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HomeMy WebLinkAboutMaple and Viewcrest - Engineering CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00001207 Date 12/07/05 091687 UNASSIGNED 06-30-15-5-1-2800-0000- CLEARING & GRADING RS7 RESDNTL SINGLE FAMILY o Owner Contractor ANDERSON CHRIS 8215 184TH DRIVE SE SNOHOMISH WA 98290 (425) 770-1477 Structure Information 000 000 OWNER C/G #0524 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date CLEAR & GRADE C/G #05-24 66704 50.00 12/07/05 6/05/06 Plan Check Fee valuation .00 o BASE FEE Extension 50.00 Qty Unit Charge Per Special Notes and Comments Required silt fence & construction entrance are to be installed to City standards prior to tree removel. Fee summary Charged Paid Credited 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 ~ L ~ "" '0) L.. f'"., f" I. I \ " 1,-. l' rv \ z:.. ,3\. - ~\-, ~ ~ :1 -? v ~ J ~ 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 presum.ee J ". 0 g~' .e.. a. rity to violate or cancel the provisions of any state or local law regulating construction or the performance of construntion: I ! I l.... i '\ ; I ",- ( tf-() 7-( <; Date Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent T:\Policies\1102.15R [liDS] PERMIT INSPECTION RECORD 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, KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRlVEW A Y APPROACH BACK-FLOW DEVICE I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO 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:\Policies\1102.15R [1105] , &12/AJ./2~;S, THU 10: 50 FAX . , . H 'rt== .ft O~ - 1267 III 002 O~-"Z- Ll Page 1 C & G APPUCAllDN Mo. "J J CLEARING AND GRADING PERMIT APPUCATJON CITY OF PORT ANGELES APPLICANT: (' h ('~\ APPUCANT MA1LING ADDRESS: APPUCANTPHONENUMBE~ PLAN PREPARER CMMIclI~ PREPARER ADDRESS & PHONE<< . . . . . . , LOCATION OF 'PROPOSAL(....... arll;lt& I_U): . J.<:;.,.,()~d,....,'~~ ( t-fit .t:;K-ko o . 'W the ......, to ...y on.. fallowi.., questlonllla ',ee, an I!$A IIppUcaUon wfth . 8EPA 'ch8ck ... .. ..qul...d ~,'" .ubmlltlld with thIa appIatlan .net will... PfOOtIUIId .CGOnllng IIg u... QlJ". SGnIIOBdil.t.d pormlt pI'DMd".... ' , 1. I.. the 8XCIIva1ICIn or, III ...-ocIated wllh 1'18 dlMllopmenl of .1*Idng Ial fat more ~n 20 vehk:lea7 . V 0 z.. Does tha", 811'Dunt Dr ....wa.on Or fill ..aecI100 c.y? '-Ell ,'. 3. 'TJ'~y partIan at the QI8ta1I. aCBVllllon orfill"" 0GaM' within ,200 fOGt of..", at tho ~Jn,.~ LJ 0 ,~ Ui'J $b8em. 40% or grater slope? If the BI18YIeI' to, yes. pie... dleck the approprllll8 CDrldlllon. ~ ' ., _",,' ~.. ; . .' I .. . ..,. ... ~I~. I r _ . _ fI I The, appllcaot hereby affirms IIIVlI c;;DI11I7IIta tn. Ine Iitfanna~ .......Uw:rd epplic:rdlon Ie eociund. aftd 'Gull.. appl~t ,wltr' ' comply... ~ 18,... .-xl condllloms, r?t the permit and the CIv Of Part On:JIn~." i, - 01- 05 '. (Dabt) . , . " . ~~'~M~DU~TO:"'" ' ~~C~G~ERMrrKEQUIR!:D' , a i... . LAnd'durInI. ..... ...... ~glng. cIkIng, ~1nt. or....r wodc dUn'lg or...... pttl'lodl: fit...... _"or ~emlqIlacy cand'" .... .....1Il......... d~ CD ,.. m~. _ 8IIIharized by Iha Q, inaNer.' ' g 8. lAlcI c;III.... .-0', b;' 1M CItJ cOunc./I ~ .....nt of IIXIbIc n~J1(ilD. , D C. ~,1IlDIIII1 fit dud, CIJ!Ie"- III dent.... nee wI\Ich ~ ClDI'Idlute . .ald to .. or~; , ' , D I). CIo..q .,. pUDIIc........, fIla fnand1lMd IIIIlIr lIII/rhIn alJub/k; q,.....y CIf utlGfllI'l 0PeRIItnt, fw the p~ elf 1-._ end .........Int , .............,J ,..,... 0.., or CIaI'M'lLlI~a..lcna ..... ' Q E. C8rne1Hy.,..... , NOTEI EXUIPTIClNS.. TMRU~" SHALL NOT'APPLY IN SlrUA110NS WHERB PROPER'11ES INCLuae ENVIRONMENTALLY IINSITNE ' AREU . '. ,. a F.. 1.lInd .. one __ or..... 1tmIpt..... *:' IICI),ClIIInt .re-. under ItIe ~...... ovrneahlp VI' cI'l8In fiI ~Ip .. been ......, alIempled ID Drill the cambInecI... .. a I......' then .. .. ancl 8m.1on CI:dIGI..... nDl been ......w..d. a Go " .}luldng pecmilt ...... no eGGJio.... c1e8llnSJ. gmd_. or ftIIng ~ U1' _~ fee wIII_ ftI~u1Ndi p~ tit............ , .' eablahed in INI mIlI'IU8Iah8lltle .~ 10 lite ....1fICB at pili IlUIIdina perrnl, ., D K. Dave~ __ a1alt one ecn in ~ are.. .-ved tit pned SII8Ids. ctJbe. ggllerl, ..... dl'linl. and Clther chlnllgelliK:llha, .- .~brIhoCltr...u-r., ' , " " . , a I. Wen...... ,1PPfCWed br UItI Cllt enp.er, kt an 1soIeIBd, .ekontalnec:t .... "there It no de,..,. privaIlt or ~ ~ The propolI8d don he. beert determined fa be fI)tempt from a Clearing and Grading Permit .besed upon the Jnfonnation prrNided by the appIk:snt me basis tbr trrlS uemptton is 8lS chtldC8d iJbow. ' I (;121/(;121 39l;;1d ~N3WdDI3^3a ~l;;IZ3~N3 9EE8IP99(;P 99:9I 9121121(;/II2I/(;I , .. &itS; O?-21 I . . {~~~..~~ To: CitY' OfPOl"t Angeles. Attn: Trellia Fa..-c 360-417-4709 Phone: 360-457-0411 From: Chris A.odeIson Pages: 02 Date: December 1, 2005 Rc; Gnnt'a Addition cc: o Uq;cnt 181 Fo!: Review o Please Comn'lent 0 PJe..1.Se Reply o Please Recycle Treoia F.1'Ic:lolo\ed is a cotnpleted copy of the cleat QIld pde application. At this time we only want to clear the blUSh and tress from the property. install silt feo.ce slong Vicwaest, stxaw all exposed soil and install canstmction enttance per City of Port Angdt:l:> (;(xie. No soil removal at distwbance of soil at this time. Thanks for yout help. Please call if you need additional u'lfomlation. Thanks Cl:u:i:; Andc.r&on 425-77D-14n Mobile 8215 184lb Drive SE · Snohomish · Washington. 98290. 425-770-1477 C:Ia/'U3 39l;jd lN3WdOi3^30 ~l;jZ31N3 9EE81t>99c:t> 99:91 913136/113/61 " Page 2 Permit No. Clearing and Grading Permit PERMIT CONDITION REVIEW ROUTING: JZ.;oI-OS C To Public Works for Engineering requirements Date C To Planning Department (with engineering's.requirements) For ESA and SEPA requirements. Date C Return to Engineering PermiU/ng. C Copy 0; conditions to applicant Date Date PERMIT FEE CALCULATIONS: ,. Grading and Filling - Plan review and pennlt 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) -1O,OOO+e:y ($30+$15/10,000 cy) $ Clearing and Drainage - Plan review and permit fee -Less then one acre ($30) $ ,,- -One acre-5 acres ($50) i '6 SA-v $ ,7 0 ~ -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: 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 ATI;' 1 ,.-- --O~ ~ ~~.~.~~ _/1 . ~.. ~~~ ~ aAt.C-.e.-- ~ ;?~au-f/~~~ ~- SEE REVERSE SIDE FOR PERMIT CONDITIONS