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HomeMy WebLinkAbout1800 W 15th St - Engineering CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Applicat~on Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Applicat~on valuation 05-00000440 Date 194560 1800 W 15TH ST 06-30-00-0-4-3800-0000- GNL DEVELOPMENTS CLEARING & GRADING 6/07/05 RS7 RESDNTL SINGLE FAMILY o Owner Contractor M & R TIMBER INC PO BOX 1058 PORT ANGELES OWNER WA 983620181 Structure Informat~on 000 000 CLEARING & GRADING Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date CLEAR & GRADE CG #05-05 50682 50.00 6/07/05 12/04/05 Plan Check Fee Valuation .00 o BASE FEE Extension 50.00 Qty Un~t Charge Per Fee summary Charged Paid Cred~ted 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 -. ~ E rr, ~ o -:-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 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 ;r:iidf~ h-7-v5 Signature of Contractor or AuthOrized Agent Date Signature of Owner (If owner IS bUilder) Date T \PolIcles\ II 02 15R (1/05] APPLICANT: APPLICANT MAILING ADDRESS: APPLICANT PHONE NUMBER aNL C & G APPLICATION No 05 -0 S CLEARING AND GRADING PERMIT APP CITY OF PORT ANGELES ~e.{o4"JlC4I\. +J'" :POM L()lIe /Il!' E. h tMJ'I Sr; ?--r: 3(,0 - 5D~.. ()1z I' HT~ fTO.>- 4L1D Page 1 to.. t; " ~tf,L.- M(EU-S !E~\W!E~ PLAN PREPARER (Architect/Engineer): fi> '8'; i)cr~/M!r1.) PREPARER ADDRESS & PHONE #. AlIA LOCATION OF PROPOSAL(Street address or lot & block #): WFS'i /5111 S'i. " . .. It It f~St S''1ieeer3 L A-~ M OWNER OF PROPERTY(lfnotapplicant, include letterofauthonzatlon from property owner): }A ; ~ 1.1.5. JE,)€l()/J,AfeAl1' J.. p. tJUt)EJt tONrMc.1"" o~ $,.,u ""'0 4./J. t. J>EVIELdINWrS. DESCRIPTION OF PROPOSAL (Also Include plans, sketches or other informabon which would assist In our review): tlE,q~/P' Or 2() L.Drj tu ?U~I'f7()"J f'tJ,L, b€vGLuPNeA/'l j)~ s;;;ea:r ~ V'rILl'17~J Estimated amount of material, in cubic yards, to be excavated, imported, or exported: V 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 ? " D 3 Will any portion of the grading, excavation or filling occur within 200 feet of any of the following; fl-o Shoreline, l'L-o Stream, ~ 40% or grater slope? If the answer to yes, please check the appropriate condition. ()O lyJ~S (Date) The followinCl paCles are for City use onlv: PERMIT EXEMPTION DUE TO: ~OT EXEMPT: C & G PERMIT REQUIRED o A Land cleanng, grading, filling, sandbagging, diking, ditching, or similar work dUring or after penods of extreme weather or other emergency conditions that present immediate danger to life or property, as authorized by the City Engineer. Land c1eanng 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. oG DB DC 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-establlshed 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. oH 01 Associate/Senior Planner Date City Engineer Date PW-9020 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. Date o Copy of conditions to applicant Date PERMIT FEE CALCULATIONS: A. Grading and Filling - Plan review and permit fee - 0-250 cy and less then 4' of cut or fill $ -251-1,000 cubic yards ($22.50) $ -1001 -10,000 cubic yards ($30) $ -10,OOO+cy ($30+$15/10,000 cy) $ 3. Clearing and Drainage - Plan review and permit fee -Less then one acre ($30) $ -One acre-5 acres ($50) $ (iO- -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: Page 2 Permit No. 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 I 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 Engin r 6~ r -3-06 Date SEE REVERSE SIDE FOR PERMIT CONDITIONS NO .--1lQ2 CITY OF PORT ANGELES DETERMINATION OF NON SIGNIFICANCE Description of Proposal: family building lots. Clear trees from a 3.21 acre area for the development of 20 single Location of Proposal (including street address, if any): Located between "L" Street and "M" Street on 15th Street. Lots 1 - 10 of Block 438 and Lots 11 - 20 of Block 405. APPLICANTS: G.N.L. Development Lead Agency: City of Port Angeles The lead agency for this proposal has determined that it does not have a probable significant adverse impact on the environment. An environmental impact statement (EIS) is not required under RCW 43.21C.030(2)(c). This decision was made after review ofa completed environmental checklist and other information on file with the lead agency. This information is available to the public on request. [ ] This DNS is issued under WAC 197-11-340(2); the lead agency will not act on this proposal for 14 days from the date of issuance. Comments must be submitted by at which time the DNS may be retained, modified, or withdrawn. [ ] There is no comment period for this DNS. [X] This DNS is issued per WAC 197-11-355. There is no further comment period. June 6. 2005 Date Mar. E. Madsen, E anomie and Community Development Director You may appeal this determination to the Port Angeles City Council through the Department of Economic and Community Development, 321 East Fifth Street, Port Angeles, W A, 98362, by submitting such written appeal to the Department no later than June 20.2005. You should be prepared to make specific factual objections. Responsible Official: Mark E. Madsen, Director, Port Angeles Department of Economic and Community Development, 321 East Fifth Street, Port Angeles, WA 98362, phone (360) 417 - 4750. Sent to DOE Pub NA Post NA Mall 6/06/05 ~~. 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