HomeMy WebLinkAbout2001 E 1st St - Engineering
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PUBLIC WORKS CONSTRUCTION Issued: 9/18/96 TF Permit No: 534
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
CITY OF PORT ANGELES I 2001 1ST ST E
I Lot: 2
I Block: Long Legal:
000/000-0000 I Sub: SP 96 (01) 02 LOT 2
PROJECT INFO--------------------------------------------------------------------
Work is INSIDE traveled road Value Work: $0.00
Plans Required: N/A Start: / /
Contractor: OWNER Finish: / /
Performance Bond Required: N/A Amount: $0.00
Proof Insurance:
Storm Drain
* Underground Tele/Ele
Misc
PROJECT NOTES-------------------------------------------------------------------
10 & 30 u/g primary extension North side Hwy 101 for Taco Bell/Pizza
Hut east of Gray Motors
Work to Perform:
Watermain
Sanitary Sewer
PROJECT FEES ASSESSMENT---------------------------------------------------------
R/W Excav: * $0.00 San Sewer SFR: $0.00
Sidewalk: $0.00 San Sewer MFR: $0.00
Curb/Gutter: $0.00 Add Uni t: 0
Driveway: $0.00 Other San Sewer:
Dwy Culvert: $0.00 Sew Tap Wye/Man Tap:
Street Cut: $0.00 Sew Cap/ W/M Remova l:
Other R/W: $0.00 Alter/Repair Sewer:
Fire Hydrant: $0.00 Storm Drain Tap:
Res Water Serv: $0.00 Catch Basin per ea:
5/8" Sewer Sys tern Dev:
3/4" Mi lwaukee Dr. Sew Assess:
1"
CORm Water Serv:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
R/W Use Perm:
D .R.A.:
Costs (D.R.A):
1"
Admin
1 1/2"
2"
Oth Water Serv:
Water Sys Dev:
Misc: no fee
$0.00
$0.00
TOTAL FEE:
AMT PAID:
$0.00
$0.00
Receipt No:
Inspection Fee:
BAL DUE:
$0.00
$0.00
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CITY OF PORT ANGELES
PUBLIC WORKS . BUILDING DIVISION
321 EAST 5TH STREET; PORT ANGELES, WA98362
PUBLIC WORKS CONSTRUCTION Issued: 10/29/96 TF Permit No: 535
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
ORCHARD FOODS 2001 1ST ST E
PO BOX 3903 Lot: 2
SILVERDALE,WA98383 Block: Long Legal:
360/697-3901 Sub: SP 96 (01) 02 LOT 2
PROJECT INFO--------------------------------------------------------------------
Work is INSIDE traveled road Value Work: $0.00
Plans Required: N/A
Contractor: MASTER CONSTRUCTION CORP
Start:
Finish:
/ /
/ /
Performance Bond Required: N/A
Proof Insurance:
Amount:
$0.00
Work to Perform: INSTALL * Watermain
* sanitary Sewer
* storm Drain
* Underground Tele/Ele
* Misc
PROJECT NOTES-------------------------------------------------------------------
water meter $1000.00 if drop in meter ready
$30.00 per hr for inspection for water line/sanitary sewer/dwy/stm
by Public Works Engineering Division. Baterial water test $125.00
PROJECT FEES ASSESSMENT---------------------------------------------------------
R/W Excav: * $40.00 San Sewer SFR: * C$.80._0.0:'>
Sidewalk: $0.00 San Sewer MFR: $0.00
Curb/Gutter: 0.00 Add unit: 0
Driveway: * 125.00 Other San Sewer: $0.00
Dwy Culvert: 0.00 Sew Tap Wye/Man Tap: $0.00
Street Cut: $0.00 Sew Cap/ W/M Removal: $0.00
Other R/W: $0.00 Alter/Repair Sewer: $0.00
Fire Hydrant: $0.00 Storm Drain Tap: $0.00
Res Water Serv; $0.00 Catch Basin per ea: * ~~~
5/8" Sewer System Dev: C-$.2., 13 6. 00 ~
3/4" Milwaukee Dr. Sew Assess: $0.00
I" R/W Use Perm: $0.00
Comm Water Serv: *("$2,000.00:::> D.R.A.: $0.00
I" Admin Costs (D.R.A): $0.00
1 1/2" Misc: inspection p/w $300.00
* 2" ===============================
Oth Water Serv: * CJu25. 00--:>
Water sys Dev: * $7,064.00 J
Receipt No: 2617 $0.00 0 1\ln\hl1
Inspection Fee: ~ ll' VI
TOTAL FEE:
AMT PAID:
$14,910.00
$14,910.00
BAL DUE:
$0.00
RIW
SANITARY
WATER
DWY
STORM
DRA
OTHER
Separate Permits are required for electrical work, utilities, private and public improvements. This perm~ becomes null and void ~ work or
construction authorized is not commenced within 180 days, ~ construction or work is suspended or abandoned for a period of 180 days after
the work as commenced, or ~ 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 perm~ 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.
Date
Date
Sin nature of Contractor or Authorized Aaent
Sianature of Owner lIT owner is builder)
PUBLIC YORKS CONSTRUCTION
& R/W PERM! T
OWNER/APPLICANT------
CITY OF PORT ANGELES
Issued: 9/18/96 TF Permit No: 534
Cond: work Order: 0
_ __ -PROPERTY lOCAT IONu - - u.u - u_. uu -. - - --
2001 1ST ST E
Lot: 2
Block: Long Legal:
Sub: SP 96 (01) 02 LOT 2
000/000-0000
PROJECT INFO- - - - - - - - - - - - -. - - - - - - - --
York is INSIDE traveled road
Value \Jork:
$0.00
Plans Required: N/A
Contractor: OWNER
Start:
Finish:
I I
I I
Performance Bond Rcqui r'cd: N/A
Proof Insurance:
Amoun t :
$0.00
\Jork to Perform:
Watcrma i n
Sani tary Sewer
Storm Drain
* Underground Telc/Ele
Mise
PROJECT NOTES-' - - - - - - - - - - - - - - - - - - ----- - - - - - - - - - --- - - - - - - - - - ------ - - - - - - -- - --
10 & 30 u/g primar'y extension North side Hwy 101 for Taco Bell/Pizza
Hut east of Gray Motors
PROJECT FEES ASSESSMENT----------------------------------------._------..-------
R/W Excav: $0.00 San Sewer SFR: $0.00
Sidewalk: $0.00 San Sewer MFR: $0.00
Curb/Gutter: $0.00 Add Unit: 0
Driveway: $0.00 Other San Sewer: $0.00
Dwy Culvert; $0.00 Sew Tap \.Jye/Man Tap: $0,00
Street Cut: $0.00 Sew Capl W/M Remova l : $0.00
Other R/W: $0.00 Al ter/Repai r. Sewer: $0.00
Fire Hydrant: $0.00 Storm Drain Tap: $0.00
Res Yater Serv: $0.00 Catch Basin pcr ea: $0.00
5/8" Sewer System Dev: $0.00
3/4" Mil waukee Dr. Sew Assess: $0.00
1" R/W Use Perm: $0.00
Corrm 'Water Serv: $0.00 D R .A.: $0.00
1" Admin Costs (D .R.A) : $0.00
1 1/2" Mise: no fcc $0.00
2" ------------------------------
------------------------------
Oth 'Water Serv: $0.00
'Water Sys Dcv: $0.00 TOTAL rEE: $0.00
AM! PAID: $0.00
Receipt No: ----------_.-----
Inspection Fec: $0.00 BAL DUE: $0.00
---....
-".
i
5~q
PUBLIC ~ORKS CONSTRUCTION Issued: 10/29/96 TF Permit No: 535
& Rj\J PERMIT Cond: \Jork Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
ORCHARD FOODS 2001 1ST ST E
PO BOX 3903 Lot: 2
SILVERDALE,\JA98383 Btock: Long Legal:
360/697-3901 Sub: SP 96 (01) 02 LOT 2
PROJECT INFO--------------------------------------------------------------------
\Jork is INSIDE traveled road Value ~ork: SO.OO
Plans Required: N/A
Contractor: MASTER CONSTRUCTION CORP
Start:
Finish:
/ /
/ /
Performance Bond Required: N/A
Proof Insurance:
Amount:
$0.00
\Jork to Perform: INSTALL. \Jatermain . Storm Drain
. Sanitary Sewer . Underground Tele/Ele
. Mise
PROJECT NOTES- - - - - - - - - - - - - - - --- - - - - - - ---- - - - - - - - - - - - - - - --------- - - - - - - - - - - - - - - --
water meter S1000.00 if drop in meter ready
$30.00 per hr for inspection for water line/sanitary sewer/dwy/stm
by Pubtic \Jorks Engineering Division. Baterial water test $125.00
Oth \Jater Serv: .
\Jater Sys Dev: *
$125.00
$7,064.00
I
'1 iVjq(p
$0.00
$0.00
$0.00
$0.00
$0.00
$40.00
$5,136.00
$0.00
$0.00
$0.00
$0.00
$300.00
. 21t
------------------------------
------------------------------
TOTAL FEE:
AMT PAID:
$14,910.00
$7,404.00
Receipt No:
Inspection Fee:
$0.00
BAL DUE:
$7,506.00
~
~;?
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DNISION
321 EAST 5TII STREET, PORT ANGELES, WA 98362
PUBLIC WORKS CONSTRUCTION Issued: 10/29/96 TF Permit No: 535
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
ORCHARD FOODS 2001 1ST ST E
PO BOX 3903 Lot: 2
SILVERDALE,WA98383 Block: Long Legal:
360/697-3901 Sub: SP 96 (01) 02 LOT 2
PROJECT INFO--------------------------~-----------------------------------------
Work is INSIDE traveled road Value Work: $0.00
Plans Required: N/A
Contractor: MASTER CONSTRUCTION CORP
Start:
Finish:
/ /
/ /
Performance Bond Required: N/A
Proof Insurance:
Amount:
$0.00
Work to Perform: INSTALL * Watermain
* Sanitary Sewer
* Storm Drain
* Underground Tele/Ele
* Misc
PROJECT NOTES-------------------------------------------------------------------
water meter $1000.00 if drop in meter ready
$30.00 per hr for inspection for water line/sanitary sewer/dwy/stm
by Public Works Engineering Division. Baterial water test $125.00
PROJECTR~~E~X~;~~S~MEN~~~~-r?ct---I-;~----------~~~-~~~~~-~;~~-:-----$;~~~~--
Sidewalk: $u.OO \j \ ~ II! San Sewer MFR: $0.00
Curb/Gutter: $0.00 0 V Add Unit: 0
Driveway: * $125.00 [ Other San Sewer: $0.00
Dwy Culvert: $0.00 Sew Tap Wye/Man Tap: $0.00
Street Cut~ $0.00 Sew Cap/ W/M Removal: $0.00
Other R/W: $0.00 Alter/Repair Sewer: $0.00
Fire Hydrant: $0.00 Storm Drain Tap: $0.00
Res Water Serv: $0.00 Catch Basin per ea: * $40.00
5/8" Sewer System Dev: * $5,136.00
3/4" Milwaukee Dr. Sew Assess: $0.00
1" R/W Use Perm: $0.00
Comm Water Serv: * $2,000.00 D.R.A.: $0.00
1" Admin Costs (D.R.A): $0.00
O~~t:~~;;::;~:: $'~:;:::: ff'1~1fi\~~~=:~-:::::::::~-~~~:::::O~
:~ V AMT PAID: $340.00
Receipt No:
Inspection Fee:
R/W
SANITARY
$0.00
WATER
BAL DUE:
$14,570.00
DWY
STORM
DRA
OTHER
Separate Permits are required for electrical work, utilities, private and public improvements. This permtt becomes null and void tt work or
construction authorized is not commenced wtthin 180 days, tt construction or work is suspended or abandoned for a period of 180 days after
the work as commenced, or tt required inspections have not been requested wtthin 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 permtt does not presume to give authority to violate or cancel the
prOvisions of any state or'locallavv regulating construction or the performance of construction.
Sicnature of Contractor or Authorized Acent
Date
Sicnature of Owner (tt owner is builder)
Date