HomeMy WebLinkAbout328 Whidby Ave - Engineering
PUBILIC WORKS & R/W PERMIT
Issued
9/2711999
Permit No
Work Order'
990
o
OWNER/APPLICANT D Attached Notes
CURT HORNE
328 WHIDBY
Port Angeles, WA 98362
000/600-0000
PROJECT INFO
Work is.
Plans Required Start Date.
Contractor' MILL CREEK CONSTRUCTION
Performance Bond Required Amount:
Proof of Insurance
Work to Perform:
PROPERTY LOCATION
328 WHIDBY
Lot: 7
Subdivision
Parcel No
Block: 8
PSCC 2nd
o Long Legal
Value Work:
$000
1 1
Finish Date
360/452-8281
1 1
$000
o Install
o Repair
o Watermain
Sanitary Sewer
D Storm Drain
D Underground Tele/Elec
o Misc
dwy
PROJECT NOTES
FEES ASSESSMENT
1 ) R/W Excav' $40 00 15 ) Other San Sewer' $000
2.) Sidewalk: $000 16) Sew Tap Wye/Man Tap $000
3 ) Curb/Gutter' $000 17 ) Sew Capl W/M Removal: $000
4) Driveway' $000 18 ) Alter Repair Sewer $000
5) Dwy Culvert: $000 19 ) Storm Drain $000
6 ) Street Cut: $200 00 20 ) Catch Basin per ea. $000
7 ) Other R/w' $000 21 ) Sewer System Dev' $642.00
8 ) Fire Hydrant: $000 22.) Milwaukee Dr Sew Ass. $000
9 ) Res Water Servo 5/8" $550 00 23 ) R/W Use Perm: $000
10 ) Comm Water Servo $000 24 ) Admin Cost (D R.A) $000
11 ) Other Water Service. $000 25 ) D R.A. $000
12 )Water System Dev' $883 00 26 ) Misc: $000
13 ) San Sewer SFR. $80 00 TOTAL FEE. $2,395.00
14 ) San Sewer MFR. $000
add unit: 0 Amount Paid $2,395 00
Receipt No 5123
Inspection Fee $000 Balance Due. $0.00
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT.
/
REQUEST
Date
1'/~If1'- Time
Received by
-r~
/ /
~person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney
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Phone No
Permit No
Plumbing Final ~wer E~c~ther
99(/
INSPECTION NOTES
Inspected Date /'0 ,// /97
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NO
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RESTORATION REQUIRED
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SURFACE RESTORATION J-j X I ~
SURFACE TYPE D Unimproved 0 Gravel ~sphalt 0 PCC
o Other
[] Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
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STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. .
/
REQUEST
Date '-~- / S- -- ZDOO Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney
38 Wh:d~
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Phone No
Permit No
Plumbin~na?~wer Excav Other
q0{)
INSPECTION NOTES
Inspected Date 3 - / & -WOD Time
Remarks 0--D vn r Ip~
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RESTORATION REQUIRED
YES ;\ NO
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SURFACE RESTORATION
SURFACE TYPE D Unimproved 0 Gravel ~ Asphalt D PCC 0 Other
o Repaired by City Work Order #
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[] Repaired by Permittee 0 COMPLETE sr - 10 () S
D No Damage Found D INCOMPLETE JP
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
/
REQUEST
Date 16-t~ Cj ~
Time
Received by
t\ I
1/0(1 e.
(phone, person)
Location of Work to be inspected 328 lv'r/ I [) g y
Name of person requesting inspection "DeVt vt I 'S E
Address of person requesting inspection / 7 "f t:
Type of Inspection (circle appropriate one)
Phone No
Permit No 91 D
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected Date Time
Remarks /Yls-f"~"(e<\ /"')( S"/g tJ~f~r
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RESTORATION REQUIRED
YES X
NO
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SURFACE RESTORATION
SURFACE TYPE D Unimproved 0 Gravel ~ Asphalt 0 PCC
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Wor~rder #
cg/COMPLETE
D INCOMPLETE
o Other
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