HomeMy WebLinkAbout733 S Liberty St - Engineering
PUBILIC WORKS & R/W PERMIT
D Attached Notes
OWNER/APPLICANT
JEAN CORREIA
212 DEER PARK LANE
Port Angeles, W A 98362
000/604-7572
PROJECT INFO
Work is.
Plans Required Start Date
Contractor' R J TISDALE CONST INC
Performance Bond Required Amount:
Proof of Insurance
Work to Perform
Issued
7/10/2002
Permit No
Work Order'
1258
o
PROPERTY LOCATION
733 LIBERTY S
Lot: FR
Subdivision
Parcel No
Block.
CRESTHAVEN
063011550415000
D Long Legal
Value Work.
$000
I I
Finish Date
360/683-5156
I I
$000
~ Install
D Repair
~ Watermain
~ Sanitary Sewer
~ Storm Drain
D Underground T ele/Elec
~ Misc
sidewalk/dwy
PROJECT NOTES
construct driveway to city standards, no exposed aggregate in city rlw
install 6' wide sidewalk along Liberty Street with wheel chair ramp @
Liberty & 8th Sts. water to be installed by city forces off 8th St
Sanitary sewer lateral off Liberty Street Call for Locates
FEES ASSESSMEN"F
1 ) RIW Excav' $000 15 ) Other San Sewer' $000
2.) Sidewalk. $000 16) Sew Tap Wye/Man Tap $000
3 ) Curb/Gutter' $000 17 ) Sew Capl W 1M Removal $000
4) Driveway' $145 00 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 RIW $000 21 ) Sewer System Dev' $745 00
8 ) Fire Hydrant: $000 22 ) Milwaukee Dr Sew Ass $000
9) Res Water Servo 5/8" $640 00 23 ) RIW Use Perm $000
10) Comm Water Serv' $000 24) Admin Cost (D RA) $000
11 ) Other Water Service $000 25 ) D RA. $000
12 )Water System Dev' $1,02500 26 ) Misc' $000
13 ) San Sewer SFR $95 00 TOTAL FEE. $2,650.00
14) San Sewer MFR: $000
add unit 0 Amount Paid $2,650 00
Receipt No 7477
Inspection Fee $000 Balance Due $000
.....
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
.....
REQUEST
Date
6~t.,/O Z-
Time
Received by
(phone, person)
Location of Work to be inspected 7 3(3 S L / fRJ ~
Name of person requesting inspection C 'f- ,T E:l-~
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) Permit No
Q~ Foundation Framing Chimney Plumbing Final Sewer Excav Other
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INSPECTION NOTES
Inspected Date
Remarks
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RESTORATION REQUIRED
YES
NO X
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
[] Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
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(DATE)
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . .
REQUEST I /
Date q /9 / V~ime Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
/F~J.~ ~S~~
Phone No
Permit No / 2 S~
Plumbi~werE~O
By-A Ad
Sewer Foundation Framing
Chimney
INSPECTION NOTES
Inspected Date
Remarks
"l- /D-o~
(' J> 1M f I... ---r~
Time
RESTORATION REQUIRED
YES
NO X
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
[] Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
I
l)l..U - 200{- 21 ra{-
APPLICATION FOR WATER
City Water Department
Port Angeles, Wash.
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hereby apply for water to be furnished in accordance w th rates and rules of the City
'or the following premises
'lame of Applicant J-ea.. ~O yy-- e \ O-.--J
<\ddress /3 3 SOIA~ LlY3e\-~ ST,
Reoewal 0 New Se<vk...c::r BikE La' ~.I {l7l:Thtt'Jf'-t----
y',,11 @7 +'!!. J./..:!Z~ I
Size of Service I 1lf Meter Number , .tl-J8"Z.3e~GO ~bl::,-cooa:o
Se<v;.e Le>> On 0' Se.vke Left Off ~ S;gne~l1.-.-' yn (lg'lIlP":'-.....-'
Installed by 7/.2 - 7/'P
-reY'rh1T #- 17..S7 <1 ft;4Dt22+-~ IDZ0t2Q
Remarks 7< e. (1. ~ /1477
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