HomeMy WebLinkAbout415 S K St - Engineering
PUBILIC WORKS & R/W PERMIT
Issued
8/20/2002
Permit No
Work Order'
1312
o
1--1 Attached Notes
OWNER/APPLICANT
CARLA HOWE
415 SOUTH "K" ST
Port Angeles, W A 98363
000/604-7048
PROJECT INFO
Work is
Plans Required
Contractor'
Performance Bond Required
Proof of Insurance
Work to Perform
PROPERTY LOCATION-
415 K ST S
Lot: 11
Subdivision
Parcel No
Block. 129
TPA
063000012955000
~>(] Long Legal
Value Work.
$000
Start Date
/ /
Finish Date
000/000-0000
/ /
Amount:
$000
I J Install
~_: Repair
[i Watermain
Sanitary Sewer
Storm Drain
Underground Tele/Elec
[J Misc
PROJECT NOTES- -- ___ __
contractor to install sidewalk along 5th Street and a protion of
"K" Street
FEES ASSESSMENT- --- --~ ------.., ---- ----
1 ) R/W Excav' $45 00 15 ) Other San Sewer' $000
2 ) Sidewalk: $000 16) Sew Tap Wye/Man Tap $000
3 ) Curb/Gutter' $000 17 ) Sew Cap/ W /M 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 Servo $000 23 ) R/W Use Perm $000
10 ) Comm Water Servo $000 24 ) Admin Cost (0 RA) $000
11 ) Other Water Service $000 25 ) 0 RA. $000
12 )Water System Dev' $000 26 ) Misc' $000
13 ) San Sewer SFR $000 -. -- ---- -- ----.- ----
TOTAL FEE $45.00
14) San Sewer MFR $000
add unit 0 Amount Paid $45 00
- --
Receipt No 7480 --- --
Inspection Fee $000 Balance Due $0.00
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Absolute Concrete rnc
090902
09/09/02
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Absolute Concrete rnc
816 S Valley
Port Angeles WA
98362
/
/
10/04/02
Setup & pour concrete
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OCTOBER 04, 2002
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646 50
72487
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CONTRACTORS INVOICE
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WORK PERFORMED AT
TO'
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DATE
YOUR WORK ORDER NO
OUR BID NO
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All Material is guaranteed to be as specified, and the above work was performed in accordance with the drawings and specifications
provided for the above work, and was completed in a substantial workmanlike manner for the agreed sum of
~ k,,,,J,,, ,I ~~ ~Vi.. J-rULlQ '"\ %' - 0011",.($ ~l,,'H~ 'if) )
This is a D Partial ~Full invoice due and payable by.
Month Day Year
in accordance with our ~ Agreement D Proposal
No.
Dated
Month
Day
Year
a" TC8122
__ MADE IN USA
CONTRACTORS INVOICE
415 South "K" Street
PUBLIC WORKS CONSTRUCTION Issued 11/23/98 Permit No ~O
& R/W PERMIT Cond Work Order 0
OWNER/APPLICANT----------------________PROPERTY LOCATION------__________________
CARLA HOWE : 415 K ST S
415 SOUTH "K" ST : Lot 11
Port Angeles,WA98363 : Block 129 Long Legal ~
360/417-0548 : Sub TPA ~
PROJ ECT I NFO- - - -- __ _ _ __ _ __ ___ __ _ ____ __. _ _ __ _ _ _ _ __ _ _ _ _ __ _ _ ____ _ _ _ _ _ ____ ___ ____ ___ _ _
Work is OUTSIDE traveled road Value Work $0 00 ~
Plans Required N/A Start / / V\
Contractor Finish / /
~
Performance Bond Required N/A Amount $0 00 -
Proof Insurance 7\
-
-
Work to Perform
Watermain
Sanitary Sewer
Storm Drain
Underground Tele/Ele
Misc
NOTES--------___________________________________________________________
PROJECT
~ROJECT FEES ASSESSMENT-----_____________________________________________________
R/W Excav
Sidewalk
Curb/Gutter
Driveway
Dwy Culvert
Street Cut
Other R/W
Fire Hydrant
Res Water Serv
5/8"
3/4"
1 "
Comm Water Serv
1 "
1 1/2"
2"
Oth Water Serv
Water Sys Dev
Receipt No
[nspection Fee
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
$0 00
San Sewer SFR
San Sewer MFR
Add UnIt
Other San Sewer
Sew Tap Wye/Man Tap
Sew Cap/ W/M Removal
Alter/Repair Sewer
Storm DraIn Tap
Catch Basin per ea
Sewer System Dev
Milwaukee Dr Sew Assess
R/W Use Perm
D R A
Admin Costs (D R A)
Misc
$0 00
$0 00
o
$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
$0 00
$0 00
------------------------------
------------------------------
TOTAL FEE
AMT PAID
$0 00
$0 00
$0 00
-----------------------
BAL DUE
$0 00
.....
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . .
.....
REQUEST
1/-- 2- 34 I
Date
Time
Received by
.-,-
/ J-::::--
,
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
c!9 Foundation Framing Chimney
I' II
4/ ~ $0 Ie - ~
() a.Q1.u \ Ph.. tfUJ,~A 7lJl.Lt:1.. ~ 'l 11_ ~ II -<- I A ---
Phone No '7 - &S Sl8 \5\
Permit No
VJ
....
7\
Plumbing Final Sewer Excav Other
INSPECTION NOTES d-~ r}
Inspected Date /1- ~ t:j!
,
Remarks
Time
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By
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RESTORATION REQUIRED
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YES
NO ~
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
Cl No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)