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HomeMy WebLinkAbout116 1/2 W 8th St - Engineering f VORT ~ tO~,:,~ ha "-~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000155 Date 2/24/04 .932115 116 1/2 W 8TH ST 06-30-00-0-2-6700-0000- CAPACITY PROVISIONING INC RIGHT OF WAY COMMERCIAL NEIGHBORHOOD o Owner Contractor ELKHART VERN 108 W 8TH ST PORT ANGELES OWNER WA 983626032 Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY RIGHT OF WAY USE 60.00 2/24/04 8/22/04 #04-05 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 60.00 BASE FEE Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60.00 60.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 60.00 60.00 .00 .00 6' y rJ [ \P t- ? 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 exammed 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 herem or not. The grantmg of a permit does not presume to give authonty 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) T \PLANNING\FORMS\1102 15 [11/14/2003] ~ VORT ~ lO~~~ ha ....~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000120 Date 2/11/04 .860480 116 1/2 W 8TH ST 06-30-00-0-2-6700-0000- CAPACITY PROVISIONING INC PUBLIC WORKS UTILITES COMMERCIAL NEIGHBORHOOD o Owner Contractor ELKHART VERN 108 W 8TH ST PORT ANGELES OWNER WA 983626032 Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY OMC, WASH-CHAM, 60.00 2/11/04 8/09/04 JONES-LIBERTY Plan Check Fee Valuation .00 o - - Qty Unit Charge Per BASE FEE Extension 60.00 o :( rJ Fee swnmary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60.00 60.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 60.00 60.00 .00 .00 E \9 oJ. 5 ......f"\-~- 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 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 Owner (If owner IS builder) Date Signature of Contractor or Authorized Agent Date T \PLANNING\FORMS\I 102 15 [11114/2003] d: "ORT ~ '(I Ur..." ~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Use Property Zoning . . . Applicat10n valuat10n 05-00000104 Date 2/11/05 .162952 116 1/2 W 8TH ST 06-30-00-0-2-6700-0000- DOYLE ST PUMP STATATION PUBLIC WORKS UTILITES COMMERCIAL NEIGHBORHOOD o Owner Contractor CPI VENTURES 116 1/2 W 8TH ST PORT ANGELES ( 36) 565-8400 WA 983626032 EXCEL UTILITIES CONSTRUCTION 54 MISTY LN PORT ANGELES WA 98362 (360) 452-1110 Perm1t Additional desc permi t Fee Issue Date Exp1ration Date RIGHT OF WAY RUP# 05-04 .00 2/11/05 8/10/05 Plan Check Fee Valuation .00 o 0- N'" Fee summary Charged Paid Cred1ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 ~ \'9 ...,.. y 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 ~lJspended or abandoned for a period of 180 days atter 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 7' / uthority to violate or cancel the provisions of any state or local law regulating construction or the performance of constru ti , ._ :z ~-11-6r- Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Pohcles\II02 15R [1/05] . u. s. A. NAME OF APPLICANT MAILING ADDRESS PHONE NUMBER C JIlt W ~ T2- 1~6 - ~400 DATE J/t.uJos Fi ,lit), ,J/ 10 STREET ADDRESS OF PROPOSED STREET USE EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET, SIDEWALK OR PLANTING STRIP. ARE THERE I ALTERNATE AREAS THAT COULD BE USED? HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance with the Port Angeles Municipal Code, and in consideration of the issuance by the City of Port Angeles of a Street Use Permit to the undersigned allowing the placement of the above described street use or obstruction, the undersigned for himself and for his successors in interest, hereby agrees to indemnify, hold harmless, and defend the City of Port Angeles against any claims or lawsuits for p~",'_ or property damage arising out of, or in any way connected with, the placement of the use or obstruction on the Ci~<<r~ '-9): planting strip. ~ ~~""""""O"""" ~ DATE~)hiSdaY of-Fe~ ,200$" S~". ~M)I'". ~ ./ D ~ !C.:"~O................~..: ~ L~ gcp: ...~.'\.~ :5~ Applicant _: . 1'1' ,0 "~- ~fi.""" ~U61\,.; ."~j SUBSCRIBED and sworn to before me this....B- day of "'Fe~ ,20CS; "t",;-. ofl.Jea ..~ $ ~~ . ; "'"l of':.iJ"r>-S,'-''l 0r>~'? \",\~c,. 't-' 1 ~--lc ; /1//1""11\\\\\ ; NOTARY PUBLIC in and for the State of ~ ~ W~shington residing a~~.,..... ';:>-PGc. r-l ~ M................................... (This permit, if approved. may be terminated by the City of Port Angeles without cause and at any time) [OFFICE USE ONLY] Copies sent to: Police Fire Planning _ Finance Date: pO Date application received Fee paid $ (aJ - Receipt # Certificate of Insurance per PA Agreement to Remove Encroachment signed and on NI A recorded on NI A ************* ^ ~ - I,. j.:", Applicatio~wed and recommendation by City Engineer / J _ gate ~ is to tit:,. Fj \Jf ~ and with the following conditions: ' Application Date by the Director of Public Works C1 ..0 S. ;;:;;;:~:.~;;;::.~...;:=.~....~;:..~...~;;:.~....;;:;....................~.:;::;;;..~...;;;;:.;:.;..........Riip..#.......b.s::::::::O:;l... ~ 4-J;~/I~_~/?ltX~ ~ Of ~ORT ~ ~.~~.., Ur'&A~ ~ -- ~lC~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Appl1cation Number pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Use Property Zoning . . . Applicat10n valuation 05-00000103 Date .007539 116 1/2 W 8TH ST 06-30-00-0-2-6700-0000- BORE ACROSS 0 STREET PUBLIC WORKS UTILITES 2/11/05 COMMERCIAL NEIGHBORHOOD o Owner Contractor CPI VENTURES 116 1/2 W 8TH ST PORT ANGELES (360) 565-8400 WA 983626032 EXCEL UTILITIES CONSTRUCTION 54 MISTY LN PORT ANGELES WA 98362 (360) 452-1110 Permit Add1tional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY RUP#05-05 60.00 2/11/05 8/10/05 Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE Extens10n 60.00 () i'("" N Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60.00 60.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 60.00 60.00 .00 .00 < 0) 7- S 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 requeste-d 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 giv If rity to violate or cancel the provisions of any state or local law regulating construction or the performance of con~ /. ~'I \ t/) Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policles\1102.15R [1105] ORTANGELES H I N G TON, U. S. A. NAME OF APPLICANT C P \ MAILING ADDRESS / 1~'k.lN- ~~ ~.\.- PHONE NUMBER , <:b, ~'-foo STREET ADDRESS OF PROPOSED STREET USE ~"" e'0r CLt--R DATE b{-;:" o:S- rJ~ DESCRIPTION OF REQUEST (include drawings required for clarity): [If street closure is requested, please state the name of the street and limits of closure, together with the duration of closure,] \ flDS. So ~ 0<- IS THE USE TEMPORARY OR PERMANENT? -P-U--/V\ANC"'-'+- HOW LONG WILL THE OBSTRUCTION BE IN PLACE? WHAT ARE THE HOURS OF OPERATION? HOW IT WILL BE LIGHTED? EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET, SIDEWALK OR PLANTING STRIP. ARE THERE ALTERNATE AREAS THAT COULD BE USED? HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance with the Port Angeles Municipal Code, and in consideration of the issuance by the City of Port Angeles of a Street Use Permit to the undersigned allowing the placement of the above described street use or obstruction, the undersigned for himself and for his succesM~I' i. terest, hereby agrees to indemnify, hold harmless, and defend the City of Port Angeles against any claims or lawsuits f~~ uti or property damage arising out of, or in any way connected with, the placement of the use or obstruction on the ~~ r planting strip. ~ d ~ ~~... ..ROJ...."" ~ DATED this of .;~ ,~ ::: ~.. t'\ 1 r'" e. ~ \ /JI/C/J Lh ~<t"f.+v.'''''''~':~'E (8.;",-- ~bevrJ& ) /4' 1JN ' . r ~'5- =: 0 ~ ""pS'.'" 0 :2!:: ,Applicant ~ i.. P 6".... :C!1~ C- ~~f.....~ }..~ SUBSCRIBED and sworn to before me this --=:L day of ~E:B ,~ ;,/o"'/,.~ e.a ~~ ~ : Q' . f\ _' ~. f/"'J OF'l'J l.'\""" i ~~LC'\Cz J \l 1 '1I1"\I\\~ i NARY PUBLIC in and or the State of ~ ~ Washington residing at ~ ~r--\.~ ~................................... (This permit, if approved, may be terminated by the City of Port Angeles without cause and at any time) (OFFICE USE ONL Y] Copies sent to: Police Fire Planning _ Finance _ Date: _ - Date application received ;7- 7- t)~ Certificate of Insurance per PAMC 11.12.140(B) Application a Date ~:~:~~';~:';~~;I:~~"~"";I:"~'''';~;;:''~''''~:~'~''''~~~:;....................~...~~~:~~.;,:..~....~~;.~,:..~...............RU'p..#.......t?~.::::.b5... A:\r1:IWpef.wpclIJanuary 5. 2001) ~ev?'lttt/d.d'1 ?~ PUhb.Gr- /;~ ~ ~ fil?cPr'~ 6tLi1 ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000195 Date 3/10/04 .818790 116 1/2 W 8TH ST 06-30-00-0-2-6700-0000- CAPACITY PROVISIONING INC RIGHT OF WAY COMMERCIAL NEIGHBORHOOD o Owner Contractor ELKHART VERN 108 W 8TH ST PORT ANGELES OWNER WA 983626032 Permit . . . . Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY FIBER OPTIC,NIPPON PAPER 03-36 60.00 Plan Check Fee 3/10/04 Valuation 9/06/04 .00 o --' Qty Unit Charge Per BASE FEE Extension 60.00 0- ~ rJ Fee summary Charged Paid Credited Due Permit Fee Total ',Plan Check Total ":~rand_Total 60.00 .00 60.00 60.00 .00 60.00 .00 .00 .00 .00 .00 .00 t -: ......C'''':''''=''Y'' :.J- ,:\.:- JO\,'-"';:-:-;,":(")-. .......~.\- ~ - :,- .....-,.- co + .s ~ . ,-..-~-.. - - .....~- - - ~ -,,' - ,\....-... ..':- "':..,0- r:'-" -..... y ~-"'l - -- - -- -.., _r~ . . 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 gf 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. Of\) t=/LF' Signature of Contractor or Authorized Agent Date Signature of Owner (If owner is bUilder) Date T \PLANNING\FORMS\1102 15 [11/14/2003] ~ pORT ~ ~4.0~",<~ O,.~ ... -=-- ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application descr~ption Subdivision Name Property Use Property Zon~ng . . . Appl~cation valuation 04-00000507 Date 6/07/04 .697405 116 1/2 W 8TH ST 06-30-00-0-2-6700-0000- CAPACITY PROVISIONING INC PUBLIC WORKS UTILITES COMMERCIAL NEIGHBORHOOD o Owner Contractor ELKHART VERN 108 W 8TH ST PORT ANGELES WA 983626032 EXCEL UTILITIES CONSTRUCTION 54 MISTY LN PORT ANGELES WA 98362 (360) 452-1110 Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY FO OLD HILLER 60.00 6/07/04 12/04/04 LOC RUP #04-22 Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE Extension 60.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Perm~t Fee Total 60.00 60.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 60.00 60.00 .00 .00 ~. - "'- f' c ~ ~ ~ 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 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST STH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00001147 Date 12/09/03 Property Address ...... 116 1/2 W 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-6700-0000- Tenant nbr, name ...... VAR. LOC. PARK/LAURIDSEN Application description . . . PUBLIC WORKS UTILITES Subdivision Name ...... Property Zoning ....... COS~4ERCIAL NEIGHBORHOOD Application valuation .... 0 owner Contractor ELK~L~RT VERN CAPACITY PROVISIONING IN 108 W 8TH ST PORT ANGELES WA 983626032 SEBRING FL Permit ...... RIGHT OF WAY Additional desc . . RIGHT OF WAY USE %03-30 Permit Fee .... 60.00 Plan Check Fee . . .00 Issue Date .... 12/09/03 Valuation .... 0 Expiration Date . . 6/07/04 Qty Unit Charge Per Extension BASE FEE 60.00 Fee su~m~ry Charged Paid Credited Due Permit Fee Total 60.00 60.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 60.00 60.00 .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 end 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:\PLANrNYNG~FOKMS\ 1102.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Subdivision Name ...... Application valuation .... 0 ~iditional desc . . R/W USE CAP PROV # 03-22 ~iration Date . , 2/24/04 Separate Permits are required for electrical work, SE PA, 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 [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 app[icatlon 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 pertormance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS~ 1102.15 [4/2002] Application Number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Application description Property Zoning Application valuation CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 3..- ;321} R/w t1~t!/ 08~{)7 03-00000329 116 1/2 W 8TH ST 0630000267000000 CAPACITY PROVISIONING PUBLIC WORKS UTILITES Date 3/26/03 ~ ~ORT ~ IO~~~ ~ 'L -=-- ~ 't&i.-;;-~ INC o Owner Contractor ELKHART VERN 108 W 8TH ST PORT ANGELES OWNER WA 983626032 Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY RIGHT OF USE 60 00 3/26/03 9/22/03 PERMIT 03-07 Plan Check Fee Valuation 00 o :::::::- ' ~ ~ ~ ~ Qty Unit Charge Per BASE FEE Extension 60 00 Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Grand Total 60 00 00 60 00 60 00 00 60 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 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 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 [4120021