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Home My WebLink About1200 O St - BuildingOwner Contractor CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 05 00000295 Application pin number 788800 Property Address 1200 S 0 ST ASSESSOR PARCEL NUMBER 06 30 00 1 0 6805 0000 Tenant nbr name LARRY FREEDMAN Application type description CLEARING GRADING Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Date 5/04/05 ROLLING HILL HOMES LLC OWNER 1312 MAIN ST VANCOUVER WA 98660 (360) 582 1899 Structure Information 000 000 CLEARING GRADING Permit CLEAR GRADE Additional desc NW CORNER 0 ST 14TH Permit pin number 48082 Permit Fee 70 00 Plan Check Fee 00 Issue Date 4/28/05 Valuation 0 Expiration Date 10/25/05 Qty Unit Charge Per Extension BASE FEE 70 00 Fee summary Charged Paid Credited Due Permit Fee Total 70 00 70 00 00 00 Plan Check Total 00 00 00 00 Grand Total 70 00 70 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. T•\Policies \1102.15R [1/05] eV FILE Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 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 INSPECTION TYPE PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T•\Policies \1102.15R [1/051 RESIDENTIAL CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD f KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE ACCEPTED COMMENTS YES NO I I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION RW PW ENGINEERING FIRE DEPT I PLANNING DEPT BUILDING C G APPLICATION No. 0 CLEARING AND GRADING PERMIT APPLJ CITY OF PORT ANGELES Estimated amount of material, in cubic yards, to be excavated, imported, or exported: 0. The following pages are for City use only U s MAR 3 12005 Page 1 If the answer to any of the following questions is yes, an ESA application with a SEPA check list is required to be submitted wit 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? t4., 2. Does the total amount of excavation or fill exceed 100 c.y t.10 3. Will any portion of the grading, excavation or filling occur within 200 feet of any of the following; Shoreline, Strear 40% or grater slope? If the answer to yes, please check the appropriate condition. The applicant hereby affirms and commits that the information submitted for this permit application is accurate and that the applicant will comply with the terms and conditions of the permit and the City of Port Angeles Clearing and Grading Ordinance. L 41, ndu,u 144112, fir►u U-C- /;`l if (App "'or thorized representative) (Date) APPLICANT, v..e l 14, 1z! 11 s y- r.,,, ex. t LAC. CITYOFPORTANGELES APPLICANT MAILING ADDRESS: 32.5 e Ik/a OA. k..A.-5+r w. S4- a `2. p f C elopment APPLICANT PHONE NUMBER: L wA V 5$2 lfr'i49 J A PLAN PREPARER (Architect /Engineer): ou lc. a i45 sa act-e$ 1 S4-e 7,,e44 opt 4� PREPARER ADDRESS PHONE St_4. S 0L 1/44- Z?... a{,l.et, t,.i4 1 e. c2 4-11 --06t) LOCATION OF PROPOSAL(street address lot block S Jo 0,40 G M_ 1,., (0 TQk„„k 3\4111. P0.4 m 11.3 fas r► ov p R 5 4,,,, c0 4... f OWNER OF PROPERTY(lf not applicant, include letter of authorization from property owner). Aleelturwt DESCRIPTION OF PROPOSAL (Also include plans, sketches or other information which would assist in our review) C e Cam! 0 Thu'_ 1.2 A of u4vcc, v4 I.4.w4(� s uti4L.� w �ald9.� will 10� v�yKrni -m 4 w t1A 1,4 h, L tz.. .6..k,}wY" 1 a%. 4-^aeg �ce!��9 ,�r11 a j „..442,1 1 1.4 PERMIT EXEMPTION DUE TO: `(NOT EXEMPT. C G PERMIT REQUIRED A. Land clearing, grading, filling, sandbagging, diking, ditching, or similar work during or after periods of extreme weather or other emergency conditions that present immediate danger to life or property as authorized by the City Engineer 0 B. Land clearing order by the City Council for abatement of a public nuisance. o C. Removal of dead, diseased, or damaged trees which might constitute a hazard to life or property o D. 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 maintainir water storm, sewer power cable, or communications lines. o E. Cemetery graves. 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. 0 G. Land is one acre or less, except where an adjacent area under the same ownership or chain of ownership has been similarly exempted so tha the combined area is a greater than one acre and erosion control has not been re- established. 0 H. 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. 0 I. 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. Associate /Senior Planner Date City Engineer Date PW -9020 D 1 7 /7 OF pORT 4 ti rt ees 16` 1 -own mo PERMIT CONDITION REVIEW ROUTING. o To Public Works for Engineering requirements Date To Planning Department (with engineering's requirements) For ESA and SEPA requirements. Date Return to Engineering Permitting. Date Copy of conditions to applicant Date PERMIT FEE CALCULATIONS: 4. Grading and Filling Plan review and permit fee 0 -250 cy and Tess then 4' of cut or fill •251 1,000 cubic yards ($22.50) •1001 10,000 cubic yards ($30) 10,000+cy($30 +$15/10,000 cy) 1. Clearing and Drainage Plan review and permit fee •Less then one acre ($30) •One acre -5 acres ($50) •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 Clearing and Grading Permit `79 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 j ty`Engine aed 'Senior Plprl t �SSar� Permit No Page 2 D e Date SEE REVERSE SIDE FOR PERMIT CONDITIONS