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HomeMy WebLinkAbout535 E 1st St - Engineering s ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 C~~ PUBLIC WORKS CONSTRUCTION Issued: ?! /Zhr'7crTF Permit No: 986 & RIW PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ FIRST FEDERAL SAVINGS 535 1ST ST E 105 W 8TH ST Lot: 19~z..O Port Angeles,WA98362 Block: NJe5 Long Legal: 360/417-3111 Sub: PROJECT INFO-------------------------------------------------------------------- Work is N/A traveled road Value Work: $0.00 Plans Required: N/A Contractor: CITY OF PORT ANGELES Start: Finish: / / / I Performance Bond Required: N/A Proof Insurance: Amount: ~- ~ $O.OO~ ~ Work to Perform: INSTALL * Watermain Storm Drain Sanitary Sewer Underground Tele/Ele Misc ~ PROJECT NOTES------------------------------------------------------------------~ ---\ ~/[t.W~~-~mHZl~~ PROJECT FEES ASSESSMENT--------------------------------------------------------- R/W Excav: $0.00 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 WyelMan 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 U~e 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: * $4,442.00 Water Sys Dev: $0.00 TOTAL FEE: AMT PAID: $4,442.00 $4,442.00 Receipt No: 5353 Inspection Fee: $0.00 BAL DUE: $0.00 RlW SANIT AR Y WATER 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 no res to give authority to violate or cancel the provisions of any state or local law regulating con~~n or h:?:.rf,.9onance of tr Signature of Contractor or Authorized Agent Date Date s ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 c~;z) PUBLIC WORKS CONSTRUCTION Issued: ?! /Zhr7crTF Permit No: 986 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT---------------------___PROPERTY LOCATION------------____________ FIRST FEDERAL SAVINGS 535 1ST ST E 105 W 8TH ST Lot: /9 ~z..O Port Angeles,WA98362 Block: NJe5 Long Legal: 360/417-3111 Sub: PROJECT INFO--------------______________________________________________________ Work is N/A traveled road Value Work: $0.00 Plans Required: N/A Contractor: CITY OF PORT ANGELES Start: Finish: / / / / Performance Bond Required: N/A Proof Insurance: Amount: ~ $O.OO~ ~ Work to Perform: INSTALL * Watermain Storm Drain Sanitary Sewer Underground Tele/Ele Misc ~ PROJECT NOTES-------------_____________________________________________________~ ---\ ~ /[t.w ~~-~mHZl~~ PROJECT FEES ASSESSMENT-----------______________________________________________ R/W Excav: $0.00 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" ============================== Oth Water Serv: * $4,442.00 Water Sys Dev: $0.00 Receipt No: 5353 Inspection Fee: TOTAL FEE: AMT PAID: $4,442.00 $4,442.00 $0.00 ----------------------- BAL DUE: $0.00 RlW SANIT AR Y WATER 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 no res to give authority to violate or cancel the provisions of any state or local law regulating con~~n or h~?:.rf..9onance of co tr Q. Signature of Owner (if owner is " rIder) Date Signature of Contractor or Authorized Agent Date " . " COST ANALYSIS WORK ORDER NO. LABOR 1,(, '1S. ~;z CITY OF PORT ANGELES PERMIT NO. EQUIPMENT 979. ;1.t> PUBLIC WORKS DEPARTMENT ACCOUNT NO. /5()fo.O/ WORK ORDER REPORT MATERIALS Wtl/UcV DATE TAX $ 'iJO~().1 ~ DIVI ION TOTAL -;1/1-12-~ . 0 DEPOSIT PAID AMT. S CHARGE TO 0 . BALANCE DUE S P-.'-iQi'r::5 ~.....,A-. ADDRESS 0 REFUND DUE S DESCRIPTION' LOCATION' SPECIAL INSTRUCTIONS. - s+-; VV\ c.. + c.. O",l'l 40 gf) +- 3/./2 - --t-:: /' /1/1' cv .J ....l--- labor ~~ ~~ TOTAL HOUiIIlLV IU.TI DATE HOUItt SIZE STOCK o. AMOUHT AIC .. EMPLOYEE' ?- OUANT. Ho. H.. UNIT "tler DIST. Co ("C~ L......J..oe. -.-- --. .---- _. e 8 '3 3.1S '5'30.0'( _ Ceo (') "'". ...I-- ~ 8 ;).9.7' '17$ .3(" J11 'a,;; /. I>>o"'/:"r ~ 2- 1.:t:l.1/ 3 b3..jj .N' . t. I.LJ"".J:<>L Pi ~ 1;10.l{l I ?.?t:. .S," - equipment ~~""""e.~ \~l:. ~. 8 "w'". t(.' (,~.:1 r I B ......1:. hP-<" e B I , ! 3l{.00 Sl{l{. II ! ID......."T~Io. 1/ 8 "- X / / /3.00 :loB. o. A: r to...ov."s...... 'I '-- /!:.Il2'( t..o. '1(, / 1\"'- .". -'J, . \ \ "- \~ I:.-.J , '\ . , 1\ 0- n<NIA" -........... J \."- , r -<.. )-.. , I - materials c... l) F I, 13 3:5'.ooa--t:I 't S''ii,()() ~,~ "-l 5' 1.2 .~,1,.J /,~. s. ~~~v.~< ~~41~ f] (, --L 1#<:1, '1i.1, /'( U4,'/"I' ~c/.o ..+<.'" '" l ~'f ';Z,I. "d'1 3VH C. "'~-c v..-l....-< / y l 'J..," 'H,S'G qfj.55 p.. 0-.:. kJ...fO " J lID .p ,. , '17 ~'IO l'J~'C- B/A.. =- ., 1:.' :/" 1:1..'1"'- 7'1. s~ c,~fi..,r- I ;. ., :2/9.'3 :l1'J. f3 M..,~u~... '\ I :l ,. ;2. t.o.od :2'1~. yo M-e~ 6<?~ 1 '\ I - 1(,/. 37 1/'7.~7 I B(If~ 9'o?o "- ,;1" ~O( 'I. '3 1.(. "13 Ol't:e.s U' t....{,If.. ,cz , ,1" ;'N n.~'" '3'(. I.f'I Wal....~.< Tat I I 7.n 1. ~7 0.. 1//",1...... It"" ~,," L 'j? 7'1 ~.77 "'0< I ~'" ;;u -,'" iI<IJ~ " v;r u "'", .. "'0 ---- CERTIFIED COMPLE~'J nt/_ REVIEWED ( ) t"DIVISION HEAD CITY ENGINEER . . ~ - ... o I- w w :r III ~\ ~ i\ \ ~ ~ f\j ~ z a: ~ a: cil ~ o to- (/) o u D -..l <l: z o ~ ~ a: o u.. Z o P.n Print. Inc. f':"So ~ . . . COST ANALYSIS LABOR 21-- 4 p~ -- EQUIPMENT 5fT MATERIALS go --- TAX WORK ORDER NO. $~I CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT ACCOUNT NO. WORK ORDER REPORT 51Ye~ DIVISION o DEPOSIT PAID AMT. S PERMIT NO. . ... o DATE TOTAL 0- w w :I: '" CHARGE TO ADDRESS o BALANCE DUE o REFUND DUE S S DESCRIPTION' LOCATION' SPECIAL INSTRUCTIONS' labor DATE TOTAL MDU"L'r ....n MOU.. SIZE STOCK O. AMOUHT A/t ., OUANT. "0. No. UNIT ...ICI OIST. EMPLOYEE' I P/l.rI" JdV/U> V LA /JP. ",./1. :.L I' . 2-- 7. '1--- 1- z ~ Z- -?.- ;p, 4/) I.I,}>P 27 S.2=. <;"' - &>~"' 2.'5 :>;;:: 5. !,...~ 7 c::;,5J;' C;/ "v --I- --- 11llJ. ::;/?."t I- Wi.". equipment NI~~1~~~ I c,fJ'rJ z... / .a;72 2..q.€If J c.,'...'}(;, z... /..rP I~ _ \ \) / "'\../ Y \. .--:;:; .,/;.- 'A V 71> I "<NIA" z \.~ ~ ~ J ~ materiaIS_: ? r::r;.;-: 'if /VI' )( 1'\ , - ~ \ \ '" \ 0 I- 1\ ,,\ CJ) ,\ 1\) 0 \\ U / / ( J v o \ J II / / II ...J <( z o ~ ~ a: o LL. ~ 0... "'e 2", C'" -,'" u "'", "'0 o CERTIFIED COMPLETE DIVISION HEAD REVIEWED ( ) CITY ENGINEER Pen Print. Inc. . . . . . . . . . . . . . . . . . ~7:. J ~\ --7'11'/7 23'-U . #('17 / 'f \l\ ~ ~ \=- I_\. ~-~ -5- ~ ~ \0 \;- ~ '" \~ aJr yi (iJ - ~ <......., \0 cU