HomeMy WebLinkAbout1715 Lambert Ln - Engineering
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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PUBLIC WORKS CONSTRUCTION Issued: 7/22/97 DW Permit No: 676
& R/W PERMIT Cond: Work Order: 0
OWNER/APPLICANT------------------------PROPERTY LOCATION--------------__________
BEVERLY K.JACOBS 1715 LAMBERT LANE
Lot: A-I0
Port Angeles,wA98362 Block: Long Legal: ~
360/457-8803 Sub: HIGHLAND COMMUNITIES ~
PROJECT INF~~~~-i~-;/~-----~~~~~~~~-~~~~----------------;~~~~-;~~~~-_-----$~~~~~
Plans Required: N/A
Contractor: LBR CONSTRUCTION
Start:
Finish:
Performance Bond Required: N/A
Proof Insurance:
Amount:
/ /
/ /
'"
$0.00
Work to Perform: INSTALL * Watermain * Storm Drain
* Sanitary Sewer Underground Tele/Ele
PROJECT NOTES----------________________________:_~~::__________________________~
PROJECT FEES ASSESSMENT-----------______________________________________________
R/W Excav: $0.00
Sidewalk: $0.00
Curb/Gutter: $0.00
Driveway: * $125.00
Dwy Culvert: $0.00
Street Cut: $0.00
Other R/W: $0.00
Fire Hydrant: $0.00
Res Water Serv: * $150.00
~
~ Cf/L-t/-{? ~r<-
~1"
Comm Water Serv:
I"
1 1/2"
2"
Oth Water Serv:
Water Sys Dev: *
$0.00
San Sewer SFR: *
San Sewer MFR:
Add Unit: 0
Other San Sewer:
Sew Tap Wye/Man Tap:
Sew Cap/ W/M Removal:
Alter/Repair Sewer:
Storm Drain Tap:
Catch Basin per ea:
Sewer System Dev: *
Milwaukee Dr. Sew Assess:
R/W Use Perm:
D.R.A. :
Admin Costs (D.R.A):
Misc:
$80.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$642.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$883.00
------------------------------
------------------------------
TOTAL FEE:
AMT PAID:
Receipt No: 3221
Inspection Fee:
$1,880.00
$1,880.00
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
pro " s of an~ state or local law regulating construction or the performance of construction.
C~ "1~a~-91
$0.00
WATER
R/W
SANITARY
DWY
STORM
DRA
OTHER
Date
Si nature of Owner if owner is builder
LIty 01 IJort Angeles If Ie UJF 7 II ~
Public \Vorks Departnlent
\" ater Distribution Repair Report
'Work Order No.
DATE REPORTED
'1 / { X
7 -- 7- (I - o?
ICrew
flY
CONDITION EMERGENCY 0 ROUTINE 0 CITIZEN COMPLAlNT ~
LEAKAGE SURVEY 0 OTHER 0
/?
DATEOFREPAlR. 7~ J.- V ~C) TIME
~
~
~
~
~
~
C't\
REP AIR LOCATION ADDRESS
11!-K DA.M. DP.M.
! ( ;2, ) F L<<-j/~/~r(-
Lz/v~
TYPE OF MAIN
SIZE.
DEPTH OF MAIN
CLOSEST VALVE DEPTH.
COMPONENT REPAIRED.
MAIN JOINT D CIR. BREAK 0 SPLIT BELL. D LONG BREAK D
HOLE 0 CLAMP 0 OTHER
SERVICE TAP 0 CORP STOP D PIPE ~URB STOP D FITTING D
METER SETTER D METER D
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH D VALVED BARREL D
OTHER.
COMPONENTS OF REPAIR.
11 b /f I. l Ct') -e c::)f'1/11 eM_
CLAMPD DRESSERO OTHER t'\ -t U I I.JC1.. C ^ J((11
SITE CONDITION GRA VEL 0 ASPHAI3 0 SIDEWALK D CURB D
TOP SOn.. AREA ~SOn.. TYPE
CUTS ASPHALT CUT _IT CURB CUT _IT SIDEWALK_IT
DRIVEWAY CUT _IT
MAIN CONDITION INTERNAL LINING TUBERCULA TION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE D
2.t"7
CHLORINE RESIDUAL SAMPLE ) P.P.M.
WATER OFF FROM c;f/,- M. TO II If M.
FROM
Mro M. I h
~(-+H-e. N'Pf/~ (:) F G--a./U f1tr' ~
f('15-fe.cI i) (J+ '
APP ARENT CAUSE OF LEAK.