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Home My WebLink About212 N Cedar St - Engineering PUBLIC WORKS CONSTRUCTION Issued: 8/27/96 TF Permit No: 524 & R/W PERMIT Cond: Work: Order: 0 OWNER/APPLICANT.--.--------------------PROP.ERTY LOCATION------------------------ ADMIRAL MARINE/PORT OF PA I ;;Ull. ~ CEDAR.If IV 919 HAINES ST/338 W 1ST I Lot: 1-6,15-20 PORT TOWNSEND/PA,WA98368 I BLock: 37 Long LegaL: 360/385-4670 I Sub: TPA PROJECT INFO-------------------------------------------------------------------- Work: 1S INSIDE traveled road Value Work:: SO.OO Plans Required: N/A Contractor: DEL HUR INDUSTRIES Start: Finish: / / / / Performance Bond Required: N/A Proof Insurance: Amount: SO.OO 11' Storm Drain Underground Tele/Ele 11' Misc PROJECT NOTES------------------------------------------------------------------- Work to Perform: INSTALL 11' Watermain * Sanitary Sewer system user fees to be paid by owner contractor DEL HUR paid for water meter & sanitary sewer hook: up only PROJECTR~;:;::~~:SSMENT--:~:~~-------------------~:~-::::;-::::-:-----~:~:~~-~vl ~~~It1 ~ Curb/Gutter: SO.OO Add Unlt: 0 ~ )-;;;.1 Driveway: SO.OO Other San Sewer: $0.00 () Dwy Culvert: SO.OO Sew Tap Wye/Man Tap: $0.00 Street Cut: SO.OO Sew Cap/ W/M Removal: $0.00 Other R/W: SO.OO Alter/Repair Sewer: SO.OO Fire Hydrant: SO.OO ~ ~~V Storm Drain Tap: SO.OO Res Water Serv: SO.OO <b19- Catch Basin per ea: SO.OO 5/8" ~'~ Sewer System Dev: 11' S5,136.00 3/411 '(t J Mllwauk.ee Dr. Sew Assess: $0.00 111 . R/U Use Perm: SO. 00 Com Water Serv: * S2,000.00--~'Il) D.R.A.: SO.OO 111 ~v Admin Costs (D.R.A): SO.OO 1 1/2" Misc: SO.OO Receipt No: 2487 Inspection Fee: SO.OO BAL DUE: SO.OO O~~ Jc;\ (;iD . L ~ pv /D/2 I I q (/ * 211 ------------------------------ ------------------------------ Oth Water Serv: Water Sys Dev: * SO.OO S7, 064.00 - TOTAL FEE: AMT PAID: S14,280.00 S14,280.00 t! .~ L.l1 1 vr t'Uf\.l rtr..UcLc.) PUBLIC WORKS - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PUBLIC WORKS CONSTRUCTION Issued: ~ TF Permit No: 524 & R/W PERMIT Cond: .~.,=:\ Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATiON------------------------ PORT OF PORT ANGELES 212 CEDAR N 338 W. 1ST ST Lot: ALL Port Angeles,WA98362 Block: 10 Long Legal: 417/345-2000 Sub: TPA PROJECT INFO-------------------------------------------------------------------- Work is INSIDE traveled road Value Work: $0.00 Plans Required: N/A Contractor: DEL HUR INDUSTRIES Start: Finish: / / / / Performance Bond Required: N/A Proof Insurance: Amount: $0.00 Work to Perform: INSTALL * Watermain * Sanitary Sewer * storm Drain Underground Tele/Ele * Misc PROJECTNOTES------~-------------~--~-~-~------- PROJEC~~~~-------------------------------------------------------- R/W Excav: $0.00 ~ewer SFR: * $.8.0...00-;J Sidewalk: $0.00 San-Sewer MFR: $0.00 Curb/Gutter: $0.00 Add unit: 0 Driveway: $0.00 Other San Sewer: $0.00 Dwy Culvert: $0.00 Sew Tap Wye/Man Tap: $0.00 Street Cut: $0.00 Sew Cap/ W/M Removal: $0.00 Other R/W: $0.00 Alter/Repair Sewer: $0.00 Fire Hydrant: $0.00 Storm Drain Tap: $0.00 Res Water Serv: $0.00 Catch Basin per ea: $0.00 5/8" Sewer System Dev: * $5,136.00 3/4" Milwaukee Dr. Sew Assess: $0.00 1-" R/W Use Perm: $0.00 r.:::comm Water Serv: * $2,OOO.~ D.R.A.: $0.00 I" Admin Costs (D.R.A): $0.00 1 1/2" Misc: $0.00 * 2 II ============================== Oth Water Serv: * $0.00 Water Sys Dev: * $0.00 Receipt No: 2302 Inspection Fee: TOTAL FEE: CAMT PAID: $7,216.00~ $2,080.00-' $0.00 BAL DUE: $5,136.00 Separate Permits are required for electrical work, utilities, private and public improvements. This permrt becomes null and void rt work or construction authorized is not commenced within 180 days, rt construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or rt required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permrt does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Sin nature of Contractor or Authorized Aaent Date Sianature of Owner crt owner is builder\ Date g, \fI CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ./'" PUBLIC WORKS CONSTRUCTION Issued: 8/27/96 TF Permit No: 524 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ PORT OF PORT ANGELES 212 CEDAR N 338 W. 1ST ST Lot: ALL Port Angeles,WA98362 Block: 10 Long Legal: 417/345-2000 Sub: TPA PROJECT INFO------------------------------______________________________________ Work is INSIDE traveled road Value Work: $0.00 Plans Required: N/A Start: / / ~ Contractor: DEL HUR INDUSTRIES Finish: / / ~ Performance Bond Required: N/A Amount: $0.00 Proof Insurance: <: * Storm Drain Underground Tele/Ele * Misc PROJECT NOTES---------------------------7-------~~--------7---___;________ , ~ ..UA2-P2/ p~ A-L 4U/-/' 1 r U --- PROJECT FEES ASSESSMENT--------------------------_______________________________ R/W Excav: $0.00 San Sewer SFR: * $80.00 Sidewalk: $0.00 San Sewer MFR: $0.00 Curb/Gutter: $0.00 Add Unit: 0 Driveway: $0.00 Other San Sewer: Dwy Culvert: $0.00 Sew Tap Wye/Man Tap: Street Cut: $0.00 Sew Cap/ W/M Removal: Other R/W: $0.00 Alter/Repair Sewer: Fire Hydrant: $0.00 Storm Drain Tap: Res Water Serv: $0.00 Catch Basin per ea: 5/8" Sewer System Dev: * 3/4" Milwaukee Dr. Sew Assess: 1" R/W Use Perm: Corom Water Serv: * $2,000.00 D.R.A.: 1" 1 1/2" * 2" Oth Water Serv: * Water Sys Dev: * Work to Perform: INSTALL * Watermain * Sanitary Sewer Admin Costs (D.R.A): Misc: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $5,136.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ============================== TOTAL FEE: AMT PAID: Receipt No: 2302 Inspection Fee: $7,216.00 $2,080.00 BAL DUE: ----------------------- $0.00 Separate Permits are required for electrical work, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel the provision:zy st~te or local I r l:lIating onstruction or the performance of construction. i nature of Contractor or Authorized A en Date Si nature of OWner if owner is builder Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . -0-. . . . . g }.;)q (IJ~ Time Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) e ;:'u~atio::;aW~h;:1::bing Final Sewer Excav INSP{C.;;d~ NOTE~/. 70, cJ ~U Inspected Date {5 ,"M/ftv Time 0 .-- By Remarks REQUEST Date 1 frtJ/ ~- - L Received by / ~ (phone, person) / II ~Jf~~ ~AIJnM~ Phone No Permit No 5:;)1 Other /?J: It RESTORATION REQUIRED . .. .. YES I I ~ Ii A' /.3 ~ G '''?' r rvc , ./ '117 \ ~~ '/ tJvf ~ 7 (If. t: I ? ",j\f D f' Lf~ \9 ~ \9} I , J 1'1 f.., NO I ~1 / I. ~ /7!:-o; ~ , I"~ 'j /"1,...1/ - /l SURFACE RESTORATION Lj X / Z -5/ ~ ~- c! / 6 SURFACE TYPE D Unimproved D Gravel ~Phalt D PCC D Repaired by City o Repaired by Permittee o No Damage Found D Other Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) (DATE) STREET SUPERINTENDENT