HomeMy WebLinkAbout241 Doyle Rd - BuildingApplication Number 08 00001396
Application pin number 480392
Property Address 241 DOYLE RD
ASSESSOR PARCEL NUMBER 06 30 08 4 4 0185 0000
Application type descriFtion PUBLIC WORKS UTILITES
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation II 0
1
Install water meter OUTSIDE CITY LIMITS RATES
Application desc
Owner
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
T•\Policies \1102 15 [10 /08]
HENDRICKSON JASON K OWNER
P 0 BOX 2723
PORT ANGELES WA
PORT ANGELES WA 98362
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
Contractor
PUBLIC WORKS RES WATER SERV
Qty Unit Charge Per
1 00 805 0000 E4 PW W/M 1 SERV 3/4 METER
/A /o
gnature of Contractor or Authoriz 1- gent Date
Date 11/10/08
13'372
805 00 Plan Check Fee 00
1/10/08 Valuation 0
5/09/09
Extension
805 00
PW WATER SYSTEM USE FEE 1265 00
Charced Paid Credited Due
05 00 805 00 00 00
00 00 00 00
165 00 1265 00 00 00
2070 00 2070 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 lauthorized 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
QJ
v
CALL 417 -4831 FOR UTILITY 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 ACCEPTED COMMENTS
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
CONSTRUCTION R.W PW/
ENGINEERING 417 -4831
I FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T \Policies \1102 1 [10/08]
RESIDENTIAL
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
PERMIT INSPECTION RECORD
YES 1 NO
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I I
I I I I
I I 1 I
2008-1228879
Page 1 of 1 Protct Covenant
Port Angeles City Of
Clallam County Washington 11/07f2008 1033:10 AM
IIII ~'i". ~~, ,IV, ,1'~I:I"lj.r..:,I.rl-'jLr"rrW'L!'M' !'m:~"ll! III
d'4/no V Ie. eo( ~
FILED AT THE REQUEST OF:
City of Port Angeles
Public Works Department
P.O. Box 1150
Port Angeles, WA 98362
COVENANT CONSENTING TO THE FORMATION
OF A LOCAL IMPROVEMENT DISTRICT
The undersigned, owners in fee simple of the real property herein described, consent to the formation of
a Local Improvement District (LID) in the CITY OF PORT ANGELES, Washington, including said
property, for the purpose of installing the public facilities required to improve Doyle Rd to City design
standards, including grading, drainage, pavement, curb, gutter, sidewalk, sanitary sewer, water mains,
and other necessary improvements as authorized by RCW 35.43.040 as now or hereafter amended, and
shall be binding on the owners, their heirs, assigns and successors in interest.
By signing this Covenant, the undersigned, their heirs, assigns and successors, shall be deemed to have
signed a petition initiating an LID including said property, under RCW 35.43.120 as now or hereafter
amended, and shall be precluded from having their signatures counted as part of a protest to divest the
City's jurisdiction to proceed with an LID including said property, under RCW 35.43.180 as now or
hereafter amended.
This Covenant authorizes the formation of no more than one Local Improvement District. After completion
of the LID, the City shall deliver a signed reiease of this Covenant to the owners, their heirs, assigns and
successors.
This Covenant shall be recorded and deemed to run with the land described as follows:
Parcel A Boundary Line Adjustment No. BLA 2007-0019,
Clallam County Parcel # 0630084401850000
More commonly known as 241 Doyle Road
for a period of time not to exceed ten (10) years from the date of execution of this covenant.
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STATE OF WASHING{St"IIIVIi/j
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COUNTY OF C~~\L "E 'J I tv ~ //.;-
On ~-,; pet!ici;;all~...,j}''l''r~befOre me V"'''U~ t. .>>..\.1 ~,.iIl\It..sG.. to me known to be the
individual(s) C&S . ~ jtQ3'1fd\\jfq,e!,e~t~the within instrument and a~knowledged that '""1\u:''''' signed the same as_
~free a"Bd ~1~ntitY act and" del;d forjf1e uses and purposes herein mentioned.
Gi~n un~er W'/IIltij\""d cjff'cial~eal this L.\ day of J.lDV 2008.
;::"'.... c.!"":::: /"'l'~'
%~""" USl\ ,.It...,og ( ..~t;rtA~ "C....\.A...L("..;"\
_ ~ r<" ............... ~0 " NOTARYPU~inandfortheStateofWasbjngton,
~ OF I S ~\ ,~ Residing at .....y~p or ~G:,r:'-G.c;.
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(Ower)