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Home My WebLink About902 E Front St - Engineering Application Number Property Address ASSESSOR PARCEL NUMBER Application description Property Zoning Application valuation dl- 12)..2 CITY OF PORT ANGELES :/ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 ..--r- ~ \ L D .J~ I h ~\'e./DO" 9v~ E F~' 03-00000123 902 E FRONT ST 0630007202200000 RIGHT OF WAY Date 2/10/03 of ,,"ORT ~Q ".J..~~~ u,.~ "--~ ~ ~~ o Owner Contractor LAWRENCE J/GENELLE A DOYLE TTE DOYLE FAMILY TRUST PORT ANGELES WA 98362 C&J EXCAVATING PO BOX 430 CARLSBORG (360) 683-7741 WA 98324 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 45 00 2/10/03 8/09/03 Plan Check Fee Valuation 00 o Qty Unit Charge Per BASE FEE Extension 45 00 Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Grand Total 45 00 00 45 00 45 00 00 45 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 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 autlJ9.~ violate or cancel the proviSions of any state or local law regulating construction or the performance of con~ (J. ~i ~~ J- (c)-I)} Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T'\PLANNING\FORMS\l102.15 [4/2oo2J f-"" d...J.RT~ &-..1" ~~~ ,. "--~ ~ 't,;,IC~ CITY OF PORT ANGELES 3'~t:::.. 1';- ~~O,& DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIV N--- 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Property Address ASSESSOR PARCEL NUMBER Tenant nbr. name Application description Property Zoning Application valuation Property owner Owner addreslii Contractor Structure Information Construction Type Occupancy Type Other struct info 03-00000024 Date 2/05/03 902 E FRONT ST 0630007202200000 JACK IN THE BOX COMM NEW CONST 199500 LAWRENCE J/GENELLE A DOYLE TTE DOYLE FAMILY TRUST PORT ANGELES WA 98362 ( ) JACK IN THE BOX INC JACK IN THE BOX RESTAURANT TYPE V NON-RATED ASSEMBLY <300 W/O STAGE NUMBER OF UNITS 1 00 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date BUILDING PERMIT - COMMERCIAL 1553 75 1/30/03 Plan Check Fee Valuation 932 25 199500 Qty Unit Charge Per BASE FEE Extension 1553 75 , ---------------------------------------------------- ----------------------- Permit Additional desc Permit Fee Issue Date CONCRETE CURB & GUTTER 45 00 1/30/03 Plan Check Fee Valuation 00 o Qty Unit Charge Per Ex~' BASE FEE 45 00 -------------------------------------------------------------------- ----- Permit DRIVEWAY INSTALLATION Additional desc Permit Fee 145 00 Plan Check Fee 00 Issue Date 1/30/03 Valuation 0 Qty Unit Charge Per BASE FEE Extension Cl45 00 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date HOOD & DUCT SUPP SYSTEM 80 00 1/30/03 Plan Check Fee Valuation 00 o Qty Unit Charge Per BASE FEE Extension 80 00 ---------------------------------------------------------------------------- Permit Additional desc Permi t Fee Issue Date MECHANICAL PERMIT 106 65 Plan Check Fee 1/30/03 Valuation 00 o Qty Unit Charge Per BASE FEE Extension 106 65 Permit Additional desc ------------------------------------------------- MISCELLANEOUS REV { ~) I~ ~ ~ ~J \ "-, ~ r ,,~ ~ ~~1~ ~ ~ \.~ ~~~ ( 52 0\ "I ) o -<' ~ -+- c/] ----I 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. ON F I L~ Signature of Contractor or Authorized Agent 5$'1/tJ3 T'\PLANNING\FORMS\1102.J5 [4/2002] Signature of Owner (if owner is builder) ~ ~se-rl oltl(ji) Date CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Permit Fee Issue Date Expiration Date Page 03-00000024 Date 5 00 Plan Check Fee 2/05/03 Valuation 8/04/03 2 2/05/03 00 199500 Qty Uni t Charge Per BASE FEE Extension 5 00 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date PLUMBING PERMIT 222 00 1/30/03 Plan Check Fee Valuation 00 o Qty Unit Charge Per BASE FEE Extension 222 00 ---------------------------------------------------------------------------- Permit Additional Permit Fee Issue Date SANITARY SEWER HOOK UP 365 00 Plan Check Fee 00 t:- fS, 1"1 1/30/03 Valuation 0 ~10 '5;; Qty Unit Charge Per Ex(S?-e . ~ ~~ BASE FEE 365 00 4 ':/ -------------------------------------------------------------------- -- ~ ~W/,A1 desc Other Fees STATE SURCHARGE WATER METER COMMERCIAL 4 50 ("1740 00 .> Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 2522 40 2522 40 00 00 Plan Check Total 932 25 932 25 00 00 Other Fee Total 1744 50 1744 50 00 00 Grand Total 5199 15 5199 15 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T.\PLANNING\FORMS\1102.15 [4/2002] s CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DMSION 321 EAST 5111 STREET, PORT ANGELES, WA 98362 PUBILIC I ~ KS & R/W PERMIT o Attached Notes OWNER/APPLICANT JACK IN THE BOX INC 8909SW BARBER BLVD #250 PORTLAND, OR 97219 000/032-3387 PROJECT INFO Work is Plans Required Contractor. Performance Bond Required. Proof of Insurance. Work to Perform Issued 1/30/2003 Permit No Work Order' 1348 o PROPERTY LOCATION 902 FRONT E Lot: 6-9 Subdivision: Parcel No. Block. 2 WILLIAMS & CRAMER 063000720220000 D Long Legal Value Work. $0.00 Start Date I I Finish Date. 000/000-0000 I I Amount: $000 C8] Install o Repair C8] Watermain C8] Sanitary Sewer C8] Storm Drain D Underground T ele/Elec C8] Mise dwy PROJECT NOTES No system user fees assessed to this project, previous buildings on site receipt#10067 FEES ASSESSMENT- 1 ) RJW Excav. $45 OO~ 15 ) Other San Sewer' $95 00 , 2.) Sidewalk. $OO~ 16.) Sew Tap Wye/Man Tap. $000 3.) Curb/Gutter' $000 17 ) Sew Capl W 1M Removal. $0.00 4 ) Driveway. $1450 18.) Alter Repair Sewer' $000 5 ) Dwy Culvert: $000 19 ) Storm Drain. $000 6 ) Street Cut: $000 20 ) Catch Basin per ea. $270 00 7 ) Other RJW $0.00 21 ) Sewer System Dev. $0.00 8.) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass $000 9.) Res Water Servo $000 23 ) R/W Use Perm $0.00 10) Comm Water Servo 1 1/2" $1,74000 24 ) Admin Cost (D RA) $000 11 ) Other Water Service $000 25 ) D RA. $000 12.)Water System Dev' $0.00 26 ) Mise: $000 13.) San Sewer SFR $0.00 TOTAL FEE. $2,295.00 14 ) San Sewer MFR $0.00 add unit: 0 Amount Paid' $2,295 00 Receipt No' 10067 Inspection Fee. $000 Balance Due $0.00 RW SANITARY WATER DWY STORM DRA OTHER Separate Permits are required for electrical work, utilities, private and public improvements. This permit becomes nuU and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced. or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. j.. A/P(lf 11" lt7Y7CJ.l/' J~ ?>o -() 3 Signatltr~~ntractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 'VVY-'-~TTTU'V" _.. .______ ~ -------'Tr REQ/JOB CREW City of Port Angeles WORK REQUEST WF0003503 / 001 PROJECT STMT Street Maintenance LOCATION GEN LOC LOC ID PAGE REQUEST DATE PRINT DATE PRINT TIME SCHEDULE START COMPLETION REF NBR Low Staff Scheduled Wor1$: jack in the box] 1 4/25/03 4/25/03 6 54 37 DATES 4/25/03 4/25/03 REQ DEPT PW-Engineering PRIORITY REQUESTOR tkaufman ORIGIN USER ID TKAUFMAN AUTH TKAUF~ WORK TYPE repair utility cut on front St tin front of new ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- REQUEST COMMENTS Repair utility cut in front of new jack in the boxpermit #0324 ===;~~;i;=~tilit;=~~t=~~=f;~~t=st=={i~=f;~~t=~f=~~~=j;~k=i~=th~=b~~}========== Category code Street Maintenance STMN Task coae Roadway Patch-Major PACH Facility ID Assigned D~partment PW-Street Start tlme Stop time INSTRUCTIONS repalr uClllty 9ut on Front St {in front of new jack in the box] permit #0324 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- START DATE ~/~/~ UNIT OF PRODUCTION COMPLETION DATE ~/~/~ QUANTITY ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- LABOR EQUIPMENT EMPLOYEE JiRS NUMBER HRS L M r II{"'().. If K I I'J-~ /1 ~ ( l!Bl/ ~l~ MATERIAL ITEM QTY COST =================-==-========================================================== CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST. Date) --?-b -0 J Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney 9"6?- E fnl/1f- ( W \ I C~ r '1 Y")' I ?.-rtL f- b Phone No J""""~ Permit No O~q7 Plumbing Final Sewer Excav Other g", z~ INSPECTION NOTES Inspected Date Remarks Time By '--- \ ~ \J ~ SURFACE RESTORATION: SURFACE TYPE D Unimproved D Gravel D Repaired by City [] Repaired by Permittee o No Damage Found tf\ FvcYVl t- 5 \ I l\tJ I y( I "'V~'t~ ~ . ~c '" ' ) .t\ . , ) '1?- Di~~Y D Asphalt ~. D Other ~p561 "L Work Order # ~ '57 )c') ;- L. o COMPLETE /7 pc> o INCOMPLETE STREET SUPERINTENDENT (DATE) BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA TE 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 I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANIT AR Y STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W 1 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-\PLANNING\FORMS\l 102.15 [4/2002J CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT . . . . . . . . REQUEST Date 1) If) 113 Time Received by ~ F q 02- E Frt-tnCf- Cz,T (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) ~ Foundation Framing Chimney Plumbing Final CMd/ " 5/~ Ald- ~ 1ST 1M ~. Inspected Date 0 _~ Time ? 1/1\ By ___..Aj,j.-::P Remarks 7\ Q 1/1 G8t"e r (.s_..",~ ('\ ..' ie'~-f' 7 'I i t .. tI .."", f..)' ,.""- ( '" ~ .01'.r. ... " J":;' j'~ . I '-...I. .D ,- _ _ _ " Q! , _, _ ,'~ .. ( ,> .. 0 ',-,.. n "'. I. .J Phone No bg 3 - 77'11 Permit No 0.3 - Z1 Sewer Excav Other -:- . Ih/~ RESTORATION REQUIRED tt''\~ t;20 I () YES ~NO f' G. ,'\ ,., ''I ;- tA) L (. x_~ '1'", p .:' 4.,j' ." tP " (Xl " f ' ... \. (")r r;-- -:0. / '"')" , I \ j\ i I. \ \. \ t'~. .~' '-~ SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other /r; 5' kAt +- (Continue on reverse side if necessary) o Repaired by City Work Order # [] Repaired by Permittee 0 COMPLETE A\'e....---.. r-<::-{>a.\ ~ e('\ W \"t V\ o No Damage Found 0 INCOMPLETE \..\(),\ fJ\ \ V ~ \<- ~ 10~1o? fp '-\-?-:)-Q'j - - - I STREET SUPERINTENDENT IDA TEl 120RT,ANGELES RIGHT OF WAY USE PERMIT Public Works & Utilities ~~I - WAS H I N G TON USA. WHAT IS IT? A Right of Way Use Permit is used to allow certain approva:l uses within the public right-of-way which includes streets, alleys, planting strips, and sidewalks. The purpose of the permit is to ensure that structures or activities do not obstruct, hinder, jeopardize, injure or delay the use of the rght-of-way for its primary functions which is for vehicular and pedestrian travel. The permit is not a construction permit; it only provides the approval to use the public right-or-way for a specific period of time. The information in this handout is only a brief summary of city ordinances. It is recommended that you check with the ordinance and/or counter staff to assure that your proposal is compatible with the requirements. STREET USES NOT NEEDING A PERMIT . Merchandise being moved into or out of an adjacent business, provided that such merchandise does not remain on the sidewalk or planting strip for more that 30 minutes; . Improvements placed or granted by the city, such as: o Fire hydrants; o Planters and other landscaping; o Benches and bicycle racks; o Telephone, television cable, and light poles; o Flagpoles or standards; o Traffic control devices; o Refuse containers . Newspaper dispensers or news racks; . Solicitation by civic or non-profit organizations; . Landscaping which is semi-permanent in nature and can be removed from the sidewalk area or planting strip. Such landscaping is to be less than 30" above the established grade at the curb or roadway shoulder It includes fences which are 30" in height but allow room for pedestrian area and car doors to open; . Street musicians who are permitted outright without any other permit required provided the normal public use of the right-of-way is not interfered with. STREET USES NEEDING A PERMIT . Benches; . litter receptacles placed by private parties; . Clocks: . Bicycle racks placed by private parties; . Telephone booths; . Private planters and other landscaping higher than 30" above the established grade at the curb or shoulder' . Any other obstruction sought to be placed upon a sidewalk by the city for a public purpose; . Additions to the facades of buildings existing on the effective date of the ordinance which buildings are built up to the right-of-way line of the street, provided that such addition shall not exceed 6" in width; . Sidewalk cafes, provided that such permit shall last for one calendar year and must be renewed each year; . Other sidewalk or planting strip obstructions which is determined to provide a public benefit, although the obstruction constitutes a private use of the public street; . Fences, retaining walls, terracing, and other similar structures; . A property owner adjacent to an unopened or unoccupied street may request a one-year temporary permit for the use of such an area, which must be renewed each year; . Where the sidewalk and/or street area is used for construction work which is being conducted on private property, and where an excavation permit is not required to improve the safety of the work, such temporary devices as scaffolding, barricades and/or pedestrian walkways may be permitted under conditions as specified by the City Engineer; . Public markets, street fairs, exhibitions or carnivals; . Parades, demonstrations, running events, and other civic activities. APPLICATION INFORMATION: An application for a Right of Way Use Permit may be made at the Public Works Department Permit Counter in City Hall, 321 E. 5th Street. The application includes: o Name and address of applicant; o Description of nature and location of use; o Hold harmless; o Proof of insurance naming the city as additional insured, except for benches, litter receptacles, bicycle racks, private planters, other landscaping, fences, walls and others as approved. o Execution of Agreement to Remove Encroachment fa permanent structures placed, such as fences over 30", rockeries,walls, stairs and ramps; o Non-refundable fee: J. Ramps or steps K. Fences L. Retaining walls M. Rockeries N. Temp. St. Use o Street Closure $115.00 $115.00 $175.00 $175.00 $ 60.00 $ 60.00 $ 5.00 $175.00 A. Benches $30.00 B. litter receptacles $30.00 C. Bicycle racks $30.00 D. Private planters $30.00 E. Landscaping over 30" $30.00 F Sidewalk cafes $60.00 G. Activities not specified $60.00 H. Parades, exhibitions, sidewalk sales and other civic events I. Unopened right of way obstruction APPLICATION REVIEW A complete application will be reviewed at the Public Works Permit Counter to see if all of the information is on your application. All permits are routed for review by various departments ofthe city prior to issuance of the permit. This process normally takes a few days. Additional permits may be required before an application for a Right of Way Use Permit is approved. These could include an excavation permit and permits for sidewalk or other construction in the right of way The City Engineering Division will inspect the work to assure that the conditions or the permit and other city ordinances are met. EXPIRATION OF PERMIT Most Right of Way Use Permits are a one-time-only permit and last for the duration of the structure or use. Exceptions are sidewalk cafes, annual events, and temporary use permits. All permits are, however, subject to termination at any time without cause. As a practical matter, this means that the use would have to be stopped if an overriding public use of the right-of-way came into conflict with the use. STREET CLOSURES Streets may be used for agricultural shows, parades, industrial shows, SpOr6 shows, trade shows, or other shows where not less than 7 persons exhibit goods or articles. A sponsoring person or group should be knowledgeable of the State requirements to charge sales tax for any goods sold. Street Closure Permits need the following: o The exhibition shall not constitute a traffic hazard either by itself or by its effect upon the visibility of persons using the street and or sidewalk; o Execute a hold harmless agreement; o Maintain in force, personal injury insurance of $200,000 per incident, $500,000 per incident, and $100,000 property damage. The City shall further be provided with an endorsement to such policy naming the City as n additional insured. o Exhibition must be sponsored by civic, charitable, or other non-profit organization or be a civic event as defined by the City Manager PW-0209_07 [Rev 7/2001J REQUEST Date 3'/"" 1-b -oJ CITY OF PORT ANGELES DEPARTME'I\lT'OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . Time '-- Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney .~6:2- E: CJ-?)'1+- ( . w, r C,,\ r ! 711L f- {j Phone No p~ Permit No D ~q 7 Plumbing Final Sewer Excav Other g. '/~ INSPECTION NOTES Inspected Date Remarks Time By l.U (\_ ('~ rJ l' "-- 0\\~t( " Fy(1 VI t- 5 \jJ \; ~ ~ \[ 4eJ , I 1" If~J. Q.., ~ ~:~\.))1\: / Y 'l'l\X.~' L '" .)'h . "- ) '17- D,~~( SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel o Repaired by City [] Repaired by Permittee [] No Damage Found (Continue on reverse side if nee sary) o Asphalt ~ 0 Other $/,,5<) 11- Work Order # ~'9 S~rr-~' g COMPLETE /7 PC" . o INCOMPLETE A~€J:A ~~~~d'e.c-~ :'\l)\~'" CtGr L~ (DATE) \IIIIIIIIIIIIII~~ 2003 1107887 ~:; t \l.tu\l(SI <-01'0 :.1 ,II 14- I(P-" at 'IlL\) fO , . . t,\ . .,.-:;:C",\"' \ld.>\CO )~ 0110 to III' ". 3n 'Le ~"c.' u 1\\\\i ~~ ~ ,8 (9 ~ ~ ~ Port Angeles City Light Engineering D1vision 321 E 5TH ST. Project # 9518 RIGHT OF WAY EASEMENT FOR UNDERGROUND POWER (\\ Grantor(s) Lawrence J/Genelle A Doyle Grantee(s) City of Port Angeles, Washmgton ~\ C) ~ For good and valuable consideratIOn, receipt of which IS hereby acknowledged, the undersigned, owners of the land below descnbed, hereby grant to the City of Port Angeles, a mumclpal corporalion, the perpetual nght to place, locate, construct, operate, repair, mamtam, replace and keep clear thereon an underground electnc dlstnbulion lme or system, together with such commumcalion hnes and eqUipment Further that the property owners shall not erect or place any structure, bUlldmg on the land below descnbed Without the express written pemusslOn of the City of Port Angeles The land referred to IS m SectIOn II ,Township TP A 30 N, Range 6 WWM, Clallam County, Washmgton, and the easement IS more specifically descnbed as follows Parcel # OG30007202200000 LTS 7-9 BL2 WILLIAMS & CIlAAIERS SUBDIVISION of SlIblll bUll Lol 7 An easement ten (10') feet m Width commencmg approxrmately eighty (80'+/-) to nmety (90'+/-) feet north from the southeasterly property comer of Lot 7( on the Front/FlfSt Alley) along the east property lme and contmumg westerly to the west property hne, WIlhams and Cramers SubdivIsIOn, Lot 7-9, Blk 2, followmg the path of the mstalled underground electncal cable and mcludmg/temunatmg at the transformer localion of Said lot The mstalled electncal cable Will be the center of the easement At such tlIne m the future ",hen the powel lme~ are removed and the nght-of.way easement IS no longer necessary, the nghts conveyed to the City of Port Angeles by thiS easement Will thereupon revert back to the property owner( s) and thiS easement shall be VOId Grantee shall at all limes have the nght to full and free mgress to and egress from such said property for all purposes herem menlioned and to remove at any lime all wires and other articles constltutmg such electrical system The nght herem granted shall mure to the benefit of the grantee's successors and assigns, mcludmg any party which It may grant contact, Jomt user or other smular ngh S; DATED /''}.,/710;;'''' / .~.- STATE OF WASHINGTON} COUNTY OF CLALLAM } SS This IS to certify that on t1n~ day ofD:~ _ ~ersonally appeared before me ~D\1 e LX' E:,'l- l1.l;: --::c> ~ - to me known to be the mdlvldual_ descnbed m and who executed the foregomg mstrument, and acknowledged thal::1\~~slgned the same a~ree and voluntary act and deed, for the uses and purpose therem mentIOned Given under my hand and offiC131 seal t1ns~day of ~t::::c:. ,L.DJLZ.. \\\1\\111/111//// ,,\ /11 ,,\' ,?oINE R/A,! 1/// ,'.>.'<:- ."....... '" ~ " J...."-. ..' ". ''-s- ,.- .:;- '1" /'.\ 0 TAR ..... " -S .():'<' r'.-;P:::' ,~ (fJ i Exp 03-01-04\ -l ~ '::-\:,0 :2== '" 'P",,\ (Jalle.... 0 ~ ~ ~ ...... ...... " $ ~ 0 .......... -<:-0 ~ '/11 ~ WAS"'" :-.~ II/ \\'" //1111//111\\1\\\ o ~h~'L, \2..,"^~h-, Notary Pubhc m and for the State ofWashmgton Resldmg at -S?O~ 't: ~lD -c:=.L..\:'-<;" \ \\\\\\ \\\\\ \\\\\ \\\\\ \\\\\ \\\\\ ~\\\ \\\\\ \\\\\ \\\\\ \\\\\ \\\\\ \\\\\ \\\\\ \\\\ \\\\ 2003 1107888 ~~: 'llED FOR RECORD" 1 [HE REOUESl :1F .Jj}.,fj --;-.,?If..!A-^" "0 ~LCOROto lr~\l( ( II, ~ -... ~- -\.. Z003 HAY -6 PH 2: 30 CD ~ o Port Angeles City Llght Engineering Division 321 E 5TH ST. Project # 9518 RIGHT OF WAY EASEMENT FOR UNDERGROUND POWER Grantor(s) Lawrence J/Genelle A Doyle \\\ Grantee(s) City of Port Angeles, Washmgton For good and valuable conslderalion, receipt of which IS hereby acknowledged, the underSigned, owners of the land below descnbed, hereby grant to the City of Port Angeles, a muniCipal corporatIOn, the perpetual nght to place, locate, construct, operate, repair, mamtam, replace and keep clear thereon an underground electriC distributIOn lme or system, together with such communlcalion hnes and eqUipment Further that the property owners shall not erect or place any structure, bUlldmg on the land below descnbed Without the express wrlllen pernusslOn of the City of Port Angeles 1\ ~ ::r -\ The land referred to IS m SectIOn II ,Townslup TPA 30 N, Range 6 WWM, Clallam County, Waslungton, and the easement IS more specifically descnbed as follows Parcel # OG30007202100000 LTS 5-G BL2 WILLIAMS & CRAMERS SUBDIVISION of SubUl ban Lol 7 An easement ten (10') feet m Width commencmg at the southwesterly property comer of Lot 5 (on the Flont/Fust Alley) and contmumg approximately eighty (80'+/-) to mnety (90'+/-) feet northerly along the west property lme Then, (perpendicular) westerly across Lot 6, Blk 2,WIlharns and Cramers SubdIVISIOn, followmg the path of the mstalled underground electrical cable The mstalled electrical cable Will be the center of the easement At such lIme In the future 'vherr the power hnes are removed and ll}e nght-of-way easement IS no longer necessary, the nghts conveyed to the City of Port Angeles by thiS easement Will thereupon revert back to the property owner( s) and tlus easement shall be VOId Grantee shall at all limes have the nght to full and free mgress to and egress from such said property for all purposes herem menlioned and to remove at any lime all wires and other articles conslitutmg such eleclrlcal system The nght herem granted shall mure to the benefit of the grantee's succes~ors and assigns, mcludmg any party which It may grant con ct, Jomt user or oth r smul s DATED I STATE OF WASHINGTON} COUNTY OF CLALLAM } SS ThiS IS to certify that on thiS G L.. day of 'C:>G:: ~8L, _ 2002. personally appeared before me \ {>d I:>'V J&.:1 G- "'i. G::.1S...:>c;:. Ll....k... -U O~ LEO to me known to be the mdlVldual_ descnbed m and who executed the foregoing mstrument, and acknowledged that~slgned the same a~free and voluntary act and deed, for the uses and purpose therem mentIOned Given under my hand and offiCial seal thls~day of 3:>ec.. ;Z.o1:lz:, o -D-~~"', ,,\?, ~..~\ Notary Pubhc m and for the State ofWashmgton Resldmg at -V'i::>"Q.:A ~)2lb E L "Sf> \\111\ \111111/1/1/111 ,.:::."\\ ~f\\NE A/ I//'/,- ~ ",YO .......... tV", 'l ~ ~ ..... .... ". ~ ::: () ... ~\ 0 T ^ ... ':5- -:;. ::: .. \~ "~'. y ::. :::cniExp J.,:lJ= == ..., : 03-0/'0; -j ::: - J>' A 4._ ~ -"\. USlIC /~g ~ <<' ..... ..... ^,O ~ ~ O~ ........... ~\0 $' '\-: WASt'\\' \\'~ 1///11/111111\1\\\\\\\ CiTY OF PORT ANGELES DEPARTMENT OF COMMUNiTY DEVELOPMENT - BUILDING DIVISION 321 EAST STH STREET, PORT AN'GELES, WA 98362 Application Number ..... 03~00000024 Date 2/05/03 Property Address ...... 902 E FRONT ST ASSESSOR PARCEL NUMBER: 0630007202200000 Tenant nbr, name ...... JACK IN THE BO~ Application description . . , COMM NEW CONST Property Zoning ....... Application valuation .... 199500 Property owner ....... LAWRENCE J/GENELLE A DOYLE TTE Owner address ........ DOYLE FAMILY TRUST PORT A~GELES WA 98362 ( ) Contractor ......... JACK IN THE BOX INC ...... Structure Information JACK IN THE BOX RESTAb-R3%NT Construction Type ..... TYPE V NON-RATED Occupancy Type ...... ASSEMBLY <300 W/O STAGE Other struct info ..... NUMBER OF UNITS 1.00 Permit ...... BUILDING PERMIT - COMMERCIAL Additional desc . . Permit Fee .... 1553.75 Plan Check Fee . . 932.25 Issue Date .... 1/30/03 Valuation .... 199500 Qty Unit Charge Per Extension BASE FEE 1553.75 Permit ...... CONCRETE CURB & GUTTER Additional desc . . Permit Fee .... 45.00 Plan Check Fee . . .00 Issue Date .... 1/30/03 Valuation .... 0 Qty Unit Charge Per Extension BASE FEE 45.00 Permit ...... DRIVEWAY INSTALLATION Additional desc . . Permit Fee .... 145.00 Plan Check Fee , , .00 Issue Date .... 1/30/03 Valuation .... 0 Qty Unit Charge Per Extension Permit ...... HOOD & DUCT SUPP SYSTEM Additional desc . . Permit Fee .... 80.00 Plan Check Fee , . .00 ~-~ Issue Date .... 1/30/03 Valuation .... 0 Qty Unit Charge Per Extension BASE FEE 80.00 Permit ...... MECbL~NI CAL PERMIT Additional desc . . Permit Fee .... 106,65 Plan Check Fee . . .00 Issue Date .... 1/30/03 Valuation .... 0 Qt¥ Unit Charge Per Extension P~ISE FEE 106,65 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 BUILDING PERMIT INSPECTION RECORD - CALL 41%4815 FOR BUILDING 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 I ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # UNDER FLOOR / SLAg ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS I CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION ~ WALL/FLOOR/CEILING MECHANICAL WOOD STOVE / PELLET / CHIMNEY PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PEP.~IIT WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIG~qTING % ESA: ~°*.:~--.% CITY OF PORT ANGELES , ~'~'~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Nua~oer ..... 03-00000024 Date 2/05/03 Permit Fee .... 5.00 Plan Check Fee . . .00 Issue Date .... 2/05/03 Valuation . ,. . . 129500 Expiration Date . . 8/04/03 Qty unit Charge Per Extension BASE FEE 5.00 Permit ...... PLUMBING PERMIT Additional desc . . Permit Fee .... 222.00 Plan Check Fee , . .00 Issue Date .... 1/30/03 Valuation .... 0 Qty Unit Charge Per Extension BASE FEE 222.00 Permit ...... SANITARY SEWER HOOK UP Additional desc Permit Fee .... 365.00 Plan Check Fee . . .00 Issue Date .... 1/30/03 Valuation .... 0 Qty Unit Charge Per Extension BASE FEE 365.00 Other Fees ......... STATE SURCHARGE 4.50 WATER METER COF~ERCIAL 1740.00 Fee stmm~ry Charged Paid Credited Due Permit Fee Total 2522.40 2522.40 .00 .00 Plan Check Total 932.25 932.25 .00 .00 Other Fee Total 1744.50 1744.50 .00 .00 Grand Total 5199.15 5199.15 .00 .00 Separate Permits am 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 certi~ 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 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 I ACCEPTED COMMENTS YES I NO FOUNDATION: WA .LS -g/,,b 3 -o3 FA, ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING ROUGH-IN BACK FLOW / WATER AIR SEAL T-BAR . INSULATION SLAB WOOD STOVE ~ PELLET / CHI~EY PW UTILITIES / SITE WORK (Engine~ng Division) SEPA~TE PE~IT ~'s: SEWER CO~ECTION SANITARY PLANNING DEPT. SEP~TE PE~ITg's SEPA: PARKING/LIGHTING ESA: ~INAL INSPECTIONS REQUIRED PRIOR TO ~CUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED ELECT~CAL - LIGHT DE~. 417-4735 ELECT~CAL LIGHT DEPT BUILD~G 4174815 BULLDOG CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANOELES, WA 98362 PUBILIC WORKS & R/W PERMIT ~ Issued: 1/30/2003 Permit No: 1348 [] Attached Notes Work Order: 0 OWNER/APPLICANT PROPERTY LOCATION JACK IN THE BOX INC. 902 FRONT E 8909SW BARBER BLVD. #250 Lot:6-9 Block: 2 PORTLAND, OR 97219 Subdivision: WILLIAMS & CRAMER 000/032-3387 Parcel No: 063000720220000 [] Long Legal PROJECT INFO Work is: Value Work: $0.00 Plans Required: Start Date: / / Finish Date: / / Contractor: 000/000-0000 Performance Bond Required: Amount: $0.00 Proof of Insurance: Work to Perform: [] Install [] Sanitary Sewer [] Misc dwy [] Repair [] Storm Drain [] Watermain [] Underground Tele/Elec PROJECT NOTES No system user fees assessed to this project, previous buildings on site receipt#10067 FEES ASSESSMENT 1 .) R/VV Excav: $45.00~'~- 15.) Other San Sewer: $95.00 2.) Sidewalk: $0.0) 16.) Sew Tap Wye/Man Tap: $0.00 3.) Curb/Gutter: $0.00 17.) Sew Cap/W/M Removal: $0.00 4.) Driveway: $145.00/~/ 18.) Alter Repair Sewer: $0.00 5.) Dwy Culvert: $0.00 19.) Storm Drain: $0.00 6,) Street Cut: $0,00 20.) Catch Basin per ea: $270.00 7.) Other RAN: $0.00 21.) Sewer System Dev: $0.00 8.) Fire Hydrant: $0.00 22.) Milwaukee Dr. Sew Ass: $0.00 '".4- 9.) Res Water Serv: $0.00 23.) RNV Use Perm: $0.00 10.) Comm Water Serv: 11/2" $1,740.00 24.) Admin Cost (D.R.A) $0.00 11 .) Other Water Service: $0.00 25.) D.R.A. $0.00 12.)Water System Dev: $0.00 26.) Misc: $0.00 13.) San Sewer SFR: $0.00 TOTAL FEE: $2,295,00 14.) San Sewer MFR: $0.00 add unit: 0 Amount Paid: $2,295.00 Receipt No: 10067 Inspection Fee: $0.00 Balance Due: $0.00 RW SANITARY WATER DWY STORM DRA OTHER Separate Permits are required for electrical work, utilities, pdvate and public improvements. This permit becomes null and void if work or consbuc~on authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a pedod of 180 days after the work es commenced, or if required inspec~ons have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this applica/ion and know the same to be tree 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 a, ny state or local law regulating construction or the performance of construction. Si~na~re of~on~r~otor or Authorized Agent Date Si~lnature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL ,~ 17-4815 FOR BUILD/]qG INSPECTIONS. PLEASE PROV/DE A MINIMUM 24 HOUR NOTICE. IT18 UNLAI4'FUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT 1~ A CONSPICUOUS LOCATION. KEEP pERMIT CARD AND APPROVED PI~d'q S AT JOB SITE co~s're, ucrtoN ~..w./~w/ com~uc'no~r- ~.w. ,~. ,~ FIKE (MULTI-FAM ONLY) 417-4654 FIRE DEPT, CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000297 Date 3/20/03 Property Address ...... 902 E FRONT ST ASSESSOR PARCEL NL~BER: 0630007202200000 A~plication description . . . CO~94 NEW CONST Property Zoning ....... Application valuation .... 0 Owner Contractor LAWRENCE J/GENELLE A DOYLE TTE JACK IN THE BOX INC DOYLE FAMILY TRUST 8909 SW BARBER BLIrD ~ 20 PORT ANGELES WA 98362 PORTLAND OR 97219 (503) 293-3687 ...... Structure Information NEW JACK IN THE BOX Construction Type ..... TYPE V NON-RATED Occupancy Type ...... ASSEMBLY <300 W/O STAGE Other struct info ..... NUMBER OF UNITS 1.00 Permit ...... PLUMBING PERMIT Additional desc . . Permit Fee .... 54.00 Plan Check Fee . . .00 Issue Date .... 3/20/03 Valuation .... 0 Ex-plration Date . . 9/16/03 Qty Unit Charge Per Extension BASE FEE 47.00 1.00 7.0000 EC~ PL- EA LAWN BACKFLOW 7.00 Permit . , .... PUBLIC WORKS RES WATER SERV Additional desc . . Permit Fee .... 670.00 Plan Check Fee . . .00 Issue Date .... 3/20/03 Valuation .... 0 Expiration Date . . 9/16/03 Qty Unit Charge Per Extension 1.00 670.0000 EA PW W/M SFR 3/4" 670.00 Fee summary Charged Paid Credited Due Permit Fee Total 724.00 724.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 724.00 724.00 .00 .00 Separate Permits are required for electrical work, SE PA, Shoreline, F:SA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within '1 Il0 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 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 o~wner (if owner is builder) Date T:\PLANNING\FORMS\1102 15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BU1LDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT1S UNLAWFUL TO COVER, INSULATE OR CONCEAl. ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERM1T CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE BATE ACCEPTEB COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAM1NG JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILiNG DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLiNE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGiLIGHTING ESA: LANBSCAPING SHORELiNE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT Co sTRuC O R.W. CONSTR CT ON- R W FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. T:',PLANNING\FORM S\ 1102.15 [4/2002]