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HomeMy WebLinkAbout415 S K St - Engineering PUBILIC WORKS & R/W PERMIT Issued 8/20/2002 Permit No Work Order' 1312 o 1--1 Attached Notes OWNER/APPLICANT CARLA HOWE 415 SOUTH "K" ST Port Angeles, W A 98363 000/604-7048 PROJECT INFO Work is Plans Required Contractor' Performance Bond Required Proof of Insurance Work to Perform PROPERTY LOCATION- 415 K ST S Lot: 11 Subdivision Parcel No Block. 129 TPA 063000012955000 ~>(] Long Legal Value Work. $000 Start Date / / Finish Date 000/000-0000 / / Amount: $000 I J Install ~_: Repair [i Watermain Sanitary Sewer Storm Drain Underground Tele/Elec [J Misc PROJECT NOTES- -- ___ __ contractor to install sidewalk along 5th Street and a protion of "K" Street FEES ASSESSMENT- --- --~ ------.., ---- ---- 1 ) R/W Excav' $45 00 15 ) Other San Sewer' $000 2 ) Sidewalk: $000 16) Sew Tap Wye/Man Tap $000 3 ) Curb/Gutter' $000 17 ) Sew Cap/ W /M Removal $000 4 ) Driveway' $000 18 ) Alter Repair Sewer' $000 5 ) Dwy Culvert: $000 19 ) Storm Drain $000 6 ) Street Cut: $000 20 ) Catch Basin per ea. $000 7 ) Other R/W $000 21 ) Sewer System Dev' $000 8 ) Fire Hydrant: $000 22) Milwaukee Dr Sew Ass $000 9) Res Water Servo $000 23 ) R/W Use Perm $000 10 ) Comm Water Servo $000 24 ) Admin Cost (0 RA) $000 11 ) Other Water Service $000 25 ) 0 RA. $000 12 )Water System Dev' $000 26 ) Misc' $000 13 ) San Sewer SFR $000 -. -- ---- -- ----.- ---- TOTAL FEE $45.00 14) San Sewer MFR $000 add unit 0 Amount Paid $45 00 - -- Receipt No 7480 --- -- Inspection Fee $000 Balance Due $0.00 ~~, --- <__ J /' ,1 ~~/ L ... ... ....' j 7- ~ //-~~; / - ./ ..--/-(- /'" ' '" ~i~) I I -~ / ./ /' . 01556 Absolute Concrete rnc 090902 09/09/02 ********646* Absolute Concrete rnc 816 S Valley Port Angeles WA 98362 / / 10/04/02 Setup & pour concrete rRwvn~ /3/2- OCTOBER 04, 2002 ***50*** 72487 646 50 646 50 72487 *******646 50* ~f- ~~~~- - o AUTHORIZED SIGNATURE ~ Ab?J~l v + e- tilv Por + t...(57 D1S'-} ~ . j ("V1C.-e. Te . ...L-VlC .) 'j \I ({ II f' Y /'tif'::l_ie? I vJ 0" (J63<C.~ - Y739 CONTRACTORS INVOICE . ( '1 Uv' ',.-C I WORK PERFORMED AT TO' ~ cf r- DATE YOUR WORK ORDER NO OUR BID NO LJ 'i- . {- {{'let 00 ..., ------_._-~ . -, l~ U H-TE., 1 oz..:. ~Z.'~o- nz.- 31,0 DA,:;:. - i"""^-,, All Material is guaranteed to be as specified, and the above work was performed in accordance with the drawings and specifications provided for the above work, and was completed in a substantial workmanlike manner for the agreed sum of ~ k,,,,J,,, ,I ~~ ~Vi.. J-rULlQ '"\ %' - 0011",.($ ~l,,'H~ 'if) ) This is a D Partial ~Full invoice due and payable by. Month Day Year in accordance with our ~ Agreement D Proposal No. Dated Month Day Year a" TC8122 __ MADE IN USA CONTRACTORS INVOICE 415 South "K" Street PUBLIC WORKS CONSTRUCTION Issued 11/23/98 Permit No ~O & R/W PERMIT Cond Work Order 0 OWNER/APPLICANT----------------________PROPERTY LOCATION------__________________ CARLA HOWE : 415 K ST S 415 SOUTH "K" ST : Lot 11 Port Angeles,WA98363 : Block 129 Long Legal ~ 360/417-0548 : Sub TPA ~ PROJ ECT I NFO- - - -- __ _ _ __ _ __ ___ __ _ ____ __. _ _ __ _ _ _ _ __ _ _ _ _ __ _ _ ____ _ _ _ _ _ ____ ___ ____ ___ _ _ Work is OUTSIDE traveled road Value Work $0 00 ~ Plans Required N/A Start / / V\ Contractor Finish / / ~ Performance Bond Required N/A Amount $0 00 - Proof Insurance 7\ - - Work to Perform Watermain Sanitary Sewer Storm Drain Underground Tele/Ele Misc NOTES--------___________________________________________________________ PROJECT ~ROJECT FEES ASSESSMENT-----_____________________________________________________ R/W Excav Sidewalk Curb/Gutter Driveway Dwy Culvert Street Cut Other R/W Fire Hydrant Res Water Serv 5/8" 3/4" 1 " Comm Water Serv 1 " 1 1/2" 2" Oth Water Serv Water Sys Dev Receipt No [nspection Fee $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 San Sewer SFR San Sewer MFR Add UnIt 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 $0 00 $0 00 o $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 ------------------------------ ------------------------------ TOTAL FEE AMT PAID $0 00 $0 00 $0 00 ----------------------- BAL DUE $0 00 ..... CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . INSPECTION REPORT. . . ..... REQUEST 1/-- 2- 34 I Date Time Received by .-,- / J-::::-- , (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) c!9 Foundation Framing Chimney I' II 4/ ~ $0 Ie - ~ () a.Q1.u \ Ph.. tfUJ,~A 7lJl.Lt:1.. ~ 'l 11_ ~ II -<- I A --- Phone No '7 - &S Sl8 \5\ Permit No VJ .... 7\ Plumbing Final Sewer Excav Other INSPECTION NOTES d-~ r} Inspected Date /1- ~ t:j! , Remarks Time /k'}Vl By lA.J - '- (l, /) vv', P le~ /1c1fY1~~n'fj- jIr''''' o -~ RESTORATION REQUIRED L--- -t:<t7' YES NO ~ -~ \" ~1 ) I ~~___um.u / I' i '/ l , ~' .>; ..._c f-.' _L Y C ~ '\ (,u",-{' , -">' '~ \ \ . --_.~ .')! ----- N ~ 'Vs- ~ -:5"> .... -.y ,--" ~ :::{ ~ c.,O I ..... '''------.---- ~f SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee Cl No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)