HomeMy WebLinkAbout2238 Lindberg Rd - Engineering
PUB/LlC WORKS & R/W PERM/T
o Attached Noles
OWNER/APPLICANT
Mantooth
2238 East Lindberg Rd
Port Angeles, WA 98362
000/600-0000
PROJECT INFO
Work is:
Issued: 1/16/2003
Permit No:
Work Order:
1362
o
PROPERTY LOCATION
2238 LINDBERG RD E
Lot: Block:
Subdivision:
Parcel No: 630132101502001 0 Long Legal
Value Work:
$0.00
Pians Required: Start Date: I I Finish Date: I I
Contractor: QWEST COMMUNICATIONS 3601000-0000
Performance Bond Required: Amount: $0.00
Proof of Insurance:
Work to Perform: [:><J Instali 0 Sanitary Sewer 0 Mise
o Repair 0 Storm Drain
o Watermain [:><J Underground Tele/Elec
PROJECT NOTES
placement of SSW 20 feet along the Lindberg Rd right of way
FEES ASSESSMENT
1.) RIW Excav: $0.00 15.) Other San Sewer: $0.00
2.) Sidewalk: $0.00 16.) Sew Tap Wye/Man Tap: $0.00
3.) Curb/Gutter: $000 17.) Sew Capl W 1M Removal: $0.00
4.) Driveway: $0.00 18.) Alter Repair Sewer: $0.00
5.) Dwy Culvert: $0.00 19.) Storm Drain: $0.00
6.) Street Cut: $0.00 20.) Catch Basin per ea: $0.00
7.) Other RIW: $0.00 21.) Sewer System Dev: $0.00
8.) Fire Hydrant: $0.00 22.) Milwaukee Dr. Sew Ass: $0.00
9.) Res Water Serv: $0.00 23.) RIW Use Perm: $0.00
10.) Comm Water Serv: $0.00 24.) Admin Cost (ORA) $0.00
11.) Other Water Service: $0.00 25.) D RA. $0.00
12.)Water System Dev: $0.00 26.) Mise: $0.00
13.) San Sewer SFR: $0.00 TOTAL FEE: $0.00
14.) San Sewer MFR: $0.00
add unit 0 Amount Paid: $0.00
Receipt No:
Inspection Fee: $0.00 Balance Due: $0.00
AUG 01 2002 15:09 FR TRAFTON B
2534711324 TO 13604174709
P.01/03
QWEST COMUNICATIONS
FACSIMILE TRANSMITTAL SaEET
.ro~
T. Funston
FROM:
Ryan Fuqua
DA'rE:
08/01/02
COMPANY:
Pan Orchard
FAX NUMBER:
360-417-4709
TOT^L NO. OF' PAGES INCLUDING COVER:
3'
PHONE NUMBER:
360-876-4991
SEND:Elil:S PHONE NUMBER
253-473-0788
Rr::
SENDER'S FAX NUMBER
253-471-1324
o UllGENT 0 FOil REVIEW
o PLEASE COMMENT 0 PLEASE REPLY
o PLEASE RECYCLE
NOTl.~~/COMMENTS:
Permit application for thc following job(s):
W00203636/876C
ffi\ l,t [g ~
d - 2 200l \ VI
~
Thank you,
-Ryan
:7free- -r s <A-f6 e-
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7S50B S TRA.FTON
TACOMA, VilA 9B409
JAN 15 2003 15:20 FR TRAFTON B
253 471 1324 TO 13604174709
P.02/03
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0UIlUC WCII'a
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Permit To Perform Work In Strollt RiBht~f.WaY
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APPLlCA TION is hereby m~de 10 the municipality of PORI' NJr.I""."'R
noted hereon and as .hown on anached drawing:
_ to perfarm work as
PLEA f:::t:..
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A\CACtt6b
..s~:~#' WO(/J'$f/J~Z.61l+5~
ft.;ft:e"'lc,.rf OF BS\W
f-D TO l/Vl.L.UDE
fot<- OUF- c'usro""E/:' J/T lz3g f
20 FEET )jl-DJV(,. rHE fZ..ovv
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Approved:
Water Department - Su.perlntendent
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Sewer Depuanent - Superintendent
The estimated tlme for "completion of the above work Is ID 7:>AYS ~:FlelL (I F"(,EII~'I
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Date :5AN I> "1.00)
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fHolt,E:'Z53- '473-07gg
-r-A~ L ~3 -471-/321
By fUA'" M,
FlJQulI
Contractor Owner
DWES-r IAl"PN ;~\U fZ.OOM. ./10
7~;OA. S T/!.4H/11V TI'I<:v,",A,"';A ~'~,'{QI",>
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THE ABOVE APPLICATION IS HEREBY GRANTED SUBJEcr TO APPl.ICANT'S:
'i.
Complying wilh all Municipal Ordinances;
Notifying the Street Superintendent of the time the work will.tar:. and when it will finish;
Prosecuting the worl< with dilillence and with au" respect to all prop"rty, contracts, penon.'
riSllts and the intereSTS and convenience of the pUblic;
Saving the Municipality harmless from any and all damallea which rnay accrue to Bny person
or property beclluse of this installation or the maintenance thereof;
Complying with following spedal conditions:
'I'.'':
Date
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JAN 15 2003 15:20 FR TRAFTON B
Qwest Job:# W()(/J3rt>f/Jl.~I/I.fSZr:
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2534711324 TO 13604174709
P.03/03
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This request for permit is for the placement of underground telephone service wire"toi'i:,?:
our customer at the following address: ",,,-,
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Section:
Township:
'Range: '
This work will require:
Trenching in the R/W (total footage) ZO'
Push or bore 2 inch PVC or BIP under roadway (total footage) ~
Push or bore 2 inch pVC or BIP under driveway (tOtal footage) e
Push or bore 2 inch pVC or B'IP under multiple driveways (total footage) (;;6
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** TOTAl PAGF. IilCl **
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: .
Date "0 - / /- OS
Time .;<: J 0 . ~ 171. Received by
I .
Location of Work to be inspectedr7<.2J8 h,J6erCj fJ
Name of person requesting inspection Ue:..-t e / 0,,/,
Address of person requesting inspection f7 0:3 .s <!) f5 '5/
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
7/7
(PhOn~er~
Phone No. 'I17-'I"J'Cf,'1
Permit No.
sewerE~,cav. e.v uva.Ter
INSPECTION NOTES:
Inspected: Date ~ -//-0<) .' Time . ..J :.10 r;/'Yl. By 7/7
v.
Remarks:
1-.''1/''10/l.5 hrd< ,J.. I\' !VL l?Ia;,~ . ,..l'n/'7a-'./:nc;~ !r~6er1 R).
1 ? 1 )/ \~' ,..~ \'e~~
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RESTORATION REQUiRED...... YES Y NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel p?JAsphalt OPCC OOther
Work Order # 3o~st}. - 0'10
~ COMPLETE iI'~ 'te.~l~ vJ\~
)Q INCOMPLETE KCt ~''>( 'fj-ll-C'lS
vJ( (j ~L.\ tb ~7\ _ ~
o Repaired by City
o Repaired by Permittee
o No Damage Found
,.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date '0 - / /- 05'
Time ;<: J 0 ~ II'\. Received by
I
Location of Work to be inspected J;l.Jg j,,J6er7 fJ
Name of person requesting inspection Ue...t e, 0/,/ ,
Address of person requesting inspection t7 03 .s G> f3 5'/ Phone No. L.j17-'i~C;f
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. e.v C/L./t:l1 e.r
7/7
(PhOn~r~
Time .:3 :]Q fm. By 7/7
,J. l~ f(/'L J?la/~ rl'17''''7 fl~ ~d tildbe'1 j(j.
RESTORATION REQUiRED...... YES V NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
~ " )'Ir-.ep;l <t! I, ) DSTF
fl\f Asphalt 0 PCC 0 Other
Work Order # 303VJ.. - 0<;0
o COMPLETE
fiT" INCOMPLETE
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