HomeMy WebLinkAbout525-543 Whidby Ave - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQU~ST 0... _ 6 1-
Date 7 "9..
U L\.. - 2-60 1'- :2 11 s-
Time
Received by
(phone, person)
Loh 101 by
Location of Work to be inspected S 2 c; - !::;( 7.- (~ ~ 9 - ~3)
Name of person requesting inspection r-t\JJ j [ ( 0 Y"
Address of person requesting inspection / '11 h. .&- L~
Type of Inspection (circle appropriate one)
Phone No
Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other L.) cA.. ~
INSPECTION NOTES
Inspected Date
Remarks
Time By
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RESTORATION REQUIRED
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
o Asphalt 0 PCC 0 Other
Wo~rder # -.2J 7 s
[l;?"'" COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
INSPECTrON REPORT
/
/
REQUEST
Dote / ~ '7 - 1 ~-
Time__
Received by__
(phone person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney
5 :1-2-. f {-G.!Ltd /-
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J 7+1r i- (J Phone No
~JI !v4//by I
Permit No
Plumbing Final Sewer Excav Other _~A~YJ--.
INSPECTION NOTES
Inspected Date -; - 7- r; )) _ Time__ By ~ [..-I 1 J c 0 /
Remarks __II.'-'2A.'-(' (J i.-<rUI!~{ front '7/(0...'/'1
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RESTORATION REQUIRED Af1' YES /' _ NO
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SURFACE RESTORATION I
SURFACE TV PE 0 Unimproved 0 Gravel [J Asphalt 0 PCC 0 Other _ -/Cr,? ;/() I L
Work Order # .-3."11-___
rJ COMPLETE (= d.. I ( I~-
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o No Damage Found lLVfNCOMPLETE F t \: [ i" ,r /
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(Contin e n reverse ~ide jf n8ces~8rv) STREET SUPERINTENDENT (DATE)
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o Repaired by Permittee
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PUBILlC WORKS & R/W PERMIT Issued 7/09/2002 Permit No
D Attached Notes Work Order'
OWNER/APPLICANT -- -- --- ~-HPROPERTY LOCATION---- - --
Ulliana Schuler 529 WHIDBY
POBox 11849 Lot:
olympia, W A 98508 Subdivision
000/607-6601 I Parcel No
PROJECT INFO ---- --~ -____.
Work is Value Work.
Plans Required Start Date I I Finish Date.
Contractor' CITY OF PORT ANGELES 3601000-0000
Performance Bond Required Amount: $0 00
Proof of Insurance
Work to Perform
[6]
,HI
[6]
PROJECT NOTES--H -~~-~_. _________
install water meters for seperate (existing 2 on one) locate new
meters next to existing. 525,527,529 531,539,541 address for all 6
bldgs.
Install
Repair
Watermain
L] Sanitary Sewer
o Storm Drain
I Underground Tele/Elec
D Misc
FEES ASSESSMENT- ---
1 ) R!W Excav'
2 ) Sidewalk.
3 ) Curb/Gutter'
4 ) Driveway'
5 ) Dwy Culvert:
6 ) Street Cut:
7 ) Other R!W
8 ) Fire Hydrant:
9) Res Water Servo
10) Comm Water Servo
11 ) Other Water Service
12 )Water System Dev'
13 ) San Sewer SFR
$000
$000
$000
$000
$000
$000
$000
$000
$1,92000
$000
$000
$000
$000
$000
5/8"
15 ) Other San Sewer'
16) Sew Tap Wye/Man Tap
17 ) Sew Capl W 1M Removal
18 ) Alter Repair Sewer'
19 ) Storm Drain
20 ) Catch Basin per ea.
21 ) Sewer System Dev'
22 ) Milwaukee Dr Sew Ass
23 ) R!W Use Perm
24 ) Admin Cost (0 RA)
25 ) 0 RA.
26 ) Misc:
TOTAL FEE.
14 ) San Sewer MFR
add unit
-- --...
Receipt No
Inspection Fee
o
Amount Paid
7479
$000
Balance Due
1299
o
Block.
II Long Legal
$000
I I
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$1,920.00
$1,92000
$000
-Liliana 0 Schuler Q
POBox 11849
Olympia, WA 98508
Tel 360 786-6001
Fax 360 236-9233
Iiliana schuler@masks org
Olympia, June 3, 2002
City of Pt. Angeles,
Tremia Funston
Re. my property on 525. 527. 529. 531. 539 and 541 Whidby Ave
Dear Tremla Funston,
According to our telephone conversation, I would like to order an
additional 3 water meters
3 are already on the property, so I would end up with 6 meters, one for
each house
Please tell the crew to locate the new meters right next to the old ones
I am including check # 1436, 7/02/2002 for $ 1920 -
Please contact me should there be any questions
Thank you for your help
Kind regards
L-l ~ &--t~ us-
Liliana Schuler
LILIANA O. SCHULER
FREDERIC W SCHULER
po. BOX 12089 (360) 786-6001
OLYMPIA, WA 98508
1436
7-J2- ~ ?-s8-81 01 13251
~~\HE UJ- Of- -:PTA(..'r~ 1$ i92.o
ORDER OF _ ~ _ { /
$Dtd ~'1-1S~~~~ ~~O~
TWIN COUNTY
CREDIT UNION ~L
po, BOX 718 ,
OLYMPIA. WA 98507 ,
(360) 357-9911 j '" ^
-3 "" e i..J ~jC--'..J ~
FOR W~cl ~ Ave ~.
I: 3 2 5 ~ 8 ~ 0 ~ 5 I: ~ ~ b ~ ... 7 ~ 0 ... II- ~ ... 3 b
(ze-
Safety 1-88'-971-4223
ACCOUNT
NAME
CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT
~,,~;.i";i""1';O'2""'"'1'''O'O''O'';''i'>''''~'''
""',,/- _ ::~1;(:>:,"-::__;.'," "'-;I,,:,,'J-:;"..,, "', ;,,:,t>:':)n
91132210028
I
':' h _ ~~,W~nf;~1r~t;1~;1Q9QI!ii!
650. 2319200
il~i#lj~~;1~t1gqp~1?lil}
Surcharge ($4 50)
o R.A. Fees Plus Interest
Burning Permit Fee
Fire InspecUPermit Fee
Fire Sprinkler Plan Review Fee
Construction
Plumbing
Mechanical
Sign
Clear/Grade Permit
House Moving
Sidewalk/Driveway/Curb PermiURight of Way Permit
Publications
Blueprints- Aerial
Administration Cost (5%)
Plan Check Fee
Engineering Service Fees
PERMIT
NUMBER
StreeU Alley Restoration
Storm Drain/ Tap
SNJ Co-Op
-
~v;;,; "'STREf;TfUNO .
Electrical Permits /Inspections
:~;h'~:,X,,:
..,;'.>.;;,,,.,,
~
."..'lJGflT;rPIVISIO,.,,;n~~*i1jt\rliii
~
~~;;I*ji~1E""bTAIi':~~PttAL'1~PR<:;>YEMEN"f"'r:PNP1J}i1:;1$fj~1;'1';'
ACCOUNT
NUMBER
001 2291000
001 2392000
60032290014
600.34220015
60034220016
711 32210017
711 32210018
71132210019
711 32210020
71132210021
711 32210033
711 32240011
711 34150000
711 34320000
711 34320010
711 34583000
711 34895000
DOLLAR
AMOUNT
'!.0giiMj~Q1t*j1'~1lQQQ~17J!1Jf4_
752.32210032
752.34490010
752.36990000
Property Sales
;1;lHi~;~~$i\ii;1jJ4;;rq)"~~tf!;W,1 MPR()V~ M ENLflJ~QjlL'\l"';:; ;.i;"',
Hot Tap (watermain)
F H. Install! Meter
W/M Installation -::j' 717"1' ~ .77;:;/.1
Water System Developement Charge
~ ;X&iJ.1~1q:l~]t1;q~ili~lWr
715 39510010 ~
.;ii~i';lltQIA~<<~tAi, jijjtri;:~,t!4;~;l~t1,gggm;Ul1lf_
753 34340023
753 34340024
753 34340025
753 34480010
/7- qq
,
; TOTJ.l I 'WATER FUNOitj;:ltf!i'[,;
Sanitary Sewer Permit
Sanitary Sewer Tap/Cap or MH Tap
Sewer System Development Charge
UUD 215/ Equivalent Service Connection Fee
;:(:,.-
ii'... 'TOT~;i:;;;)A
.;'.:...~;:":;'
J>
/ C-j z-v ';.-
:f,;.:~~:t14itQQQ;j~jliiJ_
75432210029
754 34350018
754 34350024
782.34350025
~UtJil%~!;IsM;:;Jj:;;tQI~J,1J\Y4STI:W~'fE~'.f=l.!NQY:M';;'it: ..riJJWt':j,'>;;d; <,j';;; . \j' ,'492:1J~'1()QP;;;;".iji;_
Milwaukee Dr Assessment 755 34370030 ~
1!;t,i!!!i#!1fiVi'Vii:rnrAti'l!PLlDW./IDEfIlNIliJ\,:m/'J ' ",Vi "';'!94)1}j'~Q()Il!;!i1i~
RECEIPT #
N~
7479
FILL-IN COMPLETELY - TOTAL EACH FUND AND GRAND TOTAL
?!.. ILIa.- II~ SCA t{ Ie r--
~~S; 20 Z '1 jV/f/d~~
G:\Group'Accl\Fonns\RfN.RecIPlb-Wks
La., Revised Dec. 1999
FAX TRANSMITTAL
CITY OF PORT ANGELES
ENGINEERING DIVISION
321 E 5th St
PORT ANGELES, W A 98362
(360) 457-0411
~
~
~
COMPANY NAME:
FAX:
/'J1K.S Sch tc.J~~
..:3 (QO-Z-3~-qZ33
--0 IYn1pI4 ~
-=rr en\tL F ~()I-\
JuPr\'E:\C:- t'r\~S -u)~\bB'I---B96
CONTACT NAME:
CITY / STATE:
SENT BY:
DESCRIPTION:
RETURN FAX NO. (360) 417-4709
IF THERE ARE ANY PROBLEMS WITH TRANSMISSION
.
CALL: (360) 417-4807 -ry.e "'\ ~
::r F 1.J.1..B. .cf'!h ~ eqoe.... i s U 5eb 4h <!. fee.. La) bU Lb
'Be ~ 160 -
Liliana 0 Schuler
POBox 11849
Olympia, WA 985081::
Tel 360786-6001
Fax 360 236-9233
liliana schuler@masks org
Olympia, June 3,2002
City of Pt. Angeles,
Tremia Funston
Re. my property on 525.527.529.531.539 and 541 Whidby Ave
Dear Tremia Funston,
According to our telephone conversation, I would like to order an
additional 3 water meters
3 are already on the property, so I would end up with 6 meters, one for
each house
Please tell the crew to locate the new meters right next to the old ones
I am including check # 1436, 7/02/2002 for $ 1920 _
Please contact me should there be any questions
Thank you for your help
Kind regards
sf
r-'-;- I
1 ~ I J1
t=:J r:r I:J
~ -0
~L,a~ _s:~~
Liliana Schuler
1---1 t\1 ~
fSO--L \L
C(flb,r--L } ~ t-6
D t- 11f\t 7
o~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQU~ST 0... _ 6 1-
Date 7 "9..
[) L\.. - 2-()0 1,- :2 175-
Time
Received by
(phone, person)
Luh ,01 by
Location of Work to be inspected S 2 c; - !::;( 7 - 6" ~ 9 - !;.3)
Name of person requesting inspection r-f\JJ j J (0 Y'
Address of person requesting inspection / '11 h 1r- l3
Type of Inspection (circle appropriate one)
Phone No
Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other L.) cA.. ~
INSPECTION NOTES
Inspected Date
Remarks
Time By
-:F jD ~ ~?'-- II t; IV -e. LO I Y~/~ { AJ ?\ f-er
5~ V (.) t l.-C" 5 -I;- 4n2f-e-r 5
RESTORATION REQUIRED
b D~~\~l, ~
U' L e '7
l\DJII
YES
/'
NO L/
Nt
W~iJ by
0r~-\6~~~\~
t
~I
{
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l) IIC
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Wo~rder # g 17S
[l;?"'" COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)