HomeMy WebLinkAbout1139 Olympus Ave - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, W A 98362
/
I
?UBLIC WORKS CONSTRUCTION Issued: 9/06/96 LC Permit No: 527
& R/W PERMIT Cond: Work Order: 0
JWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
HOWARD PRIEST 1139 OLYMPUS
1139 OLYMPUS Lot: 19
Port Angeles,WA98362 Block: 2 Long Legal:
360/452-6299 Sub: HIGHLANDVIEW ACRE TRACT
PROJECT INFO----------------------------________________________________________
Work is N/A traveled road Value Work: $0.00
Plans Required: N/A
Contractor: OWNER
Start:
Finish:
/
/
Performance Bond Required: N/A
Proof Insurance.:
Amount:
Work to Perform:
Watermain
Sanitary Sewer
Storm Drain
~erqrOUnd Tele/Ele~
lSC
PROJECT NOTES---------------------------______________________________________
~~~~~a-J
- /trv aLl ~ i:;,. ~--
PROJE~ FEES ASSESSMENT-----------------------__________________________________
R/W Excav: * $40.00 San Sewer SFR: $0.00
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: $0.00
3/4" Milwaukee Dr. Sew Assess: $0.00
1" R/W Use Perm: $0.00
Cornrn Water Serv: $0.00 D.R.A.: $0.00
1" 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:
Inspection Fee:
TOTAL FEE:
AMT PAID:
$40.00
$40.00
-----------------------
$0.00
BAL DUE:
$0.00
R/W
SANITr\R't
WATER
DWY
STORM
ORA
OTHER
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 compiled with whether specified herein or not. The granting of a permit does not presume to give authority to
violate or cancel the proVISions of any state or local law regulating construction 0 he pertor n of ction.
Signature of Contractor or Authorized Agent Date
'#---
. ;II . .
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT . . . . . . . . . . .
Time \ I ~ Received by ~~
(l~<1 ~
l~~~~
Phone No ~ 2- 7
Permit No Z. - & -z....g 1
Final Sewer Excav8 dJ- ~
12 ( 17~'l!f3q
I
~ \
By . ~~-:-
REQUEST ~
Date ~ q l.o
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 Plumbing
INSPECTION N~
Inspected Date 4 G
Remarks
Co V"" p \~e...
Time
?~\
/1
('7- N)- ~G ~ 36
'- ?-J(). 9b - /In
RESTORATION REQUIRED . .. . YES
N' j) + rI ~, y
,
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NO
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SURFACE RESTORATION.
'- ...
SURFACE TYPE 0 Unimproved 0 Gravel lZI Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
.....
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT . . . . . . . .
tcJ
Time
:?/I{)
Received by
~, person)
REQUEST:
Date '1- I 7 - i ~
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 Plumbing
I 139 (') 1)/ ,..,.., Ou c::..
, .
/Ie> <-<.JQ2 yc/ Pr/e.S!
Phone No 7- '8 8 3 i
<~J ~;.; ~
Permit No., ., ,
Sewer Excav ~~ VlAJ "I
/
Final
INSPECTION NOTES
Inspected Date c::r - I 7 - '1 L
Remarks
Time
By
1..'-7-.-
RESTORATION REQUIRED .. ... YES
NO Y
I
'f.
f
\
,-,-,
II
I
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DA TEl
s
~~
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
PUBLIC WORKS CONSTRUCTION Issued: 7/01/97 LC Permit No: 686
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT-------------------_____PROPERTY LOCATION----------______________
HOWARD PRIEST 1139 OLYMPUS
1139 OLYMPUS Lot: 19
Port Angeles,WA98362 Block: 2 Long Legal:
360/452-6299 Sub: HIGHLANDVIEW ACRE TRACT
PROJECT INFO------------________________________________________________________
Work is N/A traveled road Value Work: $0.00
Plans Required: N/A
Contractor:
Start:
Finish:
/ /
/ /
Performance Bond Required: N/A
Proof Insurance:
Amount:
$0.00
.............
...........
~
~
~
Work to Perform:
Storm Drain
Underground Tele/Ele
Misc
NOTES----------_______________________________________________________
~~(t LeJ,'~ ~ f'j/L6Z.Z- --
Watermain
Sanitary Sewer
PROJECT
PROJECT FEES ASSESSMENT--------_________________________________________________
R/W Excav: * $40.00 San Sewer SFR: $0.00
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: $0.00
3/4" Milwaukee Dr. Sew Assess: $0.00
1" R/W Use Perm: $0.00
Comm Water Serv: $0.00 D.R.A.: $0.00
1" 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: 3140
Inspection Fee:
TOTAL FEE:
AMT PAID:
$40.00
$40.00
R/W
SANITARY
$0.00
WATER
-----------------------
BAL DUE:
$0.00
DWY
STORM
DRA
OTHER
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
provisions of any state or local law regulating construction or the pertormanc.e o. f con~.~ 'on. ,t) J
J:tJ/J / '/ . .
.
Si nature of Contractor or Authorized A ent Date
PUBILlC WORKS & R/W PERMIT
OWNER/APPLICANT 0 Attached Notes
HOWARD PRIEST
1139 OL YMPUS
Port Angeles, WA 98362
000/604-2699
PROJECT INFO
Work is:
Issued: 1/09/2001
Permit No:
Work Order:
1135
o
PROPERTY LOCATION
1139 OLYMPUS
Lot: 19
Subdivision:
Parcel No:
Block: 2
HIGHLANDVIEW ACRE TRACT
C2'i Long Legal
Value Work: $0.00
Plans Required: Start Date: 1 1 Finish Date: 1 1
Contractor: OWEST COMMUNICATIONS 3601000-0000
Performance Bond Required: Amount: $0.00
Proof of Insurance:
Work to Perform: [g] Instaii D Sanitary Sewer D Mise
D Repair D Storm Drain
D Watermain [g] Underground Tele/Elec
PROJECT NOTES
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: $0.00 17.) Sew Cap/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.) RIW Use Perm: $0.00
10.) Comm Water Serv: $0.00 24.) Admin Cost (D.R.A) $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
Vrf 0hd !;!)~
PUBUC WORKS
Permit To Perform Work In Street Right-of-Way
APPLICATION is hereby made to the municipality of PORT ANC,ElES to perform work as
noted hereon and as shown on attached drawing:
~ U =::, t+ \J 0 D(:;(L-
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V\-{S
--:pd:A:'>E SEE A- T\ A C 1-\ EJ:::,
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Approved:
SK-ETC l-i ~;~ )-)7u
Water Department - Superintendent
Sewer Department - Superintendent
The estimated time for completion of the above work is vJ \ T l-\ I tJ 10 IYI yS of' fZEC5, PI
Dat~I(^-^- 8 4~7yo f BY~"v\-~ Y)e-v-=-
n) 3(,,0 - '-f7S -'fI.{Zz..
\j Contractor Owner
US WEST /ATTN: MISTY
(,.1 \ - G,--r~ STI\EET .t>AsGmfNT
BREMERIDN I WASHiNGTON CjB~)
THE ABOVE APPLICA nON IS HEREB Y GRANTED SUBJ ECT TO APPLICANT'S:
Complying with all Municipal Ordinances:
Notifying the Street Superintendent of the time the work will start, and when it will finish;
Prosecuting the work with diligence and with due respect to all property, contracts, persons'
nghts and the mterests and convenience of the public:
Saving the Municipality harmless from any and all damages which may accrue to any person
or property because of this installation or the maintenance thereof:
Complying with following special conditions:
//1/z.oo/-rrr
/
City of Po R;r' J)NG EL E..S
~~~
Date
04-03-01 .OB:4Zam From-U S WEST m OAKRIOGE OR PA
+1SS0452ZBS3
T-BI7 p.oZ/OZ F-477
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Wire Center. 3'tP ~5"2- Cate aUbmilled 1-5 -?/ / IfllDUn DIIe 701-
TeCHNICIAN PAGE; caMPLETI aNI lOX ONL.V (At B or C)
& INSTAL~TlON a FlS IR S. ENGINEeRING C. "".ROVISlONING
.. Drdtrlf ~ 3 03 FQDIfc"": ..".,,,,,.,,..,.,,.
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3. Repair ODS __1:1 1. OVllr SilO' (AUI'llI) I:l lVPI of prellury;
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D. CUSTOMER Nam, Add""
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