HomeMy WebLinkAbout1703 Lambert Ln - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DMSION
321 EAST 5TI1 STREET, PORT ANGELES, WA 98362
PUBILlC WORKS & R/W PERMIT
o Attached Notes
OWNER/APPLICANT
RUDY & NANCY MEYER
609-C HIGH CIRCLE
HORSESHOE BAY, TX 78657
000/305-8455
PROJECT INFO
Work is.
Plans Required Start Date
Contractor' ANDERSON HOMES LLC
Performance Bond Required Amount:
Proof of Insurance
Work to Perform
Issued
4/18/2002
Perm it No
Work Order'
PROPERTY LOCATION
1703 LAMBERT LANE
Lot: 13A
Subdivision
Parcel No
1242
o
Block.
HIGHLAND COMMUNITIES
063014650130000 D Long Legal
Value Work:
1 I
Finish Date'
360/452-4641
$000
[:g] Misc
[:g] Install
D Repair
[:g] Watermain
[:g] Sanitary Sewer
D Storm Drain
D Underground TelelElec
PROJECT NOTES
san sewer on east side of lot. water meter to be drop in construct
driveway to city standards roof leaders to curb
$000
I 1
dwy
FEES ASSESSMEN"F
1 ) R/W Excav'
2.) Sidewalk.
3 ) Curb/Gutter'
4 ) Driveway'
5 ) Dwy Culvert:
6 ) Street Cut:
7 ) Other R/W
8 ) Fire Hydrant:
9) Res Water Servo 5/8"
10) Comm Water Serv'
11 ) Other Water Service
12.)Water System Dev'
13 ) San Sewer SFR
14) San Sewer MFR
add unit:
$45 00
$000
$000
$145 00
$000
$000
$000
$000
$150 00
$000
$000
$1,02500
$95 00
$000
o
Receipt No
Inspection Fee
RW SANITARY
$000
WATER
r'~
15 ) Other San Sewer'
16) Sew Tap Wye/Man Tap
17 ) Sew Capl W 1M Removal
18 ) Alter Repair Sewer'
19 ) Storm Drain.
20 ) Catch Basin per ea.
21 ) Sewer System Dev'
22.) Milwaukee Dr Sew Ass
23 ) R/W Use Perm
24 ) Admin Cost (0 RA)
25 ) 0 RA.
26 ) Misc'
TOTAL FEE
Amount Paid
7 /1 c> I U ?---if
$000
$000
$000
$000
$000
$000
$745 00
$000
$000
$000
$000
$0.00
$2,205.00
$2,205 00
Balance Due
DWY STORM
DRA
$0.00
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
provi . an~ta~or local law regulating construction or the performance of construction.
-\. ~ \.\-\~-O2-.
Si nature of Contractor or Authorized A ent Date Si nature of Owner if owner is builder Date
Dw - ~o ( - 2-0 ift.p
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APPLICATION FOR WATER
City Water Department
Port Angeles, Wash. Lj-I ~
260 2-
, --w::
I hereby apply for water to be furnished in accordance w;th rates and rules of the City
"TOr the following premises
Name of Applicant R\A_d.~~~~lA\ ft\:PJ~e1f
Address_Ii 03 LA.w\B~T L<ArV\t
Renewal 0 New Service ~ Blk_ Lot~dd W. \~ ~ CbM""I1n~
Size of Service I ~ '5J~'ld/Llfh1Aeter Number
Service Left On 0 Service Left Off w.-- Signed
(~r~h~
Installed by
Remarks p~ Y'UttJ=!1=: 1 242-
F< ec. -JJ- 99 6~
1> 150~ +- 1JOZ5
CCrf-y-# 7W ~
F~f~ 17G.(p (" 30
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
~Phone. person)
REQUEST
DateS- / ""0-2-
Received by
Time
r~V
/71)3 ~d-M,6l&?Z7 ~/1-,lJe=-
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
Phone No
Permit No
Fina'8Excav Other
rI
INSPECTION NOTES: { __ -""7
Inspected Date 5" ~ ~ 0 t.--. Time
Remarks 0, t~
J~ ~ /.......-
~,. ~f L..-;J
I'L "I- 2-
By
RESTORATION REQUIRED.
YES
---
l-, -
L4MI3"~r ?/lJJ~-
SURFACE RESTORATION:
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
NO
--...~..,.
D Other
(Continue on reverse side if necessary)
(DATE)
STREET SUPERINTENDENT
Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . .
{f J /0 to Z,Time
I
Received by
(phone, person)
REQUEST
Location of Work to be inspected / 1 ~ '3 c..~.z !-~
Name of person requesting inspection ..-r ~ 4... -
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) Permit No / 242--
Sewer Foundation Framing Chimney Plu~bin(""Fin;D Sewer Excav lther '>
INSPECTION NOTES ~~ - ~ ~aH.R.L.
Inspected Date ~ - I 2--- D"'Z........ Time A- Wl By ~.
Remarks
~-':r ~
RESTORATION REQUIRED
YES NO X
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)