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Home My WebLink About1215 W Leo Ln - Buildingof poRr4 it 'k Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner BAY JOYCE E 525 E 4TH ST PORT ANGELES Permit RIGHT OF WAY Additional desc Permit pin number 131573 Permit Fee 50 00 Issue Date 8/05/08 Expiration Date 2/01/09 Qty Unit Charge Per 1 00 50 0000 ECH RIGHT OF WAY PERMIT Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 1 00 Other Fees T•\Policies \1102.15R [1/051 Unit Charge 120 0000 131581 120 00 8/05/08 2/01/09 Fee summary Charged WA 983623405 Permit Fee Total 170 00 Plan Check Total 00 Other Fee Total 1125 00 Grand Total 1295 00 Signature of Contractor or Authorized Agent CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00000945 062680 1215 W LEO LN 06 30 08 5 2 9020 0000 PUBLIC WORKS UTILITES RS7 RESDNTL SINGLE FAMILY 0 SANITARY SEWER HOOK UP Contractor Per EA SAN SEWER HOOKUP 170 00 00 1125 00 1295 00 DIAMOND CONST EXCAVATING INC P 0 BOX 700 SEQUIM WA 98382 (360) 683 2257 Plan Check Fee Valuation Plan Check Fee Valuation Paid Credited Due 00 00 00 00 Date Sign Date 8/05/08 00 0 Extension 50 00 00 0 Extension 120 00 SEWER SYSTEM DELV CHARGE 1125 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 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 AMA u of fr R F cut-v M I 5 /1 Date wner Of owner is builder) a N 4- f CALL 417 -4807 FOR UTILITY INSPECTI[ONS. 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONN SANITARY STORM SITE DRAIN RAINAGE SITE EROSION'CONTROL PARKING: .SIDEWALK,. CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R:W PW ENGINEERING FIRE PLANNING DEPT BUILDING' T•\Poiicies \1'.102.158 [1/05]x"' INSPECTION TYPE DATE ACCEPTED COMMENTS 417,4807 417 4653 I 417 -47`i0 417 -4815 PERMIT INSPECTION RECORD YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO: COMMERCIAI DATE ACCBPTED. YES 1 NO CONSTRUCTION R W PW ENGINEERING. I :FIRE DEPT I PLANNING DEPT BUILDING Application Number 08- 00000945 Application pin number 062680 Property Address 1215 W LEO LN ASSESSOR PARCEL NUMBER: 06- 30- 08 -5 -2 -9020 0000 Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning R57 RESDNTL SINGLE FAMILY Application valuation 0 Owner BAY JOYCE E 525 E 4TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Qty Unit Charge Per 1.00 50.0000 ECH Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1.00 120.0000 EA Other Fees Fee summary Charged RIGHT OF WAY 131573 50.00 Plan Check Fee 8/05/08 Valuation 2/01/09 SANITARY SEWER HOOK UP 131581 120 00 8/05/08 2/01/09 Permit Fee Total 170.00 Plan Check Total .00 Other Fee Total 1125.00 Grand Total 1295.00 RIGHT OF WAY PERMIT SAN SEWER HOOKUP 170.00 .00 1125 00 1295.00 Signature of Contractor or Authorized Agent Date T:\Policies \1102.15R 1/05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Contractor DIAMOND CONST EXCAVATING INC P 0 BOX 700 WA 983623405 SEQUIM WA 98382 (360) 683 -2257 Plan Check Fee Valuation SEWER SYSTEM DELV CHARG Paid Credited .00 .00 .00 .00 Date 8/05/08 Exte 120.00 1125.00 Due .00 .00 .00 .00 .00 0 Extens 50.00 .0 0 /Z151 Sr) _Ba o v JLD 5a/2 sump Wes cur ct 08—q45 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. Signati re)of O yner Of owner is build e Date REQUEST: Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT Location of Work to be inspected Name of person requesting inspection \frsS Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other INSPECTION NOTES: Inspected: Date 5/5 /n9 Time Remarks: Ic M' 5 V" PV C. s z r 1 it ZcSeea/ 00 a- /4/ -a8 w� ID tigu6 RESTORATION REQUIRED 0 I 3 i 1- SURFACE RESTORATION: SURFACE TYPE: Unimproved ❑Gravel Li Repaired by City Repaired by Permittee No Damage Found (Continue on reverse side if necessary) Time 2- Pt-11 Received by -E.-le-IL {Z /S 1I Leo L// Z 7- By Pr c. i L lDVrvt Cc L I av{. La us(e, YES NO t ai s mic e 7 Work Order COMPLETE INCOMPLETE Phone No. Permit No. 0 Asphalt PCC Other (Ode, person) CTOCCT CI Inrn,NTCIUf1CI11T tnn-rC1 REQUEST: Date '2 oce CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT Location of Work to be inspected l 2 S Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other INSPECTION NOTES: a -Pi -08 PVC •rv�, Inspected: Date Remarks: 4/eru 1A 3.G a!A 6 EX,S a!i A4 bn �4i2.r Ct� Q tt.a re rye Time Fic (Continue on reverse side if necessary) Ma res c 4"222 SURFACE RESTORATION: SURFACE TYPE: n Unimproved Gravel Repaired by City E Repaired by Permittee No Damage Found IA? 4 4 20 IA? rcavtat C.o LA Time x45444.4 Sae. it.Stec,?#rc"& RESTORATION REQUIRED Received by k By a''?C c" Wv� 2 x; <4;ka e./6 F� crt4 ,4 1/D_ utots J i.c4 ro✓` �i�m w.1.� AJG er rJct Ny o r^ YES NO Asphalt PCC Work Order COMPLETE E. INCOMPLETE 0" AV 4- n Other STREET SUPERINTENDENT (phone, person) oa 9 4"5 (DATE) FILED AT THE REQUEST OF City of Port Angeles Public Works Department PO Box 1150 Port Angeles. WA 98362 2008- 1225013 Page 1 of 1 ligreement Port Pngeies City Of Clallam County Washington 08/07/2006 01 36 21 0 1 1 1 COVENANT CONSENTING TO THE FORMATION OF A LOCAL IMPROVEMENT DISTRICT The undersigned, owners in fee simple of the real property herein described, consent to the formation of a Local Improvement District (LID) in the CITY OF PORT ANGELES, Washington, including said property. for the purpose of installing the public facilities required to improve Gakin Rd to City design standards, including grading, drainage, pavement, curb gutter. sidewalk, sanitary sewer, water mains, and other necessary improvements as authorized by RCVV 35 43 040 as now or hereafter amended, and shall be binding on the owners, their heirs., assigns and successors in interest. By signing this Covenant, the undersigned, their heirs, assigns and successors. shall be deemed to have signed a petition initiating an LID including said property, under RCW 35 43.120 as now or hereafter amended, and shall be precluded from having their signatures counted as part of a protest to divest the City's jurisdiction to proceed with an LID including said property, under RCW 35.43.180 as now or hereafter amended. This Covenant authorizes the formation of no more than one Local Improvement District. After completion of the LID. the City shall deliver a signed release of this Covenant to the owners, their heirs, assigns and successors. This Covenant shall be recorded and deemed to run with the and described as follows' Robson's Addition to Pelt Angeles, Vol 3, Page 8 Wasankaris Short Plat. Lot 3. Vol 3 Page 33 (more commonly known as 1215 Leo Lane, Port Angeles) Parcel 0630085290200000 for a period of time not to exceed ten (10) years from the date of execution of this covenant. (Owner? 1 (Owner) STATE OF WASHINGTON )ss. COUNTY OF CLALL.Atvl 1 On (hi� ,i (1 f)nfrponall, appeared before me ('1 t 7" i_: .i to me known to be the individual(s) described i@O .vno exga.49f0 the :within instrument any acknocdehged ;hat ,gned the same as b e r free and voluntar a`dSeaQ$tbe"4 ps and purposes herein mentioned r1onCE, F �9d *d official seal this `i9 day of (7) .r, e_, 2608. r,� O �pTAq� N V n y EXP. U2.24.2+112 e NOTvRY Pq2yIC in anchor the Ska of Washington, Residing at -'k- 1 _C--., P A r Q ium B 1. tG ri Com. E p. J j yi F9 i cc. �(j AFTER RECORDING; RFT( ERN 1 City of Port Anodes Puhii, Works alt li t.'liiiiic> I)Clidrttltent P.O. Box 1 1511 321 E 5th St. Port Angeles. \VA 9S362 2008- 1225012 Page 1 of 4 Agreement Port Angeles City Of Clailam County Washington 08/07/2000 01 36 21 PM al IIa'iit''5i4Ii t iI, ?i didli+ 1, 1itl DOCUMENT TITLE. AGREEMENT TO \NNE): GRANTORS: Joyce Bay GRANTEE: CCFI` OF PORT ANGELES LEGAL DESCRIPTION Robson's Addition to Port Angeles. Vol 3. Page 8 (abbreviated): Wasankaris Short Plat. Lot 3, Vol 3. Page 33 (store commonl■ known asi 215 Leo Lane. Port .Anxeles; ASSESSORS'S 06300S5 TAX PARCEL NJO(S): AGREEMENT TO ANNEX The (ivy cm PORT ANGELES, a municipal corporation of the State of ashingion Angeles. 1 Bat. 4 Pon WA )8302. Parcel (hereinafter the "City and Joyce C ast Street. Po Number: t)c> 3uu852Y02(niUU (hereinafter the -Property Owner ill consideration or the mutual covenants set girth herein. awrec as follows: WHEREAS, the Property Owner is the recorded owner or propert\ located within Clallant Conntv, \\"ashen_- -ton described below; and WHEREAS. it is the desire of the Property Owner that said propert■ he served with unlit services from the Cite of Port \iweles and hereby makes application therefore: and VIIEREAS. a I, appropnate than the Property Owner grant to the City of Port Angeles Propertp )wvner s permission to annex the property when it becomes eligible for annexation into the City of Pon Angeles. NOW. FEiEREFORF. IT IS AGREED BETWEEN THE PARTIES as follows: PURPOSE. The Port Angeles City Council has authorized the extension of City utility services into the Urban Growth Area. and the Property Owner will be usm; said City utiluv service. The approval to use the Citv's utiluv services is subject to conditions. and this Agreement is entered into to describe some of those conditions. PROPERTI SE RVED• The property that is the subject of this Agreement is described as follows Robson's Addition to Port Angeles, Vol 3. Page 8 Wasankaris Short Plat. Lot 3. Vol 3. Page 33 (more commonly known as1215 Leo Lane. Port Angeles) located in Clallam County. State of Washington. (hereinafter 'the Propert■"). The City of Port Angeles hereby agrees to provide utility services to the above described property AGREEMENT NOT TO PROTEST ANNEXATION: The Property Owner understands that the C i t y conteniplates annexing the property served herein. In consideration of the City or Port Angeles providing said utility services. the Property Owner hereby grants and cony cys to the CityofPort Angeles a Special Power ofAttorneyto exercise any and all rights said Property Owner. heirs or assigns and any successors in interest to said Property Owner. including any purchasers. mortgage holders. lien holders or other persons who may clam: an interest in said property. hereinafter referred to as "Successors in Interest,'' to accomplish the following: (a) To petition to the City of Port Angeles for annexation of any part or all of the properr. described above. which petition shall con Form to the provisions or paragraph (hl below (lit I o accomplish all steps necessar or proper for the annexation of said property under RCW 35. -A.I4 and the ordinances and regulations of the Coy of Port Angeles for annexation 0t property to the Cite o(Port Angeles with zoning consistent with the ordinances of the City of Port Angeles and with the condition that Properly Owner or the owner's Successors in Interest will be required to assume no more than a fair share ofthe City o Port Angeles bonded indebtedness at the time of annexation. lel To sign am and all letters, petition and other documents necessary to aeeonyilislt said annexation on behalf of any Successors in Interest as detined above. This Power of Attornev shall be considered a power coupled with an interest and may not he terminated except at such time as the above described property is no longer served by the Cite of Port Angeles utility facilities. The Property Owner aurees to sign any and all notices. petitions and other documents requested at any time by the Cit leading to the.annc.cafion of the property to the City of Port :\nicks. The Property Uwncr dues not waive any applicable right to vote in an annexation election or to participate in any aline anon rev iew procedures provided by statute. 4. GOVERNING f AW This agreement is subject to all statutes and regulations oldie United States and the State ofl\ashnt_ttm and ordinances and policies oithe City of Port Angeles. relating to the provision 0f service by a municipal provider. 1I the City' of Port Angeles resolves to annex the above described property pursuant to RCW 35A.Id_ the Property Owner and Successor in Interest covenant not to challenge same by referendum or other methods. This Agreement and Power 0 f Aw;mcv touches and concerns the real property described abo and so long as the said pro :.arty is served by utility servkes from the City of Port Anucles. shall run .pith the land. b ntiin u the Property Owner. Property Owner's assiuns, heirs. transferees. Successors m Interest and all who derive an interest therein. THIS AGREEMENT shall he recorded in the Clallam County Aitrlitor's Office and shall he referenced upon any or other instruments conyeyin_s an interest in said property. E \ECUTED this clay Pr C Hyner ST.k IIT )1, N ASIit \(.it( i\ cot \T\ t Cl AI I A )9 I PR(-tPCR -t 1 ?ut)S l the Property Owner( s1. Property Ow ner l `.CRS I (_hr the dn} olLtt i U before me a A„t a Public for the State or Washin_ani. duly commissioned and sworn. pe.tmal4.:wre.ated �7L� s,.t.. u r to me known to be the individualt.,1 described in and w Ili) executed the ioreciting instrument. and acknow letlgcd the said instrument to be theirlti;. her flee and voluntary act and deed. fin. the uses and purpose!, therein mentioned. and on oath stied that the hz'she arc t, authorized to execute said instrument. I \_treenxnt to Annex l jtand \40TAq`:N y i EXP. 02.24-2012i V A A V I BL IG EXECUTED this daya r CITY OF PORT ANGELES. a Municipal Corporation B CA the C C`9Z and on tend seal the day aril year lit ;t in this certt[icaie abuse tyn ttcn b Notary Punk in and for the Scutt d U as'hittei residing at Port Anerles \Iv commis ion e\p[res:, Title: ^p,ltzc.r.tz. 7L..t tem -mel City of Port AnLte(es ST CE OP \v.\ ro 1 ss. C'ITV O1= PORT ANGELES C. OE OF (1: \I 1 AM 200 t th lur the City or Port Anuelcs. On this 1 day of t L c. tTaa 2009. belu[e me. a Notary Public tier the State of AVa hintiton_ duly TT conuni ;ioued and sworn. personally appeared .atui.J g rite to me kn i n to he the 7J lnt..a 11)98.14 QR.CCT -Q__. of the municipal corporation that executed the within and lureL uinn instrument. and acknu'stedeed said itntnuiii�1\1511jj e the free and s oitmtu act and deed ofsatu municipal corporation for the uses and proposes therein metkOwsis amt c stated t hat he ;he s‘ as authorized to execute said instrument. -\ti E R by e 4 z i (civet, un(c and ottL;lsl a I the day and \cart in this certificate abuse �s rirten. v i 0 3/01/12 bra r `��aa► U p Notary Public in and tit the State of Washim_ton. t_ y... L G h residing ar Port \m ;eles. F \4 .0 -I:. commission expires: 3.1 it- z j u iy S x x -4-