HomeMy WebLinkAbout520 S Race St - Engineering
PUBILIC WORKS & R/W PERMIT
L I Attached Notes
OWNER/APPLICANT ------- --
MIKE & GUY LUND
520 RACe 3T <;;5 i c ~ ~
Port Angeles. W A 98362
000/604-2346
PROJECT INFO
Work is
Plans Required Start Date
Contractor' MORRISON EXCAVATING
Performance Bond Required Amount:
Proof of Insurance
Work to Perform
Issued
11126/2001
Permit No
Work Order'
1224
o
PROPERTY LOCATION ----
520 RACE S
Lot: N 1/2 L T 17/18 BLA99-02
Subdivision TPA 0
Parcel No 06300001949see- r I
Block, 194
Long Legal
Value Work
$000
I I
Finish Date
360/452-7179
I I
$000
I l Install
_ Repair
[ I Watermain !
Sanitary Sewer
Storm Drain
Underground TelelElec
!. ~ Mise
PROJECT NOTES
repair existing side sewer
FEES ASSESSMENT
1 ) R/W Excav' $45 00 15 ) Other San Sewer' $000
2 ) Sidewalk $000 16 ) Sew Tap WyelMan Tap $000
3 ) CurblGutter' $000 17 ) Sew Capl W 1M Removal $000
4 ) Driveway' $000 18 ) Alter Repair Sewer' $000
5 ) Dwy Culvert: $000 19 ) Storm Drain $000
6 ) Street Cut: $000 20 ) Catch Basin per ea, $000
7 ) Other R/W $000 21 ) Sewer System Dev' $000
8 ) Fire Hydrant: $000 22 ) Milwaukee Dr Sew Ass $000
9) Res Water Serv' $000 23 ) R/W Use Perm $000
10) Comm Water Serv' $000 24 ) Admin Cost (D RA) $000
11 ) Other Water Service $000 25 ) D RA. $000
12 )Water System Dev' $000 26 ) Mise: $000
13 ) San Sewer SFR $000 ----~..~-
TOTAL FEE. $45.00
14) San Sewer MFR $000 ---- ------
add unit 0 Amount Paid $45 00
-----
Receipt No 7377 ----...- --- -
.--
Inspection Fee $000 Balance Due $0.00
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST /;
Date 1/ z!~/o/
Time
Received by
-r~
I /
(PhOne~
location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Ty e of Inspection (circle appropriate one)
oundation Framing Chimney
,5""'20 S ICO(J1/
LL( I7D - I-ntJ/ceISCJr;
Phone No
Permit No
Plumbing Final Sewer Excav Other
/zv;
la~.ti~~~)TES I _ /
Inspected Date 11/Z-,7j t/ / Time P fV1 By C;;;L -0 t.. - 0 ?
Remarks ~ ----*- ---/----;
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RESTORATION REQUIRED
YES
NO
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel M Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST Iz ~
Date /0, 2: OZ--
Time
-----=
Received by / Y
II
(phone, person)
location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
(~Zv S Ra~
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Phone No
Permit No
JZZ4 -
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected Date Time By
Remarks. --jirn - 9(/ /1./~#(7 #./7~ ~'?/r c#/5-
1l//~~,4 ,- ,/f~/ /,/ ./;/LL- ~/Z /---1/;_
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-FfW'~'i5'~ci~t~ii~-; ~t.:.t~a><~.7lE;<~ NO r
,
SURFACE RESTORATION' /'
SURFACE TYPE 0 Unimproved 0 Gravel [!31\sphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
~ COMPLETE A~O-. ~e..~o.\{'clw \t~
o INCOMPLETE \-to1;: M,,, \ \-l- 07-.
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(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
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CITY OF POR T ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
PUBILle WORKS & RIW PERMIT
Attached Notes
OWNER/APPLlCANT
MIKE & CUY LUND
520 RACE ST
PW CITY PW State PW Zip
000/604-2346
PROJECT INFO
WO,-k is
Plans Required No
Contractor OWNER
Performance Bond Required
Proof of Insurance
Work to Perform
PROJECT NOTES
FEES ASSESSMENT
1 ) R/W Excav
2) Sidewalk
3) Curb/Guiler
4 ) Driveway
5) Dwy Culvert
6 ) Street Cut
7 ) Other R/W
8) Fire Hydrant
9 ) Res I/valer Scrv 518'
10 ) Cornm Water Serv
11 ) Other Water Service
12 )Water System Dev
13 ) San -Sewer SFR
14) San Sewer MFR
add unIt 0
Receipt No
lnspeetior' Fee
R/\\ '" \i\! I \In
5541
SO 00
\\ \TfR
Start Date
Amount
Install
Repair
Watermain
$40 DC
$000
SO 00
SO 00
SO 00
$200 00
SO 00
$000
S550 00
SO 00
SO 00
S883 00
$000
$80 00
Issued 10/18/1999
, , PROPERTY LOCATION
520 RA.CE S
Lot A
I Subdivision
i
I Parcel No
In
TPA
Permit No 99,
WOl'k Order' 0
Block 194
'_ong Legal
$000
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Value Work
1 1
-in ish Date
1 1
SO 00
SO 00
SO 00
$000
$000
SO 00
$642 00
SO 00
SO 00
SO 00
SO 00
SO 00
206/000-0000
$000
Sanitary Sewer
Storm Drain
Underground Tele/Elec
Mise
$2,395 00
S2 395 00
$000
OTHER
Separate Permds are reqLmed (or electncai work utilities private and public Improvements This permi! becomes nul: and void if work or I
construction ault10nzed s not comrnencecJ within 180 days If construction or work is suspended or abandoned for a periOd of 180 days
after the work. as comme,lced or If required Inspections have not been requested within 180 days from the last inspection I hereby certify
that I hav~ reod ""G exar1llned thiS application and know the same to be true and corred, All provisions of laws and ordinances governing
Ihls type of work. will be compiled With whether specified herein or not The granting of a permit does not preSl!me to give authority to
VIOlate or cancel ,he provIsion" of an) slale or local law regulating construction or the performance of construdlon
Signature of ContractOr or AUlrlorlced Agent
10- 'I
Dale
15) Ottler San Sewer'
16) Sew Tap W' 2/Man Tap
17 ) Sew Capl W/M Removal
18 ) Alter Rep8ir 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 R.A)
25 ) 0 R A
26 ) Mise
TOTAL FEE
Amount Paij
Balance Due
DW'l
STORM rw 1\
Signature of Owner (if owner is builder)
Date
Loc(1\lon of Work to be Inspected
Nallle of person reqllestlfl~J inspection
Address of person reqllest1llCj Inspection
Type of Inspection (c rcle approp;'late one)
REQUEST
D,lte, I--r,'?/--OC)
--_.~-/-----~~:__..._--- ---- ....
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CIT\' Or-: PORT ANGELES
DEPART!\~ENT OF PUBLIC WORKS
INSPECTION REPORT
Time
Received by_ __
_u____ (phone p(lrSr)Jl)
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Fhcne No
Permit No
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Sewer Foundatir'n FramlJlCj Chimney Plumbing Final Sewer Excav Oi:her
IhlSPECTIOI\l NOTES
In,,pected D:HC__.l
Remar',s _
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Tim e ____ _J-:1! _i,..._
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YES
NO
RESTORATION REQUI RED
SURFACE RESTORATION
SURFACE T'f PE i. 1 Unimproved
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~ Other ____
c., Repaired by City Wor" Order /I _____~___
[~ Repaired by Perrntl?tl COMPLETE ~
1_ I ;\10 Damage Found '':':: INCOMPLETl1 {!{71~t. I /ZOOc?
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iCnrtinue on reverse side if necessaryl ' STREET SUPERINTENDENT - (DATE)
BUI~~DING PERMIT INSPECTION RECORD
LALL 417,4815 FOR BUILDING I'ISPECllO'iS PLEASE PROVIDE A MI'iIM'jl-i 24 HCl F NOll f
I^<SL'U nOR COVCEAI 4N} WORJ... BEFORE IN'lPHCTED AND ACCEPTED pOST PI R~llT ''I ,\
f~ [,\14 HFlI. rn COHiR
(),"I-;)'I<. ~Ol''' I O( ATION
KEEP PF.R'v1IT CARD ...ND APPROVED PLAN'; ... T lC 'J ITE
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FOOTINGS
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FOlJ:';[)A 110N DRAINAGE
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~ORTANGELES
[3/2/md /221
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WAS H I N G TON, USA
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PUBLIC WORKS & UTILITIES DEPARTMENT
October 23,2002
Guy Lund
810 East 4th Street
Port Angeles, W A 98362
RE Asphalt repairs at 520 south Race Street
tl: }'{c{ 1224
$'4 r' (>0
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It has been brought to my attentIOn the asphalt restoratIOn for the sanItary sewer repaIr for
your duplex at 520 South Race Street has not been completed. At the tIme of Issuance the
sewer repair permIt dId not mclude any work wIthIn the CIty nght of way It wIll be your
responsibIlIty to have the repaIrs completed or apply for an asphalt restoratIon permIt and
have the CIty do the repaIrs WhICh ever you choose, the repaIrs need to be completed wlthm
the next 30 days. If the CIty'S crew does the restoratIon the fee wIll be $300 00
Please contact me at 417-4807 as to when and how the repaIr WIll be completed.
Smcerely, ./
~~
Trema Funston,
Engmeenng PermIt SpeCIalIst
cc: Address File
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321 EAST FI FTH STREET · POBOX 1 150 · PORT ANGELES WA 98362-0217
PHON E 360-417-4805. FAX 360-417-4542 . TTY 360-417-4645
E-MAIL PUBWORKS@CI PORT-ANGELES WA US