HomeMy WebLinkAbout1527 W 8th St - Engineering
PUBILle WORKS & R/W PERMIT
D Attached Notes
OWNERJAPPLlCANT
City of Port Angeles
Issued:
8/03/2004
Permit No:
Work Order:
1410
o
PROPERTY LOCATION
1527 8TH W
Lot:
Subdivision:
Parcel No:
Block:
Port Angeles, WA 98360
000/600-0000
PROJECT INFO
Work is: Inside Traveled Road
Plans Required: Start Date:
Contractor: OWEST COMMUNICATIONS
Performance Bond Required: Amount:
Proof of Insurance:
Work to Perform:
TPA
o Long Legal
Value Work:
$0.00
//
Finish Date:
360/000-0000
1 1
$0.00
[:><J Install
o Repair
o Watermain
o Sanitary Sewer
o Storm Drain
[:><J Underground T ele/Elec
o Misc
PROJECT NOTES
placement of 200' buried cable with 25' push on West 7th Street
FEES ASSESSMENT
1.) RIW Excav: $0.00 15.) Other San Sewer: $0.00
2.) Sidewalk: $000 16.) Sew Tap Wye/Man Tap: $0.00
3.) Curb/Gutter: $0.00 17.) Sew Capl W/M 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.) R/W Use Perm: $0.00
10.) Comm Water Serv: $0.00 24.) Admin Cost (ORA) $0.00
11.) Other Water Service: $0.00 25.) ORA $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
RUG 03 2004 12:14 FR
TRRFTON B
253
471
1324
TO
13604174709
7a508 Trafton St
T3COma, WA 98409
p,253473-07llIl
F:253-471-1324
'" . "!, " " ''''' <,v
" '. ". .,~.. - ~
Qwest:\!,,'" ~&~ .~..".~ ,
1-';" '" , " . >01'",,,, ~"
. '""' ~ ~ ~ ~~ J>" "'.' ,..... ~
,.." R:J~7 It "r."EL 15 "'- !< t4t/ F vq VA
Fmc 3(CJ- 4/7 - '('10'1 I' eft-
.,41: - DIlts 08103/04
II<< PE,:.... I r A rpt.1 c-"rel", CC: PM-r IN M ,,~112. 5
OU~
o ForRevtew
o P~RecyeJe
o PI_ c....__ut
o P1_ Reply
A71N: T, Ff)IV~TON
VII 00 ~ 0 Lj I ~ 1
A\JG
3 2OC,
P,01
:~ifi;P
,. \'1jh",:t~1
: hi:,; ~,~. ~;., ,.' ~
"!2\"h:{~.~,. :,\)
~x;.
.;...~;:;a
<
,~ ."\1,/..
F'J'~;~l
.'..,;,.;j;."
.,"~v..'r:
{:i@
}f:,![~j~
'~l ,-.,I..1:!r;:,;
- .. '1~.!,,~~~:1,~
.. ~~ ";','IU':;l
.:.;-;}_i.~::S~{,;(
,,~',;:;~:..}~}ij
'~~~
.. "k'"
;.5f:!0~;~
"...J,~
)'(Li~t:'~~~
>'\(\.'~r,:'~;'
.~ ,";')"1
:' ~ .':" .'1 ~~2~
"
::r:2il
""(':'lili
1,&,]
'. . ",,"''JiA
': V t~';}l~~i~~
~:~?,;~df;
:~?~ ;<~
";~~j,~j
AUG 03 2004 12:15 FR TRAFTON B
2534711324 TO 13604174709
P.03
Applicant Signa~urejDate
Road Number
v..~' p -
'fj-3-o1
"'J ,'~~,)f':l
.: '.~;;;(,'r12~{~1
,...".,' .",co,'@(iM
.:-: /:;~~~j:~~ii
.: .n ~';'$c'~~~
. :,:}::~{~~:~~~
. \' ~ ..:.l.;\1:~~' 'I..
iil_
'';'''-''''1
,. , "'~, ,it\{..',
J;,' ','f. :?4'(~~
. '.-,~~ :~j~~
g.:;;. :.j~~'<i\~j
" \:1;, ~I'f{?
,,~"{.~:~~~
, , , " '.;,,: r<.~z'r!~~_;{~~
telephone service wiI;e',ft)j'~\1!~~j
',):,~;;{i~;~
, ""?",,'u~'~ii
,::; :~'r<:'.;;~i:t
;.~il~
" ,.,j d..
,,' ><:;:,:t~f:c~
, ,;j 1,0',1\"
. '~>:~':L~::;~,f)f~
. . ,I,., '"~'t~ } ~
,,',,;':0~~~~~
. ;'!t., .~~,.._.(;:~~.~
<:' ,;!t,r<"i,~if~'l'f~~
""".'\I'i\""~~'i')"
\ 'r .;h~1j;~;~:~~~,."
" , T,~r.;\"<I.:1fil1
** TOTAL PAGE.6i'~*-
Qwest Job #
VVO~ 'if/; '-//3'f/'-I5ZC
IS l.1..
Wfsr
7TH
ST~HT
B
Wt~-r
3TH
>1
This request for permit is for the placement of underground
our customer at the following address:
) 527
IN
grH
~r
f
This work will require:
Trenching in the RjW (total footage) 11
Plowing in the R/W (total footage) l.oCl'
Push or bore 2 inch PVC or BIP under roadway (total footage)
Push or bore 2 inch PVC or BIP under driveway (total footage)
Push or bore 2 inch PVC or BlP under multiple driveways (total footage)
2.S'
~
(T
-.;~,
AUG 03 2004 12:15 FR TRAFTON B
253 471
1324 TO 13604174709
~~ ~ g)~
FUIIL.ic WllIllCll
Permit To Perform Work In Street Rl,ht-of-Way
.'
. "~
.J.
APPLICATION is hereby made to the rnunieip.lity of PoRI' ~J:'i;
nOTed hereon and as iholOln On anachad drawing:
A\(AC#E'D
....pproved:
Water Department - SuperiJ\tendeni
S8wei' Depal'm'leftt - Superintendent.
The cstimlltcd time for'completion of the abClYe work Is JD ""])Ays
Date
August 3rd,
2004
By
Ov.:rest
BSW
Complying wilh all Munieiplll Ordinance.;
NotifYing the Street Superintendent of tbe time thet work w1llrtu':, and when it will tlnlSh:
Pro.eeutins the "'Drl< with dili&Cl'lce and wilh cllle tespect tD all ptDI)8r!y. eDnt.a~I,' penDn.'
riihu and the interests i1nd eonvenience of Ihe public;
Savine the MWlicipality hlllf\1e", from allY and all dama,ea which ruy ac~tle TO an)' -penon.
In property bCC"olUse of this inltallatioa or the mlllnten.llnce theteof;
eDm lying th followlnl specilLi'conc!iUon.s;
u~
~~
8\ b/l~ 4
Dale
....
"1.1'"
! 0/45
"
CITY OF PORT ANGELES QW ~obl' llN!
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST
Date 5-?-" ~ - 61>
Time
Received by
(phone, person)
Location of Work to be inspected 7 W 1-f-A.
Name of person requesting inspection --r: t.U 1') ~
Address of person requesting inspection ) 1-fil y 8 Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other Lv tZ k
INSPECTION NOTES
Inspected Date
Remarks
Time
f? -ep tl (-)-- <1/r
(}oJ C+t. f' E ~ I,t.r-e-
By
S-er-v I~ h.l1/~
tr c. O"'f' k5"5 /~ ~ l' <fJt.
RESTORATION REQUIRED
YES
NO
A/t
KJ
II
Iy
p+h
~" pr.c-
tf.1
~
lBe
)1t/
I
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
o Repaired by Permittee
[] No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # /6/f
~MPLETE
~ INCOMPLETE
\
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
-
\J\
N
-J
C
\P
~~
City of Port Angeles ~ vJ () 001 / I v II{
Public Works Department
Water Distribution Repair Report
IWork Order No: J l It.(
I Crew: 111 <f
Reported: S- 11.31 OC;>
Repaired: ~ 12:::2/-e (;>
Condition.
Source.
Emergency Routine ..
Citizen Complaint ~
Leakage Survey _ Other
Repair Location:
Address
IA)~ 1
&J -<t?/1.
Loc Description.
Component Repaired:
Main Line ID#:
Main:
Joint Cir Break
Long. Break _ Hole
Split Bell _
Clamp _
Other
Service:
Line Valve:
Hydrant:
Other:
Tap _ Corp Stop_
Flange Nuts, Bolts
Branch Valve
Pipe ~
Stem
Barrel
Curb Stop _
Bonnet
Repair Type: Clamp _
Site Condition: Surface
Curb
Damage:
Cuts: Street Cut: Ft.
Dresser
Other f k- tlQJ-€- t- ~ ~
Gravel Roadway _ Asphalt Street _ Sidewalk
Top Soil Area _ Soil Type _
Curb Cut: Ft.
Sidewalk Cut: Ft.
Main Condition:
Diameter"
Material.
Depth of Cover'
Internal Lining:
Inches
~r1 ,4c
,.
Ft.
31
Joint Type:
External Prot:
Tuberculation. Nt A
External Corrosion. Nt A
Special Conditions. Bedding:
Other Structures:
Minor
Localized
Severe
Extensive
Samples Taken.
Pipe Section _
Coupon Jtf)f-L- f
) hl>VS-e..- ()U
y?- hV)
Water Off'
From S-t~(5b TO~M
From 5-!)..~ tlJl) To 9' $b l!. M
Apparent Cause of Leak:
13 r I fft --e ., JP-e...
, .
5/19/98
Page 1
PW-902.09