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Home My WebLink AboutMcGill Ave - BuildingApplication Number 05 00000480 Date 6/15/05 Application pin number 796000 Property Address NO PARCEL NUMBER ASSESSOR PARCEL NUMBER 99 Tenant nbr name MCILL STREET R/W Application type description CLEARING GRADING Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Owner Contractor construction CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES WA 983620217 OWNER ()conic. e 1 46 6 Structure Information 000 000 C/G RIGHT OR WAY Permit CLEAR GRADE Additional desc C/G 05 07 MCGILL RIGHT OF WAY Permit pin number 52050 Permit Fee 30 00 Plan Check Fee 00 Issue Date 6/15/05 Valuation 0 Expiration Date 12/12/05 Qty Unit Charge Per 1 00 30 0000 MIN CLEAR GRADE Fee summary Charged Paid Credited CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 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 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 Extension 30 00 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T \Policies\1102.15R [1/05] CALL 417 -4807 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 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \Policies \1102.15R [1/05] RESIDENTIAL PERMIT INSPECTION RECORD YES 1 NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION R.W PW ENGINEERING I I FIRE DEPT I PLANNING DEPT I III BUILDING I I I I I I I I I I CLEARING AND GRADING PERMIT APPLICATION nn CITY OF PORT ANGELES 4/C44 6- APPLICANT MAILING ADDRESS 7 ,6=-33G �J APPLICANT PHONE NUMBER: b 5 75 PLAN PREPARER (Architect/Engineer): d ,:�1.o S/� /21 c= PREPARER ADDRESS PHONE LOCATION OF PROPOSAL(street address or lot block APPLICANT OWNER OF PROPERTY(If not applicant, include tetter of authorization from property owner) DESCRIPTION OF PROPOSAL Also include plans, sketches or other information which would assist in our review) "t171./ /vac' /MAC -�7 _5 c/rG� 4 ,r//) /Qi /'7'-7 .�l ii vi y' l —1> y9:2 6 .2 0 5 SL p GyLV Estimated amount of material in cubic yards to be excavated imported or exported 7 6_O 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? /U D 2. Does the total amount of excavation or fill exceed 100 c.y O' 3 Will any portion of the grading, excavation or filling occur within 200 feet of any of the following /!J Shoreline Al,__) Stream, i t/D 40% or grater slope? If the answer to yes, please check the appropriate condition. 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 of Port Angeles Clearing and rading finance. (Applicant or authorized representative) (Date) Me following pages are for City use only t EXEMPTION DUE TO: A. Land clearing, grading, filling, sandbagging, diking, ditching or similar work during or after periods of extreme er or other emergency ditions that present immediate danger to life or property as authorized by the City Engineer B. Land c ing order by the City Council for abatement of a public nuisance. C Removal of diseased, or damaged trees which might constitute a hazard to life or pr. y D Clearing by a publt •.ency of a franchised utility within a public right -of -way or upo easement, for the purpose of installing and maintaining water storm, sewer po cable, or communications lines. E. Cemetery graves. F Non destructive vegetation trimmin• ith proper removal and disp. of debris. NOTE. EXEMPTIONS `G' THRU J' SHALL NO PLY IN SITUAT S WHERE PROPERTIES INCLUDE ENVIRONMENTALLY SENSITIVE AREAS. G. Land is one acre or less, except where an adjacen under the same ownership or chain of ownership has been similarly exempted so that the combined area is a greater than one acre erosion trot has not been re- established. H If a building permit is issued, no addition- earing grading or permit or associated fee will be required; provided that the standards established in this manual shall be as ed to the issuance of said bu g permit, I. Developments larger than one in improved areas served by paved str s, curbs, gutters, storm drains, and other drainage facilities, as authorized by the City engi. --r J Work, when approved the City Engineer in an isolated, self- contained area, if thris no danger to private or public property The proposed action s been determined to be exempt from a Clearing and Gr slk)g Permit based upon the information provided by the •Iicant. The basis for this exemption is as checked above A4so�iatt.. /Ji..wars- gamier Date P W 9020 rr f 7 d —i irr C G APPLICATION No. C--14`U4 OT= EXEMPT. G &G._PERMIT REQUIRED City Engineer bate Page 1 FOR AND IN CONSIDERATION of permission from the City of Port Angeles for the right to cL Cp,vy 2�c7 5 l� f 2 ��vti e on the property located at M G re--6 JO�7ef O C'(VC//LGL/ the undersigned, for themselves, their heirs successors and assigns hereby waives, releases, and forever discharges any claims against the City of Port Angeles or its employees for personal injuries or damages arising out of the entry onto the above referenced property for the purpose as set forth above The undersigned further agrees that they will save and hold the City of Port Angeles harmless from and defend the City against any and all claims and causes of action for personal injury or property damages to third persons arising out of or in any way connected with entry onto City property Dated this O of STATE OF WASHINGTON COUNTY OF CLALLAM On this 55 day of 2�,_ 1,0 .s, before me, the undersigned, a Notary Public in and for the/State of Washington, duly commissioned and sworn, personally appeared Mc:el 5 Vic'_ to me known to be the individual described in and who executed the foregoing instrument, and ack ow.ledged to me that (pl he signed and sealed the said instrument as (his/her free and voluntary act and deed for the uses and purposes therein mentioned Given under my hand and official seal the day and year in this certificate first above written r1194 (4, rA O °O .M04 o U B4 0 4 /23 /YO WAS WAIVER AND RELEASE ss yy;; L.-L.-n-11,- c G NOTARY PUBLIC in nd for the State of Washingt n, residing at Port Angeles, Washington I. PERMIT CONDITION REVIEW ROUTING. III. PERMIT APPROVAL. This certifies that the named applicant is granted a Clearing and Grading Permit for the work described and the purpose 1 To Public Works for Engineering requirements Date 113 35 shown in the application. This permit is granted subject to th terms of the agreement contained in the application, subject 2. To Planning Department (with engineering's requirem t the terms of the provisions of the City of Port Angeles For ESA and SEPA requirements. Date 3 Municipal Code and subject to all special conditions which ar attached to this permit or as noted in sections IV thru VIII 3. Retum to Engineering Permitting. Date following. Nothing permitted hereunder shall be deemed to override the provisions of any applicable law of the City 4 Copy of conditions to applicant Date County State or Federal Government. This permit expires one year from the date of issuance, unless otherwise specified by the City Engineer II. PERMIT FEE CALCULATIONS A. Grading and Filling Plan review and permit fee 0 -250 cy and less then 4' of cut or fill 0251 -1,000 cubic yards ($22.50) •1001 10,000 cubic yards ($30) •10,000 +cy ($30 +$15/10,000 cy) B. Clearing and Drainage Plan review and permit fee Less then one acre ($30) One acre -5 acres ($50) •Over 5 acres ($10 per acre) C. Additional plan review for changes, additions or revisions to approved plans at $30 per hr reg. and $60 per hr overtime. D SEPA review ($100) E. Total Permit SEA Review Fees PW -9020 [pg 2] Clearing and Grading Permit City gineer Permit No D to Date 3 SEE REVERSE SIDE FOR PERMIT CONDITIONS Page 2 oC� ,V4) Q KvIV 2-°-(J