HomeMy WebLinkAbout3109 City Lights Pl - Engineering
f-'.',C.
it
~ c .., ..
'"
1. .
~ W
~
'PlICANT:
'PLlCANT MAILING ADDRess:
'PLICANT PHONE NUMBER:
L;1RRy
C & G APPLICATION No. /J1- ;;;;L -3
CLEARING AND GRADING PERMIT APPLlCA liON
CITY OF PORT ANGELES
:I:>OYLe
,3/t') 9' (J 177 ~J6'H -r~ {JL- ,
,
3 bo - L/~7-~9cJ:,
...s~t-p-
Page 1
I
;:Jd ~ 7'
H;ur;:eu::S _ loA,
<\N PREPARER (Ard'lnuctlEngi,,-");
EPARER ADDRESS & PHONE
GA TION OF PROPOSAL(slI'1let a
mated amount of material, in c
,
#:
dl'Jross 01" lot & bb:k II): LOI '1< (}.;'77 .L / ~H 'T 5' cSTFJ.rs-s _
,
InclUde letIat of lIulhort:atlon fitlm Pf'OIlI9rty owner): Cc ~ -r-/.J qsr...-:- ~.
/e~sT'. - .LA t.<.J E e A.7C1': U7or.L r
, lncl~ plans, "ketd\ll$ or otJ,er 'nformation which would assist In OUr raview): r~~~:~D~'2~
r,;~" - ^'V'il 'b y' ";'" ~~~:
-'k713~ t"JA'J k-r-? /: U?I )\
ubic yards, to be excavated, imported, or exported: --e-
'NER OF PROPERTYCtloolllppllcBnt,
~tiL F""' c::- 4 m I t- CI' -r;
3CRI TION OF PROPOSAL (~
~~o ~F" ~72e- A2
AI L t:JiR. .()onT /./
~ answer to any of the following questions Is yes, a., ESA application with a SEPA check list is required to be submitted with
Jppllcation and will be processed according to the Clty'~ consolidatad penn It procedures.
1$ the excavation or fill associated with the development of a pa~jng lot for more than 20 vehicles? /U l) I
Does the total amount of excavation Or fill exceed 100 c.y? IV t') ~C.+i/19- T I D IU___ t!.) "V '-y TRt::'tT l?~mol/l4L. :
Will any portion of the grading, excavation or filling occur within 200 feet of any of the following: Shoreline, Stream, :
40% or grater slope? If the answer to yes, please che~ the appropriate condition. ..
. . 1 . 4" -., I" ',..... ,. r I
1pplicant hereby affirms and commits that the information submitted for this pennlt application is acdurate ~~d 'that the ap'~licarit will' '
Jly with the terms and conditions of the permit and the City of n CI Gradin rdinance.
{ollowlng pa
ZMIT eXEMPTION OU~ TO: 0 NOT EXEMPT: C & G PERMIT' REQUIRED
Land clearing, grading, filling, sandbagging, diking. ditching, or similar 11'0"" during or after periods of extreme ~ather or other emergsncy
Conditions that present immedIate danger to life or property. as authorized by the City Engineer.
Land Clearing order by the c~ Council for abatement of a pUblic nuisance..
Removal of dead, diseased, or damaged trees whidl might con$tltute Ii hazard tol!fe or property.
Clearing by :Ill public; agency of " ftanchiseQ utility within a p\lblie righl'<lf-way or upon an easement, for the purpose of installing and maintaining
water, storm. sewer, power, cable. or communications lines.
Cemetery graves.
rE: EXEMPTIONS -F" THRU -I" SHALL NOT APPLY IN SITUATIONS WHERE PROPERTIEs INCLUDe ENVIRONMENTALLY SENSIllVE
:AS .
l-and lli one acre or ~, except wj1ere an adjal;l!lnt area under the same ownership or chain of ownership has been similarly exemptecl $0 that
the combined area is a gl'Bllter tllan one acre and .,rosion control has not been ~&tablished.
If a bUilding permit Is \$sued. no additional dearlng. grading, or filing permit or associated fee will be requIred; pfO'iided that the standards
establlshedln this manual shall be applied to the issuance of said building permit
Devslopments larger than one acre In impro'ied araas served by paVed streets, curbs, gutters, storm drains, and other drainage facl/lties. as
al.llhoriz~ by the City engineer.
Wolle, when up raved by the City Engineer, In an isolated, 3eJf-contained area, if there Is no danger to private or public propertx,.
" proposed actio has been determined to be e)(empt from a Clearing and Grading Permit based upon the,informalion
L by /he.~ i t. The basis for this ""emption is as checked above.
mor
CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362 U 3 ---61 b
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Zoning
Application valuation
'^f
03-00000696 Date
3109 CITY LIGHTS PL
06-30-15-7-6-0130-1000-
RES NEW SFR
7/21/03
132766
Owner
Contractor
95 00
7/21/03
1/18/04
Plan Check Fee
Valuation
00
132766
~
--
~
~
~
~
It'
~
DOYLE FAMILY TRUST
3121 CITY LIGHT PL
PORT ANGELES WA 983626905
OWNER
Structure Information
Construction Type
Occupancy Type
Other struct info
NEW 1593 SF SFR & ATTACED GARAGE
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
NUMBER OF UNITS
1 00
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
Qty Unit Charge Per E~tension
1 00 95 0000 EA SAN SEWER HOOKUP 95 00
----------.-----------------------------------------------------~,-
Other Fees SEWER SYSTEM DELV CHARGE ~
STATE SURCHARGE ~
PW WATER SYSTEM USE FEE ~=025 OO~
Fee sununary Charged Paid Credited Due
----------------- ---------- ---~---------- ----------
Permit Fee Total 95 00 95 00 \ 00 00
Plan Check Total 00 00 00 00
Other Fee Total 1774 50 1774 50 00 00
Grand Total 1869 50 1869 50 00 00
~/5rI~
fl/ / h-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 regulati nstruction or the performance of
construction
Signature of Contractor or Authorized Agent
Date
T-IPLANNING\FORMSII 102.15 [4/2002]
Location of Work to be inspected ,;:; I 0 q ~ L( ~ pf a ~
Name of person requesting inspection LrJ/tj PO/If?; J
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) Permit No 0 ? -09 ~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
REQUEST
Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT . . . . . .
1f1J!J7
Received by
(phone, person)
Time
INSPECTION NOTES
7/r,-//(
j ')'i
. I
Inspected Date
Remarks
\~l~( ,-"(fIr
II' I")
Time /
.
By ./.<.. J
f'(j/ (T f j. ,1,r / jJI'!rrG// _ t', [It/) -
RESTORATION REQUIRED
YES
NO
W'H~
I
r- ---
~ ,~
~I ~ i
"
'l'--...
-,...
......,.
",
() / ({If/ Cr(j r
If
,~--I
r'..1:L...
do bed
'8J/
----k~ 4
Puc 1 Pi I
( (71)
'/jb
If'ri' I{ fr, .
j -
( -.-- -
'--> ~.
l..l.. '--)
\
,. 0G'/ ~
'r/C~
70
i'(~
(
\
, J
it '
--r:+-- ,
~,., Q ! '
cL ./1 ~
. il
-f ' 23.cI
,'t-~L \ i
f' I /----., ( h'! - Y
~ ~7 '
-,
[/0 Fe
J I'
I
Y
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
~~
I-~~;;l.
7vCO
~o-- APPLICATION FOR WATER
City Water Department
Port Angeles, Wash.
I{.-k (.A..)p · ~ I 'I
7/2/ /t>3, ~
7Jd-~ I 0, ~"!> ~
I hereby apply for water to be furnished in accordance with rates and rules of the City
for the following premises I'JI~~/h"'j qc6'l"f!P~
LrfRR'. Y 'Z:>OY. l- ~ ~11-5 ~ ugU-h.
Name of Applicant _ c::;.
/ . 7-</Qr,;,
Address $/()1 t'/~'1 LtylfP/n~~
Renewal 0 New Service Q- Blk_ LOL.L3._ Add 61 4gI~ ~~
I 5>-ZII. Hirt(~i:jt-~
S;,e of S...ke '/. /,f dnj/ /17 Mete. Nomb/,. 35- "-~
Se.vke Left On 0 S...ke Left Off r;:::::r- S;gne.J:2l -. ~~
Installed by ---r:fA.J
Remo,k, Peon ~--: (J1 ~ 'I /50!!E -r 1/ c>ZS{)()
N
w
Vt~cv-e- 71-
-;g7'
E
~
,~
~\.J
,~
o
s
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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
I YES NO
FOUNDATION
FOOTINGS
WALLS , ,
FOUNDA TIbN DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB t
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
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 SEPARA TE 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 / 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
T'\PLANNING\FORMS\l 102.15 [4/2002]