGHBORHOOD
o
Owner
Contractor
ELKHART VERN
108 W 8TH ST
PORT ANGELES
WA 983626032
EXCEL UTILITIES CONSTRUCTION
54 MISTY LN
PORT ANGELES WA 98362
(360) 452-1110
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
FO OLD HILLER
60.00
6/07/04
12/04/04
LOC RUP #04-22
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
BASE FEE
Extension
60.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 60.00 60.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 60.00 60.00 .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 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
Signature of Owner (if owner is bUilder)
\
Date \
T \PLANNING\FORMS\1102.15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST STH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00001147 Date 12/09/03
Property Address ...... 116 1/2 W 8TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-6700-0000-
Tenant nbr, name ...... VAR. LOC. PARK/LAURIDSEN
Application description . . . PUBLIC WORKS UTILITES
Subdivision Name ......
Property Zoning ....... COS~4ERCIAL NEIGHBORHOOD
Application valuation .... 0
owner Contractor
ELK~L~RT VERN CAPACITY PROVISIONING IN
108 W 8TH ST
PORT ANGELES WA 983626032 SEBRING FL
Permit ...... RIGHT OF WAY
Additional desc . . RIGHT OF WAY USE %03-30
Permit Fee .... 60.00 Plan Check Fee . . .00
Issue Date .... 12/09/03 Valuation .... 0
Expiration Date . . 6/07/04
Qty Unit Charge Per Extension
BASE FEE 60.00
Fee su~m~ry Charged Paid Credited Due
Permit Fee Total 60.00 60.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 60.00 60.00 .00 .00
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 end 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 Signature of Owner (if owner is builder) Date
T:\PLANrNYNG~FOKMS\ 1102.15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Subdivision Name ......
Application valuation .... 0
~iditional desc . . R/W USE CAP PROV # 03-22
~iration Date . , 2/24/04
Separate Permits are required for electrical work, SE PA, 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
[or 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 app[icatlon 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 pertormance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS~ 1102.15 [4/2002]
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr, name
Application description
Property Zoning
Application valuation
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 3..- ;321}
R/w t1~t!/
08~{)7
03-00000329
116 1/2 W 8TH ST
0630000267000000
CAPACITY PROVISIONING
PUBLIC WORKS UTILITES
Date
3/26/03
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INC
o
Owner
Contractor
ELKHART VERN
108 W 8TH ST
PORT ANGELES
OWNER
WA 983626032
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
RIGHT OF USE
60 00
3/26/03
9/22/03
PERMIT 03-07
Plan Check Fee
Valuation
00
o
:::::::- '
~
~
~
~
Qty Unit Charge Per
BASE FEE
Extension
60 00
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total
Plan Check Total
Grand Total
60 00
00
60 00
60 00
00
60 00
00
00
00
00
00
00
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
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
Signature of Owner (if owner is builder)
Date
T"\PLANNING\FORMS\1102.15 [4120021