HomeMy WebLinkAbout1800 W 15th St - Engineering
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Applicat~on Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Applicat~on valuation
05-00000440 Date
194560
1800 W 15TH ST
06-30-00-0-4-3800-0000-
GNL DEVELOPMENTS
CLEARING & GRADING
6/07/05
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
M & R TIMBER INC
PO BOX 1058
PORT ANGELES
OWNER
WA 983620181
Structure Informat~on 000 000 CLEARING & GRADING
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
CLEAR & GRADE
CG #05-05
50682
50.00
6/07/05
12/04/05
Plan Check Fee
Valuation
.00
o
BASE FEE
Extension
50.00
Qty Un~t Charge Per
Fee summary Charged Paid Cred~ted 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 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
;r:iidf~ h-7-v5
Signature of Contractor or AuthOrized Agent Date Signature of Owner (If owner IS bUilder) Date
T \PolIcles\ II 02 15R (1/05]
APPLICANT:
APPLICANT MAILING ADDRESS:
APPLICANT PHONE NUMBER
aNL
C & G APPLICATION No 05 -0 S
CLEARING AND GRADING PERMIT APP
CITY OF PORT ANGELES
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PLAN PREPARER (Architect/Engineer): fi> '8'; i)cr~/M!r1.)
PREPARER ADDRESS & PHONE #. AlIA
LOCATION OF PROPOSAL(Street address or lot & block #): WFS'i /5111 S'i.
"
. .. It It
f~St S''1ieeer3 L A-~ M
OWNER OF PROPERTY(lfnotapplicant, include letterofauthonzatlon from property owner): }A ; ~ 1.1.5. JE,)€l()/J,AfeAl1' J.. p.
tJUt)EJt tONrMc.1"" o~ $,.,u ""'0 4./J. t. J>EVIELdINWrS.
DESCRIPTION OF PROPOSAL (Also Include plans, sketches or other informabon which would assist In our review): tlE,q~/P' Or 2() L.Drj
tu ?U~I'f7()"J f'tJ,L, b€vGLuPNeA/'l j)~ s;;;ea:r ~ V'rILl'17~J
Estimated amount of material, in cubic yards, to be excavated, imported, or exported: V
If the answer to any of the following questions is yes, an ESA application with a SEPA check list is required to be submitted with
this application and will be processed according to the City's consolidated permit procedures.
1. Is the excavation or fill associated with the development of a parking lot for more than 20 vehicles?
2. Does the total amount of excavation or fill exceed 100 c.y ? " D
3 Will any portion of the grading, excavation or filling occur within 200 feet of any of the following; fl-o Shoreline, l'L-o Stream,
~ 40% or grater slope? If the answer to yes, please check the appropriate condition.
()O
lyJ~S
(Date)
The followinCl paCles are for City use onlv:
PERMIT EXEMPTION DUE TO: ~OT EXEMPT: C & G PERMIT REQUIRED
o A Land cleanng, grading, filling, sandbagging, diking, ditching, or similar work dUring or after penods of extreme weather or other emergency
conditions that present immediate danger to life or property, as authorized by the City Engineer.
Land c1eanng order by the City CounCil for abatement of a public nUisance.
Removal of dead, diseased, or damaged trees which might constitute a hazard to life or property.
Clearing by a public agency of a franchised utility within a public right-of-way or upon an easement, for the purpose of installing and maintaining
water, storm, sewer, power, cable, or communications lines
o E Cemetery graves.
o F Non-destructive vegetation trimming with proper removal and disposal of debriS
NOTE: EXEMPTIONS "G" THRU "J" SHALL NOT APPLY IN SITUATIONS WHERE PROPERTIES INCLUDE ENVIRONMENTALLY SENSITIVE
AREAS.
oG
DB
DC
00
Land IS one acre or less, except where an adjacent area under the same ownership or chain of ownership has been similarly exempted so that
the combined area is a greater than one acre and erosion control has not been re-establlshed
If a building permit IS ISSUed, no additional clearing, grading, or filing permit or associated fee Will be reqUired, prOVided that the standards
established in this manual shall be applied to the issuance of said building permit.
Developments larger than one acre in Improved areas served by paved streets, curbs, gutters, storm drains, and other drainage faCIlities, as
authOrized by the City engineer.
o J Work, when approved by the City Engineer, in an isolated, self-contained area, if there is no danger to private or public property~
The proposed action has been determined to be exempt from a Clearing and Grading Permit based upon the information
proVided by the applicant. The basis for this exemption is as checked above.
oH
01
Associate/Senior Planner
Date
City Engineer
Date
PW-9020
Clearing and Grading Permit
PERMIT CONDITION REVIEW ROUTING:
o To Public Works for Engineering requirements Date
o To Planning Department (with engineering's requirements)
For ESA and SEPA requirements. Date
o Return to Engineering Permitting.
Date
o Copy of conditions to applicant
Date
PERMIT FEE CALCULATIONS:
A. Grading and Filling - Plan review and permit 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) $
-10,OOO+cy ($30+$15/10,000 cy) $
3. Clearing and Drainage - Plan review and permit fee
-Less then one acre ($30) $
-One acre-5 acres ($50) $ (iO-
-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:
Page 2
Permit No.
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 I
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 Engin r
6~
r -3-06
Date
SEE REVERSE SIDE FOR PERMIT CONDITIONS
NO .--1lQ2
CITY OF PORT ANGELES
DETERMINATION OF NON SIGNIFICANCE
Description of Proposal:
family building lots.
Clear trees from a 3.21 acre area for the development of 20 single
Location of Proposal (including street address, if any): Located between "L" Street and "M"
Street on 15th Street. Lots 1 - 10 of Block 438 and Lots 11 - 20 of Block 405.
APPLICANTS:
G.N.L. Development
Lead Agency:
City of Port Angeles
The lead agency for this proposal has determined that it does not have a probable significant
adverse impact on the environment. An environmental impact statement (EIS) is not required
under RCW 43.21C.030(2)(c). This decision was made after review ofa completed
environmental checklist and other information on file with the lead agency. This information is
available to the public on request.
[ ] This DNS is issued under WAC 197-11-340(2); the lead agency will not act on this
proposal for 14 days from the date of issuance. Comments must be submitted by
at which time the DNS may be retained, modified, or withdrawn.
[ ] There is no comment period for this DNS.
[X] This DNS is issued per WAC 197-11-355. There is no further comment period.
June 6. 2005
Date
Mar. E. Madsen, E anomie and Community
Development Director
You may appeal this determination to the Port Angeles City Council through the Department of
Economic and Community Development, 321 East Fifth Street, Port Angeles, W A, 98362, by submitting
such written appeal to the Department no later than June 20.2005. You should be prepared to make
specific factual objections.
Responsible Official: Mark E. Madsen, Director, Port Angeles Department of Economic and
Community Development, 321 East Fifth Street, Port Angeles, WA 98362, phone (360) 417 - 4750.
Sent to DOE
Pub NA
Post NA
Mall 6/06/05
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