HomeMy WebLinkAbout2303 W 10th St - Engineering
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin numbeI
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000370 Date
766770
2303 W 10TH ST
06-30-00-1-0-5515-0000-
CLEARING & GRADING
5/18/05
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
KEDISH, MARGIE/STEWART
PO BOX 507
PORT ANGELES WA 983620322
OWNER
Structure Information 000 000 CLEARING & GRADING
Permit . . . . .
Addltlonal desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
CLEAR & GRADE
CG 05-03
49049
30.00
5/18/05
11/14/05
Plan Check Fee
Valuatlon
.00
o
Qty Unit Charge Per
1.00 30.0000 MIN CLEAR & GRADE
Extension
30.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 30.00 30.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 30.00 30.00 .00 .00
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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 construcllon or the performance of
construction
Signature of Contractor or AuthOrized Agent
Date
Signature of Owner (If owner IS bUilder)
T \Pol1cles\1102 15R [1/05]
05 -> /0
/$
C&GAPPLlCATIONNo. 05-D3
CLEARING AND GRADING PERMIT APPLICATION
CITY OF PORT ANGELES
Page 1
i
APPLICANT:" Stewart Kedish
APPLICANT MAILING ADDRESS: POBox 507. Port Angeles. WA 98362
APPLICANT PHONE NUMBER: 360-457-5005
PLAN PREPARER (Architect /Engineer): Zenovick & .Associates
PREPARER ADDRESS & PHONE #:
LOCATION OF PROPOSAL{Street address or lot & block#): 12th Street lots (2303, 2307 t 231]) C'.TP-at:p-d
by Kedish Short Plat
OWNER OF PROPERTY(1f not applicant, Include letter of authonzalion from property owner):
Stewart & Margie Kedish
DESCRIPTION OF PROPOSAL (Also include plans, sketches or other Information which would assIst in our reVIew):
Site prep and tree removal
Estimated amount of material, in cubic yards, to be excavated, imported, or exported: 50 c. y.
If the answer to any of the following questions is yes, an ESA application with a SEPA check list is required to be submitted with
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?
2. Does the total amount of excavation or fill exceed 100 c.y? no
3. Will any portion of the grading, excavation or filling occur within 200 feet of any of the following; no
~ 40% or grater slope? If the answer to yes, please check the appropriate condition.
no
Shorelirw,
no
Stream,
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 :J~ Port Angeles cle~3nd :ra~i~ Ordinance.
/:./~M xq~ #5/~g
(Applicant or authorized representative) (Date) .
The followin
PERMIT EXEMPTION DUE TO:
NOT EXEMPT: C & G PERMIT REQUIRED
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 hfe or property, as authorized by the City Engineer.
land cleanng order by the City Council for abatement of a public nuisance.
Removal of dead, diseased, or damaged trees which might constitute a hazard to life or property.
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 maintaining
water, storm, sewer, power, cable, or communications lines.
o E. Cemetery graves.
o 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.
aG.
aA.
o B.
o C.
00
land is one acre or less, except where an adjacent area under the same ownership or chain of ownership has been similarly exempted so that
the combined area is a greater than one acre and erosion control has not been re-estabhshed.
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.
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.
aH.
01.
Associate/Senior Planner
Date
City Engineer
Date
P\\' -9020
~ PIt1I'7I-1I~4
Page 12
Pennit No.
Clearing and Grading Permit
PERMIT CONDITION REVIEW ROUTING:
o To Public Works for Engineering requirements Date
o To Planning Department (with engineering's requirements)
For ESA and SEPA requirements. Date
o Return to Engineering Permitting.
o Copy of conditions to applicant
Date
'Date
PERMIT FEE CALCULATIONS:
'- Grading and Filling ~ Plan review and permit fee
/
_ 0-250 cy and less then 4' of cut or fill $
-251-1,000 cubic yards ($22.S0) $
-1001 -10,000 cubic yards ($30) $
-10,OOO+cy ($30+$15/10,000 cy) - $
'. Clearing and Drainage. Plan review and permit fee
-Less then one acre ($30) $ 30--
-One acre-S 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.
I. SEPA review ($100)
Total Permit & SEA Review Fees
$
$
$
III. PERMIT APPROVAL:
This certifies that the nam~ 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 I
Municipal Code and subject to all special conditions which are
attached to this permit or as noted in sections IV thru VIII I
following. Nothing permitted hereunder shall be deemed to
override the provisions of any applicable law of the City,
County, State or Federal Govemment. This permit expires
one year from the date of issuance, unless otherwise
specified by the City Engineer
-5- I-oS-
Date
seE REVERSE SIDE FOR PERMIT CONDITIONS
'1
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CONJROI. DIAGRAM
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CONTROL DIAGRAM
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