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January 28, 1992
Frank Accettola
12015 - 79th South
Seattle, WA 98178
Dear Me Accettolu:
JEFFERS~ COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
p,O, 80x 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe. P.E.. Director
Aobert G. Nesbitt, P.E.. County Engmeer
Enclosed please find a copy of the order of vacation of an unnamed street in Trail's
End, At this time, the vacation is not in effect; to date, not all conditions huve been
met. Should the Juntaras wish to complete the vacution, they will be required to
provide a truil easement in the vucated street.
Please contact this department at the time that you wish to begin trail construction for
information on required permits und inspections,
~erei' c'.-
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ED, Simon
Administrative Assistant
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JEFFERSON COU NTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O. 80x 1220
Port Townsend. \VA 98368
(206) 385-9160_
Gary A. Rowe, PE. Director
Robert G. Nesbitt, P.E., County Engineer
January 17, 1992
Chaiyong and Dara Juntara
910 No. 33rd Place
Renton, WA 98056
Dear Mr, and Mrs. Juntara:
We have received the final cost on the Trail's End right of way vacation. A breakdown is
as follows:
Staff Time $
Mailing Fees
Filing Fee
Publication
Copying Fees
Compensation
559.52
32.40
7.00
36.00
28.60
1,750.00
Deposit
_ 100.00
The balance of $2,313.52 remains.
I am enclosing a copy of the Resolution containing the Board of County Commissioners'
decision on this vacation, Included In the vacation approval are requirements for a utility
en3ement and a trail easement.
When the fees and copies of the recorded easements are received by the Jefferson CClunty
Public Works Department, the vacatiun will be completed.
Sincerely,
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B.D, Simon
Administrative Assistant
100% Rflcycled PapfH
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JEFFERS'v'i~ COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P.O. Box 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe. P.c.. Director
Robert G. Nesbitt, P.E., County Engineer
December 26, 1991
Chaiyong Juntara
910 North 33rd PI.
Renton, WA 98506
Dear Mr. Juntara:
On January 6 at 10:30 a.m" the Hearing Examiner's recommendation on your street
vacation petition will be scheduled to be revieweq by the Board of County
Commissioners on Monday, January 6. Since some area re,"dents have stated their
disagreement with the recommendation, the vacation will not be placed on the Board's
Consent Agenda, I expect some opponents of your request to be present at the Board's
review, You may wish to attend the meeting to present arguments in favor of the
vacation.
Please feel free to contact Bob Henderson or me if you have any questions.
Sincerely,
~J~
Eileen Simon
Administrative Assistant
100% Rocyclod Papar
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OFFICE OF THE HEARING EXAMINER FOR JEFFERSON COUNTY
RE: Street vacation
application of Chaiyong
Juntara to vacate a
portion of an unnamed
public right-of-way
within the plat of Trails
End Homesites, Inc.
)
)
)
)
) FINDINGS, CONCLUSIONS,
) AND RECOMMENDATION
)
)
SUMMARY OF PROPOSAL AND RECOMMENDATION
Propo..l: The applicant is seeking to vacate a portion of an
unnamed right-of-way within the plat of Trails End Homesites,
Inc.
Recommendation: Apprmral
FINDINCS OF FACT
BACKCROUND INFORMATION
Applicant: Chaiyong Juntara
Appllcant'.Addre..J 910 North 33rd Place, Renton, WA 98056
Nllme of StreetJ The right-of-way the applicant seeks to vacate is
unnamed,
Street Location: Between Lot 11, Block 13 of the second addition to
Trails End Homesites, Inc., and Lot 43, Block 3 of Trails End
Homesites, Inc.
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LegalDeeoription. That portion of the unnamed street being
approximately 30 feet wide and 120 feet long, lying between Lot
11, Block 13 of the second addition to Trails End Homesites,
Inc., and as recorded on Page 1, Volume 4 of Plat Records of the
Jefferson County Auditor, State of Washington, and Lot 43, Block
of Trails End Homesites, Inc., as recorded on Page 30, Volume 3
of Plat Records of the Jefferson County Auditor, State of
Washington.
Deecription and Binory or Street: The right-of-way that the applicant
seeks to vacate is an unnamed 3D-foot wide right-of-way. It
consists of two distinct sections separated from each other by an
elevation difference of about 100 feet. Access to the lower
section is from Dickey Street; access to the upper section is
from Thorndyke Road. The area separating the lower and upper
sections is very steep and contains soils that have been
identified and designated by the State Department of Ecology as
unstable. Neither the upper section nor the lower section of the
road are open for public use as a street and neither are, nor
have ever been, used as a traveled roadway. The right-of-way is
currently being used as a utility corridor for a community water
system that serves three or four residences.
The portion of the right-of-way that the applicant seeks to
vacate is 120 feet long. It is planted in grass. It is
maintained by the applicant, and was maintained by the previous
owner of the applicant. s prl~perty, as a lawn area. There is a
fence along the right-of-way separating it from Thorndyke Road.
Deecription and Purpoee or Reque". Tha applicant owns property on both
sides of the right-of-way. He is seeking to vacate the right-of-
way so that the area within the right-of-way may be incorporated
into the abutting lots he owns. The applicant is seeking to add
the additional land within the right-of-way to the property he
owns so that it will be possible for him to build a residence on
those lots.
Chalyong Juntara
Street Vacation
Flndlnge, Concludone,
and Declelon
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PROCEDURAL ~ORMATION
Authorizing Ordinanoe.: Jefferson County Street Vacation ordinance
(Ordinance No. 3-85 as amended by 04-0617-91).
Hearing Date: December 3, 1991
Notioe.:
Mailed:
posted:
Published:
November 13, 1991
November 7, 1991
November 20 & 27, 1991 (The Port
Townsend Leader)
Site Vi.it: None made.
SEPAl Exempt
Testimony:
Bob Henderson, Jefferson County Public Works Department,
presented the Public Works Department Report and Rdcommendation.
Chaivona Juntara, applicant, testified on his own behalf.
Mr. Juntara testified to the following: He owns the lots on both
sides of the right-of-way that he seeks to vacate. The previous
owner of the property that he now owns maintained the
right-of-way as a grassy area. He will do the same. The area is
far too steep for a road. The Health Department has approved a
septic system for a portion of Lot 43. There is not, however,
enough land area on Lot 43 to accommodate both the approved
septic system and a residence. He is seeking the vacation to
increase the available land area to what is necessary.
Darak Juntara, applicant, testified on her own behalf. She
testified to the following: She and her husband want to join the
two lots toge~her. They want to be able to buil.d a residence on
their property some time in the future.
Chalyong Juntal'll
Street Vaoatl"n
Findings, Conolu.lon.,
and Deol.lon
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Wallv Peterson, area property owner, testified in opposition to
the request. He testified that he is one of the owners of the
South Point ferry dock and tavern, southeast of the right-of-way.
He testified that he does not believe that the right-of-way
should be vacated because it may be needed in the future for a
sewer line from the area east of the right-of-way to a possible
community drain field to the west of it because the septic
systems in the area are failing. He stated that the right-af'-
way is the only possible route such a sewer line could follow.
When asked whether a utility easement through the right-of-way
would be satisfactory to accommodate the sewer line if the right-
of-way were vacated, Mr. Peterson stated that it probably would
be, if it was acceptable to the Department or Ecology, but he
believes the right-of-way still should not be vacated because it,
might be needed as a trail some time in the future.
Joan Fultz, area resident, testified in opposition to the
request. She stated that she is concerned that if the applicant
were allowed to develop his property, any septic system placed on
it could result in pollution entering the water lines that are
situated within the right-of-way. She further testified that she
believes the right-of-way should be retained as a public
right-of-way so that it could be developed as a trail some time
in the future, if it is ever needed for such purpose. She stated
that it provides the only access between Thorndyke Road and the
lots adjacent to it to the north and Dickey Road and the areas
adjacent to Hood Canal to the south.
David Gastman, area resident, testified in opposition to the
request. He stated that the right-of-way should be retained for
utilities and a possible trail in the future.
Llovd Fultz, area property owner, testified in oppo~ition to the
request. He stated that he owns the property immediately below
or to the east of the applicant's property. He stated that a lot
of water comes onto his property from the lots adjacent to
Thorndyke Road, and that the lots adjacent to Thorndyke Road
would be subject to a substantial amount of erosion if he were
ever to remove the trees on his property. He stated that in all
likelihood he or someone else would be likely to remove the trees
from his property some time in the future.
~~chultz, area property owner, testified in opposition to the
request. Mr. Schultz testified that he ownA a community water
system on the lot east of Lot 11 and north of the right-of-way.
He stated that he is concerned about the impact that vacating the
Chalyon.r Junta....
Street Vacation
Flndlnge, Conoluelone,
and Doolelon
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right-of-way would have on the water system and his ability to
maintain it. He stated that water lines associated with the
system are situated within the right-of-way and that he is
concerned about what effect closing the right-of-~ay would have
on his ability to replace or maintain the water lines or replace
or maintain the other elements of the water system. When
questioned about whether a utility easement would satisfy his
concerns, Mr. Schultz stated that he also believes that the
right-of-way should be retained for possible future use as a
trail. He stated that he has used it as a trail in the past.
Mr. Schultz testified that there is a 200-foot restrictive radius
around the spring that provides the water for his water system,
and that he is concerned that any septic system placed on the
applicant's property would or could fall within that 200-foot
radius. He stated that his water system has been approved by the
State.
FNI
Larrv V~ Jefferson County Health Department Director, testified
in response to the comments made by Mr. Schultz. He stated that
the water system has net been approved by the State, but rather
has simply been recorded. He stated that the required 200-foot
radius cannot effectively restrict development on the lot unless
a restrictive covenant has been recorded against that lot.
Exhibit.:
1. Public Works Department Report and Recommendation on street
vacation
2. List of petitioners for street vacation
3. List of adjacent property owners notified of street vacation
request
4. Map showing area proposed to be vacated
5. Topographical map showing area proposed to be vacated
6. Letter in favor of proposed vacation from Rudy Sutlovich
7. Letters in opposition to vacation from Wallace and Doris
Callan, John and Marie Schmidt, Mrs. Leo McNair, Jack and
Shirley Wray, Lillian and Dave Gastman, Monty Walker, and
Donald Schultz.
8. Petition in opposition to request
9. Street vacation recorded for a portion of Peabody Way
Chalyonll: Janta....
Street Vall4tlon
Finding., Conala.lone,
and Deal.lon
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FINDINGS AND CONCLUSIONS
To be approved, the proposed vacation must be consistent with the
review criteria established in Section 5 of the Jefferson County
Road Vacation Ordinance (Ordinance No. 3-85, as amended by 04-
0617-91). A copy of this section is attached to this
recommendation, identified as Exhibit A, and, by this reference,
incorporated herein. The Hearing Examiner has reviewed the
proposed vacation and the evidence of record with regard to their
criteria and makes the following findings and conclusions:
1. The proposed vacation complies with the Jefferson
County Comprehensive Plan and other applicable plans,
policies, and ordinances.
There are no specific plan policies that apply to the proposed
vacation. The optimum land use map of the Jefferson County
Comprehensive Plan designates the area as "suburban" which would
allow a density of up to five dwelling units per gross acre. The
area is already fully platted, and the proposed vacation will not
interfere with the area being developed to its maximum potential
as contemplated by the Comprehensive Plan.
2. The right-of-way is not needed for area circulation or
for future use.
The right-of-way consists essentially of two sections separated
by a steep 100-foot drop-off. The area separating the two
sections contains unstable soil. For these reasons, it is highly
unlikely that the right-of-way will ever be developed for use as
a street. It is not necessary as a street. All of the lots
within the vicinity of the right-of-way have access from another
public street.
3. The effectiveness of fire, medical, law enforcement, or
other emergency services will not be impaired.
All providers of emergency services were given an opportunity to
comment on the proposal. None of them submitted any responses.
This suggests that the effectiveness of emergency services will
not be impaired. The right-of-way is not now used, and, because
of its physical features, never will be used, for access by
emergency services.
Chalyong Juntal'll
Street Vacation
.6.
Flndlnga, Conolualona,
and Deolalon
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4.
The right-of-way cannot be effectively used for a
utility corridor, or, if it can be, appropriate
easements have been preserved.
There are presently utilities within the right-of-way. There is
a water line associated with a privately owned water system
within the right-of-way. puget Sound Power and Light Company has
a power pole, guy wire, and anchoring within the right-of-way.
Accordingly, the ~pplicant has agreed to preserve a utility
easement to allow continued use of the right-of-way for
utilities. This recommendation includes a condition that would
require the applicant to grant such an easement in conjunction
with the recording of the right-of-way. (The Hearing Examiner
notes that several people testified in opposition to the request,
stating that the right-of-way is needed as a utility corridor.
The right-of-way itself is not needed so long as an easement for
utilities is preserved as recommended by this recommendation.)
5.
The right-of-way cannot be effectively used for a trail
or pathway, or, if it can be, appropriate easements
have been preserved.
The right-of-way cannot effectively be used for a trail or a
pathway. As stated, the right-of-way consists of two sections
separated by a steep 100-foot drop-off that contains unstable
soils. The size of the drop-off, the slope, and the soils make
it undesirable for a trail. To make it usable as a trail, the
right-of-way would have to be improved with stairs, or a
substantial amount of the right-of-way would have to be cleared
to accommodate "switchbacks". Clearing the right-of-way would
tend to destabilize it and would subject it to erosion. In any
case, it is doubtful that the right-of-way could accommodate
"switchbacks" that would be flat enough to allow most people to
use them. The right-of-way is only 30 feet wide. Further, the
right-of-way is not needed for a trail. On September 11, 1989
Jefferson County passed a resolution vacating a portion of
Peabody Way, about three-tenths of a mile south of the
right-of-way that the applicants seek to vacate. The resolution
vacating the right-of-way retained an easement for a walking
trail through the right-of-way. This easement provides access to
all points east of the portion of the right-of-way that the
applicant seeks to vacate.
Chalyong Juntal'll
St...,et Vaeatlon
'7'
Finding., Conoln.lon.,
and Deoldon
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6. The right-of-way does not abut a body of salt or fresh
water, or, if it does, the vacation is being sought by
a public authority for a public purpose or the abutting
property is zoned industrial.
The right-of-way does not abut a body of salt or fresh water.
7. The proposed vacation will not land lock any parcel of
property.
The right-of-way does not provide access to any property. All
lots in the vicinity have direct or indirect access to an
eXisting street.
Compen..tlon: In addition, to requiring street vacations to meet
the criteria of Section 5, the Street Vacation Ordinance requires
street vacations to meet the compensation requirements of Section
6. The Hearing Examiner has reviewed the proposed vacation and
the evidence of record with regard to this requl:ement and makes
the following findings and conclusions:
The Jefferson County Assessor's Department has concluded that the
assessed value for the right-of-way is approximately $3,500, and
that compensation for the vacated area, determined at a rate of
50 percent of the assessed value of the property, would equal
$1,750. This recOmmendation includes a condition that would
require the applicant to pay to Jefferson County $1,750 for 'che
right-Of-way.
RECOMMENDATION
Based on the findings and conclusions above, it is the
recommendation of the Hearing Examiner that the Board of County
Commissioners APPROVE the street vacation application of
Chaiyong Juntara subject to the fOlloWing conditions:
1. An easement shall be or reserved retained to allow the
construction, repair, <lnd maintenance of utilities within
the portion of the righ~-of_way to be Vacated. The easement
Cholyong Junto....
Street VOootlon
Finding., Conolu.lon.,
and Deol.'on
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may provide that the utility owner give reasonable notice to
the property owners before commencing work within the right-
of-way, and it may require the utility owner to post a bond
ensuring that the right-of-way area will be restored to its
"pre-workll condition.
2. The applicant shall pay to Jefferson County the sum of
$1,750 prior to the easement being recorded.
DATED this ~ "day of December, 1991.
..d:ld!...~ L 'j /(
Hearill/J bamlne.. fo.. Je"e...on~tJ'
A copy or notice of this decision was transmitted on the ;1'I:fL
day of December, 1991, by the Jefferson County Public Wor~
Department to the following:
chaiyong Juntara
910 North 33rd Place
Renton, WA 98506
Wallace and Doris Callan
1735 Cardinal Court
Chico, CA 95926
John F. and Marie E. Schmidt
P.O. Box 515
Forest Ranch, CA 95942
Chalyonll Juntara
Street VaAdon
Flndlnlla, Conelaalona,
and Deolalon
.9.
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DEe 27 1991
JEFFERSON COUNT
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JEFFERSON COUNT
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JRN 06 '92 11:01
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John F. << Marie E. Schmidt
P. O. Box 515
Forest Ranch, CA 95942
(916) 343-3421
/"'-
,..j'
P.1/2
January 6, 1992
fL'} I': f! ~~ Ii, d y.1 !:;s 1m
U\\ -.;...) Il" !l
\.. :.--
,J J.!'.i (, 'iSI:;?
Board of Commissioners
Jefferson County Courthouse
Port Townsend, WA 98368
JEf,ERSDi, C'.L';':'"
COARD OF cor\:1/d~~"~'rlci\S
Re: Vacation - An unnamed street In Trail's End Homesltes 2nd Ed.
Chalyong Jumara, Applicant
Gentlemen:
We ,~re owners of property adjacent to the above captioned street, As outlined In our
letter of October 27, 1991, we have grave concerns about the vacation of the street.
We feel that our water supply could be compromised. The Findings, Conclusions and
Recommendation of the Hearing Officer were received on December 30, the day appeais
were due. The most recent notification of the 116/92 Board review was received on
1/3/92, With such shol't notices, we have not been able to respond in a timely manner,
The property in question is much hl~her in elevation and adjacent to our spring. It
the vacation of this street is approved. and our spring subsequently becomes conta-
minated with collform bacteria, It will probably be due to a septic field made possible
by the vacation of the street.
Our water system (ID /I 00532-E) Is spring fed and serves three parcels of land di-
rectly, The overflow water is ut1llzed for domestic supply to a neighbor, In "'2, of the
Findings and ConClusions the 100 foot drop-Oft and unstable 8011 Bre pointed out,
Because of the topography and soli conditions a septic field within 100 feet of the
spring could prove disastrous.
If no septic system components would be allowed within 200 teet of the sprin~, we
would not obJect to the vacatIon of the street,
Please don't make it possible to allow our water supply ;;(1 be contaminated.
Thank )fOU for your consideration.
Sincerely,
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John F, Schmidt
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Marie E, Schmidt
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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Gary A. Rowe, P. E.. Director
Robert G. Nesbitt, P.E., County Engineer
1820 Jefferson Street
P,O, Box 1220
Port Townsend, WA 98368
(206) 385,9160
December 18, 1991
Chaiyong Juntara
910 North 33rd PI.
Renton, W A 98506
RE: Street vacation in Trail's End subdivision
Dear Mr. Juntara:
On December 17, a copy of the Hearing Examiner's decision on your road vacation
request was sent by mail to you. If there is no appeal of the Hearing Examiner's
recommendation, the recommendation will be reviewed by the Board of County
Commissioners on Monday, January 6 at 10:30 a.m. You may wish to attend this
meeting, as it is where the final decision on the vacation is made.
If the Board accepts the Hearing Examiner's recommendation, it will be adopted at that
time. Within the week, a stateme,nt of your fees will be sent to you, (All fees must be
paid and all required conditions met prior to finalization of the vacation.)
However, if an appeal is filed, the vacation may be scheduled for a later date, Should
this occur, you will be notified immediately of the rescheduled review date.
We will be in touch with you before the Board of County Commissioners meeting,
Please feel free to contact Bob Henderson or me if you have any questions.
Sincerely,
~~
Eileen Simon
Administrative Assistant
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, Box 1220
Port Townsend, WA 98368
(206) 385,9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt. P.E., County Engineer
MEMORANDUM
TO:
FROM:
DATE:
SUBJ:
Whom It May Concern
Bob Henderson ~Vi'
December 17, 1991
Vacation - An unnamed platted street In Trail's End Homesites
Enclosed please find the Report of Findings, Conclusions, and Decision by the Jefferson County Hearing Examiner
concerning your proposal. The decisIons of the Hearing Examiner are final, unless such determination Is appealed to
the Board of County Commissioners as provided by the Jefferson County Hearing Examiner Ordinance, Number 1.
0318-91, as summarized below (text of pertinent sections of the ordinance may be obtained upon request from the
Planning Department or the Public Works Department):
REQUEST FOR RECONSIDERATION BY THE HEARING EXAMINER:
A written request for reconsideration by the ExamIner must be made within fourteen (14) days of the Hesrlng
ExamIner's decision. The request shall be submitted to the Planning Department on forms provided by the
Department. Reconsideration of the decision Is wholly within the discretion of the Examiner. A request for
reconsideration is not a prerequisite to an appesl.
APPEAL OF FINAL DECISIONS TO THE BOARD OF COUNTY COMMISSIONERS:
Final decisions made by the Hearing Examiner may be appealed to the Jefferson County Board of
Commissioners In the following manner:
1. Submit a written appeal notice to the PlannIng Department within fourteen (14) days of the Hearing
Examiner's decision, Your appeal notice must Include:
a, A concise statement of the error or Issue the Board Is asked to consider on appeal;
b, A statement containing specific references to portions of the Examiner's decision alleged
to be In error, and an axplanallon of those provisions of law allegad to have been violated;
c. A statement of the relief sought, such as a reversal of the decision or mitigation of
conditions;
d. The algnature, mailing address, and telephone number of the appellant or the eppellant's
representative; and
e, Any and ell required fees.
2. Your uppeal notice must be accompanied by a wrltton memorandum detailing the arguments you
wish the Board to consider on appeal, The memcrandum must be based solely upon facts
presented to the Examiner at the publiC hearing.
Your last day to fila an appeal or request for reconsideration concerning this daclslon Is DECEMBER 30,
1991.
Please call either the Public Works Department or the Planning Department at385.9140, should you have any questions,
BH:kn
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COUNTY ROAD
VACATION PETITION
CHAIYONG JUNTARA, PETITIONER
REQUEST
That portion of the unnamed street being approximately thirty feet in width and
120 feet in length lying between Lot 11, 1l1ock 13 of the Second Addi tion to
T~ail's End Homesites, Inc., as recorded on Page 1, Volume 4 of Plats, records
of the Jefferson County Auditor, State of Washington. and Lot 43, Block 3. of
Trail's End Homesices, Inc, as recorded on Page 30, Volume 3 of Plats, records
of the Jefferson County Auditor, State of Washington.
The principal petitioner is requesting the vacation in order to utilize the
property to construct a house and drill a well.
Notice of the proposed vacation was made by mail on October 15, 1991, to
appropriate agencies and adjacent property owners. Response by agencies appears
under "AGENCY RESPONSES".
A public hearing on the proposed vacation, to be conducted by the Jefferson
County Hearing Examiner, is scheduled for December 3, 1991, at 2:15 p,m, in the
Jefferson County Courthouse. On November 13, 1991, notice of the meeting was
made by mail to all petitioners and abutting property owners. Public notice of
the hearing was made by publishing legal notices in the November 20 and November
27, 1991, editions of the port Townsend Leader and posting che subject site with
notices on November 7, 1991.
AGENCY RESPONSES
1, The Jefferson County Public Works Department had the following co~nents:
This unnamed road consists of two distinct parts. The lower section
is accessed from Dickey St. and the upper section, which is the one
concerned in this request, is accessed from Thorndyke Road. There
is approximately a 100 foot difference in elevation between the two
sections. Both sections are unopened for use as a street, although
that section concerned in the request has been maintained as a
landscaped lawn by the petitioners.
The right of way is not in use as a travelled roadway at present.
The soils along the bank and below on Dickey Street have been
designated as unstable by the Department of Ecology. Ilecause of
the poor soil conditions, the slope, and the existing roadways in
the area it is not feasible to utilize this area for road
construction. The right of way is currently being used as a utility
corridor for the community watel: system. It is in the cOTnIDunity's
interest to reeain this utility corridor, for which easements may
be acquired by utilities having an interest.
The Public Works Department recommends approval of this vacation
request with the provision that a utility corridor be dedicated or
easements for utility installation, maintenance, and repair be
granted between the upper and lower portions of the development.
The Jefferson County Assessor's Department stated that lots along this area
were revalued in January of 1991 for $7,000 each, Lots were for the most
part 60 feet in width with the same general depth as the vacation request
area, The area to be vacated is 30 feet in width (or, approximately, ~
the normal lot width); therefore the assessed value of the vacation request
is $3,500. Compensation for the vacated area, determined at a rate of
50t of the assessed value of the property would equal $1,750.
U,S. West Telephone made no response to the request.
Jefferson County Sheriff's Office/Emergency Services made no response to
the reques t.
2.
3,
4.
The puget Sound Power and Light Company stated that it has a pole, guy
wire, and anchoring system 1n the proposed vacate area. An aasamant has
been acquired to cover these facilities, puget power thorefore hes no
objection to the vacation.
Fire pr.nt:ection District No.3 made no response to the request,
Water system f~,,",chise holder Don Schultz obJected to the t'equost, stating
that it currently accommodates, and ohould be retained for, wator lines.
8. The Jefferson County P.U.D. #1 made no response to the roquest.
9. The Jefferson County Health Department stated the following:
The potitionor indicates that the request is being made so that the
property can be used to build a house and drill a well,
5,
6.
7.
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PEOPLE AND AGENCIES NOTIFIED OF HEARING EXAMINERS DECISION
NOTICE SENT 12\17\91-KRH
David Gastman
PO Box 695
Quileene, WA 98376
Billie J. Karfleeek
20 Peabody Way
Port Ludlow, WA 98365
Donald O. Shultz
7350 Old Pacific Hwy.S.
Kalama, WA 98625
Wally Pederson
P.O. Box 9
Quileene. WA 98376
Lloyd Fultz
101 Peabody Way
Port Ludlow, WA 98365
Chaiyong Juntara
910 N. 33rd PI.
Renton, WA 98056
Wallace and Doris Callan
1735 Cardinal Court
Chico. CA 95926
John F, and Marie E. Schmidt
P,O. Box 515
Forest Ranch, CA 95942
PUGET POWER
WILLI ENE HARRIS
P,O, BOX 2189
BREMERTON,98310
U,S, WEST TELEPHONE
TOM BOOTH
611 SIXTH ST.
BREMERTON, 98310
JEFFERSON COUNTY P.U,D.
P.O, BOX 929
HADLOCK, WA 98339
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NOTICE OF PUBUC HEARING
COUNTY ROAD VACATION
PETITION ' ,. "
, A ,PORTION OFAN UNNAMED
" "" STAEET'"
IN THE PLAT OF TRAIL'S END
:' Notice Is herebvglven that a publle ,
hearing will be hald by the Jefferson'
County Haarlng t:xamlner on Tues-"
day, Deeember3,1991 at2:15 p.m. In
the. County Courthouse In Port
!Townsend, Washington, fer Ihepur-
pose o'lIlklng testimony concerning
Ihe vecallon ell the portion 01 an un-
opened unnemed platlad slreet In
Trell's End, bOlng 30 fa.lln width and
approximately 120 faalln Iongth lying
betwean BIcCkI 3 and 13.
. Any parson may appear and be
heard, and wrlll.n commantl will be
accaptad and midi part oltha rlCOrd.
'110711-27
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Affidavit of Publicatior"""
STATE OF WASHINGTON)
S5
COUNTY OF JEFFERSON)
FRANK W, GAR RED. being swum, says he is the publisher
of the Pori Townsend Jefferson County Lc,ulcr, a weekly
newspaper which has been estahlished. published in the
English language and circulated conlinunusly as a weekly
newspaper in the town of Port Townsend in said County and
Stute, and for general circulation in said county fur mme
than six (6) months prior to lhc dalc of lhe first publication
oflne Notice hereto aU;lched. and thatLhc said PnrtTownscnd
Jefferson Cnumy Leader W,L"; on lhe 27th day of June 1941
approved as a legal newspnpcr by the SupcriorC(Hlrt of said
Jefferson County nnd that ,mnexcd is a tnle copy of the
Notice of Public Hearing
County Road vacation petition
a portion of an unnamed street
in the plat of Trail's End
liS it nppc:lred in the regular iUld entire issue of said paper
iLself not in II supplement therenf fnr It period of
~conscclllivc wccks.hcginr.ingon thc~
d:ly()f~mber .19~1..undcndingnnthl,l
.6.l.t.lLduynf November, 19,J1l, und
thllt said newspnper WIlS regularly distributed 10 it)! suhscrih.
l,lfS during all of this perind. That the full amount of
$_3...6-,~ hilS neen paid in full. utthc rntcofS6.liO
pef column inch for C+' senil:n, ] /2,
_~t.!J~
. Pul!lishcr
Suh<:crihccl unci !'lWflnl tn h~~rtlrc me this -'.2:th_ dllY nf
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NUlnry PLlhlic iny~(1 for the Stule c.:r~llshington. '7
, residing nt Purt Hudluck,
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JEFFERSON COUNTY HEALTH DEPARTMENT
802 SHERIDAN POFlf TOWNSEND. WASH. 98368
(206) 385.0722
RECEIVED (X)
( )
( )
FOR YOUR INFORMATION
PLEASE RESPOND
PER YOUR REQUEST
NOV 19 1991
To: EILEEN SIMON
JEFFERSON COUNT'! Date: November 15, 1991
PUBLIC WOI'lI<'R D'"'v
Address: JEFFERSON COUNTY PUBLIC WORKS
JEFFERSON COUNTY COURTHOUSE
PORT TOWNSEND WA 98368
From: Larry Fay
Environmental Health Director
p4
Subject: Road Vacation Petition Request - Trail's End Homesites
Message:
This office has reviewed the above referenced petition and the attached
public comments.
The petitioner indicates that the request is being made so that he can
use the property to build a house and drill a well. At the present time
there are no applications for Lot 11, Block 13 or Lot 43, Block 3 filed
with the Health Department and we have no knowledge as to what impacts
the vacation would have on site suitability wi,th respect to on-site
sewage systems.
There is an existing, unapproved public water supply which utilizes a
spring source located near the properties in question. Review of the
plans for the Schultz water system indicate that, contrary '~o Mr. and
Mrs. Schmidt's letter, no component of the system lies within the
property in question. Mr. Schultz' statement concerning a 200 foot
isolation radius is somewhat misleading in that establishment of a
source protection zone is a condition of water system approval. One
reason this system has not been approved is the failure to establish a
protective covenant that providFls a 200 foot radJ,us protection zone
around the spring; none the less, if the system is to ever be approved,
there could be no source of contamination within two hundred feet of the
spring. It appears that most of the land in question is more than 200
feet from the spring.
In considering the application and the comments, the Health Department
has no recommendation either way.
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PUGET
POWER
November 7, 1991
RECE~VED
Jefferson County Department
of Public Works
Jefferson County Courthouse
Port Townsend, WA 98368
NOV 12 1991
JEFFERSON COUNTY
PUBLIC WORKS DEPT
Re: Proposed Vacate County Road between Lot 11, Block 13,
Second Addition to Trail's End Homesites, Inc., and Lot 43,
Block 3 of Trail's End Homesites, Inc.
Gentlemen:
puget power has received the easement it requested from Mr. and
Mrs. Juntara to cover existing electrical facilities lying within
the area to be vacated. Therefore, we have no objection to the
county completing this vacate procedure.
Please send us a copy of the final order entered in this
proceeding. I've enclosed a self addressed stamped envelope for
your convenience.
Thank you for your time and attention.
~'nCerelY'/' ~ I
,-,ul ~i "-<Wtu>-.,,v\.lt.J
/- udy . I leasman
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JEFFERSON COUNTY
PLANNING AND BUILDING DEPARTMENT
P.O. Box 1220
Port Townsend. Washington PH3tiH
Planning (20fi) 3H5-0140
Building (206) 38;,-BI.U
.JEFFERSON COUNTY COURTHOUSE
Craig \Vard, DirpClor
MEMORANDUM
TO: Jefferson ~ounty Public Works Department
FROM: Michelle Grewell, Permit Technician specialist }17~-
DATE: November 7, 1.991
SUBJECT: chaiyong Juntara County Road Vacation Request; Portion
of Unnamed street in Trails End Second Addition
The Jefferson county Planning and Building Department has no
objection to the approval of the road vacation request but submits
the following comments:
1. The optimum land use map of the .Jefferson county Comprehensive
Plan designates the area as "suburban", an area of medium
intensity development with a density potential of up to five
(5) dwelling units per gross acre.
2. The requested road vacation is subject to the criteria of the
Jefferson County Road Vacation Ordinance as amended.
3. The Transportation Policy 13 of the ComprehenSive Plan
indicates the County will judge proposed road vacations for
conformance with the Plan in light of the five (5) principles
herein incorporated by reference.
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POSTING NOTICE VERIFICATION
NOTICE OF PUBLIG HEARING
COUNTY ROAD VACATION PETITION
A PORTION OF AN UNNAMED STREET
IN THE PLAT OF TRAIL'S END
Notice is hereby given that a public hearing willbe held by the Jefferson County
Hearing Examiner on Tuesday, December 3, 1991 at 2:15 p,m. in the County
Courthouse in Port Townsend, Washington, for the purpose of taking testimony
concerning the vacation of the portion of an unopened unnamed platted street in
Trail's End, being 30 feet in width and approximacely 120 feet in length lying
between Blocks 3 and 13.
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Any person may appear and be heard, and written comments will be accepted and
made part of the record.
I CERTIFY THAT THE ABOVE NOTICE WAS POSTED AS PRESCRIBED BY THE JEFFERSON COUNTY
ROAD VACATION ORDINANCE.
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Ro er. e s n
Technician, Dep tment of Public Works
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(DATil')
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WE, THE UNDERSIGNED, PROTEST THE VACATING OF THE ROAD IN THE
SOUTHPOINT AREA LOCATED BETWEEN DICKEY STREET AND THORNDYKE
ROAD. (the unnamed street is approx. 30 ft wide and 120 ft
long lying between Lot 11, Block 13 of the Second Addition to
Trails End Homesite. Inc. and Lot 43, Block 3, of Trails End
Homesites, Inc.
SIGNATURE PRINT NAME & ADDRESS
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WE, THE UNDERSIGNED, PROTEST THE VACATING OF THE ROAD IN THE
SOUTHPOINT AREA LOCATED BETWEEN DICKEY STREET AND THORNDYKE
ROAD. (the unnamed street is approx. 30 ft wide and 120 ft
long lying between Lot II, Block 13 of the Second Addition to
Trails End Homesite, Inc. and Lot 43, Block 3, of Trails End
Homesites, Inc~' Ty,..;//s E. /Vel I?o/, E? YZ Y OLL/ne YS"
SIGNATURE
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AECE:JVc...
OCT 30 1991
10/27/91
JEFFER::;ON COUNT
PUBLIC: WnRK'''' .....,..
Jefferson County Dept.of Public Works
Jefferson County Court House
Port Townsend, Washington 98368
RE: Application to abandon unknown named st.-Trails end Home Site Inc. Second
addition. My wife and I are reoent buyers of lots 13 and 14 blook 12 of the
afore mentioned Development.
We have been notified by several of our land owning neighbors that there is
pregentlY~ d petition requesting the above action. Our understanding is
that this unnamed st. is design~ted on reoorded county maps as running
between Thorndike and Diokey st and is shown as being thirty feet wide. My
wife and I have serious oonoerns regards this matter and the following are
some of those.
1.-There are several families that depend on a spring fed water system in the
very near proximity of this proposed chdnge and there are obviously concerns
by these folks, suoh aB change in land uee,such as septio systems, storage of
material not compatible with a spring fed water supply.
2.Regarding our personal ooncern; The development of a souroe of domestio
water supply for our property is not oomplete and in the future it may be
required that we buy a lot across the road from our present property. This
would be in the very olose vioinity of this proposed ohange.
3.While we are not aware of all of the reasons for planning of this unknown
st. There no doubt were some. Having an avenue between Diokey st. and
Thorndike does not seem illogical
4. And what is the reason for this change in planning, who is to benefit?
And in oonolusion,We are oonoerned and before any further oonsideration be
given to this matter we would hope to have further details and be able to
provide our input,
W~llao~ and Doris Callan
~735 Carainal Ct,
Chico, Calif. 95926
tele,916-343-1628
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John F. & Marie E. Schmidt
P.O. Box 515
Forest Ranch. CA 95942
(916) 343-3421
AECE:JVp:,~
OCT 30 1991
JEFFER~UN C;OUNT
PUBLlr. W()RK'~ n,'
October 27, 1991
Jefferson County Department of Public Works
Jefferson County Courthouse
Port Townsend. WA 98368
Re: Application to Abandon unnamed county street, Trails End
Homesites, Inc., Second Addition
It is our understanding that an application has been filed to
abandon an unnamed street or all~y which is thirty feet wide and
runs from Dickey Street to Thorndyke (mislabeled as Kelso on the
plats map).
We own lots 4. 3, and South half of lot 2 of the First Addition
of Tr~ils End Homesites, Inc.
We also own a one-third interest in a spring fed water system on
lot 21 of Block 13 Trails End Second Addition, ID 00532-E, the
source of which is located directly adjacent to the property in
question. Some of the pipe leading to the water holding tank
runs through the property in question.
It is our view that approval of the application would adversely
affect our right of access for maintenance to our water system.
Our understanding is that the application was made in order to
unite two properties on Thorndyke for the purpose of gaining
enough square feet to produce a building site. If that were
accomplished, a septic system on the new site would pose a threat
to the purity of our spring water supply for two reasons;
proximity in distance, as well as elevation, The septic system
would necessarily be much higher than the spring, posing a danger
of contamination through downward percolation.
For the above reasons, we strongly oppose the application, and
urge its disapproval.
Please keep us appris~d of any proceedings in this matter.
Thank you for your consideration.
Sincerely,
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John F. Schmidt
712CZ'tti! ~.ll.,:!/cd!
Marie E, Schmidt
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EnvlrOMl8l1t8J Health Ptograms .
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Olympia. WA.98S04
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RECeH/cl'..<
OCT 23 1991
JEFFERSON COUNT
PUBLIC, WORK~ nc'
5550 So. Avon St.
Seuttle Wa. 98178
October,2l,199l
TO: Jefferson County Department Of Public Works
Subject: Request To Vacate Parcel Of Land Known As That Parcel Lying
Between Lot 11 Block 13 And Lot 43 Block 3 Of Trail's End
Homesites Inc.
Reference: Notice Of Petiton To Vacate Post Marked Oct. 10 1991
Gentlemen:
After giving due consideration to the subject request, we respectfully
request that subject petiton not be granted due to the following:
1. This parce~ should be retained as "open space" since this parcel
and that parcel lying between Lot 20 Block 13 and Lot 10 Block 2 are
the only remaining "open space" areas in the 'llrails' End Homesite o.rea.
2. ahould favorable consideration be considered, we request that prior
to granting the vacating request, a stipulation be assigned to the
parcel whereby the parcel could not in the future be used for"comme.:ical
purpoaes"ie; a private water line/system enter upon tile parcel from
the area directly eaet of and ajoining the parcel in question.
Thank you for the opportunity to respond to the referenced request.
/
C . '" l.,,,-,,,--A..
J.~ck C.
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shirlk:f J. Wray a
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OCT 22 1991
RECE:"!c~
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PUBLIC WOR:<S nFr
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RECE,PJI:.U
OCT 21 1991
JEFFERSON COUNTY
PUBLIC WORKS DF?~
OctoRel1. 17, 1991
70 J.effel1.hon Couniy Depi, of l'uf.Lic {JOl1.kh:
In M!.gal1.dh io ihe peLiiion io vacaie I do not agl1.ee with the
pl1.opohaL to vacate haid county 11.0ad Lying Retween - Lot 11, BLock
13, of the Second addiiion to 711.aiLh c.nd, and lot ~3, Block 3,of
T l1.a.iLh c.nd,
I f.eLieve thai huch a couniy 11.0ad 011. aLLyway hhouLd l1.emain,
With it' h connection to Dickey Stl1.e.et and Thol1.ndyke R.oad, it
couLd fe a e~~ent~aL acce~~ in ca~e at a eme~gcncy. AA the4€
lh onLy ihih one~cehh 11.0ad aeiween Dickey Stl1.eet and ThOl1.dyke
Road , and only one en~nancp ~oorl fo thp So"ihpo,int anea. II
a 11.0ad f..lockage evel1. accul1.l1.ed on ihe nOl1.th end of eithel1. 11.0ad
ih.ih a.lLyway couLd give accehh to Thol1.ndyke Road J.11.0. Dickey Road
011. vice vel1.ha, If a fil1.e wel1.e to accUl1.e on the htate land
adjacent SeaitLe Dnive 011. htol1.. aLockage oj Thol1.ndykc Road thih
couLd ac a vel1.Y lmpol1.tani accehh. I (i.eLieve it ih in the countYh
f.eht intel1.eht, and the l1.ehiding l1.ehidenth to l1.etain thl. accehh,
a4 we know it id eah~a~ ~o 4etain a acce~d, than to 4elnbtate on~
I aLho cannoi hec whcl1.e the 'enlfit at thih county l1.oad vacaion
oui weighh the detl1.i.ent, in l1.egul1.dh to ihe l1.ehiding I1.chid.nth oj.
Thol1.ndyke Road arid Dickey Stl1.eet,
Sincel1.eey
f'll1.h. Le,o f'lcNail1.
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JEFFERSON COUCNTY DEPARTMENT OF PUBLIC WORKS
OUNTY COURTHOUSE
PORT TOWNSEND, WA 98368
(206)385-9160
NOTICE OF PETITION TO VACATE COUNTY ROAD OR ALLEY
Attached Is a description of a ro
agency's jurisdiction p posal to vacate a county road or alley that ,'s d
, un er your
Please comment on the proposed vacation .
to or concerns about the request. Write or 't:::~~~n:~~::~frourb depa~ment has any objections
rce y I!'. V ~\ ,gql
AGENCY: A:'7:-:p."",5<=> f. )
~ lE I~ Ie ~ w ~ ill)
OCT 1 G 1991
JEFFERSON CUUN rv ASSESSOR
JAr.~ ,^,~~T~RMAN m
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II-At!A 15f}'f,(/tf. ItJ-v.5.Tbe,fA> rb~ tlt(C/f T-UJ#.
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PUCET
POWER
RECEIVcu
OCT 21 1991
JEFFERSON COUNT"
PUBLIC WORK~ nF~
october 17, 1991
Jefferson County Department
of Public Works
Jefferson County courthouse
port Townsend, Washington 98368
Re: p(oposed Vacate County Road between Lot II, Block 13,
Second Addition to Trail'S End Homesites, Inc. and Lot 43,
Block 3 of Trail's End Homesites, Inc.
Gentlemen:
puget power has a pole and gUy wire and 3ncho(ing system in the
p(oposed vacate area, as shown on the enclosed sketch. An
easement will be required to cover these facilities. We will
notify you in writing as soon as the easement is secured. Please
do not approve the vacate prior to notification.
Thank you for your assistance in handling this matter.
Sincerely,
d uJ~CWu-~
H. Williene Harris
Assoclate Real Estate Agent
HWH/jdw
Enclosures
The Energy Starts Here~
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APOs notified:
Bonnie R. Andrews
PO Box 21365
Carson City, NV 89721
Carl Quimby
2137 E. Highlands
Bremerton, WA 98310
David Gastman
PO Box 695
Quilcene, WA 98376
Brence Pate
856 Tulelake Rd. S,
Tacoma, WA 98444
Chaiyong Juntara
910 N, 33rd PI,
Renton, WA 98056
Frank Accettola
1201579th S.
Seattle, WA 98178
Donald M. Tyner
PO Box 195
Port Townsend, WA
98368
~".. -;:;'-,,'~ "~',"!J.~~!:..;~" ':,,:,~~'f~.i~:~~.&7~~l'/""~'.l.-, '
James E. Conyers
4926 Chico Way NW
Bremerton, WA 98312
Jack Wray
5550 S. Avon St.
Seattle, WA 98178
Delores Ernst
1550 Thorndyke Rd.
Port Ludlow, WA 98365
Leo McNair
PO Box 65127
Port Ludlow, WA 98365
Billie J. Kadlecek
20 Peabody Way
Port Ludlow, WA 98365
Rudy Sutlovich
23030 34th W,
Brier, WA 98036
Donald O. Shultz
7350 Old Pacific Hwy,S.
Kalama, WA 98625
c
Monty Walker
3802 Pinecone Dr.
Bremerton, WA 98310
Lloyd Fultz
101 Peabody Way
Port Ludlow, WA 98365
AGENCIES Invited to
comment:
PUGET POWER
WILLI ENE HARRIS
P.O. BOX 2189
BREMERTON, 98310
U.S. WEST TELEPHONE
TOM BOOTH
611 SIXTH ST.
BREMERTON, 98310
JEFFERSON COUNTY
P.U.D,
P.O. BOX 929
HADLOCK, WA 98339
FPD #3 (PT. LUDLOW)
P.O, Box 3
PORT LUDLOW, WA
98365
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Petitioners:
Chaiyong Juntara
910 N. 33rd PI.
Rento", WA 98056
Evelyn/Walter Hardin
1080 Thorndyke
Port Ludlow, WA 98365
Ahmed/Gladys Hasson
990 Thorndyke
Port Ludlow, WA 98365
Deborah Crane
831 Thorndyke
Port Ludlow, WA 98365
Audrey Heaton
911 Thorndyke
Port Ludlow, WA 98365
Janes Rasmussen
1131 Thorndyke
Port Ludlow, WA 98365
Delores Ernst
1550 Thorndyke
Port Ludlow, WA 98365
Art Storkert
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1550 Thorndyke
Port Ludlow, WA 98365
Ida and Gerald Ball
1380 Thorndyke
Port Ludlow, WA 98365
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CONDITION OF ROAD: ~ #t.e road.-. r:o twI~~MI..uD . A ~ oi tA ~ ~
dLrvc.uL ~~ (~ fdrrn;!-S -WA:;JUJ,Tf'ft.r... '4M"'~ ~ ~'-' -
,4./l~ -10 If.t..e~.)f~ flo.M.b-4.1J<< ~d~ ~' I!jwJr' traJ.J
ROAD IN USE? IF NOT, ABOUT HOW LONG HAS IT BEEN UNUSED?
M1'1'ena
COMMENTS AND/OR CONDITIONS:
ADVISABLE TO PRESERVE ROAD FOR FUTURE USE?
-r,y'/J If cAOetJ"fJ' 1$ 1)1"; ..9U/~>4~4! r./..v!'t.;()C'''1 ~, 717~R.!
/.;5 1I1'f'/?.:>Jt/,...,AT'-7 /I /t:>D ~/,4F~~,,;x:.€ I"';> r;;.(~t/tlrlt'",y r;('<1J~
r/AP~~Y~ -e.,;ft!) 7&> t!J,c.h)/ .:f7: #~~ /T /S ;feJlh.1AtJ'li.. TO
WILL PUBLIC BE BENEFITED BY THE VACATION? -t:'c.E!' ,r ~..t. 019 ~nio/ c6H1d4l',
"yO ' / T ,w./~ t.. .Me> 'r; :Z:;Y,r/IC r .-:t r.d!- 'ped3uC
/AI r#i!' 1.rl1.-He:tJ/1~ "'~(~ ojCe.I(;J ~€ .l~un_'/
, /NC.~/ fI'/c ,Oce? , ./
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RECOMMENDATION ON THIS REQUEST:
0€#'-::f rq'/.5 ,(!~euE-':>"- I'(AJd .K:.UL. u.s<!:
7";{/~ RI'1h7~.-I- w"/o/ r-~L>
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JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
COUNTY COURTHOUSE
PORT TOWNSEND, WA 98368
(206)385-9160
NOTICE OF PETITION TO VACATE COUNTY ROAD OR ALLEY
Attached Is a description of a proposal to vacate a county road or alley that is under your
agency's Jurisdiction.
Please comment on the proposed vacation. stating whether your deparJment has any objections
to or concerns about the request. Write or telephone this office by ~ ov. 0 I ) \ "J"\ I ,
AGENCY: ,1> / Lv
ENGINEER'S REPORT
LOCATION OF ROAD: Si1, I'~... a..Y"eA-- J ;1/J61h"""~ ~-
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October 2, 1991
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Chaiyong Juntara
910 N. 33rd PI.
Renton, WA 98056
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JEFFERSLd COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, Box 1220
Port Townsend, WA 98368
(206) 385,9160
Gary A. Rowe, P. E., Director
Robert G. Nesbitt, P.E.. County Engineer
Dcaf Chaiyong Juntara:
Public hearings for Jefferson County road vacations are now being conducted by a
hearing examiner. This is a change in procedure that has occurred since your petition
request was originally made in ,;arly 1990.
There are two available hearing dates at which YOUf road vacation petition may be
heard: November 18 at 7:00 p.m, or December 3 at 1:30 p.m. Please advise me as soon
as possible which date you prefer so that I may schedule your request with the hearing
examiner,
If you wish to call me or leave a message, the phone number for the department is 385-
9160.
Sincerely,
6b.~
E,D. Simon
Administrative Assistant
1001l/o Rocyclod Papar
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COUNTY ROAD
VACATION PETITION
REQUEST
To vacate that portion of the unnamed street approximately thirty feet in
width and 120 feet in length lying between Lot 11, Block 13 of the Second
Addition to Trail's End Homesites, Inc. and Lot 43, Block 3, of Tr.ail's End
Homesites, Inc. (see attached map) This road is in the South Point area and
is located between Dickey Street and Thorndyke Road.
The principal petitioner is requesting the vacation in order to utilize the
property to construct a house and drill a well.
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PETITION FOR VACATION OF A JEFFERSON COUNTY ROAD
Princinal Petitioner:
Chaiyong Juntara
'Pi.; l' IDC::;
"'\<.. ~ \''I'It..
Y;-23~~
I...-}JY.'- 'f2-
same
RECEIVclI-
{\.uthorized Renresent:ative"
AUG 23 1991
JEFFERSON COUNT'
PUBLIC WORKS OFt'
~ailin'" Address:
910 North 33rd PI,
Renton, WA 98056
Teleohone: Home: 271-1855
Business:
Instructions:
1. The principal petitioner shall contact the Jefferson County Public works
Department for legal description of right-of~way to be vacated. A fee of
twenty-five dollars ($25.00) shall accompany ehe request.
2. The principal petitioner shall submit to the Jefferson County Public 'Works
Department a complete petition, accompanied by a bond in the penAl sum of
one hundred dollars ($100.00) to cover county processing expenses. Checks
or money order shall be made payable to the Jefferson County Public works
Department.
3. The principal petitioner shall include with the petition a map suitable
for reproduction that is no larger than 811 by 11 incbes showing to a
reasonable scale: (a) the county road, or portion thereof, to be vacated;
(b) tbe property location and names of all petitioners; (c) the property
location and names of all adjacent property owners who did not sign the
petition, with an attached list of their addresses; and (d) the nearest
constructed county road to the proposed vacation. (This information may
be found in the Jefferson County Public Works Department, the Jefferson
County Assessor's Office, and/or a local title company.)
~
TO: The Board of County Commissioners of Jefferson County, Washington:
We, the undersigned, being ten freeholders residing in Jefferson County,
do hereby respectfully petition the Jefferson County Board of Commissioners for
vacation of the following described road in Jefferson County (include in the
description the length and width of right of way to be vacated):
That portion of the unnamed street being approximately thirty feet in width
and 120 feet in length lying between Lot 1.1, IIloc\< 13 of the Second
Addition to Trail's End Homesites, Inc.. as recorded on Page 1, Volume 4
of Plats, recordR of the Jefferson County Auditor, State of Washington,
and Lot 43, Block 3, of Trail's End Homesites, Inc, as recorded on Page
30, Volume 3 of Plats, records of the Jefferson County Auditor, State of
Washington.
State the reason for requesting the vacation:
-fD ctk ~I U1--Yl ~..Ie ./ladr} ~~
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d~ _L-~~ a It) ~ ~--o/" ~--yu
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PETITCONERS
NOTE: Each petitioner must .2llD property in Jefferson County. Husband and wife
may each sign ~he petition.
&.lli;
(~ & JU:.int. b.elow)
(principal petitioner)
PROPERTY DESCRIPTION
(from tax statement;
include Parcel Number)
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Acknowledgement
The principal petitioner hereby acknowledges that: (a) Jefferson County
shall require compensation by the principal petitioner(s) for granting approv41
of the petition, pursuant to R,C.W. 36.87.120 and Section 6 of the Jefferson
County R04d Vacation Ordinance. COMPENSATION FOR ALL VACATED RIGHT-OF-WAY SHALL
BE DETERMINED AT A RATE OF FIFTY PERCENT (50%) OF THE ASSESSED VALUE OF THE
VACATED PROPERTY; (b) Jefferson County may retain an easement wi thin the subject
vacated area for the construction, repair, and maintenance of public utilities
and services, pursuant to R,C.W. 36.87.140 and Section 5 of the Jefferson County
Road Vacation Ordinance; and/or (c) Jefferson County may retain an easement
within the subject vacated area for trail or pathway purposes, pursuant to
Section 5 of the Jefferson County Road Vacation Ordinance,
The principal petitioner further acknowledges that he C'r she shall
compensate the county for anv additionnl oxpenses incurred 1n the prOCeSBj.n~ of
said petJ.tion, which may exceed the one hundred dollar ($100,00) bund, Checks
or money orders fur said bond shall be made payable to Jefferson County Public
Works,
~~ a",-nZ'~L
&rgnature ~ncipal Petitioner
go - :u;? -' c; /
Date
..
PETITIONERS
o
~
(li!Jm & I!tinJ;. below)
NOTE: Each petitioner must ~ property in Jefferson County. Husband and wife
may each sign the petition.
I:!t..I..!.l.ll
~
,
(principal petition,"r) ,
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AcknowledCl:'!ment
The principal petitioner hereby acknowledges that: (a) Jeffersnn County
shall require compensation by the principal petitioner(s) for granting approval
of the petition. pursuant to R.C,W, 36.87,120 and Section 6 of the Jefferson
County Road Vacation Ordinance. COMPENSATION FOR ALL VACATED RIGHT-OF-WAY SHALL
BE DETERMINED AT A RATE OF FIFTY PERCENT (SOX) OF TilE ASSESSED VALUE OF THE
VACATED PROPERTY; (b) Jefferson County may retain an easement within the subject
vacated area for the construction, repuir, and maintenance of public utilitios
and service., pursuant to R.C,W. 36,87,140 and Section 5 of the Jefferson County
Rond Vaclltion Ordinllnco j lind/or (c) Jofferson County mllY retain an easement
wi thin the subject vscated area for trail or pathway purposes, pursuant to
Soction 5 of the Jefferson County Road Vacation Ordinance,
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The principal petitioner further
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acknowledge~ that h~, .or ..~o ,~,hall
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RECEIV~C1
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. ,C5J. 977
RECEIP1Jlii/lF. ~ '--
DATE t;775/ ?z-
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Own... ':f4~TrrR fl A9dress Phone ~,...
9/0 - 7), 33.:zxL~. ~.-zZ_ (~.. ,7f'oS(, 3 ~
Dlrecllons lor locating sll" ~t~ ~ ~ ~ fg ~
Rd- r-1botJ& 81-<Jc!. A'l~ ~
PARTIALREPAIRO TANKlDRAINFIELDO, 8 u; ::'l
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~R-'~I":"'E' 'r-~~'; 1');'~C: 'tEAA VJ,TMIN 30 DAYS ~:...O ~ I .rlAln...u
"V4<; t.h"'~~ .. \..0"
If) , /J "Jr.- t? ' JEFFERSON COUNTY HEALTH DEPARTMENT
rJ~ ~ ~ 802 SI-lERIOAN AVENUE
~R -:L J1pM PORT TOWNSEND. WASHINGTON 983&11
y..? 7 -,,< tf '-/9 (206)38S-0722
BUILDER SEWAGE DISPOSAL PERMIT
SITE
.SIZE '1' I A' 1;< 0
(/,0 X /;;'0
5c:uf lVl-, ~J
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TYPE OF NO, OF
BUilDING BEDROOMS
Previous site evaluation by
Health Department
Yes No---X::.-
Depth to maK~mum se~sbnal
water cable
:3
BASEMENT
oS
SOIL TYPE
DESCRIPTION
1)
Source of potable water supply
Public Private
Source type: Drilled well~
,Dug well
Other--=-
2)
-4
~
9 ~
< X
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EVERY APPLICANT flAS THE RICHTOFL 0 ~
APPEAL AS PER JEFFERSON COUNTY Z
ORDINANCE 2-77, 4) f
- t.
SIGN^q~P1.1C:^NT ~
,Nff REl'DVIIL OF OR ~'AJOR ulSTlRBANCE OF SOIL IN THE PROPOSED OR APPROVED DRAINFIELD h.. Q
AREA l"Ay C.'~EATE SITE CONDITIONS THAT ARE t..NACCEPTABLE FOR 1HE INSTALlATlOIJ OF A '6~~
SEl"-^GE DiSPoSAL SYSTEM. NN CHANGE IN BUILDING OR SEWAGE DISPOSAL PLANS (INCLUDING Ch
PLlJ'1BUX3 STUBOllT LOCATION) ANn/OR LDCAi"ION Or hOUSE OR DR.'IINFIELD !NVAL!DI\TES THIS ~~'
PERMIT LNLESS PRIOR APPROVAL IS OBTAINED FROM THE HEAL1l1 DEPARTfo'ENT. (Call Health Dept.
for fin.l inspection).. STUB OUT PLi1'1BING M30VE FOLMJATl9'l FOOTING lI.l
Drainfield Length ISO 'Trench width..21:.Yrench dePth~No.lines.3 Tank size / /"r:(2 ~
Soi 1 type and a!,plication rate used for design::;:d- I CPD/ ft2 _ / .2.. r- >-.=1
~-'" - ~~r
3)
=r.7r t - :it-9 -$ ( '
APPROVED' DATE INSPECTED PARTlAUFINAL DATE
I cer1Hy th3t Ihls s)'!o1cm was in!:I.1I1ed In OJ mannc' approved by thc Heatlh Dcpar1mcnL
~LER'S SIGNATURE
DATE
DATE I~JST^llEO
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"LIO l'CfllllllleolliD AT "IOUrsT 0"
JEFFERSON TITLE COMPANY, INC.
R-333S3
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....H I'I'ICOIl'OfQ ~ TO
.......................,.....-....
CHAI'iONG J:JNTARA
d. DARA JUNT AR^
910 North 3Jrd P'lace
~~~~OU.~A9~D~6 32336:;:
...........H.........._
Clt."SIIII. %1.,
Statutory Warranty Deed
THE CRANToR CLAUDE C. McFARLAND and RUBY J. McFARLAND, husband and wife,
~td t~;R:;t;~e K~~D~g~ER~o K~~~S~~~a~:~;a:~~~t~n~~c i1~s ,~e~~o~~ji eIS~~sf2iaf~~~re5
IorandlnCDnllid....U"nol l.'f::N COLLARS AND U'rUER VALUABLE CONSIOt;RNrION
bI hand paid"con'f'.yund wanlntll to CHAIYONG JUNTARA and. DAM JUNTARA, hU,sband .and wife
tIw 'IIU_I~ dncribftf ,...1 ..t.':Il., .itWlI<<J I" the Counly 01 Jef feraon
,SI"ffoo'Wa.hi".I..,,:
SEE EXHIDIT -A- .AS ATTACHE::> HERE'fO ANU HAOE A PAR'!' IIEREOF.
SUBJEC'!' TU: Hcscrvl)tion under Auditor's Fj Ie IluR, J2U77J .:uu) J27572;
Right granted to the public inthe dedicat.ion of snitl plot: nnd
Rescrvat.lon to the Grantor, as shown in <lecds from '1'rail's End lIomcsitcs,
Inc.
TUE COASTAL ZONE ^TL1\S OF WAIISJNGTON IUENTJf'IES TIIP. POTENTIAL FOR UNSTAOLE
SLOPES ALONG THE ()f,UFF. PROPEFtTY OWNlmS MAY CiS m;r"lllrnEU 'J'U ,f;UlU.u'J' A
GEOLOGICAL REPORT PREPARED BY 1\ LICENSeD CIVIL ENGINEER OR eEOLOGIST
KNOWLEDGEABLE IN SOILS ENGINEERING, TO ASSURE SLOPE STABILITY, PiUOR TO
ISSUANCE OF 1\ DUILDING PERNIT.
~..... JUly 19
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348134 ~~
STATE OF WASHINGTON
COUNTY OF JEFFERSON ':r
In the matter of
x
RESOLUTION NO.~2
Vacation of a Portion of
Platted Clover Street and
Certain Alleys and Lot Lines in
Captain Tibbals Lake Park
x
x
x
x
WHEREAS, the Jefferson County Board of Commissioners has reviewed a road
vacation petition submitted by James Maupin and Nora Petrich; and
WHEREAS, the Jefferson County Board of Commissioners held a public hearing
on the road vacation petition on August 19, 1991; and
WHEREAS, the Jefferson County Board of Commissioners considered testimony
of the public, comments from applicable departments, agencies and offices, and
recommendation from the Jefferson County Public Works Department and Jefferson County
Planning Commission at the public hearing; and
WHEREAS, the Jefferson County Board of Commissioners determined at the public
hearing that the public will benefit from the vacation of a portion of the road and such
vacation complies with the Jefferson County Comprehensive Plan and other applicable
plans, policies or ordinances; and
WHEREAS, compensation required pursuant to RCW 36.87,120 and Jefferson
County Road Vacation Ordinance No. 3-85 has been met,
NOW, THEREFORE BE IT RESOLVED that the following be vacated and
abandoned pursuant to RCW 36,87.140 and Jefferson County Road Vacation Ordinance No.
3-85: that portion of platted Clover Street being 60 feet in width and 270 feet in length
lying between Blocks 17 and 18 in the Supplementary Plat of Captain Tibbals Lake Park
Addition, as recorded in Volume 2, Page 3 of Plats, records of Jefferson' County,
Washington State; also those platted alIeys being 16 feet in width and 550 feet in total
length lying in Blocks 17 and 18 of said plat; also the lot lines between Lots 1 through 5
in both Blocks 17 and 18 of said plat.
ADOPTED THIS 9 f1 DAY OF ~dt ,1992,
JEFFERSON COUNTY
BOARD OF COMMISSIONERS
SEAL:
~~
A TIEST:
~-d D ,{)if
rna . elaney
Clerk of the Board .
VOL 366 I'A';, 187
I
--.........
I
f"""',
COUNTY ROAD VACATION
PEnnON
A PORTION OF CLOVER STREET,
A PORTION OF JENSEN ST.,
AND CERTAIN ALLEYS AND LOT
LINES IN THE PLAT OF CAPTAIN
TIBBALS SUPPLEMENTAL
ADDITION
Notice Is herebVglven thet a public
hearing will be held by tha Jefferson
County Board 01 Commissioners on
Monday, August 19, 1991, at 10:30
a,m. In their chambers at the County
Cou~hcuaa In Po~ Townsand, Wash-
Ington, lor Ihe purpose 01 taking testi-
mony concerning the vacation of a
po~lon 01 CloverSlreellylng between
Blocks t7 and 18 and extending 20
leat South ol.ald blocks In the Supple-
mentary Plat 01 Caplaln TIbbals Lako
ParkAddhlon, po~lon. olJonson Strool
adjoining Block 17 and Lot. 8, Q,.and,
10 ol.BlodHO, ,and between Lots 8,
and 7 of BIock1 B and Lot. 4 and 5 01
, Block 23,Ihe alleyolylng In Blocks 17
and 18, all lot IIno. lying In Blocks 17
and 18, and the lot IInoslylng betweon
Lata 4 and 5 01 Block 23 01 aald plat,
Larry W, Dennison, Chairman
Board 01 Jefforson County Commls.
sloners 834 0-14
,- \.
. _j:' "'~'~','-~~1,~'.'-;'~'"' "..,,~;,....,
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Affidavit of Pl'~cation
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STATE OF W ASfltNGTON)
SS
COUNTY OF JEFFERSON)
FRANK W. GARRED. bcingswom. says he is the publisher
of the Port Townsend Jefferson County LcZider. a weekly
newspaper which has beL'tl established. published in the
English language and circulated conlinuously as a weekly
newspaper in the (own of Port Townsend in said County and
State. and for general circulltl10n in said county for morc
than six (6) months prior to the date of the first publication
of the Notice hereto attached. and that the said PortTownsend
Jefferson County Leader was on the 27th day of June 1941
approved as a legal newspaiX"t' by the Superior Court of said
Jefferson County and that annexed is a true copy of lhe
County Road Vacation
petition
A portion of Clover Street,
a portion of Jensen Street and
certain alleys and lot lines
in the plat of Captain Tibbals
supplemental addition.
as it appeared in the regular nnel entire issue of said paper
itsc.lf not in It supplement thereof for a Q..criod of
~con.'ieculivcwceks.bcginningonlhe~
dayof August .19~.andcndinJ:onthc
l4thdayo( August ,19~,.nd
that Jutid newspaper WlL'i reguhtrlydistributcd to its subscrib-
ers duricr nil of this periud. Thul tJ1C full amount of
$ 48. 0 hlt!l been pnid in full, at the ralc q(Sfi}QI
per column inch for cacn inSertion. / $ 6 . 00
/. I j
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
\
--\ ..:,- ,-/'/W'",
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Gary A. Rowe, P.E., Director
Rober' G. Nesbitt, P,E., County Engineer
1820 Jefferson Street
P,O, Box 1220
Port Townsend, WA 98368
(206) 385.9160
August 22, 1991
Jim Maupin and Nora Petrich
315 Jackson
Port Townsend, WA 98368
Dear Mr, Maupin and Ms. Petrich:
We have received the final cost on the Clover Street vacation. A breakdown 1s
as follows:
Staff Time $
Mailing Fees
Filing Fee
publication
Copying Fees
Compensation
Deposit
503.33
15.37
7.00
48.00
3.60
1,560,00
- 100.00
The balance of $2.037,30 remains, When this fee is received by the Jefferson
County Public Works Department, the Resolution will be filed and the vacation
completed. All fees must be paid within one year of approval of the request.
When the resolution is returned to us from the Auditor's office, a copy will be
sent to you for your personal recoyds.
Sin~(;;'j~
~ SimcT\
Administrative Assistant
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OFFICE OF THE
JEFFERSON COUNTY ASSESSOR
p.o. BOX 1220, COURTHOUSE, PORT TOWNSEND, WA 983A8
(206) 385-9105
JACK WESTERMAN III, COUNTY ASSESSOR
COUNTY COURTHOUSE 1892
MEMORANDUM
TO:
Department of Public Works
FROM:
Assessor's Office, Robert Kingsley
DATE:
August 19, 1991
SUBJECT: vacation request: portion of th~ Clover. street right
of way and the alley crossing Blocks 17 and 18, Capt. Tibbals
Lake Park.
Based on the information provided, the value of the right of way
in question is $1,560.00 (12,500 s.f. @ $0.04 per s.f. plus an
additional 12,500 s.f. @ $0.21 s.f. * 50%).
We have no objection to the vacation request.
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COUNTY ROAD AND LOT LINE
VACATION PETITION
NORA PETRICH AND JAMES MAUPIN
REQUEST
The request is to vacate a portion of Clover Street and of Jensen Street,
as well as the alleys in Blocks 17 and 18 and cerealn lat lines in Captain
Tibbals Lake Park Addition, The length of Clover Street requested for vacation
is approximately 290 feet the width is 60 feet; the length of Jensen Street
requested for vacation is 550 feet and the width is 20 feet, with the exception
of that portion adjoining Lot3 6 & 7 of ~lock 18, This portion is requested at
60 feet in width, The width of the alleys in the request is 16 feet and their
total length 550 feet. The area is located approximately l, mile west of the city
limits of Port Townsend, Washington, in Section 4, Township 30 North, Range 1
West, W.M.
The principal petitioners are requesting the road vacation in order to tie
their properties together and to farm additional unused property which is very
wet, sometimes underwater in winter, and unsuitable for a strEet.
FINDINGS
1. A petition for vacation of a county road is made pursuant to the Jefferson
County Road Vacation Ordinance and is subject to its requirements and
criteria.
2. No,tice of the proposed vacation was made to appropriate agencies and
adjacent property owners. Response by agencies is shown under ItAGENcY
RESPONSES "; response by property owners under "TESTIMONY".
3. Review of the proposed vacation by the Jefferson County Planning Commission
was scheduled for August 5, 1991. Notice of the meeting was made by mail
to all petitioners and abutting property owners.
4. A public hearing was scheduled by the Jefferson County Board of
Commissioners for August 19, 1991, at 10:30 a,m. in their chambers at the
county courthouse in Port Townsend. Public notice of the hearing was made
by publishing legal notices in the August 7 and August 14, 1991, editions
of ~he Port Townsend Leader and posting the subject site with notices.
AGENCY RESPONSES
1. The Jefferson County Public Works Department made the following comments:
1. The roads are platted, unopened rights of way located in Captain
Tibbals Lake Park Additiorl.
2. The Department of Public Works has no objection to the vacation of
Clover Street between ~locks 17 and 18, nor to vacation of the alleys
in said blocks. There is no objection to the vacation of the lot
lines. The department does, 'however, recommend denial of the
vacation of Jensen Street right of way. It is advisable to preserve
this street for future use. as it may be required for access to other
platted property in the vicinity.
2. The Jefferson County Assessor's Department stated that the assessed value
of the vacation request is $5,200. compensation for the vacated area,
determined at a rate of 50% of the assessed value of the property would
equal $2,600. The department stated that the lot line vacation is an
appropriate means of addressing the petitioners' farming needs. The
Assessor's Department has no objection to the request.
3, U.S, West Telephone had no objection to the request,
4. Jefferson County Sheriff's Office/Emergency Services had no objection to
the request.
5. The Puget Sound Power and Light Company has no facilities in the area, and
has no objection to the request,
6. Fire Protection District No.6 made no response to the request.
7. Port Townsend City Utilities made no resr~nse to the request.
8, The Jefferson County Planning and Building Department had the following
comments:
1. The site and tho .urrounding area ura de~ignated as suburban on cha
Optimum Land Use Map of the Jefterson County Comprehonsive Plan.
The suburban designation allows a density of up to 5 residential
units per gross acre,
2, Platted streets and alleya located adjacent and to the south hava
previously been vacated, Will a continuing pattarn ofvacat1ons
afEect area circulation and/or land lock adjacent lots', or "other
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affect area circulation and/or land lock adjacent lots or other
properties?
3. The requested vacation of certain lot lines in Captain Tibbals Lake
Park Addition subdivision is subject to the plat vacation
requirements of R.C.W. 58.17. 212., Vacation of Subdivision.
4. The requested road vacation is subject to the standards and criteria
of the Jefferson County Road Vacation Ordinance.
5, Transportation/Circulation policy 13 (a-e) of the Jefferson County
Comprehensive Plan (page 47), apply to the requested road vacation.
TESTIMONY
Adjacent property owner Carl Schmidt noted that he derives no benefit from the
request. It may cause problems for him if he ever wants to get to his back lots.
He has never, until this year, noted that there was a wetland situation in the
proposal area. He is opposed to the request.
PLANNINC COM:I1SSION RECOMMENOATlON
The Jefferson County Planning COlamission reviewed the request, findings
and agency responses at its meeting on August 5, 1991. Adjacent property owner
Carl Schmidt spoke in opposition to the request. Adjacent property owner Janet
Morelli spoke in favor of the request, stating that it would help protect the
wetlands if the streets were vacated. The commission found the request, with
exception of Jensen Street, consistent with the requirements and criteria of the
Jefferson County Road Vacation Ordinance. It was found that Jensen Street may
be required to ensure future area circulation. The commission recommended, by
a 4-to~l vote, that the vacation request be approved as recommended by the
Department of Public Works,
BOARD OF COUNTY COMMISSIONERS ACTION
The Board of County Commissioners reviewed the staff report and Planning
Commission recommendation at a public hearing held August 19, 1991, in their
chambers. The following public testimony wes received:
Mr. Schmidt was not opposed to the
He only opposed vacatIng Jensen
Carl Schmidt, adj acent property owner:
alley, lot line, or Crover Street vacations.
Street.
Nora Petrich, principal petitioner: Ms, Petrich requested that, should
the Board not approve vacation of Jensen Street, that only the lot lines between
lots 1-5 in Blocks 17 and 18 be vacated, with all other lines to remain intact.
The Jefferson County Board of Commissioners voted unanimously to approve
the vacation of Clover Street and the alleys as requested, and the lot lines
between lots 1 through 5 in Blocks 17 and 18 of Captain Tibbals Lake Park.
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MEMORANDUM
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, 80x 1220
Port Townsend, WA 98368
(206) 365'9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
File
Bob Nesbitt
SUBJECT: Jensen SI.
August 16, 1991
In my opinion, it would be possible to construct Jensen St. should it be necessary.
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Adjacent Property Owners (People owning property within 300' of the
request in any direction)
Capt. Tibbals Lake Park Addition (supplementary)
BLOCK 16
1 PAULP. JUNG
2 P.O. Box 422
3 Port Angeles, W A 98362
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5
6
7
8
9
10
BLOCK 19
ALL: JOHN & PAM SCHNEIDER
(PET.}
BLOCK 22
1 MICHAEL GASPERS
2 BOX 52 OVERLOOK DR.
3 BOLlNAS, CA 94924
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6-10 JEANMARIE MORELLI
P.O. Box 1408, P.T.
(PET.)
BLOCK 23
1 CARL E. SCHMIDT
2 7980 HWY. 101
3 P.T.
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ALL: CARL SCHMIDT
BLOCK 25
1.10 PAUL JUNG
BLOCK 79
1 PAUL JUNG
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7 "
8 "
9 ALFRED BAREM
10 11714-110TH AVE. E.,
PUYALLUP 98374
BLOCK 83
1 JAMES HERMANSON
2 320 COOK AVE. EXT.
3 PT.
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POSTING NOTICE VERIFICATION
NOTICE OF PUBLIC HEARING
COUNTY ROAD VACATION PETITION
A PORTION OF CLOVER STREET, A PORTION OF JENSEN ST"
AND CERTAIN ALLEYS AND LOT LINES
IN THE PLAT OF CAPTAIN TIBBALS SUPPLEMENTAL ADDITION
Notice is hereby given that a public hearing will be held by the Jefferson County
Board of Commissioners on Monday, August 19, 1991 at 10:30 A.M. in their chambers
at the County Courthouse in Port Townsend, Washington, for the purpose of taking
testimony concerning the vacation of a portion of Clover Street lying between
Blocks 17 and 18 and extending 20 feet South of said blocks in the Supplementary
n~~koi 7c~~~air:,t~ibrV, L:~3 igr~l~t~~to18, p':.~~ib~~:..~;el'::: ~t~;3t7 a~t o~l~~~
18 and Lots 4 and 5 of Block 23, the alleys lying in Blocks 17 and 18, and
certain lot lines lying in Blocks 17, 18, and 23 of said plat,
I CERTIFY THAT THE ABOVE NOTICE WAS POSTED AS PRESCRIBED BY THE JEFFERSON COUNTY
ROAD VACATION ORDINANCE.
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Scott Kilmer
Transportation Planner
T...l'l
\DATE)
"Z "3 / ' 991
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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1820 Jefferson Street
P,O, Box 1220
Port Townsend, WA 98368
(206) 385'9160
Gary A. Rowe. P.c., Director
Robert G. Nesbitt. P.E., County Engineer
MEMORANDUM
TO:
File
Robert G. Nesbitt, County Engineer pt""
FROM:
DATE:
May 6, 1991
SUBJECT:
Road vacation petition: Jensen and Clover streets,
various alleys and lot lines in Tibbals Lake Park;
Maupin/Petrich, applicants
The Department of Public Works has the following comments on the
proposed vacation:
1. The roads are platted, unopened rights of way located
in captain Tibbals Lake Park Addition.
2. The Department of PUblic Works has no objection to the
vacation of Clover street between Blocks 17 and 18, nor
to vacation of the alleys in said blocks. There is no
objection to the vacation of the lot lines. The
department does, however, recommend denial of the
vacation of Jensen Street right of way. It is
advisable to preserve this street for future use, as it
may be required for access to other platted property in
the vicinity.
100% Rocyclod Papor
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JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
COUNTY COURTHOUSE
PORT TOWNSEND, WA 98368
(206)385-9160
NOTICE OF PETITION TO VACATE COUNTY ROAD OR ALLEY
Attached Is a description of a proposal to vacate a county road or alley that Is under your
agency's Jurisdiction,
Please comment on the proposed vacation, stating whether your department has any objections
to or concerns about the request. Write or telephone this office by .,--/s-<;/
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AGENCY:
REC;t:! ,;:
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NAY 15 1991
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.JEFFER~ON COUNTY
PLANNING AND BUILDING DEPARTMENT
1'.0. Box 1220
porI. lhwllsend, Washin~ton OS:31i8
Planning (201)) 38!l-9J.10
DlIiI(lin~ (206) :J8!j.0141
.JF,FFERSON COUNTY COURTHOUSE
MEMORANDUM
TO:
Jefferson County Public Works Department
Jerry Smith, Associate Planner~
July 11, 1991
FROM:
DATE:
SUBJECT:
N. Petrich and J. Maupin County Road and Lot Line Vacation
Request
The Jefferson County Planning and Building Department has the following
comments on the requested road/alley vaca'tion and lot line vacation,
1. The site and the surrounding area are designated as suburban on the
Optimum Land Use Map of the Jefferson County comprehensive Plan, The
suburban designation allows a density of up to 5 residential units per
gross acre.
2. Platted streets and alleys located adjacent and to the south have
previously been vacated, Will a continuing pattern of vacations affect area
circulation and/or land lock adjacent lots or other properties?
3. The requested vacation of certain lot lines in Captain Tibbals Lake Park
Addition subdivision is subject to the plat vacation requirements of R.C.W.
58,17. 212.. Vacation of subdivision.
4. The requested road vacation is subject to the standards and criteria of the
Jefferson county Road Vacation Ordinance,
5. Transportation/Circulation policy 13 (a-e) of the Jefferson County
comprehensive Plan (page 47), apply to the requested road vacation,
JS:kb
H: \.. . \PLAIIIIIIIG\PETR ICH, RVO
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E. D. Simc.rf
Public Wcorks
Dear Ei leerl,
This is reaa.,..'diy,g the Maupi'r"t vacat io'(', request; =
Enclosed you will find our petition for vacatlng ~ portion of a
CC.I..II'",ty rc.acl, alorq;l lo'd'th aleys a....,c1 le,'l; 1 :tY'lE!'S. We I"lave c.btai'l""led
$ignatures from our neighbors-the ones we could locate"
If ye'\.1 wi 11 rernernber, yC'll ay",cl I wer,t e\rclI.It",d ,ay',c;I aro\.I'I",cl abcll..tt he.w
to w~rd this reQuest. Unbeknown to our south neighbor (Blocks 24
iaYIU 25), I"I:1.S str€:H:l"!:;s and alleys were vacated bu'!:; l"',Clt his le.t;
lir'les. It was ,thererc,re suggested that we pe'tl.tic,r" 'tel vaciE\'!:;e 20~
of Jensen S~reet instead of the whole thing 50 that the lots 1-5
of Ellock 24 and lots 1-3 elf blclck, 25 would r',cd.:; be li.~r'ldl(;lcked. (I
still wonder why the rS5't of his lots didn't need protection from
being landlocked.)
When we approached thim neighbor, Carl Schmid't, he once again
in~lsted that he h~d no lots, that h~$ property "had been turned
over"' tel r~creage i'l"" 1934". ~)r',cl he~ 'ctlcll..lgh't :t't W.:t~:;. Ils,tupidH 't;o
vacate a part of A street. H~ said he would only sign a p~tition
'that; vacl!d;ec.1 the whr.:,le s't;-,"'ee:d:;. Wherl we 'l';olcl him .mbc'l.l't larldlclckiYI[,;{
he et~rted calling the county foul thing. and we could get nowhere
wi'bh him. 1 '~hinl( it is ironic that 'the person whose proper'ty we
are trying to p~otect won't sign~ Wtlere doa~ this leava u~7
1 would like you to think about ,this and ttlen 1 would like to 'calle
wi,th yell"l. I wi 11 c.'~11 Wf.o:H.11",E;'Hi.day, Apr'i 1 24 m:r'ld hClpf,rfl.llly ,t.;~l k
about thim then.
Th~nkg ~gai~ For all of your help.
Sir.cF.:.1reJ.y,
Nora Pf'lt r:'i. C~11
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POWER
May 2, 1991
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Department of public Works
Jefferson county courthouse
port Townsend, Washington 98368
MAY 0 6 1991
JEFFERl::iON CuUN'
PUBLIC WORK~ '"'EP
Attn: Eileen
Re: County Road vacation Petition
Clover Street and Jensen Street
Nora petrich and James Maupin
Dear Eileen:
This is to notify you that puget power has no facilities that
would be affected by the above-referenced Vacate Petition;
and therefore, has no objections.
Thank you f.or the opportunity to review this matter.
Sincerely,
_J _ J' -1/'
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H. Williene Harris
Associate Real Estate Agent
HWfl/rw
The Energy Starts Here"
Puget Sound Power & Light Company 1300 Sylven Way
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OFFICE OF THE
JEFFERSON COUNTY ASSESSOR
P.O. BOX 1220, COllRl'!I01;:-;f;, 1'0111' TOWNSt-:NO, WA flH:Jml
(20/i) 3fl5.0Wfi
JACK WESTERMAN III, COUNTY ASSESSOR
MAY 0 2 1991
May 1, 1991
_ ,J..EFFERSON COUNTY
TO: PUBLIC WORKS DEPARTME!'f1UBLlC WORI<~ rv
FROM: JEFF CHAPMAN, ASSMT. OPERATIONS MANAGER
RE: PETRICH'S/MAUPIN'S REQUEST FOR ROAD & LOT LINE VACATION
TIBBALS LAKE PARK ADDITION
We have reviewed the vacation request and have no objection. The lot line vacation
is an appropriate means to address the petitioners' farming needs.
The vacation of the public rights of way in question will require compensation paid to
the county, Our determination of value for those portions of the Jensen St and Clover St rights
of way and the alley crossing blocks 17 and 18 which would be vacated is $2,600 [(20,800 s.f.
@ $O.04/s.f. + an additional 20,800 s.f. @ $0.21/s.f,) . 50%].
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LIST OF AGENCIES CONTACTED FOR ROAD VACATION RESPONSE
JEFFERSON COUNTY ASSESSOR, COURTHOUSE
JEFFERSON COUNTY PLANNING & BUILDING DEPT, , COURTHOUSE
JEFFERSON COUNTY SHERIFF
PUBLIC WORKS
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PUGET POWER
WILLI ENE HARRIS
P,O. BOX 2189
BREMERTON, WA 98310
U,S, WEST TELEPHONE
TERESA COMSTOCK
611 SIXTH ST,
BREMERTON, WA 98310
PORT TOWNSEND UTILITIES DEPARTMENT
CITY HALL
PORT TOWNSEND, WA 98368
FPD #6 (P. T , )
3850 CAPE GEORGE RD.
Port Townsend, WA 98368
PARKS ADVISORY BOARD
JEFFERSON TRANSIT
1615 SIMS WAY
PORT TOWNSEND, WA 98368
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PETITION FOR VACATION OF A JEFFERSON COUNTY ROAD
Princiua1 Petitioner.
James Maupin ~ Nora Petrich
APR 23 1991
JEFFERSON COUNT
PUBLIC WORK~ ...-
Authorized Reoresentative'
same
Mailing Address:
8416 N,E, Beck Rd.
Bainbridge Island, WA 98110
Teleuhone'
Business: 'f9=t-O,,/-gr,
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Instructions.
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1. The principal petitioner shall contact the Jefferson County Public Works
Department for legal description of right-of-way to be vacated, A fee of
'twenty-five dollars ($25,00) shall accompany the ~equest,
2. The principal petitioner shall submit to the Jefferson County Public Works
Department a complete petition, accompanied by a bond in the penal sum of
one hundred dollars ($100.00) to cover county processing expenses, Checks
or money order shall be made payable to the Jefferson County Public Works
Department.
3. The principal petitioner shall include with the petition a map suitable
for reproduction that is no larger than 81, by 11 inches showing to a
reasonable scale: (a) the county road, or portion thereof, to be vacated;
(b) the property location and names of all petitioners; (c) the property
location and names of all adjacent property owners who did not sign the
petition, with an attached list of their addresses; and (d) the nearest
constructed county road to the proposed vacation. (This information may
be found in the Jefferson County Public Works Department, the Jefferson
County Asaessor's Office, and/or a local title company.)
~
TO: The Board of County Commissioners of Jefferson County, Washington:
We, the undersigned, being ten freeholders residing in Jefferson County,
do hereby respectfully petition the Jefferson County Board of Commissioners for
vacation of the following deacribed road in Jefferson County (include in the
description the length and width of right of way to be vacated):
That portion of platted Clover Street being 60 feet in width and 290 feet
in length lying between Blocks 17 and 18 and extending 20 feet South of
said blocks 1.n the Supplementary Plat of Captain Tibbals Lake Park
Addition, as recorded in Volume 2, Page 3 of Plata, records of Jefferson
County, Washington State; also those portions of platted Jensen Street
being' 20 feet in width and 440 feet in length adjoining Block 17 and Lots
8, 9, and 10 of Block 18 of said plat; also ,that portion of platted Jensen
Street being 60 feet in width and 110 feet in length lying between Lots
6 and 7 of Block 18 and Lots 4 and 5 of Block 23 of said plat; also those
platted alleys being 16 feet in width lying in Blocks 17 snd 18 of said
plat; also all lot lines lying in 8locKs 17 and 18 and those lot lines
lying between Lots 4 and 5 of Block 23 of said plat.
State the reason for requesting the vacation:
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tJUr 'jJrttplU'7y itJjdher. W,#' all~r ~ ~~ aJ1.Rl' /'f !t~e-5
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ll8tl& ~ROPFRTY DESCRIPTIQN
(~ & ~ below) (from tax state~ent;
I include Parcel Number)
(principal petitioner) #11'1(0170)..
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NOTE: Each petitioner must .Ql!lQ property in Jefferson County. Husband and wiCe
" ~~ each sign the pe ti tion.
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6cknowled~ement
The principal petitioner heraby acknowledges that: (a) Jefferson County
shall require compensation by the principal peti t!oner( s) for granting approval
of the petition, pursuant to R.C.W. 36,87.120 and Section 6 of the Jefferson
County Road Vacation Ordinance. COMPENSATION FOR ALL VACATED RIGHT.Or.WAY Sf~LL
BE DETERMINED AT A Rl\TE OF FIFTY PERCENT (50%) OF THE ASSESSED VALUE OF THE
VACATED PROPERTY; (b) Jefferson County may retain an easement wi.hin the sub.ject
vacllted area fartha construct'ion, -repair, and ,maintenance of publi.c ,utilities
and services, pursuant to R.C,W. 36,87,140 and Section 5 of the Jefferson County
Road' Vacation Or.dinance; and/or (c) Jefferson' County may. retaln an (:Hls~mt)nt
within chi:! :.IubJtsct vilcatod area for t:-cail 01:' pathway purpo.sa~, pursudnt to
Section 5 of the Jefferson County Road Vacation Ordinance.
The principal petitioner further acknow1edges that he or she shall
componsate the county fo-.: an)' sdditional elqlense" inc',lrred in th<< processing of
said petition, which may el<c~ed the one hundred dollar ($100.00) bon.i. Checks
or money orders for said bond shall be wade payable to Jefferson County Public
Works, '
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Pecitioner Daro...."..
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September 21, 1990
SEP 24 1990
JEFFERSON COUNT
PUBllr. W()Pvc nt::'
Jerferson County PUblic Works
PO BC1)( 122(1
PClrt Towy,send WA 983G8
Dear E i 1 een,
I arn writiYlg -tel make a fC:lrrn~l reques't; fell'" a petitic.Y'"1 tel vacate rCl,ads adJctirdl"lg
o...,r propeY"'t;y. EY'lclclsed i.s a map lc'cati.....,g the property we CtWY': Tibbals Lake
Park, all elf Slocks 17 arid 18 plus Block 23, lots 4.5 arId 6..
We well"lld like -to have vacated the fe_lIc1wing rClads Sl..lrrOf,,'YldiY'lg clur prc'perty: eo
sec't:tclY' elf Clover St., 'the sec'tio.,.., of Jer,seYI St. thid. splits Cll..lr prclper'ty
between block 18 and 23 and then a 20'section of Jensen St. along the remaining
le'ngth cI'F CIl.lr propert:y (see highl ighted area elf rnap).
In addition we would like to vacate the alleys of blocks 17 and la, all lot
liYleS iY'1 blclcks 17 arid 18 plus 'the le.t liYle betweel""l le.ts 4 cU",d ::; cd~ block 23.
Irl August I sey,t $Z5 for pe-l;itic1r, fees.
request.
Thank you ~or your ~ttention to our
SiYlcerely,
'1 rr~ Bh..---a,
Jer~~
NCll...,a Patrich
8'+15 NE Seck Rd
B".\ir',bridge Isl<iil.l""ld WWI '38110
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jeflerson Street
P,O, 80x 1220
Port Townsend, WA 98368
(206) 385,9160
Gary A. Rowe. P.E.. Director
Robert G. Nesbitt. P.E., County Engineer
August 24, 1990
James Maupi n
Nora Petrich
8416 N,E. Beck Rd,
Bainbridge Island, WA 98110
Dear Ms. Petrich and Mr. Maupin:
I have received your request for a petition to vacate some streets in Captain
Tibbals Lake Park Addition. To answer a question that you posed ("In the event
that anyone might have objections to these vacations, should we put in a
separate request to vacate the section of Clover St. that is between the two
blocks we presently own?"), something to bear in mind Is that the County can
vacate less than i~ requ'3eted, but never more than Is requested.
Also, I am enclosing a copy of the vacation criteria. Please note the highlighted
portion, which states that the vacation may not landlock any parcels. In the case
of property of which you are the owners, you may petition for lot line vacations
(this can be done through this department simultaneously with the street vacation
petition, and Is generaliy done without charging an additional petition fee),
Vacating all your lot lines would prevent land locking your lots, There is,
however, the consideration of the lots across Jensen street which would be
landlocked with the vacation of Jensen. This could be remedied via easements,
or the property owners could petition for lot line vacations as well (in this case, It
would be done through the Planning Department since they are not petitioning for
the road vacation), or Jensen Street could remain as is.
Please consider how you would like to have your petition written up and contact
me In this department. Feel free to telephon~ if It is more convenient for you. If
you have any questions at ali, I wlil be happy to help you with them.
Sincerely, 0.-
Q~Jt11~
E.D, Simon
Administrative Assistant
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AU G 20 1990
JEl-rr.:..KSON COUNT'
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August 15., 1 '390
Je~ferson County Public Works
PO BCtX 1220
Pc.r-t Tow)"'fSel",d WA '38368
Dear E i 1 eeY'1
1 am wri'tiYfg tel make a 'fe,rUlal reql,..les.t 'fc.r a oertl'tie;'Y"1 .t:;c. vacate rc.ads adJc1iY,iY,r..f
our proQerty. Enclosed 15 a ~I~p locatln9 the D~'operty we ownr Tlbbals Lake
Park, all o'p Blocks 17 and 18 plus Block 23, 101;s 4,5 and 6.
We wCllIld like tel have vacated all reloads Sl..lrrOllrtdiy,g C'l.l!'" prc.perty: secticu''',s of
Cedar S'l::., Clelver St:... Jer',seYI St., a'""cJ ~~7' (iY,dscioherable) St. wrlictl adJoiY,s a
GectiCIYI elf rc.ad previcIl.u;.ly vacated (see mao) fi:w1cJ.. f.-'I(JI~S1"
In ,the even~ th~t anyone might have objections to these vAcatioYls. should we
put in a separate reQues'b to simply vacate the sectIon of Clover St. that is
inbe~waen ~he two blocks 'th~'t we oresen'tly own?
~~ $20 check i So En"lc} C'SEH.1 fClr pet t t ~ err', fees.
request..
Thank you for your attenti~n to our
8:i y,ceral.y,
J(tf7~ !i'lhd"
NeIra Petrich
.......;Jilmf'...t /11aUO:l'f1
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8415 NE B..""" Rd
Ba1nbridq~ l~land w~ 9811('
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STAlE OF WASHINGTON
COUNTY OF JEFFERSON
In the matter of
MMY E. GABOURY
JEFFERSON COUNTY AUDITOR
8r~1' \ ~mllTr
RESOLUTION NO. 65-92
x
Granting a Non-Exclusive Franchise x
On County Road Rights of Way to x
Western Cable Service x
WHEREAS, an Application for non-exclusive Franchise has been submitted by
Western Cable Service, a Limited Partnership, a true copy of which is attached hereto, for
the purposes set out in the said application, and
WHEREAS, hearing on the said application was held before the Board of County
Commissioners of Jefferson County, Washington, on June 22, 1992, at the hour of 10:30
a.m., pursuant to the provisions of RCW 36.55, after notice given as required by law, and
WHEREAS, it appears to be in the public interest to grant the said non-exclusive
franchise request, based on the following findings of fact and conclusions:
1) The proposal is not in conflict with the Jefferson County Comprehensive
Plan;
2) The proposal will serve Jefferson County consumers in rural areas not
currently having cable television service;
3) The proposal is reflected in the application filed by Western Cable Services
on April 27, 1992, which is made in accordance with the Jefferson County
Franchise Ordinance 2-81;
NOW TIIEREFORE IT IS HEREBY RESOLVED that a non-exclusive franchise
be and it is hereby granted to the applicant named above (GRANlEE) for a period of
twenty-five (25) years from the date of this Resolution, to construct, operate and maintain
a cable television service, authorized under Title 56 RCW, including those common under
Title 56 and 57 per 56,20.015, consisting of installation and service connections Upon, under,
over, across and along the rights of way of the county roads of Jefferson County,
Washington, more particularly described as follows:
Those county roads lying in Sections 26, 27, 28, 33, 34, 35, and 36, Township 30
North, Range 2 West, W.M.; and in Sections 31, 32, 33, 34, and 35, Township 28
North, Range 1 West, W.M,; and in Sections 4, 5, 6, 7, 8, 9, 16, 17, and 18, Township
27 North, Range 1 East, W.M,
This non-exclusive franchise is granted upon the following express terms and
conditions:
c1
...
(1) The said GRANlEE, its Successors and assigns, shall have the right to enter
only Upon the above-described rights of way for the purpose of constructing its
facilities and for operating, maintaining, repairing and using those facilities.
(2) The terms and conditions of Jefferson County Ordinance No. 2-81, an ordinance
prescribing terms and conditions for franchise agreements granted by Jefferson
County, are incorporated herein by reference and made a part of this Resolution.
The G~TEE, for itself, its SUccessors and/or assigns, expressly agrees that it will
stricti};' comply with the requirements of the said ordinance and any amendments
thereto. The GRANlEE understands and acknowledges that the ordinance requires
it'to obtain a permit from the County Engineer before doing work under this non..
" '\;;xclusive franchise and performing other actions relating to the franchised matter.
C..;)
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AUG 0 5 SZ
(3) The GRANlEE shall submit a facility plan to the County Planning Department
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prior to beginning any work for review of all new proposed facilities exclusive of all
service connections and appurtenances. Construction permits will be granted upon
the determination that the facility plan complies with the county comprehensive plan.
(4) The GRANTEE shall commence construction work under this non-exclusive
franchise only after the effective date hereof, and after first securing necessary
approvals and permits from the County Planning Department and the Department
of Public Works.
(5) The full acceptance of this non-exclusive franchise and all its terms and
conditions within thirty (30) days from this date, by the GRANTEE, in writing, is to
be filed with the Clerk of the Board of County Commissioners of Jefferson County
and shall be a condition precedent to its taking effect, and unless the non-exclusive
franchise is accepted within such time, this grant shall be null and void.
ADOPTED TIIIS~DAY OF July
,1992.
" , . ~ 1 '
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JEFFERSON COUNTY
BOARD OF COMMISSIONERS
~~
. ennison, Chairman
SEAL:
ATTEST:
~ 1j~1Mus J.e~{J
rna L. Del ey / V
Clerk of the Board
v
'~ L--.==-
Mark Huth
Prosecuting Attorney
'..t'
'lJtl\.
'382 ,;,}!J21
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()
ACCEPTANCE OF FRANCHISE TERMS AND CONDITIONS
I hereby accept the terms and conditions specified under Ordinance No, 2-81, for
a Non-Exclusive Franchise granted to. Western Cable Service for construction, operation
and maintenance of a cable television sytem along and across the county roads rights of
way described in Resolution No. 65-92, approved by the Board of Jefferson County
Commissioners on the 20th day of July, 1992.
p
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App ican (print
~dr'(lt',r[.L \ "hr+Y1M-
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,1992,
VOL 382 r~"r528
,.:;. ~"':~l:n~~~r~:,~i',~~:',:: ..~.':' "~;'.''';.
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CoP'~ of "" follo";.& do~",... ..,. ".'. ., h.' ,.."~, '01<>". "",,,""-,,'" 0'
summit Cab\evision on Ju\y t4, t992:
\-learing Notice
Staff report
Planning De'Pt. comments
posting notice veri[ications
franchise a'Pp\ication & map
':"
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sUMMIT CASLEVIS,CN
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STATe OF WASJ:trNGTON
COUNTY OF JEFFERSON
Notice of Hearing on
Resolution No. 45-92
Appllcstlon for Frsnchlse
Western Cable Servlca
NOTICE IS HEREBY GIVEN that
Western Cable Service has filed an
application with the Board of County
Commissioners of Jefferson County,
Washington, for a franchise to con-
struct, operate and maintain a cable
television system, authorized under
nle 56 RCW, including those com-
mon under Title 58 and 57 per
56,20,015,conslstlngof Installation and
. service connections upon, under, over,
acre.s and along the rights of way of
It'.r, county roads of Jefforson County,
Washington, more partleularty de-
,scribed.ae follows: .., . .',,' i", ;1
" Those county roads Iytng in See,
tions 26, 27, 28. 33, 34, 35, and 36.
Township 30 North, Range 2 West,
W,M,; and In Seolions 31, 32, 33, 34,
and 35, Township 26 North, Range 1
West, W,M,; and In Sections 4, 5, 6, 7:
6, 9, 16, 17, and 18, Township 27
North, Range 1 East, W.M,
The Franchlee Application Is for a
period of twenty,flve (25) years,
The Board of County Commission-
ersof Jefforson County, Stat& of Wash-
ington, has fixed Monday, the 22nd
day of June, 1992, at the hour of 1 0:30
a,m, o'clock In the Office of the County
CommIssioners, Jefferson Counl~
Courthouse, Port Tnwnsend, Wash.'
lngtoo, as the time and place lor the
hearing on seld application, Such hear.
Ing maybe adjourned from time to time
by order of the Board, After such
hearing the Board will take such aCllon
with reference to the application as the
Board shall deem approprlata for the
'D'~~~T~~st; at DAY OF June, 1992,
BOARD OF JEFFERSOh COUNTY
COMMISSIONERS
Larry W. Dennlson, Chairman
B,G, Brown, Member
Richard E, Wolt, Mamler
ATTEST:
Lorna L. Dolaney
Clerk of the Board 15d46.17
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Affidavit of ,'ublication
STATE OF WAS HlNGTON)
SS
COUNTY OF JEFFERSON)
FRANK W. GARRED. being sworn, says he is the publisher
of the Port Townsend Jefferson County Leader. 11 weekly
newspaper which has been established, published in the
English Imguagc and circuluted continuously as a weekly
ncwspap~r in the town of Port Townsend in said County and
Stlllc, and for general cin:ulution in said cOllnty for more
than six (6) months prior to Ute date of the first publication
oCthe Notice hereto attached. and that llla said PortTownscnd
Jefferson County Leader was on lhe 27th day of June 1941
approved as a legal newspaper by the Superior Court of sajd
Jcficrson CowlIY and that dfUlcxcd is 11 true copy of the
Notice Hearing on
Resolution #45-92
application for Franchise
Western Cable Service
us it llppcllrcd in the regulul lUlU cnlin: issue of said paper
itself not in a supplcment t.hercof for II period of
~con.'icclltivewccks, bcginningonthe~
dayof June ,192.L,lU1dcndingonthe
....l1..thdayof ,Tl1n,:'> .19.9..2.-. and
lhot said ncwspllper wn.': rcgulllrlydistribulcd to its subscrib.
ers during all of t.his period. Thai the full llmount of
$_aB---2..D_hus bccnpllitl in full,nt thcrnlcof$G)OO::
ror column Inch for OD ''''''lOW, ~E;J.a-l~2 " 3 n
Publisher
Subscribed nnd sworn In bcfon~ me this ~ day of
June ,1922-,
"11! 'j 2/(
(" /,/, I, n" I ){ 1, "00-.'1:/
Notllry 1~lhlic'fn )lOd for the Slate of Wu.'lhlnglon.
'I residing at Port IIndlock.
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FRANCHISE APPLICATION FOR
A CABLE TELEVISION SYSTEM
WESTERN CABLE, APPLICANT
REQUEST
The request is to install, operate, and maintain a cable television system in county rights
of way in the Gardiner and Squamish Harbor vicinities as shown in the application.
The application was made by the Western Cable Service in accordance with the Jefferson
County Franchise Ordinance 2-81, and is subject to its requirements and criteria.
Notice of the proposed franchise was made to appropriate agencies. Response is shown
under "AGENCY RESPONSES".
A public hearing was scheduled by the Jefferson County Board of Commissioners for June
22, 1992, at 10:30 a.m. in their chambers at the Jefferson County Courthouse in Port
Townsend, Washington. Notices of Hearing were posted in the Port Townsend Post Office,
Port Townsend City Hall, and Jefferson County Courthouse. A request to post the notice
was also sent to the Gurdiner Community Center. publication of the notice was made in
the June 10 and June 17, 1992, editions of the Port Townsend-Jefferson County Lep.der.
AGENCY RESPONSES
1. Jefferson County Department of Public Works had the following comments:
A) A utility installation permit is required for any and each underground installation
which encroaches on the county right of way. Such trenching work, when performed,
must comply with Jefferson County standards. For both underground and overhead
installations, traffic control which is in compliance with the Manual for Uniform
Traffic Control Devices (MUTCD) shall be employed while installation work is
taking place.
B) Since most work will be overhead on existing poles, no bond will be required.
2. Jefferson County Planning and Building Depurtment hud the following comments:
A) The applicution is consistent with the Jefferson County Comprehensive Plun.
B) The depurtment hus no objection to the request.
STAFF RECOMMENDATION
The proposal is reOected in the lIpplicution filed by Western ClIble Services on April 27,
1992, which is made in accordance with the Jefferson County Franchise Ordinance 2-81.
The proposal is not in conflict with the Jefferson County Comprehensive PIM. The
proposal will serve Jefferson County consumers in rural arcus not currently having cuble
television service. It is recommended thllt the franchise request be approved. '
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STATE OF WASHINGTON
COUNTY OF JEFFERSON
In the matter of;
Notice of Hearing on Application
for Franchise - Western
Cable Service
RESOLUTION NO. 39.92
NOTICE IS HEREBY GIVEN that
Western Cable Service has filed an
application with the Board 01 County
Ccmmlssioners of Jefferson County,
WashIngton, for a franchise to con-
struct, operate and maintain a cable
televis10n system, authorized under
Title 56 RCW, including those com-
mon under Title 56 and 57 per
56,20,015, consisting 01 installation and
service connections upon, under, over,
across and along the rights 01 way 01
the county roads of Jefferson County,
Washington, more particularly de-,
scribed as lollows:
tion~h~~~ ~~~n~~Joi~,s ~~~~~i~"id
North, Range 2 West, W,M.
The Franchise Application is for a
period of Iwonty-live (25) ye.rs.
The Board of Counly Commission-
ers of Jefferson County, State 01 Wash-
ington, has lixed Monday, the 22nd
day 01 June, 1992, at the hour of 10:30
a.m. o'ciock In the Olflce of the County
Commissioners, Jellerson County
Courthouse, Port Townsena, Wash'
ington, as the time and place lor the
hearlng on said application. Such hear-
ing may be adjourned Irom time to time
'~y ordor of the BOilrd. Aftor !Juch.h"'ar~
'Ingthe Board will take such action with
reference to the application as the
Board shall deem appropriate lor the
oubllc Interest. '
Di\TED THI518TH DAYOF MAY..
1992,
JEFFERSON COUNTY
BOARD OF COMMISSIONIiRS
Larry W, Dennison, Chairman
B,G. Brown, Member
Richard E. WoJt, Member
Seal:
Atlest:
Lorna L, Deianoy
Clerk 01 the Board 1513 5.27
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Affidavit of I ablication
STATE OF WASHINGTON)
SS
COUNTY OF JEFFERSON)
FRANK W. GARRED, being sworn, says he is Ute publisher
of the Port Townsend Jeffcrson County Leader, a weekly
newspnper which has been established, published in the
English lan.guage and circulaced continuously as a weekly
newspaper In the [own of PorcTownsend in said County and
SCllte, and for general circulacion in sllid county for more
than six (6) monlhs prior to lhe date of the first publication
of the Notice hercto auuched, and that the said PortTowmend
Jefferson County Leader was on the 27th day of June 1941
app_roved as a legal newspaper by the Superior Court ofsnid
Jcrterson County and that l111Ilexcd is u true copy of the
Resolution #39-92
N~tice of hearing on applica-
t10n for franchise
Western Cable Service
lIS it appcllTed in the regular and entire issue of said paper
itself not in u supplement thereof for a period of
...o..n..e_cOn!ieCU live weeks. beginning on tlle-2..2:t.L
dllyofMay I 19..9.2-.undemlingonthe
2Lth..duyof May ,19....9...2..,und
thaI said newspaper wc.~ regularly distributed 10 Its subscrib.
ers during all or tJ115 period. That the full amount of
$-4.8 . 30 has been paid in full, nt the rate of$6.90
pcrco!lIll1n inch for cpC& ~
Publisher
Subscribed and sworn 10 before me this --2..1...t.bduy of
Mav ,19--2.2
- . ) ;!
,I()., i~ "l "
Notary Public In_,1) ld for tllO Still of Wa..hlngton,
residing Ilt Port IllIdJock,
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STATE OF WASHINGTON
COUNTY OF JEFFERSON
Notice of Hearing on
Application for Franchise -
Western Cable Service
x
Resolution No. 45-92
x
x
NOTICE IS HEREBY GIVEN that Western Cable Service has filed an application
with the Board of County Commissioners of Jefferson County, Washington, for a franchise
to CCl1struct, operate and maintain a cable television system, authorized under Title 56
RCW, including those common under Title 56 and 57 per 56.20.015, consisting of
installation and service connections upon, under, over, across and along the rights of way
of the county roads of Jefferson County, Washington, more particularly described as follows:
Those county roads lying in Sections 26, 27, 28, 33, 34, 35, and 36, Township 30
North, Range 2 West, W.M.; and in Sections 31,32, 33, 34, and 35, Township 28
North, Range 1 West, W.M.; and in Sections 4, 5,6,7,8,9,16, 17, and 18, Township
27 North, Range 1 East, W.M.
The Franchise Application is for a period of twenty-five (25) years.
The Board of County Commissioners of Jefferson County, State of Washington, has
fixed Monday, the 22nd day of June, 1992, at the hour of 10:30 a.m. o'clock in the Office
of the County Commissioners, Jefferson County Courthouse, Port Townsend, Washington,
as the time and place for the hearing on said application. Such hearing may be adjourned
from time to time by order of the Board. After such hearing the Board will take such
action with reference to the application as the Board shall deem appropriate for the public
interest.
DATEDTHIS~DAYOF ::f'~, 1992.
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JEFFERSON COUNTY
PLANNING AND BUILDING DEPARTMENT
1'.0. Box l:l~O
I'orr 'lhwnsNHI. Washington !lHam"l
Plannin~ (~fl6) :JHfi-!H.lll
Builtling (:Wli) :lRi)-!lI-t1
F:'\X (~Oti) :JHfHI:Ji17
.JEt'FERS();'I: COlt~TY COliHTIIOLiSE
Craig \Van\' Dil'Pt'tor
MEMORANDUM
Hf;(
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JUN 19
JEFF 1992
PUSl ~A~i;{v COUN
Q,<~ 1"\_ r
FROM:
Eileen Simon
::::::o~:t1u;ty De~I.ent of Public Works
Senior Planne 4Cl.
17 June 199
TO:
DATE:
SUBJECT: Application for franchise; Larry E. Bennett for Western Cable Service, a Limited
Partnership
Thank you for the opportunity to review the above referenced application for franchise, The
Planning Department has no objcction to the proposal, and finds no conflicts with the Jefferson
County Comprehensive Plan.
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. Box 1220
Port Townsend, WA 98368
(206) 385-9 t 60
Gary A Rowe, P.E" Director
Robert G, Nesbitt. P.E.. County Engineer
TO: Caretaker
Gardiner Community Center
FROM: Eileen Simon
Administrative Assistant
Jefferson County Department of Public Works
SUBJ: Notice of Franchise Hearing: Western Cable Service
DATE: May 13, 1992
Please post the enclosed "Notice of Hearing on Application for Franchise" in a conspicuous
place on the main bulletin board in the Post Office and leave posted until June 22, 1992.
I, ~'_',.J..f :nc ,.J'T , so swear and affirm that on the /&> 'If. day
of u ,u or , 1992, I posted the above noted "Notice of Franchise Hearing" on
the main bulletin board in the Gardiner Community Center.
r!J4l'~.JAL
Name~. .\ (signature)
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Address '
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1820 Jefferson Street
P.O, 80x 1220
Port Townsend, WA 98368
(206) 385-9160
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Gary A. Rowe, P.E., Director
Robert G. Nesbitt. P.E., County Engineer
TO: Mary Gaboury
Jefferson County Auditor
FROM: Eileen Simon
Administrative Assistant
Jefferson County Department of Public Works
SUBJ: Notice of Franchise Hearing: Western Cable Service
DATE: May 13, 1992
Please post the enclosed "Notice of Hearing on Application for Franchise" in a conspicuous
place on the main bulletin board in the Courthouse and leave posted until June 22, 1992.
I, Mary E. Gaboury ,so swear and affirm that on the 1st day
of June , 1992, I posted the above noted "Notice of Franchise Hearing" on
the main bull i board in the Courthouse.
100% Rocyclod Pl1pnr
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DEPARTMENT OF PUBLIC WORKS
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1820 Jefferson Slreet
P.O. Box 1220
Port Townsend, WA 98368
(206) 385-9160
\
Gary A. Rowe, P,E.. Director
Robert G. Nesbitt, P.IE.. County Engineer
TO: James Espenson, Postmaster
United States Post Office
FROM: Eileen Simon
Administrative Assistant
Jefferson County Department of Public Works
SUBJ: Notice of Franchise Hearing: Western Cable Service
DATE: May 13, 1992
Please post the enclosed "Notice of Hearing on Application for Franchise" in a conspicuous
place on the main bulletin board in the Post Office and leave posted until June 22, 1992.
I, James K. Espenson , so swear and affirm that on the ~nd day
of J un e , 1992, I posted the above noted "Notice of Franchise Heanng" on
the main bulletin board in lobby of the Port Townsend Post Office.
--4~~~ K 14ft4u- ')
Postmaster
U.S. Post Office
City of Port Townsend
100% Rocyclod Popor
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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Gary A. Rowe, P.E.. Director
Robert G, Nesbitt, P.E., County Engineer
1820 Jefferson Street
P.O. Box 1220
Port Townsend, WA 9B36B
(206) 385-9160
TO: Dave Grove
Port Townsend Clerk-Treasurer
540 Water St.
Port Townsend, W A 98368
FROM: Eileen Simon
Administrative Assistant
Jefferson County Department of Public Works
SUBJ: Notice of Franchise Hearing: Western Cable Service
DATE: May 13, 1992
Please post the enclosed "Notice of Hearing on Application for Franchise" in a conspicuous
place on the main bulletin board in City Hall and leave posted until June 22, 1992.
I, W~., so swear and affirm that on the ? "-'f day
of , 1992, I posted the above noted "Notice of Franchise Hearing" on
the :Q::r oar in the lobby of City Hall.
David Grove
Clerk-Treasurer
City of Port Townsend
100% Aocycrod Papor
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WESTERN Cf\BL,E Sl':RVIC.E
p.O. BOX 21010
CARSON CITY, NEVADA 89721
(BOO \8713-;391.6
Ff\X (7021245-7553
,JefferB':'""Jn County
Depart-roeot of publi.c WOY.\<s
P.O. BoY. 1220
port To~nsend. WA 98368
AE~,,rt',~'4~~
APR 27 1992
JEFFERSON COUNT
PUBI Ir wnnvC' ,......
Aprn 24. 1992
pear t15. '3 itnon:
E"do..d '" 0'" ,'00' ,,, "'0 .mo"o' ", $ "c, n", '0" 'h'
processi.ng of O\U' app1icat.lon for fl'e-nehiSE'.
h" " ""0' .", h' ; 0 ,ho "" 0" ",'o..,d" 0' "'".",,,
"0 ..., 0' ^"." znh, .od .,,, h. ,W '0 ,'0' ,00' ,
p,o""'" ",oh' ."d "odo<<OO""" "0""'''' 0' M' o.W
" ,0" .ho"Ld hOmo ,,,,"0" .",.""0" ,"'.. "," ". ,0
(BOO)876-3916, or write.
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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Gary A. Rowe. P.E., Director
Robert Q. Nesbitt, P.E.. County Engineer
1820 Jefferson Street
P.O. Box 1220
Port Townsend, WA 98368
(206) 385-9160
April 2, 1992
Mr. Larry Bennett
'Western Cable Service
P.O. Box 21010
Carson City, NV 89721
Dear Mr. Bennett:
I am in receipt of your application for a franchise for a CATV System. There is an
application fee of $100 which is to pay for advertising the franchise hearing date. This
was not included with the application. I will continue processing the application,
however, and request that the fee be forwarded to us.
Also, there are several questions which you as the applicant will need to answer for us:
Is the cable to be underground or share poles with the telephone system?
If the installation is to be underground, will you please provide a schematic of
your equipment and installation designs?
Please refer to Section 19 of the Jefferson County Franchise Ordinance; be aware
that Jefferson County may require that you provide a surety to ensure
performance under the terms of the franehise. In the case of other television
cable franchises, this has been provided through an insurance company
I am enclosing a copy of the franchise ordinance for your reference. When all
application requirements have been met, a hearing date with the Board of County
Commissioners will be set and you will receive notification.
Please feel free to contact me if I may be of any as~{stance.
G~ );-~
Eileen Simon
Administrative Assistant
1001''10 Recyclod Pnpor
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UNDERGROUND CABLE INSTALLATION:
MIN.
DEPTH:
WIDTH:
18"
MAX.
24"
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eoax.
.750"
coax.
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APPLICATION FOR FRANCHISE
TO: THE BOARD OF COUNTY COMMISSIONERS
OF JEFFERSON COUNTY, WASHINGTON
BY: Larry E. Benne t t
FOR: tJpc::t'prn C:;:thlt=l <:;prv;rp J ::t T ;m; tpn P:=\rtnership
ADDRESS: P.O. Box 21010. Carson Citv. N,wada 89721
Application to the County Commissioners of Jefferson County, Washington, for a
franchise to construct, operate, and maintain
---8_~V System consisting of
Transmission, Distribution and Service lines and
ECJuipment.
upon, under, over, across, and along the rights of way of the county roads of Jefferson
County, Washington, more particularly described as follows, to.wit:
Township 30 N Range 2 W Sec. 33, 34, and 35
Tm,fu,hip 30 N, Range 2 H, Sec.36, 26,27, and 28
T~mshin 28 N. Range 1 E, Sec.31, 32, 33, 34, 35
T~mship 27 N, Ranp.e 1 E, Sec. 4, 5, 6, 7, 8, 9, 16, 17, and 18
None of the roadway over which this franchise is requested is located within the
limits of any incorporated city or town.
The Applicant hereby requests that the BOARD OF COUNTY COMMISSIONERS
fix a time and place for hearing this application and cause the Auditor of said County to
give public notice thereof in the manner provided by law, and that upon such hearing the
Board make and enter a proper order granting to this Applicant, its sllccessors and assigns,
the franchise rights herein applied for.
DATED this 13th day of March ,1991...
Western Cable ser.vi~e ~
BY'bf.~ f'. ~
Stgnatur
G@.nef,al jFlrtnpl'"
Title
Phone: (702) 246-7550
800.876-3916
OEPT. Of PUBLIC WORKS
P.O. Box 1220
1820 Jefferson St
Port lewnsend. WL 98368
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STATE OF WASHINGTON
COUNTY OF JnFFEltSON
In the matter of:
x
Notice of Hearing on
Application for Franchise -
Western Cable Service
RESOLUTION NO....12::2L
x
l(
l(
NOTICE IS HEREBY GIVEN that Western Cable Service has filed an application
with the Board of County Commissioners of Jefferson County, Washington, for a franchise
to construct, operate and maintain a cable television system, authorized under Title 56
RCW, including those common under Title 56 and 57 per 56.20.015, consisting of
installation and service connections upon, under, over, across and along the rights of way
of the county roads of Jefferson County, Washington, more particularly described as follows:
Those county roads lying in Sections 33, 34, and 35, Township 30 North, Range 2 .
West, W.M.
The Franchise Application is for a period of twenty-five (25) years.
The Board of County Commissioners of Jefferson County, State of Washington, has
fixed Monday, the 22nd day of June, 1992, at the. hour of 10:30 a.m. o'clock in the Office
of the County Commissioners, Jefferson County Courthouse, Port Townsend, Washington,
as the time and place for the hearing on said application. Such hearing may be adjourned
from time to time by order of the Board. After such hearing the Board will take such
action with reference to the application as the Board shall deem appropriate for the public
interest.
DATED THIS
/'X f?, DAY OF ~ ,1992.
r-
JEFFERSON COUNTY
BOARD OF COMMISSIONERS
~~~-
ATfEST:
(r:flYf Cl $! J1Y{MIL~
ma 1.. Delaney
Clerk of the Board
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1820 Jefferson Street
P,O, Box 1220
Port Townsend, WA 98368
(206) 385-9160
40
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Gary A. Rowe. P.t=.. Director
Robert G. Nesbitt. P.E., County Engineer
MEMORANDUM
TO: Bob Nesbitt, County Engineer
FROM: Eileen Simon
DATE: May 20, 1992
SUBJECT: Application for franchise: Western Cable TV
Attached please find a copy of an application for a franchise to install cable television
facilities in the Gardiner vicinity. Please return your comments on this application to
me by June 15, 1992.
,
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100% Rocyclod Pnpnr
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~t Franchise: Bridge- ;4.~~
'. hl}ve1) , Trails End, Ad-
M1rals Row~ Oly. Shores,
01y. highlands, Deputy SP,
In the matter of
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RESOm~~cPiM!
MlrY!;_.._~.,
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STATE OF WASHINGTON
COUNTY OF JEFFERSON
x
Gr~~ting a Non...Exc!usive Franchise
On County Road Rights of Way to
Bridgehaven Community Club Association
x
x
x
WHEREAS, an Application for non-exclusive Franchise has been submitted by
Bridgehaven Communinity Club Assoeiation, a true copy of which is attached hereto, for
the purposes set out in the said application, and
WHEREAS; hearing on the said application was held before the Board of County
Commissioners of Jefferson County, Washington, on December 9, 1991, at the hour of
10:00 a.m., pursuant to the provisions of RCW 36.55, after notice given as required by
law, and
WHEREAS, it appears to be in the public interest to grant the said non-exclusive
franchise request, based on the following findings of fact and conclusions:
1)
2)
The proposal is not in conflict with the Jefferson County
Comprehensive Plan;
The application was made by the Bridgehaven Community Club
Association in accordance with the Jefferson County Franchise
Ordinance 2-81;
Insurance on the existing Bridgehaven water system will provide for
maintenance and repair of the county road system as it relates to
construction and operation of the water system;
Installation and maintenance of a properly functioning water system
for drinking and fire protection purposes is in the interest of the
public health and safety;
The proposal is reflected in the application filed by Bridgehaven
Community Club Association on November 7, 1991, which is
incorporated by reference herein.
3)
4)
5)
NOW THEREFORE IT IS HEREBY RESOLVED that a non-exclusive franchise be
and it is hereby granted to the applicant named above (GRANTEE) for a period of
twenty-five (25) years from the date of this Resolution, to construct, operate and
maintain a water system, authorized under Title 56 RCW, including those common
under Title 56 and 57 per 56.20.015, consisting of installation and service connections
upon, under, over, across and along the rights of way of the county roads of Jefferson
County, Washington, more particularly described as follows:
South Point Road lying in Section 16, T27N, RIE, W.M., along with those county
roads lying in the following described subdivisions:
Bridgehaven Division 1, as recorded in Pages 57-58, Volume 4 of Plats;
Bridgehaven Division 2, as recorded in Pages 61-62, Volume 4 of Plats;
Bridgehaven Division 3, as recorded in Pages 67-68, Volume 4 of Platsj
Bridgehaven Division 4, as recorded in Pages 79-80, Volume 4 of Platsj
Bridgehaven Division 5, as recorded in Pages 3-4, Volume 5 of Plats;
Bridgehaven Division 6, as recorded in Pages 7-8, Volume 5 of Plats;
Bridgehaven Division 7, as recorded in Pages 13-14, Volume 5 of Plats;
Bridgehaven Division 8, as lecorded ill Pages 53-54, Volullle 5 of Platsj
Trail's End Homesites, as recorded in Page 30, Volume 3 of Plats;
Trail's End 1st Addition, as recorded in Page 32, Volume 3 of Plats;
Trail's End 2nd Addition, as recorded in Page 1, Volume 4 of Plats;
Trail's End 3rd Addition, as recorded in Page 4, Volume 4 of Plats;
Trail's End 4th Addition, as recorded in Page 16, Volume 4 of Platsj
Olympic Shores, as recorded in Page 87, VO!\Jme 6 of Surveys;
Olympic Highlands, as recorded in Pages 68-6\1, Volume 6 of surveys;
Admiral's Row, as recorded in Page 26, Volume 10 of Surveys;
Deputy Short Plat, as recorded in Pages 177-178, Volume 2 of Short Platsj
Coyle Short Plat r, as recorded In Pages 173-174, Volume 2 of Short Plats;
Coyle Short Plat lI,as recorded in Pages 175-176, Volume 2 of Short Plats;
Franchl.a:
Dridgcllllvcn Waler Dlclrict
nridllchavcn, Trail'. [!nd, Coyle sr J &. II, Admiral', Raw
vaL 384: PA~t 430
.....
2
,all records of Jefferson County, Washington State.
This non-exclusive franchise is granted upon the following express terms and conditions:
(1) The said GRANTEE, its successors and assigns, shall have the right to enter
only upon the above-described rights of way for the purpose of constructing its
facilities and for operating, maintaining, repairing and using those facilities.
(2) The terms and conditions of Jefferson County Ordinance No. 2-81, an ordinance
prescribing terms and conditions for franchise agreements granted by Jefferson
County, are incorporated herein by reference and made a part of this Resolution.
The GRANTEE, for itself, its successors and/or assigns, expressly agrees that it will
strictly comply with the requirements of the said ordinance and any amendments
thereto. The GRANTEE understands and acknowledges that the ordinance requires
it to obtain a permit from the County Engineer before doing work under this non-
exclusive franchise and performing other actions relating to the franchised matter.
(3) The GRANTEE shall submit a facility plan to the County Planning Department
for review of all new proposed facilities exclusive of all service connections and
appurtenances. Construction permits will be granted upon the determination that
the facility plan complies with the county comprehensive plan. GRANTEE
acknowledges and comprehends that environmental review pursuant to the State
Environmental Policy Act (SEPA) may be necessary prior to permit issuance.
(4) The GRANTEE shall commence construction work under this non-exclusive
franchise only after the effective date hereof, and after first securing necessary
approvals and permits from the County Planning Department and the Department
of Public Works.
(5) The full acceptance of this non-exclusive franchise and all its terms and
conditions within thirty (30) days from this date, by the GRANTEE, in writing, is to
be filed with the Clerk of the Board of County Commissioners of Jefferson County
and shall be a condition precedent to its taking effect, and unless the non-exclusive
franchise is accepted within such time, this grant shall be null and void.
ADOPTED this 17th day of AUGUST, 1992.
..-... ~ "
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SEAL: ';';" >.1 'so0,};:./
ATTEST: --.;,..;...::;.....
ct!u~'k! fh2~
Clerk of the Board 0
JEFFERSON COUNTY ,
BOARD OF COMMISSIONERS
~~
APPROVED:
------...2, l ~--
Mark Huth
Prosecuting Attorney
Pranc:hl&Cll
Drldgchavcn Waler DI.lrlcl
Dridlchavcn, Tnll'. End, Coyle SP I & II, Admlrall', Row
,<
1..\1,
VOL 384 PA.c 431
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ACCEPTANCE OF FRANClllSE TERMS AND CONDmONS
I hereby accept the terms and conditions specified under Ordinance No. 2-81, for
a Non-Exclusive Franchise granted to Bridgehaven Community Club Association for
construction, operation and maintenance of a water system along and across the county
roads rights of way described in Resolution No. 72-92, approved by the Board of
Jefferson County Commissioners on the 17th day of August, 1992.
Dated this
--1/
day of ALI"i",,-r
tJ
Bridl!ehaven Community Club Association
Applicant
~
BY: Byron Swigart
1lri~/~...j,,~vl"i1 ~I?".,o;;...ni;kve.
Tltle'(j /
.:: :~f,!J~~':-;;M":,.~t~!i:f.:f!.l'~~'t;':l>~!~;~:".":"'>""
, 1992.
VOL
b(SAFECO
~ RENEWAL OF
CF' B4::~1~3bO
<<:>
C)
ISSUE "f-,TF.:
Otl-2()"'9.t.
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PC
M:l3-5
CO DFF
f; SEA
FLD ;:-.GE:-r~ ,.'f......
O~)ri C~:.~...0A9 ~.....J~)C
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CmlBrNF-D
(-,UDIT
GE:NE:r.~(.lL I NSI...If.:ANCE' COM::'Ar~"i' c:r ,~,MEr,::'C,~
HOME OFFICE: 433~~ BF:OOt,L,YN A'-.JE: Nf'E,.,. f:;EAiTL.Et W,~SH.rN~~TDN Y8185
CfJ t1t.1E:E:CI eL._ f~nL .!.C:r:._.C!:!tj~L2~._IJE CL8k~l:';:I r.Ot::S
c.t' B4~'n3bOC
Nf..,tiED
INSURED
NAILING
;~:onF\'E8S
BR:CflGE:HAVEN COMMUNITY CLU!:( ABBCI(~:r.AT!ON
IIOM<R Sill
INS"r,;N ITI( W,o.,
v, CE INC.
3~~t NOFaH I<EACH DFnVE
POF~T i...UDLOIA .Ji::F'FEi;:!:~nN
S~DZ2~
I::USINE:8S r'I()""i!:::O{~(NEF'\S ASSCtCIATIDN
IN<.:Ur,ED IS CORF'OF:ATION
AUG2 G 1991 .
REI: ';')-23."1'7'9;(
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PDLICY PERIOD FF,OM; 09".2:3-:1.9'.>1
1.2:0:\ AM ST(.'JNJ)"',f.:r.1 TIME IH
IN r,ETURN FOR THE F'(.,YMFNT O!~ THE: f-'r':i::MILJM ANT.: SUB.JE'(;'( TD 't.L.:'. '(HE '1 CnMS
OF' THIS F'OL:tCY~ l.JE ';(:.~~~f::F.: \.JTfH YfJlj P!'Q pr~[IVlr.lI:: n..n:,: IN~:;ur~j''i.tK~I: 1~.8 STArED IN
THIS POLICY, 'THIS f'Ol...ICY CONSIS'I'S OF ClrU..Y Tl.IE F'DCLr.:t.J:~~~C.i CDH~1Ef{CIAL
CO~v'f.::r'I~GE F'r.fr~:T (~:~) FClF:: I"IH:( I,:H TI"H~: ~hJ}~l) /, yr;::S II :r s ~:;:'{GWN. ::~::f'D:'... TO THE
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ISSUE: DAT"
1 0--04-'7'1
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Af.iDITION,)L DECLARe.TIONB
REVlSI:;:n...
THIS DECLARATION IS ATTACHI~D TO AND FORMS
A PAra OF THE POLICY SPECIFIED ABOVE
CQI1I:1t;;:BC:L{;t._G":~EBel~-l...la);L[I_J:IX..CQ~!Et:;:H!~E:-!::e5:I
~DJ:!.IIJ:QI::lBL_IIECI_e5:aIIQ~~L5Cl:lEI!lJt...E-~
,HIS SCHri.IIUI_E MODIFIES INSl.lr~Ai'.!CE: F'RO'-'IDEII .fW rHI~ r.'nl. r(~'f TDCNTtl7tED r,E'O'.',-,
r11~I) y..:r.LL \"'.:EF'LACE (~NY F'f~IOF\: 1~IDl)IT'IONAL- nECL.t'.,RAr:(ON~3.. >JC} :U"'SU:::~~NCE :r':3
i-T\OV:r;:IE:D flY THE GO'JI:::R~'Ge: i...INLI"::Sr? A L.I.MIT OF I.. 'f.AB'l:LI"j'Y '1":::; :~~HOl'Ji'J :~C::!...~J\<\
--~~---_..._.-.~._-------_._-----_._._.~"--"-_._-"_.-.--"-----.----." --.----------.---- ---.--.----.--.-
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GENERAl. AGGf"(EGATE: LIMIT $2,OOO,()()O
< OTHER THAN Pr-WDUCTS-COMPI...I:;:'! Et' OFEf"(,; T TONS) .
r-'F(O!llJCTS-'COMF'I.ETET.' OPEf~AT'ION<, t,OGREGATE L (MIT
PE~SONAL . ADV8~TISING INJURY LIMll
IZACH occur-ml:;:NC!:: L.IMIT
FIRE: f.W1AGE L.IMIl
,1EIIIC,<'L. EXF'ENSE Lli1IT
!~51''''Y)(~:
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(,~i'!Y '1 r.:'S!=\SON
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i:OVEF:r"tt~G: A OF TH.t:S :rNSU~:I~jo.l(';E DOES NOT AF'Pt_Y 1'n "(,C)J'f.l.L.'( '!;;',I.jL(\:::YI1 01;'
"F'r~OF'EJ-::TY IiAMAGF::" WHICH OCCUF~S l~te:J:'OF;':E THE F~r~:TI~o~.c'r.n)r: 01:'\ n::., .u:' ,~.r-r~.. SHO\M'~
I\l)QVE, ENTEf"( "NONE" IF NO F,~:TRI)ACT LVI::: f.",'n:: .",P~'\...I\:::f.~.
=:i:=CO~EE;~i:.iE::EDB~S::==:::::::=::=:::=::~::::===:::::::.:::: =:=::::=:::=::::::.:::~l::~:~:::.::.::
LIABILITY FORMS ATTACHET' TO THIS POI.ICY t "
C(3 00 01 11.-16 CC,MMI:::RI:J:AL- Gt':Nff.I:;:AL. l.IAE.nIT'r
eXCLUSION FORMt:; AND OTH~:F;: r:,NI:i()R~11,- MI;::NT~; ATTACHeD (n TI.\n, 1"'01. ;U';Y:
CG O:l 61 J.1-89 I~ASHINGTON CHANm~s
co 20 ()2 '.l1-'(~5 Anr;''l''nON,.~L J.NSUR;::t'- cum MEMEiI~,I"';
co '74 4::.! 09--66 HIF<f.m ~ NCJN-OWNF-:f.I AIJ'n:'lMIJH'f.U,
co III 14 07-'90 e:XCl.w:nON -, ASI:<ESTOS
co 8{, 08 0'7-,8'7 STt1F'-GP,F' EMPLOYEF<S' I.. I Af.<lI...J.TY
It.. 00 21 01-8'7 f.<f"1,"',[1 FORM NLlCI_EAr": E',(Cl..
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CO 70 O~ 04-19
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STATE OF WASHINGTON
COUNTY OF JEFFERSON
In the mailer of:
RESOLUTION NO. 121.91
Noll"" of tIGer/nil
on Application for Franchise
N~Wg~hl~~"er:~::~ 'ti1~~I~ that
Bridgehaven Water District has filed
an
application wRh the Board of County
Commissioners of Jefferson County,
for a franchise to construct, operate
~~:t.;'~~r.nTl~I:~r R"6~~~ric~~~~g
those common under TdJe 56 and 57
per'56;20.015; consisting bf'installa'"
tlon and service connections upon,
~r:'~~r:'h.~~~~~rJ~~~~
County. Washington, more particularly
described as follows:
Tho"" county roads lying In the
following described subdivisions:
'Bridgehaven Division 1, as recorded
in Pages 57-58, Volume 4 of Plats:
.Bridgehaven Division 2. as recorded
In Pages 61.62, Volume 4 of Plats;
'Bridgehaven Division 3. as recorded
In Pages 67.66. Volume 4 of Plats:
'Bridgehaven Division 4. as recorded
In Pages 7g.80, Volume 4 of Plats:
'Brldgehaven DIvision 5. as recorded
In Pages 3-4, Volume 5 of Plata;
.Bridgehaven DIvision 6, as recorded
In Pages 7.8, Volume 5 of Plats;
.Bridgehaven DI,vlslon 7, as recorded
In pagas 13-14, Voluma 5 of Plats:
'Bridgehaven Division 8, as recorded
In Pages 53.54,Volume 5 01 Plats;
'Trall's End HomesRes, as recorded In
Page ~, Volume 3 of Plats;
.Trall's End 1 st AddRlon. as recorded
In Page 32, Volume 3 of Plats;
'Trall's End 2nd AddRlon. as recorded
In Paga 1. Volume 4 of Plats;
. Tralrs End 3rd AddRlon. Be recorded
In paga 4, Volume 4 01 Plats;
. Trall's End 4th AddRlon, Be recorded
~~~~d~~~~~: ~~:inpage
87. Volume 6 01 Surveys;
.olympic Highlands, as recorded In
;:3~rr:fs~~~~~n;::'~J;~e~~o
26, VOlUms 10 of Surveys:
'Deputy Short Pial, as recorded In
Pages 177.178, Volume 2 of Short
Plats;
.CQyle Short Plat I, as recorded In
1" Pages 173-174, Volume 2 of Short
h?l~ Plata;
'\5 .Coyle Short Pial II, as recorded In
fii~ ~~:~ 175.176, Volume 2 of Short
','0' :' :' ali rscord. of Jeffarson County,
\\ Washington State,
yll:, Tha Franchlae Application Is lor a
!~, periodof.lwenl','.flve (25) year.,
:!~' The Board 01 County Commission-
",I, ellol Jaffe.aon County. Stata of Wash.
"?i Ington, hos Ilxed Monday, the 9th day
:1 01 December, 1991, al the hour of
"'\' 1 0:00 a.m. o'clocllln the Office olthe
"',?' County Comml.llonera, Jafferson
" County CourthoU18, Port Townaend,
',' Washfngton, os the time and place lor
, hearing on aald app\Jcal\on, Such
ring maybe adjourned from lime to
, bY order of the Board. Alter luch
not~ Board will take luch action
'aferance 10 the application as Iha
.hall deem appropriate lor the
Inte.e.~, "
L
~9WS 25th DAV OF NOVE"'.
'I ~;~N<f>~N1Y BOARD OF
i ~%!: Dannlaon, Chairman
'.....:~wn, Member
.. .~':'"', f.. Wo' Member
,~\'"
=.i~laney
"':"X:",:;:, ".Boald 12.~
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Affidavit of Puhlicution~
STATE ()f~ W ASIIIN<;TflN)
ss
COIJNTY or; JEFFEKSON)
"RANK w. f,AKI{ ED. h":lng..'.>.orn. ~;Iy"hc i" the pllhlL~hl:r
of the PorI. Townsend Idfl.'r'llll Cutlnt)' LcadL:T. a we..:kly
ncw"'papcr whidl ha.. ht....~1\ cst~lhli....hc{l, puhli..h,,'d In tbe
En~lish language and t:in.:ulalcd uHlIinwlII<;ly as a weekly
ncwspap<:r in lhe Il)Wn (If jl(lrlTClwn...cnd in ...aillCIlurllY anll
Stale, and for I,:cncral ..:in..:UI.I(IIJJ) in said f.;ounly lor more
than six (h) months prior to thl' dale of t.he fip,( puhlil.:i1llon
of the Notice h....rdo attached, illld that thc said portTown.,clld
Jefferson ('numy Lcildcr W,L... on Lht: 27th day of June ll).( 1
approved as a legal newspaper hy (hI." SUJll'rior Court (If said
Jerrersnn County and that aIUle.'(~d is a true copy of the
Resolution #121-91
as it appeared in the regular and entire issue of said paper
itself not in a supplement thereof for a period of
~c(}n-"c.cutiveweek-",bcginning()nthe~
dayof November ,19.2.L,andcndingonthc
~d"yof December .192L, and
that said newspaper W:L~ regularly dbarihulcd to its subscrib.
ers during all of Lhis period. That th~ full ,unount of
$156.00_hasbecllpaidinfull,althcrateofS6.60
p"r column inch for ~~>!Jin'crtion, I tJ " '
_~.4'dJ((JJ ,~
Puhlisher
Subscribed and swum tn hcfnre mc this ~ day of
December ,19 9 L
,6"1(; -;-'J {).u 1
~~l i ~, /{\..1.u.fl'
Notary Public iO':9d fnr ~Ie Slatc u1 W.L'lhington.
residing at Port I fadlrx:k.
\liIOIf",~.;,oloi.1>~'"U:~;U~#~~'''''''''--'''''._''''''----'''''--------'''
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(206) 385-0722
DEe 04 1991
JEFFERSON COUNT'
PUBUr. WORK~ r"lF"
(X) FOR YOUR INFORMATION
( ) PLEASE RESPOND
( ) PER YOUR REQUEST
Date: December 2, 1991
To: Eileen Simon
Address: Public Works Department
POBOX 1220
Port Townsend WA 9B368
From: Larry Fay ~~
Director of Environmental Health ~~
subject: Franchise Application - Bridgehaven Water District
Message:
This office has reviewed the above referenced application and has no
comments except to note that several lots in Deputy Short Plat, coyle
Short Plats 1 & 2, and Ocean Grove Long Plat will be served by a
community drainfield located off Maxwell Drive. A minimum of 10 feet
of horizontal separation is required between the effluent line and the
water line.
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K~tIOI.UTlON NO, ~
GRANT I NO N()N-~;XC~U:;1 V~ FRANCIIlS,: ON
COUNTY ROM> RICIIT-OF-WAY
WHEREAS, an npllllcuL1uJ1 Cor Cranchlsc I-HIS been submi.tted by
Richard L. and Wreaths ~hlLlrk, u tnut copy of which is llttached here-
tOJ for the purposes aut u~.t In Lhv ~hLd application, and
WHEREAS, hCBrillH un tnet hlllu llpplicntLon .....as ~eld before
the Board of County ComlllL9ijl{JlI~ru of Jofferson County, Wa~hingtonJ
on October 20, 1981 at the t;OUI" of 10: 10 a.m., pursuant to the pro-
visions of RCW 36.55. Art..... not Leu ~Iyon as required by law, and
WHEREAS. it: "pp~ur~ to bu 1n the public interest. to $;rant
the said non-exclusive trnnc:hLlitJ rtJ'I\I"~t I NOW, 1'UEREFORE,
IT IS HEREBY IUO:SOl,Vl':U thllt ~a non-exclusive franchise be and
it is herE.'by granted to th&! tlPpllcunt named above (GRANTEE) for il
period of twenty-five (~')) Y~tt\rti fl'olll the dute of this Kcsolution. to
construct, operate and nlij[Jlt,.l., n wlltur system consistlnK of pipelines
In. under. along and acrOnij thllt porllon of County right-oE-way
described as follows:
Lots 13 I\IId lIt of Ulock i.2, Lot 3, Ulock 1].
TraiLs ~:n,1 th"..'ond Addltion, as rE.!cord~d in
Vol, 4 or l'iIlP~ I I.JIIHt' l, '(ccords of Jcffcr~iUn
County,
This non-exclusive frunchllifJ in IP'illlt'"d upon the folLowing t.!xprcss
terms and conditions:
(Ll The snid (:H^~l'I'l':I':, Ltll 11ll(,.:CCSSO['lj uno fJs~l>-:ns, ~;hnll
have the right to enter nfll y ~lpUll I lit! Ilhovc-dcucribcd right-of-way
for the purpose of conl1t1'\lIJt Illy' Lr.t1 lj'Jcllltic~ IInd for opcrilting,
maintaining, repairing nlld 1I,dllH 1:}HHil' r:lcllLr~ics,
(2) 'l'he termrt nlld l:urultr.l(H1u of Je(fUl"son Counr:y Ordinance
No. 2-81. nn ordinanco pl'uqIJ,'ltJll1~ Cu.-nus and conditions fol". ,['ranchisc
agreements r.rantcd by Jufr"'ruon C:ounty, nrc inc:orporated hCl"(=ln by
reference and made a PUl't nr t"LII ItiltooLucion (01' all purpo5u5 ilS full.y
45 if set forth in thin ItrJlwl,utLon, 'l'he CR^N'f[':~, for LCticlf. Lcs
succe5sors nnd/or assLHrltt, f.1.I(pf'uIPlly IIgrotls thilt it wlll strictly
comply wich the rcquLrtllllulll:,. "r tllu ~Illitl ordlwlnce llnd allY llmcnd-
monts thereto, CRANTE~: \Il1du"ntnnclta {lIld ucknawlcdges chnt the
ordinance requires it tu "ht,.l,. 11 IJltr/llit ft"om chu County EngLnolJrl
Director of PubUc Workn bUrCII"l dlllng \oIC>l'k undor' thL!; non-cxclLJ~ivc
franchise nnd porformLfl.~ ul,lufr IICI:1 mill rclnt lop, to th(: rl'ilnchir.ud
mattet"'o
(3) The GRAN'I'I';P: .1..IlI ,"d,"II' /I r"dUty ptnll to the
County Plllnnln~ Dcpurtrnltllt rOl' r~".ltlfw of nll new proroli(~d fnciLitics
VIII
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1t~:!10t.U'1'1 au NO. !J.~l
GI{"N'l'INO NON-I~XCl.tHi[VE l-'RANClIlSB
ON (:OllN'rY /lOAIJ 1l1CIITS-OF-WAY
DONAt.D o. SIIUL'rz
All Platted Stre~c:s in 'f.'lIlts End tlomcsltc5 Plat
"IHEREAS, an ^ppl1cation for r.'ranchioc h<1s been submi tted by
Donald o. Shultz, a tt"UQ copy of whLd\ in attilchccl hereto, for the purposes
set out in the said Appl.1clItion; and
WHEREAS, heilrl"(.! On the lS"l,t Application was held before the
Board of county Commi:Jdlonurn of J,,(tcraon county, W<1shington, on February
14, 1983, at the hour or lO:30a.m., pllruuant to the provisions of RCW 36.
55, after notice given no roquired by law; and
WHEREAS, it nppo/Jrn to bu in tho public interest to grant the
said franchise rcqu~9 t 1 NOW, 'rIlEUI';.(o'()U~:,
t'r IS HEREBY Rf;:lot.v~D, thnt a non-exclusive frilochisc be a.nd it
is hereby granted to tho lIppllcllnl: namud a.boVQ (GAAN'rEE) for a period of
twenty-five (25) yc~rs Cram tho dtltu ur t)\i9 Rosolution, to install,
operate, mClintain, rcp~llr MHJ usu CI pltultc wat.er system, in, under, upon,
ialong a:'\r.l .:Icross that pfJrt.1on of COU'lty road rights-ai-way deGcrlbed as
follows:
ALL. PI,N1II('[.:n ~i't'RI~E:'r~1 I f1 tho Plat of Trall:'1 Fond
HomcsitOll, lut:., Vell. .l, 11'1. 30: AND in tho
Plat of ~',ll'llt Additiotl to '1'rClilu Fond lIomc:.dtcn
Inc., Vol. ,l, I'lJ. 321 ^NIl ln thu Plat;. oE Sec-
ond ,\dtlitlorl to 'rr.lIln l:nullonIHdtus, TnG.,
Vol. 4, IIq. I; ANtl lho nouth Point Road, COllOty
Ho,ul No.9, loe.ltud wlLldn thouo Plat!3.
'l'his non-m(clu:.livc f['ilnchluu in ~Jr.1f'lrHI upon tho fOllowincJ express terms
and conditions:
el) The slJid (WMJ'l'EE, itll IlUC:CODUoru and anoign~, flhall hLlve
the right to enter only up(ln tho nb(lV~l-duflcribod rights-of..wlty for tho
purpose of constructinq it" tocilitl~~ (ln~ for opora.tinu, maintaining, re-
pairing Qnd using thoBU C~ul1itlon.
(2) 'rho torn\ll 111111 conditllln" of Jo(Cor:lon County Ordinnnco N.oo
2-81, tln ordinanco proncrlhLnu t.ormfl fllld conditions fot" enlOchisc llcJrC(J-
menta lJr.:ln tou by Jof fcrm>n C:l'Junty, ,'IIOl' lncorpor.l tad hero in by reforonco
anu m~'\du ~ part of thiu U(lflollltlon for' (111 pUr:pOfl0S an fully ns if set
for.th in thic Renolution. 'l'lItl GHM"IIIW, for itfJolf, ito Ollccoosorn ,'\nd/or
assign!;, cxpn.H1s1y ilCJroufI t,tVlt it .,;1.11 IILrictly comply wlth tho roquiro-
ments of tho ~l..lid orclinnlldll MHI nny tllt10nchnuntn theroto. nRAN'l'r;f~ unuor-
st.lnde llnd ncknowL(J{l~J(Jll t.hllt. tho ordlfl(lnlO() rc>qulr(J!J it to obt:.;ain n pL'rmit
(rom the County l::nqinnor/lJlrlJct.ur or 1l~ll1li(! Wurku boforn dolny WCJl'k undor
this ff"~'nchi~""l .1ncl parrcH'mlfFJ ot hflr IwllnrHl f"(11iltllllJ to tho frtlUchlr.cd
mllttUl".
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.r.-tEit!::A:i. h~<3ring on t1;"e salcJ appli.cat:..o~ ...as ;"cld befo:"c th~
Boare of Counr;)o- Co:tr'llss:'oncrs o~ Jeffr.!"scn Ccut:ty. tJas~t"~::on ::m
:
Dccc"Jb:!l" S. !~d2 Olt ';~..c ~lOLr' of 11:00 r..~.. o'.:r~.u."'~!: to the ?-::"cvts!.ons
of ?CW' 3S.55, ilfcC''f" .lotice giv~1'l as l"c'1uirc(.'" 0Y 171'.01; .tIr.fl
W:--U:.itE.AS, :'c 2?peaT'S to be in the p~blic in:crcst to f~:-ant:
the 5:1 td :;.or.-eJC'c Lusl....c franchise r2qu~s::'; no'''''. t:,crcfo::,c.
!T IS :il.lU.bY RE:SOLVED that 11 non-excLusive :r..nc~t:;e be ~nG
It 1s heret.y gr.lntcu to the .l~pllcilnt nan~(; abov".! (G:{A~1'r:l;;) for a nz!"-
lcd of :l.,cncy-!lv~ (2S) yenrs f't"orn the date of this RC~iOt'Jtlo1. to
cO(lstru,,:!:. or-crace .one :n.l!nculn a communIty ."".~::~" ;:oystCPlI 'JpO!l. '.mci~r.
":)ver. 3":t'"OSS nr'.CI nlon).t chat ~"r~!.on of :Oll:"\:Y roau ri;~~.::s-of-'...I"Y
qcscr~b~d as fol to',.l~.;
ita r'oa(~5 (iClltClItCC ir: arldgchnvcn Dtvtsions ). S. :> a.,ci
:. <:!i rc;:on:cc. In Vot. 4, Pnf'.es 67-6ts. Vol. l, i'i1'~'-':s }_4.
.",''')1. S. lJll~~C!, 7-M. Vvl. 5, ?ay,!!s 53-5t.., r'c~~~~c.:l"cly. of
Pl"t~. t\cco-rJ~ of J~ffcrJor. COl.ll1::Y, <1",0 'l~l c.,::...:~:" COll"~:I
:"l.:.~,:.. i'/tll'~ '''''',:-.i,l t....c f.~lUt:l ~ of ~;<;>c';to" '1, ,::...'1'..,'p 2n.,
:-C;l.l~~i' 11";, '.:.' I .
To.... f10.,-....xc llJsl VI,' fr.lnr.:hlO;(' i~
hr'..lncc.d UP,).l ch..~ iet 10.....:.:\)'. (:X~..('S5
:co:-n.. .11;.1
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(L) 7:"1': ',H:d \:.t\I,':::>':, l':s 5UCCC:loSor~ .H,t: .!s:;~...,r'!... fo~;ilt h~lVe
t~l.::o :ir.'lr: to c~tcr cmly L11,on t:h<<! RbovC'_r..C!'oCl"'l.~.J~'::~ d".:.\~!>-o::-,",ay f.or
t:-'~ ~.l:rposC' of cO:li::rtlc::lng Its fncllltl~l'I f.,mi t(',~ CI'l"'':''<.lr:tr~F.. l'lalo-
:'.11010;;, nopnldn", l\lul 1I510[; tnase f"clU,t!.o;lS.
(21 T~o C.Urr.I~ lIod condlt1ons of J."ffcrson Cl~Llr:y Jnlln;tncc :~o.
2-&l, Iln o:-d(n;lnc~
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W"ill be granted upon t~e d('tcrmlna:tion t:""l.clt the :acility plan com~!ies
with the County ComprenenslvQ ?lan.
(4) The C~\~~EE snnl1 Commence construction ~~=k uncer chts non-
exclusive franc::.!.s!! only after the effcc:t(ve date ~creof, and l.If::er
first securing necessar)" npprovals and permies from the County Planning
Deparc:nent: and t~e Dep;ll'cm~nc of P:.Jbllc 'i%r-E(s.
(5) The full accepCnncc: of chis non-exctt.lsive franc~ise and all
its -=erms and condicions wichtn thLrcy ()O) days from this date, by
the CP.Al'lTEE, In writing, Is Co be filed with the Clerk of the Board
of County ComCllsslcners of Jefferson Councy and shal!. be a condlCLon
precedent Co its cai<Lng effoct, onc unless che nor:-exclusive francaise
1s accepted wichtn such tIme, chis grant shall be nlJli and vole.
::JATED at Port To.....nsend. tl.1shington this ,/tf"~ciay of
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JEFfERSON COUNTY
BOAR!) OF COMMISSIONERS
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BRIDGEDA VEN
Communit~ Club Assoeiation
3S1 North Beaeh Drive port Ludlow, Washington 98385
REC~'; -'"R6Ce.'''t:.b.-
.NOV (l -1 1991
NOV 08 1991
November 7, 1991
JEFFER~ . J.MERSON COUNT'
PUBLIC we".....,., PU"SLlC WORI<f\ nF"
E. D. Simon
Administrative Assistant
Jefferson County Department
of Public Works
PO Box 1220
Port Townsend WA 98368
Re: Bridgehaven Water Distict franchise
Dear Hr. Simon:
Enclosed you will find $100 publication fee and a map of the
area for which we are requesting a franchise.
We already have a franchise for the Bridgehaven area. Therefore
this request is for the remainder of the property shown in
the map.
The numbers of lots to be served by the proposed water district
are as follows:
Trails End----------------278
Coyle Peninsula Properties Subdivisions----------------25
(Including Admiral's Row, Olympic Highlands,
Olympic Shores, Deputy, and Coyle Properties)
Bridgehaven-----------------202
Plaase con Lact llean Anderson or Duane Wells if y"" .."ed any
further information.
SMcarelY,
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Donn ^nder.9on .s~,
UtJ.llty Chnirmnn
one.
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APPLICATION FOR FRANCHISE
TO: THE BOARD OF COUNTY COMMISSIONERS
OF JEFFERSON COUNTY, WASHINGTON
BY: Ahmed HRs~on PrA~~rl~nr
FOR:Bridgehaven Community Clllh A~~or;~t;nn
ADDRESS: 351 N. Beach Dr., Pt. Ludlow WA 98365
Application to the County Commissioners of Jefferson County,
Washington, for a franchise to construct, operate, and maintain
Bridgehaven Water SYStem consisting of
Map,enclosed
upon, under, over, across, and along the rights of way of the county
roads of Jefferson County, Washington, more particularly described as
follows, to-wit:
Attach Legal Descriptions for:
Bridgehaven Divisions 1,2,3,4,5,6,7 and 8
Trails End Divisions (all)
SP No. 13-90, SP No. 12-90, SP No. 14-90
Olympic Shores
Olympic Highlands
None of the roadway over which this franchise is requested is
located within the limits of any Incorporated city or town.
The Applicant hereby requests that the BOARD OF COUNTY
COMMISSIONERS fix a time and place for hearing this application and
cause the Auditor of said County to give public notice thereof in the
manner provided by law, and that upon such hearing the Board make
and enter a proper order granting to this Applicant, Its successors and
assigns, the franchise rights herein applied for.
DATED this 7'...... day of Nil VL""M....."...... ,199.L.
~)J~_\"""lorr!! 1,Jf' ,,--~~ (:,0......""\,\ ......T\j c.'-"('o, Assnc..
(Applicant)
BY: //;r;:.. / J:~;-::"'-""""'-
(Signature)
('f'hie)'.9--' :;;-,._'
Phone: -,.{,,!> '7 - /;J. <:10 7
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STATE OF WASHINGTON
COUNTY OF JEFFERSON
In the matter of:
x
Notice of Hearing on l(
Application for Franchise. l(
Bridgehaven Water District x
RESOLUTION NO....!.3..!..::2.l
NOTICE IS HEREBY GIVEN thut Bridgehaven Water District has filed an
application with the Board of County Commissioners of Jefferson County, Washington, for
a franchise to construct, opcrate and maintain a water system, authorized under Title 56
RCW, including those common under Title 56 ,md 57 per 56.20.015, consisting of
installation and service connections upon, under, over, across and along the rights of way
of the county roads of Jcfferson County, Washington, more particularly described as follows:
Those county roads lying in the following described subdivisions:
Bridgehaven Division I, as recorded in Pages 57.58, Volume 4 of PlalS;
Bridgehuven Division 2, as recorded in Pages 61-62, Volume 4 of Plats;
Bridgehaven Division 3, as recorded in Pages 67-68, Volume 4 of Plats;
Bridgehuven Division 4, as recorded in Pages 79-80, Volume 4 of Plats;
Bridgehaven Division 5, as recorded in Puges 3-4, Volume 5 of Plats;
Bridgehaven Division 6, as recorded in Pages 7.8, Volume 5 of Plats;
Bridgehaven Division 7, as recorded in Pages 13-14, Volume 5 of Plats;
Bridgehaven Division 8, us recorded in Pages 53-54, Volume 5 of Plats;
Trails End Homesites, as recorded in Page 30, Volume 3 of Plats;
Trails End Homesites 1st Addition, as recorded in Puge 32, Volume 3 of Plats;
Trails End Homesites 2nd Addition, as recorded in Puge 1, Volume 4 of Plats;
Trails End Homesites 3rd Addition, as recorded in Page 4, Volume 4 of Plats;
Trails End Homesites 4th Addition, as recorded in Page 16, Volume 4 of Plats;
Olympic Shores, as recorded in Puge 87, Volume 6 of Surveys;
Olympic Highlands, as recordcd in Pages 68.69, Volume 6 of Surveys;
Admiral's Row, as recorded in Puge 26, Volume 10 of Surveys;
Deputy Short Plut, as recorded in Puges 177-178, Volume 2 of Short Plats;
Coyle Short Plat C, as recorded in Pages 173-174, Volume 2 of Short Plats;
Coyle Short Plat If, as recorded in P,lges 175-176, Volume 2 of Short Pluts;
all records of Jefferson County, Wushington State.
The Franchise Application is for a period of twenty-five (25) years.
The Board of County Commissioners of Jefferson County, State of Washington, has
fixed Monduy, the 9th day of December ,1991, ut the hour of 10 :00 a.m. o'clock in
lhe Office of the Counly Commissioners, Jefferson County Courthouse, Port Townsend,
Washinglon, as the lime and place for the heuring on suid upplication. Such hearing may
be adjourned from time to time by ordcr of the Board. After such hearing the Board will
lHkc slIch action with refcrence to lhe application as the Board shall deem appropriate for
the public interest.
DATED TI-ClS .?,r, -II-. DAY OF ')'[0(-11" .._. /1 "f.--
,1991.
SEAL:
^ TTEST:
JEFFERSON COUNTY
OOARD OF COMMISSIONERS
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--~enn son, Chatrman
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B.G. rown, Member
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Clerk of the Board
(g~t/f""') ~o;-,..vt':~)
Rlc ar E. WOJt, Memb
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. Box 1220
Port Townsend, WA 98358
(205) 385-9150
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
Mary Gaboury
Jefferson County Auditor
FROM: Eileen Simon
Administrative Assistant
Jefferson County Department of Public Works
TO:
SUBJ: Notice of Franchise Hearing: Bridgehaven Water District
DATE: November 25, 1991
Please post the enclosed "Notice of Hearing on Applicat.ion for Franchise" in a
conspicuous place on the main bulletin board in the Courthouse and leave posted
until December 4, 1991.
Gaboury
, so swear and affirm that on the 27th day
,1991, I posted the above noted "Notice of F9aii.chise
ulletin board in the Courthouse.
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. 80x 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe. P.E" Director
Robert G, Nesbitt. P. E.. County Engineer
TO: James Espenson, postmaster
United States Post Office
FROM: Eileen Simon
Administrative Assistant
Jefferson County Department of Public Works
SUBJ: Notice of Franchise Hearing: Bridgehaven Water District
DATE: November 25, 1991
Please post the enclosed "Notice of Hea-ring on Application fot' Franchise" in a
conspicuous place on the main bulletin board in the Post Office and leave posted
until December 4, 1991,
so swear and affirm that on the ~ day
,1991: I posted the above noted "Notice of Franchise
Dulletin board in lobby of the Port Townsend Post Office.
100% Rf)cyclod Pl1pflr
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. BOx 1220
Port Townsend, WA 98368
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Gary A. Rowe. P.E.. Director
Robert G. NeSbitt, P.E., County Engineer
TO; postmaster
United States post Office
FROM: Eileen Simon
Administrative Assistant
Jefferson County Department of Public Works
SUBJ: Notice of Franchise Hearing: Bridgehaven Wacer District
DATE: November 26, 1991
Please post the enclosed "Notice of Hearing on Applicacion for Franchise" in a
conspicuous place on the main bulletin board in the Post Office and leave posted
until December 4, 1991. Please return this form to the Department of Public
works upon posting.
so swear and affirm that on the .27 day
I posted the above noted IlNotice of l"rifichise
n board in lobby of the ~ort Townsend Post Office.
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f'LBIISI~ PHIlI'I' IN !IlK on 'J''lpg gAOl! ANSWJm.
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p~OpmRTY nrnSCRIPTION
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PROPERTY AND AREA DESCRIPTION:
Mdress:J7.~rrJ~ ke.....:.a.!J'J Gutt, r[;,;.;;{f!om).ru
Legal (from property tax statement): Lot:
'Bt1~L~ .,.IT rai.Q" ~ rA
Block: ;1(/11-
N'/A
oJ ,ci&';j T"
~/;J;
Subdivision:
d,/ It
Tax Parcel:
Quarter Sections: 27;/
Section: ~ .~ q ~d II.. Township:
Tax Number: AI/A-
Land Area (dimensions): s;,,,, 411-,-,(" f..l'"A l1\op....
Range:
IE .W;Y'1
./
Describe the location, physical characteristics, and extent of land area. to be
affected; include all factors that will give an accurate understanding of the
property and' its environment:
.f'r" huJY<1"t-" ^l,.,V1"
, ,
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. ..l ~'~"""'1. 1" b.e. 1r1.m.J/-!- .
FoA-~...r...A.Li<""+"If'atJfh~.;/O 4,.",d~1 h.Q_ A.""- tT.,..r.~",-- ("-","",,,,-,_(;,.,.,.-tJ .,,-:t;;..!,.{Jo/
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k Comm~.J p~..(~ -F,rt:.. s':"A ~./! k tf.Jr"';f";;;t;..J-4.l<';;4. ,/'-<. <?A'~'id-. .
SCHEDULE tl5eginning and ending dates of the proposal, including phases):
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70 IX- p~m..^ '!t..j)/~h'fS'7<...r t,;,-rr~ s,.,J I3L1<.J"3> 'LD"Cs '1-$ a.w!81-'::1Z.,liTJ 17-1<1. :;.A-"'_ azrM'/"( m~p--! ;)
OVERALL PLAN (describe future additions. expaiisi6iis,ci:i:<i"elated a'ctivities or plans by
others that may affect the proposal): '
. , . .
hll t1A'<'t>" -t;, /,,, ..s'-("'I~,-1 1$ t!'J..."".;:J~ f' Prll/;',I1 ~ ,J." ('IJ"YI~ " CJar
%~~V . n .
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REQUIRED APPROVALS (all, local, state/and federal approvals required for the completions
of this proposal and'ifani appr'ovals are pending that are re~ated to the proposal):
ST;.. .1"; TP.-.,., :in... f-. --f I-?po 0;/;1 ,7;'(.':('..-r~"'J1 rt"o ,& ,l.{.."d'.:t/. ::z;:,,/'~ 7,;~.
, '-T ../ I l;r
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I,....., q~D~ '('I'>L",.7; p",,1, L.lc 'w';;'I<::"s:. -f'tH'" J>l,j:',Si",~-T...;,..('.d r!,1~I<JLm i7-19."/U/K /.3
ENVIRONMENTAL DATA (any existing or proposed environmental info.rmi'ltion such as
studies or. documents related to the proposal):
IIM~I'J'1A'1Il
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EARTH
1.
Check the ite'!). that describes the site:
~flat @'rolling 0 hilly 0 eteep elopes
o mountainous 0 other: .
What is the steepest slope on the Bite? Identify the
appro:>;<imate per~ent of the slop~: /2- ,P.-rc...-nL (~ ,.".J)
What general typeB of soils are found on the site
(Band. gravel. peat. muck)? If you know the
classificatiqn of agricultural Boils. specify them and
note.,any.pril!le faI'm.land: S a.-w/ 'J, rn---f' /"",-<1 h!O(",J. .s,;,L
,P~/?~ - h A -(h ~~ .;,-1 *:"
2.
, 3.
4.
Are there surfa,ce indications or a history of
unstable 'soils .in the immediate vicinity? If so.
describe them: A&-t J;"" rv,.:'-n.J "i I"_._-::f:: ~~
I,re.n_ -='tf",t. "'" pr"'i'"rn..J -r,., """ '-"-<ll-f:;;tl;,,~
5.
Describe the purpose. type. and approximate
quantities of any filling or grading proposed.
Identify the source of , the fill: Ak +;11.;,-: o-r t/.radl/;'1 .
~ ;:f;t~T~;.,~t::!~~-'t:~:.;,'::.:r' {,.;~" ~;~rl:i'
Could erosion occur as a result of clearing,.
construction. or use? If so,. generally describe it: /I
A/I'? J--fl-7l..-I, (?.r-rP'1'7""""_ r7'~ . ~_JJ..e, /2-11 ...l!l7/tt",-I;j",-dl,
1"".A-YI<7;..,A......:t;-.-T\}rnP....................J -f;....." I J...i1-I\r.J..........\'" C-...,,,..-:I""""""" t?.........,
/I)~': -1,,";""('1.-<0 t!v-,.YL ,ho fJt:u.:,( ,,,.. ;tL?/;" Y7t-,..,1.J~r"'''r--.
About what percen1; of the site would be covered with
impervious surfaces' after construction' of the
project (that is, asphalt or' buildings)? '
11/..., t'r~~4"S.L!. p;" ~"'Ar-~I1."D /~ tl'~17;""',;'J"" ~~-
~o t-e../YV\,..., ,.;." ,....,. ...:_ ; ..,.; ~ I
6.
7.
e.
Describe proposed measures to reduce or control
erosion or other impacts to the earth, if any:. '
uJ", /,dnrr: r--h<;"'r-i..., ,-<,."t 'Ch,._e,.{I,;, I.darks
~;:A n~M/(7r..fa"~~ IlII. ~r" ~ m..n!"".I r ""r~(J~~,
,
AIR
9.
What types of em.1ssions to the air. if any, would
result from the proposal dur;lng construction and
when the project is completed '(dust, car odors.
, industrial wood smoke)? Generally describe and give
,approximate quan~ities, i~ known: f'"" <-j;;..l'f;I?~
\J...J......ril.. emi<:.sin". ~r~,;.,/. '<J/~... /"/lIlV,;...1;-"/,p'
10.
Are there any off-site sources of emissions or odors
that': may aff~ proposal? If so. generally
describe them: . '
, '
-3-
;"{,~::'~:....i:,:,t~~~.:~~:',;'t~:fi~t;,
i
1
EVALUATION
11.
Describe proposed
emissions or other
, 11/ /A '
"
measures to reduce or control
imp~ct~ to the air, if ~ny:
";f. '1(' '
EVALUATION
13. Will the project require any work over, in, or
adjacent to the described waters (within 200 feet)?
If yes, describe the work and attach available plans:
~h: I~ ""',,_ f'n""!,,dn 0-1' J),o ~""l ~-r""J:t-:,- .s""''''n~Q .s-n-m""" ifJ;: ~ c...J~
~"< !:::..Kl2::.Cl'5.n)~ _-;'nm,..--r;""..t? ,;"'\ -r;..r.....~ r) (t:>r"l" .C:;-d...~t.
"BPM" :Z:>'-\~ OoJ.J.;;uAd-i" !-/N,,.Il'n,,.,,,(J.. '4J~r
.6n-C ~LdJ hL.J" >-03,), ""!1h;:",w&ot ",.1,."", C"Lv,..,.,
14. Estimate the amount of fill and dredge material that
woqld be placed ar'removed from the surface waters
or wetlands and indicate the area of the 'site that
would be aftected., ldentify the source of the ~i1l.
marerial: ;v",m<!: 'Pr"$I'JP.so;L.w..ac.~..b,tz..~
:cJli2.J....J::...~.!:!L~h,,~,..('{JLvrrr. " "
, HATER
.sux:f~ce Water
12. . Is there any surface water. body opo qr in the
.1lIlmecUate vicinity of' the site, including year-round
or seasonal strea.ms., sal~ waters, lakes, ponds, and
wetland<j7' If yes', describe the 'type and provide
names. If appropriate, state what stream or river it
flows into: '<::;;',,-t"X 8~"" I, :7)~ /-: r,c{/",d- -r;:
~~{~?;/r'1: nJ-::Yc. :,~:;:r- ,~SM~~2~ ~J:::;':":l-I:: ~ s:
-'
15.
Will ,the proposal require surface water, withdrawals
or diversions? Give' a general description and
identify the 'purpose 'and approximate quantities, if
known: ~
Does ,the proposal lie within a 100-year floocl plain?
If ,so, note the location on ,the site, plan: ' .
(;'e"......,.O!-:J()ln ,e)(co..."i-..,y....< a.!::; .s""rth B>nrt. Drri-v:e..- ,
wa-t't'r'L;nl!' ;{;o"fd b~.vn. m~' C"U~ 1-01>"Q ~~~<:t-/M<o11
Does the proposal involve any discharges of wagte (
materials to surface waters? If so, describe the
typ~ of ~ste a~dr~n~iciP~t<<:d ,~~l~m: of t.L~~rge:
,.w,;/:J t. M t ,!::jtr ~(;;. -,::~i'r.-I_
16.
17.
around Water
lB.
Will ground
discharged
de!lcription
approximate
__.Ain
water be withdrawn or \~lll water be
to ground water? Give 'a general
and identify the purpose and
quantitieo, if known:
-4-
T~
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.r;t;
~v;
~'
if,
Jr:
~~~..............
.,.'........:.,.,..., ...... ..
-.-
19. Describe the waste material that.would be discharged
into the ground frol\l septic tanks or other sources,
if any -(domestic. sewage; industrial wastes and
chemicals contained; agricultural wastes). Describe
the general size of the" system; the number of such
systems; the. .numbex' of houses to. be served, if
appl1cable, or the humber of animals or humans the
system(s) is expected to serve:
~/A-
Water Run-Of!'
(~nqluding. storm. water)
20. Describe the source of run-off, including storm
water. Describe' .the method of collection and
disposal, .if any, inCluding any known quantities.
Where will this water flow? Will this water flow into.
other waters? If so, describe it:
~(A-
21. Could waste materials enter ground or surface
waters? If so, generally describe how:
~0
22. Describe proposed measure~ to reduce or control
surface, ground, and run-off water impacts, 1f ally:
N/A- ' .. .. . ,
PLANTS
23. Check the types of vegetatiC?n found on the site:
Deciduous tree: 0 alder 0 maple 0 aspen
o othel': A~,I.A. ....,,'~ r-'rr- <I.-Wi
Evergreen tree:. 0 fir 0 cedar 0 pine
J:;( otl;1el': <;'...~... U"H h"u<t .'
o Shl'ubs )( Grass 0 Pasture 0 Crop/Grain
Wet Soil Plants: 0 cattail 0 buttercup
o bulrush 0 .s}unk cabbage
o other:. ,/v,/ j1
Water plants: 0 water lily Oeelgrass 0 mil foil
o other: ~//I-
Other:
24.
What IQnd and amoun t of vege
or altered? . v.,.
L!:au . "
2fl, List threatened or endangerod species known to be
on or near the site: U II kn /1 '~J"
-5-
~.~.,
EVALUATION
EVALUATION
26. Describe the proposed landscaping, use of nature
plants, or other measures to ~reserve or enhance
vegetation on the site;~'if any.: 'Ill'. "'. . .'"
. A-I! ~;.iI /-;0 n"--ru'y-..11J,,, 1", r~=t/., e",.<rl"., 6~
= vn,,~~,,4 b.~ ('-""t."'\:{.' . -~
= \ . \
ANIMALS
21. Check any birds and . animals that been observed on
or near the site or are known to be on or near the
site: .' .
Birds: 0 hawk 0 heron 0 eagle
. )8(other:S""dU b,,.:J.. ) 5:...~ -G._f(e::
Mammals: )i( deer 0 bear 0 elk
o other:
o songbirds
r!~;.,.,....-t 7D /Iod('oA(~
o beaver
....... r.!" _ ; .
Fish:"> 0 bass 0- salmon 0 trout 0 herring
o shellfish ~other: \I~ri""-+1 ~r-~.a ,'" N...~C",,,-~
2B. List any threatened or endangered species to be on
or near the e1te:~~tr1~ rY\
I. '
29.
.Is the site pa~~~~~on r.outli'?
If so, how?
:=
30.
Describe proposed measures to preserve or enhance
wildlife, if any: "Ii A-
::
ENERG~ AND NATURAL RESOURCES
31. What kinds of energy (electric, natural gas, oil, wood
stove. solar) would be used to meet the completed
project's energy needs?' Pescribe whether it would
. be used .for heating, maI)ufact).1ring, etc.:
!J{~ p ~
~ =
32. Would the project affect the potential use of solar
energy by adjacent properties? If so, generally
describe the affect: ;1/,..,'
-::
33.
What kinds of. energy conservation features are
included in' the plans of this proposnl? List other
proposed measures to' reduce or control energy
impacts, if any: III I A
.
-~ .
::
ENVIRONMENTAL llEALTH
34. Are thoro any environmental health \Ia:tarda,
including exposuro to to)tic chemicals, risk of fire
"nd explosion, spill, or hazardous waste, that could
occur 6<1 a result of th:E} proposal? If so, describe
the hazards, /11' C'
::
-6-
j
/
r,'f;
I
emergency services that might be
"/'.A-
EVALUATION
36. Describe proposed measures to reduce or control
environmental 'health hazards, if any:
, /1/,/1+
NOISE
37.
What types of noise exist in the area that may
affect, your p'roject (tl)affic. equipment, operations)?
~ n e...
38.
What types and levels of noise would be created by
or associated with the project on a short-term or a
long-term basis (construction, traffic, operation)?
Indlcate what hours noise would come from this site:
<tnff -r,;;rn? "0 Yl sTr. , r-t;b~r. del j h~ :,.. {~""F
bn.....k.-e,.nP'.J (!)r-r-~.;.-. -1='........... I '/1,,../.... "" . t.. _. </.
39.
Describe proposed measures to reduce or control
noise. impacts, if any:
/1'-:;/ A-
LAND AND SHORELINE USE
40. What is the current use of the site and adjacent
properties? t:cL~, ,~ 'J::t:.o,;)~"f;;,j7 hm"n '~
~ 'R-on,j~. n,......w i~ .nA'n.,.tI...:i~lo N()..,,.J "'~~tI.fl -
"\l
41,
Has the site been uS,Je9_ for agriculture?
describe the use: ~,~
If so,
42~
Describe any structul'es on the site:
rllnJ) s: h nl> I ~...,... r. I"I""Yl )
/1/" n 'P
43.
'Will any structures. ~e demolishe,cl?
structures? IV~
If so, what
44. ' What is the current comprehensive plan or community
development plan designation of the site? Identify
theplan: P/,:.-tf,:,,-I A~".~ 'R......,,'I,~t-.......,r,!,j
46. If applicable, what is the current Shorel.lnc Master
Program designati,on of the e~te?~6.IdJ..J,a-"',]
46. Has any part of the site been class1fJed as an
"environmentalljl sensitive" area? If so, specify the
part: .L1&2
-7-
...........
-
47.
ApproximatelY, how many people would resige or work
:l:n the completed project? W~t;.r L,tit"" 0111 J..x. .
/1JtfJ7"plpce.s ~ eX.;:sfll(i1 . w;-r/":,,,cf" aefv'"[,II,;1i..$t!!rP)c"t:'
Approximately how many people would the completed
project; displace? ~(A '
Describe proposed measures to avoid or. reduce
displacement impacts, if any: ~/,,4
48.
49.
50.
Describe proposed measures to ensure the proposal
is compatible with existing and projected land uses
and plans, if, any: ';/~fr...d n ......r.. - ,_,,,-t;..,,.. u-:t.l rf1
f;--::.o~P ^'" ..___-1"-';;;;' "'':-:JJ;~:;:/:~.Ilr> ~-;.~),.,,:~~-r~
HOUSING
51.
Approximately how many units would be provi\'led, if
any? Indic,ate Whe1:h';V,; the housin.g is: high, middle,
or low income: n.,o -nMUIA~,f
/
52.
Approximately how many units, if any, would be
el;1minated? Indicate whe~ the housing is high,
middle, or low income: n P-
53.
Describe proposed measures to reduce or control
housing 1mpac;ts, if aQY: ~/ I\-
AESTHETICS
54.
What is the tallest 'height of any proposed
structure(s), not including antennas? What is the
principal exteri?J:' building material(s) proposed?
A(/A '
55.
What views in the .immediate vicinity would be altered
or obstructed? Nan-e.
56. Describe proposed measures to reduce or control
aesthetic impacts, if any: II/A
LIGHT AND GLARE
51.
What type of light or glare would the proposal
produce? What t.ime of the day would it mainly
occur? ' Nl!Jn P ,
5B.
Could light or glare from the fir.iohed pro~,ct be a
oafety hazard or int~:rf"'l'e ~Jith views?_....1'.",
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69. What eXisting off-site sOUrces of light or glare may
affect ,your proposal? ,/1/,; .
EVALUATION
60. Describe proposed measures to reduce or control
light and glare impacts, if any: ~/ A
RECREATION
61. What designated and informal recreational
opportunitie,! are in the immediate vicinity?
I-InnA (}""Af ' 1=7~/',,," ),A.,.-t,;", .-T,,-
. I / I
62. Would the proposed project displace any existing
recreational uses? If so, describe the displacement:
. '/11",
63. Describe the proposed measures to reduce or control
impacts on recreation, including recreational
opportunities to be provided' by the project or
proponent, if any:, . III/It-
, /7
HISTORICAL AND CULTURAL PRESERVATION
64. Are there any places or objects listed on or, ..
proposed for national, state, or local preservation.:,.
registers known to 'be on, or .n?xt to the site? If so.,
generally describe them:~ . .
65. Generally describe. any landmarks or evidenpe of
historic, cultural, archaeological, or scientific
importance known to be on or next to the site:
,/1~n .p,
66. Describe proposed measures to reduce or control
impacts, if any: /1~/ IJ-
TRANSPORTATION
67. Identify public streets and highways ser'ving the
slt~ and describe the proposed access to the
existing street system. ' Shc;>w on the site plan.
fi:.~'"~: ,--;:: n'P:r:-t~-:::.J"f :;n:""~";;';!'-ATt ~.~ /.."1/7-:;: I1JyA.-
68. Is. the oite c\lx'rently served. by pUblic transit? If
no, what is the ap~o)cimate distaz:ice to .tho neax:~st
transit stop,? /1t!2. A.""..."..;,",,,/;;f'l '/-7}o" ,"'.,.
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EVALUATION
69. How many parking spaces would the completed project
have~ J{ow !IlanYJI~ldl\):he project eliminate?~
10. W111 the proposal require any new roads, streets, or
improvements to egisting roads or streets, not
including driveways?" If so, generally describe them,
indi~,~ing,., ';.~~;he~ ~~~~r~~~~~~~1.~/~:,~~~e:/, at. r-
~~ 0..... .oIAA <~ /1~--:1;'o~ "
71. Will the projsct" use"" water, rail, or air
traneportation, or occur IOn the immediate vicinity of
these facilities? "If AO, g~nerally describe the Use:
4~ '
72. J{ow many vehicular trips per day would be generated
by the completed project? If known, indicate when
peak volumes would occur: ~.fl "
73. . Describe proposed measures to reduce or control
transpo!"tation impacts, if. any: it~;:!'l
PUBLIC SERVICES
74. Would the project result in an increased need for
public eervices" (fire protection, police protection,
health car~e schools)? If so~ ge~erallY de.s~ri~e the
results: ~ + tJ(J.jI!....,,<:.:c,. a.r:a,~~".d.fh_,.._c -fZ,,.-
b...it,...... .+. ?n"T,.:~i-'.;." leu;", '<",,,,<T",~'1 r\""f",~-t-""n.....F
75. Describe proposed measures to reduce or control
direct impacts on public services, if any:
~/A-
UTILITIES
76. Check which utilities are currently available at the
Bite:./' " ,# \
;\':~ater C1/electricitj' 0 natural Jas
(lY"refuse service cY"t./'lephone CV"septic system
o sanitary aewer @"other: "
~ ~ Sam'" o.l'"'.:-a.S
77. Describe the utilities that are proposed for the
project, the utility providing the service, and the
general construction activities on the site or in the
immediate vicinity that" might be needed:
rrrl,tdr 1.-r:'L',7-:'t'!""~ nY'''- '-'JItI~+,h9 - 11,,,rt-,,.,. L,;l-t?
"..YT~I'l"'J"')l ",..,"~.
.A.C K:r~OWL E DO EMENT
I acknowledge that all Information provided tn thIs cheak1fst and all attached mot"rtal is true and aorroctto th'J 'bllitof~Y...'..
knowlodQo. I undorlt.nd the loed 'Qonev 10 r.lying un thl. Inform.t Ion to m.ke Ita deolslon. In .dd\tion, J IInder.t.od thlt.'::
rev low undor SEPA do.. not constitut. approv.l of e propos.l1 eompHone. wlthloee', stet., end fedora regulotton, oppllcoble"'.
to the ~ropo.el she i I const ltute pprov.l, (Chock wlCh epproprloto dgone~"s to dotormillt .~et o~~rmlHr. rDqulrod.) ",SEPA'";:.
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DEPARTM.
,I COUNTY
: PUBLIC WORKS
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rson Street
,ox 1220
nd, WA 98368
385-9160
Pc
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Gary A. A( P. E.. Director
Robert G. 1,- Ditt. P.E., CO(.Jnty Engineer
December 10, 1991
Dean Anderson
Bridgehaven Water District
351 N. Beach Dr.
Port Ludlow, WA 98365
Dear Mr. Anderson:
During review of the Water District's application for a Franchise, it was discovered that
the Jefferson County Planning Area maps indicate the presence of the following
environmental constraints:
a) a slope gradient of 15 percent or greater for the subject property.
b) the subject property and the surrounding area is characterized by
unstable slopes, and
c) the subject property and the surrounding area is also identified as an
area with a seasonal water table of 0 to 3 feet.
These areas exhibit characteristics of a sensitive nature requiring further review of
proposed actions.
Enclosed is an environmental checklist. Please complete the checklist In its entirety and
return to the Department of Public Works. The County will evaluate the environmental
impacts of granting the franchise, and possibly propose mitigation for these impacts.
Sincerely,
[.)S~
E.D. Simon
Administrative Assistant
100% Recvclod Papor
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,. The subject property is within an area designated as Suburban by the Optium
Land Use Map of the Jefferson County Comprehensive Plan.
,. The Co-ordinated Water System Plan shows the request area as a Potential
Growth Area. Map Exhibit VIl-4 shows the Bridghaven Class 2 Water System
as the nearest classified water system.
,. Map 8 of the Jefferson County Planning Area maps indicate the presence
of the following environmental constraints:
a) a slope gradient of 15 percent or greater for the subject property.
b) the subject property and the surrounding area is characterized by unstable
slopes, and
c) the subject property and the surrounding area is also identified as an area
with a seasonal water table of 0 to 3 feet.
,. These areas exhibit characteristics of a delicate nature requiring review of
proposed actions which might otherwise he categorically exempt from the
SEP A review process.
<'-.-', ,-,; '~.";1lIi~\";-1':~~ :':;;?:~~t..i:':\~'-:lir.:~f~'~~':~?B~;"~;,::~r~":.":'
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TRANSAMERICA
TITLE INSURANCE COMPANY
FILED FOR RECORD AT REQUEST OF
MARCO F. VITULLI
WHEN RECORDED RETURN TO
JEFFERSON COUNTY
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352845
City, Slale. Z'p,c.:N.R'I' ..'I'.9WN.S.E.NP.,. .W!'\.,.....~~).~O,.
Statutory Warranty Deed
THE GRANTOR Marco F. Vitulli, a single man
lor and in consideration 01 Mutual benefit
in hand paid,conveys and warrants to Jefferson County, a municipal corporation
the following described real estate, situated in the County of Jeff erson
,State of Washington:
THAT PORTION OF LUDLOW BAY ROAD (FORMERLY SWANSON ROAD PER
PLAT) LYING ADJACENT TO LOT 14, BOTH IN THE PLAT OF
"LUDLOW BEACH TRACTS" PER MAP RECORDED IN VOLUME 3 OF PLATS
PAGE 27, RECORDS OF JEFFERSON COUNTY, WASHINGTON, ALL IN
SECTION 16, TOWNSHIP 28 NORTH, RANGE 1 EAST, W.M., JEFFERSON
COUNTY, WASHINGTON, MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE SOUTHWEST CORNER OF SAID LOT 14; THENCE
NORTH 740 19' 07" EAST ALONG THE SOUTHERLY LINE OF SAID
1.0'1' 14, A DISTANCE OF 103.87 FEET TO THE SOUTHEAST CORNER
OF SAID LOT 14;
THENCE SOUTH 150 40' 53" EAST, A DIS'rANCE OF 30.00 FEET:
THENCE SOUTH 740 19' 07" WEST, A DISTANCE OF 103.87 FEET:
THENCE NORTH 150 40' 53" WEST, A DISTANCE OF 30.00 FEET TO
THE POINT OF BEGINNING.
D.tedQ~ ..;s.11
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MARCO F. VITULLrJEfFER~ONCOUNlY EXCISETM
AH. No. ~" .. O-c;
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STA'rE (>I' W^SHII~GTON, } "
COUNT\' OF l.\V\~
I \~crtify !hUI I know nr haY~' ~ll!i,fuS:lnry e...iden~'e thOlt
y\(J_.v~"" ",\, \J'.-\""\\A
is Ihe
pcmnn(s) whll llr~(ctl hcfnre me, lUlll "'till pcNmhl
IIL'knnwledged Ihlll @9'P.~e'lhey I. s ignt'(j this In~lrul1lClll 1l!1I1
llcknowledp:ed 11 to tic (!9r.r/lhcir) free untl ynll1nlllry lief lur
lhe USC!\ lInd purposcs mentioned 1M Ihe instrument.
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VOL 385 PAot260
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, 80x 1220
PorI Townsend, WA 98368
(206) 385.9160
Gary A, Rowe, P,E., Director
Rober' G. Nesbitt, P,E" County Engineer
September 4, 1991
AAA Masonry Restoration co.
24215 Brier Road
Brier, WA 9B036
AT'!'N: Jim Vaughn
Ref: Contract MSC 978
Boiler stack Re-Work
Sub: Notice to Pr9ceed
You are hereby authorized to proceed with the contract work
outlined in our Project # MSC 978 as of September 4, 1991.
Based upon your bid dated June 18, 19~1, this contract work is to
be completed within a period of 30. ca'lendar days (Oct. e, 1991).
Sincerely,
~
project Manager
100% Rocyclod Papor
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August 29, 1991
Jim Vaughn
AM Masonry
24215 Brier
Brier, WA
Restoration
Road
98036
RE: project MSC 978
o
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P.O. 80x 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
Dear Jim,
Enclosed is your bid deposit of $1,236.09. for project MSC 978, the
Multi-service Building Boiler stack. I will issue a notice to
proceed with the contract upon notification you are ready.
Should yoU have any questions or conceX'ns, please feel free to
contact me.
sincerely,
~~
project Manager
Encl. (1)
cc: MSC 978
100% Rocyclod PtlPO(
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
\
1820 Jefferson Street
P.O. Box 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe, P.E., DIrector
Robe't G, Nesbitt, P.E., County Engineer
PAGE 1 OF 4
Project: BOILER FLUE RENOVATION
Site: JEFFERSON COUNTY MULTI.SERVICE BUILDING
Project No: MSC978
Subjsct: ADDENDUM # t
Issued: 15 July, 1991
Owner: Jefferson County, Department of Public Works
1820 Jefferson Street
Port Townsend, WA 98368
Contact: Frank Hall
Architectural Project Inspector
(206) 385.9160
To All Bidders: We are submitting for your use In bidding this project caples of ten (10) photos
showing the existing condition of this boiler flue on 12 June 1991.
.-Photo # 1 through 6 show existing exterior conditions,
.-Photo #7 through 9 show aexlstlng Interior conditions.
'-Photo 10 shows existing condition 01 existing crown.
COPIES OF PHOTOS ARE ATTACHED ON SHEETS 2,3 & 4 OF THIS
ADDENDUM.
Acknowledge receipt of this addendum on the bid form.
1'2. 'J'....... ~I
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SPECIFICATIONS
8<
BID DOCUMENTS
FOR
BOilER FLUE
RENOVATION
AT
THE
JEFFERSON COUNTY
MUl TI-SERVICE
BUIL.DING
PROJECT NO: MSC978
PREPARED BY
THE JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
JUNE 26, 1991
.
.
PART I CONTRACTUAL SPECIFICATIONS
TABLE OF CONTENTS
00020
00100
00310
00410
00500
00600
00660
00661
00670
00700
CALL FOR BIDS
INSTRUCTIONS TO BIDDERS
BID FORM
BID GUARANTEE
CONTRACT FORM
CONTRACT BOND FORM
CLOSE OUT FORMS
DECLARATION OF OPTION FOR MANAGEMENT OF
STATUTORY RETAINED PERCENTAGE
STATE OF WASHINGTON PREVAILING WAGES
GENERAL CONDITIONS AND SUPPLEMENTARY
CONDITIONS
PARTII TECHNICAL SPE CIFICATIONS
"'i ,
I '
, I
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DIVISION 1 GENERAL REQUIREMENTS
01010
01300
01700
SUMMARY OF WORK
SUBMITTALS
CONTRACT CLOSE OUT
DIVISION 2 DESIGN AND iNSTAl LATION CRITERIA
02055
04100
04500
07175
DEMOLITION
MORTAR
MASONRY RESTORATION AND CLEANING
WATER REPELLENT COATING
NO OF PAGES
1
7
2
1
2
2
1
1
24
10
2
1
1
3
2
4
3
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DOCUMENT 00020
CALL FOR BIDS
Notice is hereby given that the Board of County Commissioners, Jefferson Counly, Washington,
will receive sealed bids up until the hour of 11:00 A.M. on JULY 22,1991 al the office of the County
Commissioners, the Jefferson County Courthouse, Port Townsend, Washington, 9B368, to be then
opened and publicly read at a meeting of the County Commissioners 10 be held on thai date, for the
Materials, Labor and Coordination necessary to Renovale the Masonry Boiler Fiue al the Jefferson County
Mulit.Servica facility located at 802 Sheridan, Port Townsend, WA, according to the projecl plans,
specifications and bid documenls. PROJECT NO: MSC97B.
Bids shall be submitted in accordance wilh the plans, specifications and bid documents on file al
the office of the Director of Public Works, Jefferson County Courthouse, 1820 Jefferson Street, Port
Townsend, Washington 98368, (206) 385.9160, Attention: Frank Hall. Copies may be obtained by
depositing $15.00. The deposit will be refunded If the Contract Documents are returned in good
condition within 30 days of the bid opening.
Each bid shall be accompanied by a surety bond, poslal money order, cash, cashier's check or
certified check payable to the Treasurer of Jefferson County in the sum of 5% of the bid amounl, to be
for/elled to Jefferson Counly by the successful bidder If he fails to enter Inlo a contract and file an
acceptable surely bond in ihe amount of 100% of the contract price wllhin ten (10) days of the award. The
Board of Counly Commissioners reserves Ihe right to reject any and all bids, and to acceptlhe bid
deemed most advanlageous 10 Jefferson County and to waive aU Informalities In the bidding,
BOARD OF JEFFERSON COUNTY COMMISSIONERS
Chairman, Larry W. Dennison
Member, B.G, Brown
Deled
Member, Richard E, Wojl
Lorna Delaney, Clerk of Ihe Board
End of Document
DOCUMENT 00020
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DOCUMENT 00100
INSTRUCTIONS TO BIDDERS
1. SUMMARY
1.01 DOCUMENT INCLUDES
A. Invitation
1. Bid Submission
2. Intent
3, Work Identified In the Contract Documents
4. Contract Time and Liquidated Damages
B. Bid Documents and Contract Documents
1. Definitions
2. Contract Documents Identification
3. Availability
4. Examination
5. Queries/Addenda
6. ProducVSystem Substitutions
C, Site Assessment
1. Site Examination
2. Prebld Conference
D. Qualifications
1. Qualifications
2, Prequallflcatlon
3. Subcontractors/Suppliers/Others
E. Bid Submission
1, Bid Depository
2, Bid Ineligibility
3. Submission Procedure
F, Bid Enclosures/Requirements
1. Security Deposit
2. Consent 0' Surety or Agreement to Bond
3. Performance Assurance
4. Insurance
5, Bid Form Requirements
6, Fees for Changes in the Work
7, Bid Form Signature
8. Additional Bid Information
9. Prevailing wage requirements
1 0, l~etalna(Je
G, Offer Acceptance/Rejection
1. Duration of Offer
2. Acceptance of Offer
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1.02 RELATED DOCUMENTS
A. Document 00020 . Call lor Bid.
B. Document 00480 - Non collusion certificate.
C. Document 00310 - Bid Form.
D. Document 00660- Sample close out forms.
2. INVITATION
2.01 BID SUBMISSION
A. As noted in Document 00020: Call For Bids
B. Offers submitted alter the above time will be returned to the Bidder unopened.
2.02 EQUAL EMPLOYMENT OPPORTUNITY (General Appiicalion)
A. Discrimination In all phases 01 employment Is prohibited by Titie VII of the Civil Rights Act
of 1964 and Washington State Law Chapter 49.60 RCW. During the performance of this
contract, the Conlractor agrees not to discriminate against any employee or appiicant for
employment because of race, creed, color, national origin, sex, age, marital status, or the
presence 01 any physical, senosry or mental handicap. The contractor agrees to minority
and female empioyment on this contract in accordance with the goals established lor
Jefferson County.
Women 6.9%
Minorities 6,1%
2.03 WORK IDENTIFIED IN THE CONTRACT DOCUMENTS
A. As noted In Document 00020: Call For Bids
2.04 CONTRACT TIME
A. Identily Contract Time In the Bid Form, The completion date In the Agreement shall be
the Contract Time added to the commencement date denoted as calendar days.
B. The Owner requires that the Work of this contract be completed as quickly as possible.
Consideration will be given to time of completion when reviewing the submitted Bids,
3. BID DOCUMENTS AND CONTRACT DOCUMENTS
3,01 DEFINITIONS
A. Bid Documents: Contract Documents supplemented with invitation to Bid, Instructions to
Bidders, Bid Form and Appendix A, Supplements To Bid Forms and Appendices,
Identllled herein,
8, Contract Documents: Defined In AlA A201 Article 1 Including Issued Addenda.
C, Bid, Offer, or Bidding: Act 01 submltllng an ofler ,
D. Bid Price: Monetary sum Identified by the Bidder In the Bid Form,
E. The ArchllectlEnglneer/Owner are the representatives of the Facilities Division of the
Jefferson Counly Department of Public Works,
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3.02 CONTRACT DOCUMENTS IDENTIFICATION
A. The Contract Documents as prepared by Facilities Division of the Jefferson County
Department of Public Works.
3.03 AVAILABILITY
A. As noted in Document 00020: Call For Bids
3.04 EXAMINATION
A. Bid Documents may be viewed at the office of the Jefferson County Department of Public
Works located In the lower level of the Courthouse in Port Townsend, WA.
B. Upon receipt of Bid Documents verily that documents are complete. Notify
Architect/Engineer should the documents be Incomplete.
C, Immediately notify the ArchitecVEngineer upon finding discrepancies or
omissions in the Bid Documents.
3.05 QUERIES/ADDENDA
A. Direct ques110ns to Frank Hall, telephone (206) 385-9160.
B. Addenda may be Issued during the Bidding period. All Addenda become pan oJf the
Contrac1 Documents. Include resullant costs in the Bid Price.
C. Verbal answers are not binding on any party.
D, Clarifications requested by Bidders must be In writing not less than 7 days before
date set for receipt of Bids. The reply will be In the form of an Addendum, a copy of
which will be forwarded to known recipients,
3.06 PRODUCT/SYSTEM SUBSTITUTIONS
A, Where the Bid Documents stipulate a particular Product, substitutions will be
considered by the Architect/Engineer up to 10 days before receipt 01 Bids,
B. The submission shall provide sufficient Information to determine acceptability of such
products. owner will review and determine If substitution Is approved equal.
C. When a request to substitute a Product Is made, the Architect/Engineer may review
the substitution and Issue an Addendum to known Bidders,
D. In submission of substitutions to products specified, Bidders shalllncludo In their
Bld,any changes required In the Work and changes to Contract Time and
Contract Sum/Price to accommodate such substitutions. A laler claim by the Bidder
lor an addition to the Contract Time or Contract Sum/Price because of changes In
Work necessllaled by use of substllullons shail not be considered,
4. SITE ASSESSMENT
4,01 SITE EXAMINATION
A, Bidder must examine the project site belore submitting a Bid.
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B. The currently occupied premises at the project site are open for examination by Bidders
only Monday through Friday between the hours of 8:00 a.m. to 5:00 p.m.
5. QUALIFICATIONS
5.01 EVIDENCE OF QUALIFICATIONS
A. To demonstrate qualification for performing the Work of this Contract, Bidders may be
requested to submit written, evidence of financial position, previous experience, current
commitments, license to perform work in the State of Washington.
5.02 PREQUALlFICATION
A. Jefferson County does not require prequalifications of prospective bidders prior to
furnishing them a bid proposal packet. However, Jefferson County will determine a
biddMs qualifications after bids are submitted. This determination shall be based
upon financial ability to complete the project and prior contract performance.
5.03 SUBCONTRACTORS/SUPPLIERS/OTHERS
A. The Owner reserves the right to reject a proposed Subcontractor for
reasonable cause.
B. Refer to AlA Article 5 of General Conditions A201,
6. BID SUBMISSION
6.01 BID DEPOSITORY
A. As noted In Document 00020: Call For Bids
6,02 SUBMISSION PROCEDURE
A. Bidders shall be solely responsible for the delivery of their Bids in the manner and
time prescribed,
B, Submit one copy of the executed offer on the Bid Forms provided, signed and
sealed with the required security and bid bond In a closed opaque envelope, clearly
Identified with Bidder's name, project name and Owner's name on the outside.
C. Improperty completed Information, Irregularities In bid bond, may be cause not to
open the Bid Form envelope and declare the Bid Invalid or Informal,
D, An abstract summary of submitted Bids will be made avaltable to all Bidders fottowlng
Bid opening,
6.03 BID INELIGIBILITY
A. Bids that are unsigned, Improperly signed or sealed, conditional, illegible, obscure,
contain arithmetical errors, erasures, alterations, or Irregularities of any kind, may at the
dlscrotion of the Owner, be declared unacceptable,
B. Bid r-orms, AppendlcoR, p~d enclosures which are Improperly prepared may at the
discretion of the Owner, be declared unacceptable,
C. Falture to provide security deposit, bonding or Insurance requirements may at the
discretion of the Owner, Invalidate the Bid,
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7. BID ENCLOSURES/REQUIREMENTS
7.01 SECURITY DEPOSIT
A. Bids shall be accompanied by a security deposit as follows:
1. As noted in Document 00020: Call For Bids
B. Endorse the Bid Bond in the name of the Owner as oblige. signed and
sealed by the Contractor as principal and the Surety.
C. The security deposit will be returned after delivery to the Owner of the required
Performance Bond by the accepted Bidder.
D. Include the cost of bid security in the bid price.
E. After a bid has been accepted, all security deposits will be returned to the unsuccessful
Bidders within ten days after execution of the contract.
F. If no contract is awarded, all security deposits will be returned.
7.02 CONSENT OF SURETY
A Submit with the Bid,
7.03 PERFORMANCE ASSURANCE
A. Accepted Bidder: Provide a Performance bond as described in Document 00600
Contract Bond.
B, Include the cost of performance and assurance bonds In the Bid Price and Identify the
cost when requested by the Owner.
7.04 INSURANCE
A. Provide an executed "Undertaking of Insurance" on a standard form provided by the
Insurance company staling their Intention to provide Insurance to the Bidder In
accordance with the Insurance requirements of the Contract Documents.
7,05 BID FORM REQUIREMENTS
A, Complete all requested Information In the Bid Form and Appendices,
7,06 FEES FOR CHANGES IN THE WORK (See Section 00700 Article 7)
A. Fee9 for change order work shall be charged at a rate of no more than 15% total for the
Contractor performing the work Including subcontractor and contractor profit and
overhead for Changes In the Work, whether additions to or deductions from the Work on
which the Bid Price Is based,
B, Fees for change order work shall be charged at as rate of no more than 8% total for thv
General Contractor and/or Intermediate Sub-contractor on fees of Sub.Contractor thai
actually performed the work, The 8% fee shalllr,cllld,' subcontmctor and contraclor profit
and overhead for Changes In the Work, whether additions to or deductions from the Work
In which the Bid Price Is based.
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7.07 BID FORM SIGNATURE
A. The Bid Form shall be signed by the Bidder, as follows:
1. Sole Proprietorship: Signature of sole proprietor in the presence of a witness who will
also sign, Insert the words "Sole Proprietor" under the signature.
2. Partnership: Signature of all partners in the presence of a witness who will also sign.
Insert the word "Partner" under each signature.
3. Corporation: Signature of a duly authorized signing officer(s} in their normal
signatures. Insert the office~s capacity in which the signing officer acts, under each
signature. Affix the corporate seal. If the Bid is signed by officials other than the
President and Secretary of the company, or the PresidenVSecretarylTreasurer of the
company, a copy of the by. law resolution of the Board of Directors authorizing them to
do so, must also be submitted with the Bid Form in the Bid envelope.
4. Joint Venture: Each party of the joint venture shall execute the Bid Form under their
respective seals in a manner appropriate to such party as described above, similar to
the requirements of a Partnership.
7.0B ADDITIONAL BID INFORMATION
A. The apparent low bidders will be requested to submit the following Appendices to be
received by the owner in the time stated after Bid submission:
1. Appendix A. Subcontractors: 96 hours,
2. Appendix E . Cost Breakdown: 96 hours.
B. Appendix A . Subcontractors: Include the names of all Subcontractors and the
portions of the Work they will perform.
C. Appendix E . Cost Breakdown Identifies the Bid Price/Sum segmented Into portions
using the standard CSI Master format sections as requested by the owner.
7,09 PREVAILING WAGE REQUIREMENTS
A Contractor must conform to all state, prevailing wage requirements and must obtain all
Information related to paying prevailing wages Including INTENT TO PAY
PREVAILING WAGES and AFFIDAVIT OF WAGES PAID forms. Contractor must pay
all fees Incurred In filing these forms, A listing of prevailing wages is Included for
reference In document 00670.
7,10 RETAINAGE
A. The Jefierson County Department of Public Works standard rate of
retalnage tor this project Is set at the rate of five percent (5%),
7,11 BUILDING PERMIT
A The contractor will be responsl~:3 for obtaining ond payment for the building permit
Issued thr'ough the Ci:y of Port Townsend, Planning and Building Department,
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8. OFFER ACCEPTANCE/REJECTION
8.01 DURATION OF OFFER
A. Bids shall remain open to acceptance for a pertod of thirty (30) days after the Bid
closing date.
8.02 ACCEPTANCE OF OFFER
A. The Owner reserves the right to accept or reject any or all offers.
B. After acceptance, the Jefferson County Department of Public Works will issue to the
successful Bidder, a written letter of Contract Award.
End of Document
DOCUMENT 00100
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DOCUMENT 00310
BID FORM
Proposal of
(name. address, telephone number of bidder)
Proposal for BOilER FLUE RENOVATION AT the Jefferson County Multi-Service building located at 802
Sheridan, Port Townsend, WA.
To: Board of Jefferson County Commissioners
P.O. Box 1220
1820 Jefferson Street
Port Townsend, Wa 9B368
Dear Sir:
The Undersigned, having examined the site of the proposed work, Drawings, Specificaticns, and related
documents, being familiar with all of the conditions relating to the construction of the proposed project,
Including the availability of materials, services, equipment and appliances required In connection with or
Incidental to said construcllon In strict conformance wilh the above mentioned documents, for the Base
Bid Amount of:
Dollars ( $
NOTE: The above Base Bid Is Inclusive of Washington State and Local Sales Taxes.
All applicable taxes which the Contractor Is required to pay as herein specified shall be Included by him In
his various bid price(s) or any other compensation to be paid to him under the contract.
TIME OF COMPLETION & liQUIDATED DAMAGES
We agree to complete the work of this contract within a period of calendar days beginning on the
ellecllve date of Nollce to Proceed, In the event that the work Is not completed at said lime, the
Contractor agrees to fortell to the Owner as liquidated damages the sum of Three hundred DOllars
($300.00) for the first calendar day and One Hundred DOllars ($100,00) for each and every additional
calendar day the work remains uncompleted,
ADDENDA
Receipt of Addenda numbered _' _, _' _, are hereby
acknowledged and all cost of work therefore have been Included In this proposal.
The Contractor Is hereby advised that by signature of this proposal he Is deemed to have signed the
following non.colluslon certificate required for this project,
CONFIRMATION OF SITE REVIEW REQUIREMENTS
Our representative
reviewed the project slle en
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NON-COLLUSION CERTIFICATE
The undersigned, being duly sworn, deposes and says that the person. firm, association, co-partnership
or corporation herein named, has not, either directly or indirectly, entered into any agreement, participated
in any collusion, or otherwise taken any action in restraint of free competitive bidding in the preparalion
and submission of this proposal to Jefferson County for its consideralion in the award of the contract.
The Contractor for himself, and for his heirs, executors, administrators, successors, assigns, does hereby
agree to the full performance of all the covenants herein contained upon the part of the Contractor.
It is further provided that no liability shall atlach to the County by further reason of entering into this
contract, except as expressly provided herein.
IN WITNESS WHEREOF, the Contractor has executed this instrument, on the day and year first below
written.
Executed by the Contractor
,1991
Foregoing contract approved and ratified
, 1991
Surety
Atlorney.in.facl
On this day personally appeared before me known to me to be the individuals
described In and who executed the within and foregoing Instrument, and acknowledge that they signed
the same as their free and VOluntary act and deed, for the use and purpose therein mentioned.
Given under my hand and official seal this _ day of
1991.
Notary Public In and for the Slale of Washington
residing at
End of Document
DOCUMENT 00310
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DOCUMENT 00410
BID GUARANTEE
The undersigned furnishes herewith bid guarantee in the amount of 5% of the total of the base bid
proposal. This bid guarantee warrants that the undersigned will not withdraw his proposal for a period of
thirty (30) days after the scheduled closing time for the receipt 01 proposals. That if this proposal is
accepted, the undersigned will enter into a formal contract prepared by Jefferson County and that the
required performance bond and payment bond will be given. In the event of the withdrawal of this
proposal within the period stipulated above, or the failure of the undersigned to enter Into a contract and
give the required bonds within the ten (10) days after the undersigned has received notice of the
acceptance of this proposal, the undersigned shall be liable to the Owner for the full amount of the bid
guarantee as liquidated damages on account of the default of the undersigned.
If a bid bond Is used, it shall be submitted on a form furnished or approved by the County and signed by
the bidder and his surety company. The sureties attorney in fact must be registered with the Washington
State Insurance Commission.
Bidder
By
Street Address
City
Slate
Zip
Telephone Number
State of Washington, Contractor Reglstrallon Number
End of Document
DOCUMENT 00410
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DOCUMENT 00500
CONTRACT FORM
CONTRACT
JEFFERSON COUNTY, WASHINGTON
THIS AGREEMENT, made and entered into this day of , 1991, between the
COUNTY OF JEFFERSON, acling through the Jefferson County Commissioners and the Director of
Public Works under and by virtue of Title 36, RCW, as amended and
d hereinafter called the Contractor.
WITNESSETH:
That In consideration of the terms and cowlilions contained herein and attached and made a part of this
agreement, the parlles hereto covenant and agree as follows:
1, The Contractor agrees to furnish all materials and do certain work, to-wit: That the said Contractor
herein will undertake and complete the following described work: Furnish all labor, equipment and
coordination necessary to renovate the BOiler Flue at the Jefferson County Mulll-Servlce facility
located at 802 Sheridan, Port Townsend, WA, In accordance wilh and as described In the
attached speclllcatlons and the terms and condillons herein contained and shall at the owner's
discretion perform any allerallons In or addillons to the work provided under this contract and
every part thereof.
The Contractor shall provide and be at the expense of all equipment, work and labor of any sort
whatsoever that may be required for the transfer of materials and for constructing and completing
the work provided for In this contract and every part thereof, except such as are mentioned In the
specifications flJrnlshed by the County of Jefferson.
2. The County of Jefferson hereby promises and agrees wlfh the Contractor to employ, and does
employ the Contractor to provide the materials and to do and cause to be done the above
described work and to complete and finish the same according to the attached plans and
specifications and the terms and condlllons herein contained, and hereby contracts to pay for the
same according to the attached speclflcallons and the schedule of unll or Itemized prices hereto
attached, at the time and In the manner and upon the conditions provided for In this contract, The
County further agrees at the County's discretion to employ the Contractor to perform any
aile rations In or addillons to the work provided for In this contract that may be ordered and to pay
for the same under the terms of this contract and the allached plans and speclflcallons,
3. The Contractor for himself, and for his heirs, executor, ~dmlnIGtrJtors, successors, :md assigns,
,-Joe~ hereby agree to the full performance of all the oovenants herein contained Iloon the part of
tne Conltactor.
4, Ills further provided that no liability shall attach to the County by rG...son of snterlng Into this
contract, except as expressly provided herein,
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IN WITNESS WHEREOF, the Contractor has executed this instrument on the day and year first below
written, and the Board of County Commissioners has caused this instrument to be executed by and in the
name 01 said County of Jefferson the day and year lirst above written.
Executed by the Contractor
Contractor
By
Foregoing Contract Approved and Ratified
Surety
By
Attomey-In-Fact
County of Jefferson
Board 01 Commissioners
Chairman
Member
Member
Approved as to form this _day of
Prosecuting Attorney
End of Document
DOCUMENT 00500
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,1991
,1991
,1991
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SECTION 00600
CONTRACT BOND FORM
CONTRACT BOND
JEFFERSON COUNTY, WASHINGTON
KNOW ALL MEN BY THESE PRESENT:
That , of
, as Principal,
and , as Surety, are jointly and
severally held and bound unto the County of Jefferson, the penal sum of
Dollars ( $ ) , for the
payment of which we jointly and severally bind ourselves, our heirs, executors,
administrators, and assigns. and successors and assigns, firmly by these presents.
The condition of this bond Is such that WHEREAS, on the day of
, A.D. , 1991, the said Principal herein,
executed a certain contract with the County of Jefferson, by the terms. conditions and
provisions of which contract the said .
Principal herein, agrees to furnish all materials and do certain work, to.wit: That the
said Principal herein will undertake and complete the following described work:
FURNISH ALL LABOR AND MATERIALS NECESSARY TO RENOVATE THE BOILER FLUE AT THE
JEFFERSON COUNTY MUL TI.SERVICE BUILDING LOCATED AT B02 SHERIDAN STREET, PORT
TOWNSEND, WA
as per maps, plans and specifications made a part of said contract, which contract as
so executed, is hereunto attached and is now rBfBrred to and by this referBnce is
Incorporated herein and made a part hereof as fully for all purposes as if here set forth
at length.
NOW, THEREFORE, if the Principal herein shall faithfully and truly observe and comply
with the terms, conditions and provisions of said contract In all respects and shall well
and truly and fully do and perform all matters and things by the (laid Principal
undertaken to be performed under the said contract, upon thB terms proposed therein,
and within the time prescribed therein, and until the samB Is accepted, and all persons
who shall supply such contractor or subcontractor with provisions and supplies for the
carrying on of such work, and shall In all respects faithfully perform said contract
according to law, then this obligation to be void, otherwise to remain In full force and
effect.
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WITNESS our hands this
PRINCIPAL
By:
c
day of
APPROVED AS TO FORM this _ day of
Prosecuting Atlorney
Address of local office and agent of surely company:
Street
CiIy
Slate
Zip Code
End of [1ocum(,nl
SECTION 00600
c
1991,
SURETY COMPANY
By:
By:
Attorney-In-Fact
(Certified and effectively dated
Power of Attorney must be attached)
1991.
o
SECTION 00660
CLOSE OUT FORMS
Request For Release:
Public Works Contract Reconciliation of Taxes:
Notice of Completion of Public Works Contract:
Consent 01 Surety Company To Final Payment:
Contractors Affidavit Of Payment Of Debts And Claims:
Contractors Affidavit Of Release Of Liens:
Certificate Of Substantial Completion:
Subcontractor Detail:
Certified payroll of general contractor and subcontractor:
Affidavit Of Prevailing Wages Paid:
End of llocument
SECTION 00660
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Form from pubrrc Works
Department
State of Washington
Dept. of Revenue
Excise Tax Division
Olympia, WA 9B504
Form from Public Works
Department
AlA Document G707
AlA Document G706
AlA Document G706A
AlA Document G704
Obtain from WA State
Dept. Of Revenue
Form from Contractor
State of Washington
Department of L&I
Form WH.347
.
.
DOCUMENT 00661
CONTRACTOR'S DECLARATION OF OPTION FOR MANAGEMENT OF
STATUTORY RETAINED PERCENTAGE
A. I hereby elect to have the retained percentage of this contract held in a fund by the Owner until
(30) days following final acceptance of the work,
Date
Signed
B. I hereby elect to have the Owner deposit the retained percentage of this contract In an interest
bearing account, not subject to withdrawal until after final acceptance of the work.
Date
Signed
C. I hereby elect to have the Owner Invest the retained percentage of this contract from time to time
as such retained percentage accrues,
I hereby designate
repository for the escrow of said funds.
I hereby further agree to be fully responsible for payment of all costs or fees Incurred as a result of
placing said retained percentage In escrow and Investing It as authorized by statute, The Owner
shall not be liable In any way for any way for any costs or fees in connection therewith,
as the
Date
Signed
End of Document
DOCUMENT 00661
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DOCUMENT 00670
STATE OF WASHINGTON
PREVAILING WAGE RATES
Effective dates
March 3,1991' August 31,1991
Issued by
DEPARTMENT OF LABOR AND INDUSTRIES
ESAC DIVISION
406 LEGION WAY SE
OLYMPIA, WA 96504
(206) 753.4019
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PR:V~IU"G MI~j(MlJM rH1U~LV IIAr,E RHfS
F H:CTI VE ) UE:
3/0~ 171
L'lCATIO'I: .JEFFEI~SO'I COHlff.
uCCiJPATIU'I: fJRICKL\Y"RS ~N!) "~~bLE M\Sf1NS
FRI'/(jE AE'lEFITS
Af>P~E 'ITlCES'lIP
HEALTf1 AND "ELF \1':::
f>ENc;ION
.21
1.72
1.55
II ~Ii ERA TE <;
OCCUPATION
(flOE
flCClIPATlflN
"ESC~IPTTO'l
050-01110
050-0020
(J 50 -00.3 I)
050-010n
050-0111)
050-0150
050-0170
BL flCKL A Y:;: R
RRIC\(LAY~R
TU (KoOI NT E~
CLEMIER
CAULKER
HARBLE HA S'HI
';TONC: MAe;O'l
[) TM E R
42 ALL \lO"K ?C:~Fl'1'I:;:D PI eX:ESS OF R HOUR'; PER
DAY'lR 40 '10UKe; PE'l \lEEK H'lN THRU FRI AND ALL
\lORK PER"O'lHED )N SAT e;HALL BE PAin AT 1 1/2
TI'1E<; HI" 'l[c",1LAP RATE OF PAY. ALL WnF\K
f>E qFOR"'E~ nIl S'J'l A'fO HilL WAYS SHALL ~E PAlO
AT D1U'ILr: Th" 'l:::GULAR RATE OF PAY.
71) PL<:A';E N1Tr:: "FF:::CTl VE JU,'lE 'I, 1"8', PIE
PAYH"NT 1F OV""TIME 'lATES IS NOT R"QUI'lED
FOq THE" I"ST ? HvU~:; IN E XCEse; OF 8 H'lU'lS
f'E!1 'lAY CW1NDI" rhFO!lG't F~IIHY', LINDER
CONDI T10'IS e;T\"JLATED IN >lAC 2'16-127-022.
81, 'lCLlflA"S - N":J 'EMS DAY, uE~ORIAL DAY,
FOURTH 0" JUU, _'A90P. DA", T"ANKS(,IViIIG DAY,
THE "no~Y FIl~LOIIIN(, THA%~GIVIW;, AND
t:H'l\SPlAS ')IY. (71
PIlJF.
S/H'!.
S/H'!.
S/HR.
STATE
~ATE
2".42
2'1.42
20.42
21).42
21).42
2'1.42
20.42
~:' ~.;;t,;"?:!~~~!,:!~:f;'t~~..: ';\:;:" ',;
,
I
I
I
. "\, \
I:
~~,;,.j f
"'"'i"'::' :~"~.,,;);~,":.t~~":',1;,~:;.~'f,H~':Y:\~~t;';...,,,~~,,~ ,,'..
...,..,
-..../
o
"FIi\IUN:; ~,TNHIU~I H'1URL Y \lAr,E hATE~
EF~ECTlVL OHE:
3/0J/H
LocATION: J[FfERSO'l CDJNTY.
OCCUPATIO~: BUILDING S=RVIC:. E'lPLOYEES
F RI NGE BE N EF ITS
hEALTH AND IIELFAR:
HOLIDAYS
\lACAT 10'1 AF1ER 1 VE M;
W AG ERA TE S
b2.00
7.00
10.00
S/110NTH
PAID Hal
DAYS
DC (UPA T ION
C'1D E
060-0010 JANI TORS
060-0020 \lAXERS
060-0030 IITNDO\l L'EANQ<;
nc CUPA TI '111
IJESCRIPT IO'l
STATE
RATE
6.29
6.68
9.95
OlN ER
o A N01E: PA~ l-Tf'lE :.MPLnYI':ES (!JeRK ING 20 HCJ'JRS
OR L<"SS 0 EO! 11:,,<) ARt' 'lOT FN TI lLED Tn PEeE TVE
ANY FkTN,E Br:~<"FTT5.
19 nVERTPiE: ALL HJIH~S \.IO'H.FD IN EXCESS OF R
'lOURS PEf! ')AY A'lO 40 iiOuR:; PER WEE.K All!) nN
THI; SI X14 CO'J5':CUTIH IJAY SHALL fiE P~IIJ AT
nNE ANO '1N,,-HALF TI~F5 THE REGULAR RAT!: '11'
PAY. At.L HfJUPS IIJkKEn ON THE SFvENTH CON-
SECUTIVE DAY A'lJ 0',1 HOLlIJAY5 S~ALL Be PATD AT
OUUElLE H[ ~<"ilL Af-. ~HF 'JF PAY.
71 ~L':ASE N1T<": FF=,,(TTVl JU'JF 9, l"e~, THE
oAYM::IH elf OV;'HT ~.E RATES IS r-.nl R':GlIIREO Fan
TH" F Ir"ST ? ID'HS T'J EY(Fse; nF /j Ilnurs PfR
'lAY ll,l')E~ r.O'HIT lO~5 STIPuLATED TN
\lAC 29('-12?-nn.
oE T'AT!J 1I'1Llr'~YS - NEIl YE~~l'5 tHY, \lASlIlN';l'1""S
RIR1~J~~ ~OU~TH uF JULY, l^ROn O^Y, TYANKS-
GIVHIG D^Y, r.'I~JSTY^<; ~AV AtIO ~ O^Y 01' lHE.
EIiPL'1Y<"ES ~HfJlr.r.
f' ,\G ~
... .~ \
I '
<
i I
./,",1,
E.F F EC TI VE 0 AT!':
o
o
"R""V.\IU"3 "'T~I fl'l;\ rl ~UI)L Y IIAr,E fJ~T"S
LOCATtO~: JEFfEkcO~ COUNTY.
3/01171
OC(.UP.\T ION: C^,~PENTE~S
FRINGE '3E'lEFlTS
HEALTH A~D IIElFA~""
PEr.SION
l'~AtN I Nt; FUND
wAul'O ~ATES
DC CUPA T ION
COO ::
070-0020
070-0040
070-0060
070-0100
070-0140
070-0150
070-0160
070-0170
070-0200
070-0250
070-0300
070-0310
070-0 BO
070-0340
OTrlER
"/ \
, I
l":~ ;
1.80
1.60
.10
S 111 R.
S/HR.
S/ HR.
OCCUPATION
D:: SCRIPT to"!
STATE
~AH.
ACCOUSTICAl IIJ~~ER
3RIOr,E, DOCK A'I) .HARF BUILDER
CARPIONTn
CARP"NTP - IIO"KltlG '1uoNFi), CHARRED,
DIiYIIALl AP"lT:ATOk
FLOO'l FI'II<;HF.~
FLOO'l lAY:R
FLOOR '5A'lDF'h
MIlLI/RtG~I A'D iACHI "IE ERE (TOR
P IlE!)RT V: F:
5AI/ F IlP
SIITNliLF'R - ~'lOI') AND CO"POSlTlUN
STATlO"lAH Pr)wE~ SA. O"ERA TO'l
STATIONA~Y Pr),l<:~ 10000.'lf{l(IN(, TOOL OPERATOr~
1".50
10.54
1".34
1".44
1 <).34
1".47
1<).47
1<).47
1<).84
1".54
1".47
1".47
1".47
1".47
5" O~ F.RT l"E - Al.' ItrlS ..ORKEll IN UCES~ OF b HRS
PEl) 'lAY q,'l I,) ,,~S ~!'Ii 11"::1(, I1'1N THRCUr,11 FRI,
AtHl ALL 'nr, IIJ'l(F.D O~I 5ATLlRl.JAYS (DCEPT
'1P,KEIJP DAYS TF IIORK T S LOST llUF. TO INClE"E''lT
IIUTIIER CO'1DtTID'lS) SHALL ~E PAIll AT 1 A'ILl
1/2 TI'1E5 THE DEGUlAR "ATE OF PAY. ALL HrlS
IIORKE"lJ 0'1 SU"l(:AYS PND HUll DAYS SHALL [j~ PATO
AT U'1iJBL':" TH" ~S~UL4R r?ATE OF PAY.
70 PLeASE ~'1T": cI'"F!:CTI Vl Ju.~~ '>, 1""', T'lE
"AVt-:~rH 'If OV~"TIM" RATEr, IS NeT kE"GUI~(1)
1"0 R Tit" F I 1)5T ? flOIJ,; TN E y.crss OF !l HOU"lS
~rn 'lAY (M'lN'l;V THqOUiJY FRIOAY), u~OrR
CIJ 'lIlT 11 C'I S S T I" J L A TO: I) T" . ~ C 206 -]?7 -u? 2.
ilS H()lI'lAY~ - ~".. yeA"; u~y, ~1:.~OqIAL DAY,
f' A~F
. .,OJ ,
";'.
'Jr- ,
,r' ....
'j !.:
r.";
f II r ~ ~', t. '"
q..., "'it" '::.,r,[ 'j 1 ';'
n"___
- ~. r I,'. .j'. ~ ;. F
(.:1: !.; i ~, i ....;, ~
1<,\[.1
... i' '~ r'.-<'
;,.;;..' 1:\
,;. "
!it.. .,.
, .
I:,Ff ECTl VE DATe:
o
o
PR"VAILl "G t,lNIM'lM tI'luf'LV \lAGE RATES
LOCATIUN: JEFFERSON CUJNTY.
3/0"':nl
OCCUPAT 10'1: CEHENT MAS')NS
F R I N6 E BE 'I E F IT 5
A?PRE NTICES~tIP
H EAU H AWl WELF A R:
PEt;<;IOi'<
.10
2.10
1.75
$/HR.
$/11'1.
$/HR.
wAGE RATES
'lCCUPA T leh
cnLi E
0'l0-001a
090-) 03a
090-0075
o <) 0 -0 0 ~ 'l
090-0210
0<)0-0 nl)
0<)0-0230
090-0240
O?O-O ?5a
090-02t!l
090-0270
0'10-0280
090-029 I)
090-0JOO
090-0310
o <) 0 -) :>; 2 0
090-033 ()
090-0340
09li-OJ5r.
o TII Ek
'~ ,
I '
",I I
n(Cl..?ATI ON
l1ES('1IPIICJN
STATE
'lATE
C E ME"T HAS rHI
COHF'lS ITIJ'" :P)~Y
GRTNDEp. HAN'l PJYEPED
GL'IlTE ~nlZ_'EHA~
CONCQETE PAVnr;
PAIUlI:\IG C1NC~FTE
CU RltlG 0 NCR<=:r F
CURfs A'ID G'JTTEO
SI1E\IAI..K5
APPLTCATTO'IO= Sr::ALlNG COHPOUNC
PL AST IC
CONCRETE SAW (SSLf ?OwF.RF.D)
POI.E P TO'lLS (G"I'IOERS AND ALL OTHE'lS)
SANe'lLASTT "G I~CHITECTUAL FI NI StI
FPIlSfl cnL'lf<f.) CONCREH
TU Nhr.L W1R l(o,R;
APPLY CAT! 0'1 0= UtW::~LAYHENI
THOWSL MUH O~ CDUm SLA'l5,CnHP OR KAL"lA"l FLR
COMFOSITTO~ HASTTC
1<).81
20.06
20.00
20.0b
1<).1\1
1<).1\1
1<).81
1'1.81
1 'l.Rl
1'1.1\1
20.00
20.00
20.0b
2 O. 0 0
20.nb
?'l.Oo
2a.Ob
21.31
2a.Oo
41 ALl. YOllfl<; TN r::lCCrSS )F 8 HOuRS PERl1AY 'lR 40
1I0UW; "E" '.Irr:K, H(JNLlAV THRlJ FRTDAY, ANn ALL
flour, 'IN SH (e..CEPr H~':FuP flAY) S'tALL bl"
PA TD AT 1. 1./~ Tl '~l5 THe RE (,ULA'l RATE OF PAY.
All. 'IOlll-::; Un'll") 0'1 Su'l ~N n HO LI DA YS !"iALL Ell"
PArD AT "'O'Jdl': THl R"u'JL^~ RATE.
I ~ "L ~ A ~ l ,.1 T ':: E r.F F. CT I Vl J U~" 'I, 1 <)!l ~, T If (
P/YMr."T "IF OV:"TII1F PATE.S IS Nor flF<;UIRlD
Fon Till" q'lST ? 110Ui5 I" :: ~U:SS ,,~ !l hlluR5
"AuF 'I
. . -:",~,"T77:,:~;..~.;~~~~<~ ;;Jjl;;:hfi~:;F';:,~~~~~'~;
'''.
o
OR=VQU 'It; ~IT~TMIJM rlCU"LY '1",,[ RHJ:S
E."fECTIVE O.Hf::
3/0~n1
LOC.-\T10~: JEFFfR'30'1 CO nITY.
OCClJPH 10'1: (E"ENT 1A5"tJ";
-"1 \
!
. ' /
J?J
o TH E R
PE!1 DAY (I1'lN')\v TIi:10IlClH FRIDA'I'l, U"lDF:R
CO~DtltO~S 5TloJLATED IN WAC 2Q6-127-022.
81 'lcunAVS - N,,~ Y"AR) DAY, MEM(JRIAL DAY,
FOURTH 0" JULY, LA~OR 'lAY, THA'l"'S"IVINI1 DAV,
-AND THE FRTDV A'1f) SATURDA Y AFTER
T H ,IN l( 5 r, I'I! 'IG ) A Y, AND C HeU '3 T M S D A V. (~)
P AI.i F 1 n
': -. , 'r, !J;l~::~~.,:'~, ..'.~)~ "1~ ;..~~~~~ ~"~':':S~~;~~. ,;. .'
..,' ;,....~~1:~t~~~r.l'~:..,,';:. ,', ,-~"
"1'
.' I
~"
,,",
''"-J
Pfi::V\IU'l(i tilr.lt;I)M ,i!lUf>L Y \/AGE R HES
FFEcrrVE )U<;:
3'03'" 1
L1CATIO~: JE<;FERSO~ C01NTy.
UCCIJPAT 10'1: ELECTRICTA'IS
F R I '1(, E AE 'J E FIT S
HEALTH AND \/ELFAR::
PEN';I'J/I - L'1CAL ("'O'liT.' iTOr~~A'I)
P ENSI ON - L()C~L
PENSION - NEbF
T~AWIWj FUND
P E/;";I Or;-A 'I/lt} IT Y
1.B';
1.26';
2.30
3.00
.12
.25
lOG!; ~ATES
1CCUPATIQN
ODE
OCCUOATlON
DESC"/If'T IO'l
170-0010 CAqU:: SPLICEJ'l
170-0030 CO'ISTRIJCT I'lN STOC"~A"
170-0040 ELECTR leI A'I, JnEI1A,~
OTHER
53 OVeRTI"E - :,F=F:CTIV:: 9/1/iif> - THe elRST 2 HRS
IN El(CI':S; 1F 8 HJ'lS/~AY i'10,~ - FRI, ALL HRS IIKD
IN El(CF:S; 'IF ~O HRS PER ~EEK, A"'D THE FIPST R
!lRS ON S~TIJR1AYS, SrlALL BE PAlO AT 1112
TIME" Tt!" 'lEGULA'l R~TE OF PAY. ALL OTH':R
OVERTl'lE H~S ~'ID ALL WlS wORKED ON SUNflAVS
AND HOLI1AYS SHALL BE PAID AT DOUbLE THE
qEGULAR 'lATI': 0<; PAY.
7fJ PL<;ASE N1T'::: ::FFECT! VE JUNE 9, 19811, T'IE
PAYMFNT 1F OV::~Tlt;F qATES IS NOT REQUIJ'lED
F'r)'l TJj<; =1'lST 2 flOURS IN cl(CFSS OF 8 'lOURS
PER "'AV (WIN'lIV THnOIJGH FRIDAY>, UNOl:R
CO"DfTIO~S STl"!JLATE() IN .lAC 296-127-022.
~4 IfCU"'AVS - N<;J YEA'!S D~Y, MEMORIAL DAV,
FOURTH ()= JULY, LA~JR 'lAY, THA'IKSGIVING flAY,
THE FRID~Y FnLLJ\lING n'ANK5GIVINr" AND
CH'lI~T~A~ 'l\Y. (71
,.,~:; ': 1 ~
5r HR.
:"HR.
./lIR.
S'HR.
S/HR.
STATE
'?ATE
22.33
11.1b5
2ry.JO
. <~".,;,;.,t;:;;.t~~~~~.('j...:,:~~...,t~\,'. :i...
/
I
I
:)
PR~.~IU 'Hi ~;T.~IM!JM rlC.;Rl Y IIAGE f,~TFS
o
f.FF ECT! VE D Al~:
31J11'1
LOtATION: JlFFEkSO~ COJNTV.
OCtUPI\TIO'l: EL<:CTElCTA'I~ - >'1lJ~~. LIt,,, CJ~ISTf<UCTIOt,
F R I 111(, E BE 'j EF ITS
APPRENlIC<:S'HO
HEALTH ANn I/ELFAR~
PEt;SION - LOCAL
PENSIOt, - L'lCAL (=0" R"TES LESS TH"'I LINEI1A'l)
PEN'iION - N"bF
wAGE RATES
OCCUPA T ION
CI)DE
OC CUPA Tl ON
D:: SC PI PI !UN
190-0010 JOURNEVMAN l Hf.~AN
1~0-0110 CADLE SPLICER
190-0130 ~ROUND~A~, H'1L~)I"GER
190-0140 HEAD GROUN'1MA,"
190-0160 HEAVY L I'IE E'UIPME.NI MAN
190-0170 JACKHAMM"f;''1A'I
190-0190 LINE EQUT F'1E'II I~At<
190-0210 POLE SPRAYER
19C-0 220 POLE SPRA, YF;R \CA!)MAN
190-0260 POIID~R~A~
190-0340 \/ElD':f<, : E RTlF IE 0
OTH Ef<
.50 .
1.50 $/HR.
3.00 S/HR.
;>.00 S/HP.
3.00 .
STAT!:.
RATE
1<1.59
21.68
13.90
11..78
1 '1.5'1
14.'711
11>. R9
1'1.5\1
21.6b
14.7b
19.5'1
In EHECTTV<: 1/7/<>':': "_l CLAC;SIf TCATIONS,
INCllIOINS ALL A'PRENTICES, kECEIVE A DAILY
"LR OIl'/': ALll)/'A,<CE. JF TwEcVE liCLLARS (~17.00)
H, A"OIllO'1 TO TflE ARDVE IICURLY RATES 'n PAY.
46 OVERTl'1E - AL wn~ PLRFORMED TII EXCE~C; OF 8
HOUR!; PEP nAY I)~ 40 f10IJRS PER IIEf.I<., MU'IIHY
THRC'IGH "RlDAf, Al,n ALL I/JRI<. Pr-RFCPMF.D 0'1
<;ATUP(!AY~, 5'1'.1\ Y~ ~~t; flOL ILlAYS SHALL flF. PAl n
AT Or'lUflL" THc '!E~liUP PATE OF PAY.
7n PLF.A<;r N1T<:: ,cFf.CTI VE JU~ E 9, 198~, THE
~AVH~NT "F CV."TIM~ "ATES IS NOT REQUI'lLO
FOP Tile "I'l~;T 7 IlliU,S IN EXCESS OF 8 finU'!C;
PLG nt,Y (MO~J1\V TII'l~!Jult F~TDAv), U"luEB
CO"luIlIO'IS STI'lJLPEf' TN \lAC; 2'l6-P7-0n.
P Au <: 17
"""."\' ,
! '
r;.: I
,;..",.., .-"r~"'~""'_"._"._,f" .-....:::':"\.,; ;0......'....',. ,"> .
.~
~j
o
f'FV\IU'IG MINIH'JM rl'1u<1lY 'iA';E RUES
EHECTl'lE JATE:
3/01/"1
lOCATIO'l: JEFFF. I< <;0'1 COHlTY.
OCCUPArIC~ ELEC'RrCIA~S - '~~!R LIN~ CO~STRUCTI0N
() Td ER
84 flOU"'AYS - N"II llOAQS lJ~Y, ~E ~Oql~l DAY,
FOUI<Trl J= JULY, LA~JR I)AY, THA'I~SGIvING "JAY,
ThE "'1 IDAY F'1_LO'HN~ TfIANK%IVING, AND
CH"I<;r'4AS "l\Y. (7)
A1 EFFECTIVE ~~ 1l~/QO ALL CLASSIFICATIONS, IN-
ClIJDr~G '.L ~P"~ENTlCE<;, rtFCF.I~E A DAILY PER
"lII'M ALL'l\;ANr.!, )F T~Et,TY tJCLLA<1S U20.00) IN
ADOIT ION T'l ToiF. ~BnVE 'IOURLY HATES OF PAY.
A2 EFFECTIV" V1l/"iO: All. CLASSIFICATIONS ItICL.
ALL ApoR",~TIC~';, ~FPOf'.rI~G T'l AN E'1PLCYERS
DESlr,~^r:D JO:1 Ii:: Ar...lIARTEHS AND \lORKING A
MI~I'4U'" ~F FOJ? (4) HU'JRS IN A'IY ONE (1) DAY,
SHALL RECEIVE A DAILY QER DIEM ALLOwANCE OF
T\lE1ITY n'1LLA'1S (~2n.J 0) I,~ AnDIT ION TO THE
HOURLY RAT"" 'l~ PAY.
AI:: "FFECTIV:' HV?l A~L CLASSIFICATI'lNS
INCLIJDIN'i ALL A>PRF~TIr.ES, RFPOfHIN(, HI AN
I::MPLOYFRS 'lE';I';NATF.O JOt! HEAn61UARTI::RS AND
\lO<1KIW; , HI'lI."Ll~ CF Fnun (4) HOURS HI A'IY
ONF (1) ,)AY, S'lALL Rr.'.CIOIVE A DAILY PER DIE~
AllOI/A'IC"" "'F r\~E'ITY-FO\JR DOLLARS (124.00)
IN Af"IDITIO'1 TO HIE "'IOU'll' HOIJRLY RATES OF
"AY.
f' ~(j" 1 ,~
; '..1:'-: J.,";"'~~~'f~~~~~~:';I,,;~~..:,J\ \ ';; ,'"
I
/
/
I
'I \
n I I
J';i;
'.' ""f \
A~./ I
G
o
"R"V\IU'lG NINHi')H HClJ~LY I.IAr,E R~TI"S
E.FF F.CTI VE ) ~ T":
3/0~nl
L1CATIO~: JEFFER~O~ COJNTY.
UC(UP~T 10.1: FE."ce: ;.RI"CT015 ~'n F"NCE L^ar,R"R~
FfU'lGE 1E 'I EF ITS
NO FRINGE U<:N"FITS
. 00
S/HR.
IOuE: RATES
nCCUPA T ION
COO E
OCCUPATION
fJESCRIPT 10"1
S TA TE
RATE.
250-0 HO FENC: cR:;:CT)R
250-0020 ~ENCE LA~O~ER
1~.80
11.60
OTH ER
40 OvERTI ~E - AL' HOURS WOKKEfl IN EXCESS OF 8
HOURS PER flAY MID 40 HOUR5 PER .EEK SHALL RE
PAID AT 1NE A'lfl ONE - HALF TIMES THE REGULAR
RATE OF "AY.
71 f>LF.ASE N1TE: E"FECT! VE JU.'lE ?, 198~, THE
f>AYM"NT 1F OVo'lTIME RATES IS NOT RECllUIRED FOP,
THE FIRST 2 H,)II'lS I,~ EXCE5S OF /j hOURS PER
fJAY 1J~.nER CO'lOIT IONS SflPLlLATEO IN
\lAC 2'J6-121-lln.
f' A:' r . ~
-: ",:'i.~Jit~l';:i":\":;:.:~'~,,~~=i~~'r~.'~~j~~"J\". ;.;,'., .
'3
o
PIi~V~ILlI"G MINIhlJn HOURLY VAGE RATES
FFECTlVE D~TE:
3/01nl
LOCATION:. JEFFE"H$O'l COJNTV.
OCCUPATIO": FLA6GERS
f,:,;\ J
F RINC,E 8E~ EFITS
APPRENTICE TR.~INI~G
HEALTH At,., WELFAR::
PENSION
.20
1. ~o
1.55
WA6E RATES
JCCUPA T lOt.
C'JDE
'1CCU"l\l1 orl
DESCRIP! Ill'!
260-0010 FLAGI;CP
OTHER
59 OVERTIME - ALL HRS woRKED IN EXCE"SS OF 8 HAS
P!:f; OAY ~ NO 40 ns PER wEEK, MON THRCOGII F AI,
ANO Jl.LL HR<; \lJP~ED 0" SATU'1DAVS (EXCEPT
MAKEUP DAYS T= U~RK IS LOST DUE TO INCLEMENT
uU,THEP CD'lDTTI~'lSI SHALL BE PAID AT 1 A'll)
1/2 TIMES THE REGULAR RATE OF PAY. ALL HPS
\lORKFD 0'1 SU'lCAfS ~ND "UUDAYS SIlALL Ill'; PATD
!IT OOUF\LE THE REGULI\A PATE OF PAY.
71 PLEAS:: WI Tr.: ="FECTl VE .JUNE 9, 19M~, TilE
PAYMICH 'If OVUHIIiE RATES T5 NOT RFGlUIPUl FOR
THE FIDST Z HJURS IN EXCESS OF 8 HOURS P"H
o A Y IJ N '1 f.'1 CO 'U IT I 0 ~5 S TIP U LA TE 0 I",
\lAC :>9"-1. 27-022.
85 HOLJ'IAYS - NE~ YEA':S D~Y, '1EMonI~L DAY,
FOURTH 0- JUU, LAIl:JR nAY, THA'IKSGIVING DAY,
THF "RTDJl.Y A'I) S!lT\HOAY FJLLOWTN(j
TH~NKSr;IV"IG, Jl.N'1 CHRISTMAS O/,Y. (~l
PM,E 21
," >.).l~~. t;.Ji',......,;'~d;~::~t..;:!\f:7<::.,~i.~"[;j.r:;::; .
S/HR.
S/HR.
S/HR.
STATE
RATE
11.85
;';,", 1':~"':~~:~~I~'1:i~",'::::.""
o
PR"VHLI'IG Mr.~IMUM HOURLY I./A(jE k^TES
t::~F ECl"l VE D'" T'::
3'0~nl
LOC.H IO'I : J E FFE R SU'J CO JNTY .
UCCIJPH IC'~: GLAlIE'lS
F 'l}:'GE qE~ EFITS
,~O FRINGE 8EN<:FIH
.....c,F. HTES
'lC CU"A T 1010
OlD E
I)CCUPATION
l)~SCRIPT 10 N
2 70-0~1(l JOURNEYM~~
OHlER
40 OvERTI'IE - ALL '11 UIlS WORKi:D TN EXCESS OF 8
HOURS PEll 'JAY ""'W 40 HOURS PER WEEI( SH~L~ R,E
PAID ~T lNE A~fJ ONE - HALF TIMES THE REGULAR
FlATE uF 'AY.
71 PL~ASE N'JT"': EF=I::CTIVE JUNE 9, 1988, THE
PAVM"NT OF DV::'lTII1F. RATES IS NOT REGlUI'~ED FOR
THE FIPST ., 'flHS I,~ EXCESS OF a MOURS PER
'JAY UNnEl CO'liJIT IO~15 ST IPULATED IN
\lAC 296-127-'12;>.
f'A"f:
2 2
--I~I \
. ',' ."'~;;~'~;:ir_~~~~:'(,.,~:~:.;<~.~;\ ~_~1""'''', l~j "
,
I
/
1'"",1;
.'10
S/rIR.
STATE
'lATE
14.53
o
o
Pfi~VAllI"1G MINTMUM Hr'lUf?LY \lAGE RATE5
EFFECTIVE DAlE:
3/03/Ql
LOCA1I0"1: JEFFERSO" COJNTY.
OCCUPATIO"l: IR0hYCPKERS
f RI'IGE BE ~ EF ITS
APPRE NlICESHIP
HEALTH AND \lELFAR~
PENSION
PENSION-A'INUITY
.25
2.'51
2.35
1.05
WAuE ~ ATE S
OCCUPA T ION
COD E
OCCU"ATHltl
nESCRI"T 10"1
330-000'5
330-0010
330-0040
3JU-0050
.nO-0060
330-00bO
330-0090
OTHER
If: lJN\1O OK" RS
'lURNE"Rc;
OR NM101l' L
RE INFORCI Nt;
RIGG':RS
STRUCTU~AL
\/ELD"RS
44 OIlERTIME - TH:: FIRST 2 HOURS 1"1 EXCESS OF A
IlRS/DAY, M1N T~RU FRT, AN) THE FIRST 10 IIRS
rHl SAT S~ALL U" PAl;) AT 1 II? TIMES TIll':
REGUL~R QATE 0" PAY. ALL OIHER OVERTIME HOURS
AND ALL HJ'JRS \/JRKED CJN SUN AND HOLIDAYS
ShALL ~E PAID AT DOJALE TrlE REGULAR RATE OF
"A Y.
70 PLFA5E N1T<=:: EF= ECTI VE JUNE 9, 198Q, TIlE
PAYM"NT OF OV::RTI~[ RATES IS Nr'lT RE~UIREO
FOR TIll" FIRST? I1QU'l5 IN EXCI:SS OF 8 II'lOR5
PER flAY (M1N'1\Y THRO\l(,ll FRTlJAY), UNDER
CO~DIITO~S STIPULATED TN "AC 296-127-022.
84 IICLInAY5 - NO:. n:AR5 DAY, MEMORIAL DAY,
Four,nl 0" JULY, LAl1JR "AY, THA"1KSGIVTNt; DAY,
TI1F. rnlJ~Y rr'lLLO\lINC, THANKSliIIIING, ANI;
CI1R!~rMA5 nA Y. (7)
PAC, E 2 '5
.. " \, \ .
/
". ~ ' ':)4"L~",::':~'~~'1t~~'~~,~c~:tf'~~~~~::~'-" '
. ": ""';::;t\t,~~~:~)?~)':;:.~",
l~,;,.j I
S / HR_
S/HR.
S /HR.
S I HR.
STATE
~ATE
1 Q. 26
19.26
lQ.26
1Q.26
1Q.26
1 Q. 26
1Q.26
EFFECTIVE JAT!"::
.~
',,-,)
o
OR~V\[ll 'IG MINIM'JH rir.UqLY WAGE RUES
LOCATIO'!: JEFF"'H'iO" r:O:INTY.
3/0~/?1
uCCiJPU Ie'l: LA'\OqEf~S
f ql'liJE 3E'lEFITS
riEALT'l AND '~EI.FAR~
P ENSI 'IN
TRAIN I Ill; FU'lD
II AG F. R A IE 5
1CCUPA T ION
COD E
350-0050
350-0080
'350-0090
350-0 ZOO
350-0 Z40
3 5 0 -0 2 5 0
350-0270
H 0 -0 H 0
350'0 HO
350-0350
350-0 HO
350-0420
350-0460
350-0470
350-0520
350-0530
350-0710
350-0720
350-03B
350-J 820
3 5 0 -0 H 0
350-0~60
350-0750
350-0965
350-0 ?oo
35U-1ll~
350-1 ZOO
350-1Z5~
350-1260
350-12.,0
350-1 H5
350-1HO
, '. J, I \
I '
I
, I
r:.,
1. ~o
t.55
. ~O
')(CtJPAlION
DE5CRIPT I(J"l
ASPH^ LT '1 ME'?
RALLAST ~Er,ULAT)R ~ACttINE
BATC~ 'IEIG'IH\II
CAIS';)" '1)'lK"'~
CAqP<:NTE'l TE"lDF'!
CE"E'IT DJMPE'l - PA~ING
CE'4E'IT FTNISI-l!:? TENDER
CM TPPEQ
CtiUC~ TE'ID"R
CLr::A"-!JP L\B'lRE'l
CO'l(~ET~ F')R~ STRIP?FR
CONCRETE SAil 1)0ERATD'l
CflUS.tE" ~EECF:x
CU'lI'IG CHICRr::T'"
rJE"CLlTI'lN, 'HF" ING A'l[) 110~Hl/j (INCL.
DIVER
EPCXY TECH'IICI A~
FALL"'f! A'ICl BII:~"q - 01' I,'l 'iAII
GA~1111 eAS-:ET 1UTLnEI?
(jE~IEpA'. LA 10'l: '!
r,R.IC<: CH"C-:~,'l \~I) TRANS IT "'A'l
GRIllnE<!S
HIGH SCALE'l
ftoO CApRI F. '!
JACKHA'111"'R
"'I NEil
"OllLE'TA" CC n lC'IFT" PU~P, GREEN CuTTEil IIfTEN
PAVEME'IT 3 '1E^<n
PI LOT CA'l
PI PELAVE'l ANI) C^,.ILK~~
~I PE ~FLlW:R ('lOT 1~5EqT TYI'E)
POT r E"O~R
17.0~
1".53
1t.85
17.17
1".53
17.0~
16.53
1".53
LS.53
1".53
1".53
17.0~
11.~5
1".53
1".53
17.'37
16.53
17.01
1'>.53
1".53
17.01
H.53
17.01
17.01
17.01
17. n
17.01
17.01
tt.A)
17.01
t 7.0 t
11..53
f'lll'.' 2 ~
S/I1R.
$/l1q.
ilI1R.
STATE
'lATE
'0
o
DR~VULl'IG t.INU1I,I!1 Hnu~LY IIAGE RHr:S
HI' ECll 'IE ) A 1E:
3'o~nl
LOC ATlON: JEFfERSO'j COJ NTy.
OCCUPArIO~: LA~O~Eq5
WACi!O RATES
OCCUPA TION
COD E
ocrUOATION
rJE SUlI Pf 10 N
3 50 -1 3 80
350-1390
350-1485
350 -1 500
350-1750
350-1753
350-1765
350-1320
350-1840
3 50-1 ~70
350-181l0
350-1940
350-2000
350-~030
350-2/)90
350-2100
OTH ER
POIID~R"'A~
POIIDFRt04A'l YEL>':~
RAILDOAD SDIKE PULLEq (PO~ER)
RE-TlI1Rn~~N
SPqE~Dr.R - CL,qV PO.FR O~ ~IMILAR TyoLS
SPREADER (0 NC'IETEJ
STA~" HODP<::R
TAMPF~ A'ID STllfL~,R ELECTRIC, AIR AND <:.AS
TAMpl"R (~ULTlPLE A'I) SELF PRCPF.LLEO)
TOOLrOOM MAN (AT .103 SITE)
TOPMAN - TAILMA!j
TU~CiER ODE'!ATO'l
VIBR~TOR
VIRRHIN, <;coEIOO (AIR, GAS OR ELECTRTO
IIELL-FOI'lr ~A~
\l1~D'l\J CLEA~"'P
59 OVERTIME - ALL .jRS o/Oh~Er, IN EXCESS Of' B 11RS
PEll DAY' N'J 4) ~~S PErI WEi:K, MON THr~OUGH Fill.
AND ALL ill'S IIJ'I'EO 0'1 5ATU'IOAYS (EXCEPT
MAKEUP OAYS IF ;.IORK T S LOST QU" TO INCLEMENT
IIfATIlEP CO~OTlf)'lS) SHALL BE PAlfl AT 1 A'll;
1/2 TIt04ES THI" R~~OLAR RATE OF PAY. ALL HRS
lI(Jn~<:lJ O'I'W'IJ\VS mrJ IJOUOAYS SHALL BF: PATO
AT (JrJiJ'1LE THr: f1J::5IJLA'l 'lATE OF PAY.
\
70 PLEA~E N1TE: ~FFE(l1 '1l .JU~ E ". lQIlP, litE
PAYM"NT 11' OV,IlTIMF 'lATES IS NeT R~61UIPED
FOR TilE ~ loST "? f101J~; IN E XC"SS OF Il H"UIlS
"ER 'JAY C H'JND\ y THRO\J(,II FR IOAY), UNDI::H
CONOllTC"lS STIDJLATEO 1I~ o/~C 2Q6-127-0~2.
1>1 lIeLl n,QS - N<::. VEAP.S lJ~Y, ME MORIAL D~'1,
FOUf..TH (J"JULV. LA'ljR rJ,~Y, THA'I~S"IVT,..1j flAY,
ANC TH'O Ffd[lA~ \~IIJ S~ll'HDAv ~tlE"
1I1A1jVSIjI~I'lG :JAY, ~rHl Oi'l15T"AS nAY. (~)
l' A(,F 27
'"I.; \ .
I
,bjJ I
STATE
RATE
17.17
16.53
17.01
17.37
17.01
17.01
16.53
17.01
17.01
16.53
1'>.53
II, .53
17./)1
1;'... 5 3
17.01
".53
EF~i:CTlvE JAH:
,,-- /"'.
, ,
'-"
PR~V~ILI ~G MINIMUM HOURLY YA~E RATES
L/1CATlu~: JEFF",RSO'I COJNTY.
3/0~/?1
lJCtllf'AT IC'I: LA'ICRE"5 - S~lIq A'ID .IAI~RU NE CON<;TRUCTIO'l
~ Rl~"E 'IE ~ EF ITS
nEALTY AND IIELFAR"
PENSI'lN
T:,{AI,~I NG FUND
w AG E ~ A IE 5
OCCUPATION
C1D~
5 ~O-J no
3>SO-0050
360-0080
360-0090
360-0200
360-0240
360-0250
560-0270
360-0 3H
360-0340
360-0~50
360-il390
360-0420
360-0460
360-il470
360-0520
360-0530
560-0650
3 {, 0 -0 71 0
560-0720
360 -0810
3M-0840
560-0R60
560-0;150
360-0965
360-0980
560-1110
560-1200
360-1256
560-1?60
360-1230
560-1315
q "\; \ '
J i
I
.;..:.;1 ;'
DC CUPA Tl'lN
DESCRI"T 10'1
GENEflAL LA'IORE1
ASFHALT ")A~Eq
~ALLAST q E'iULHJR MACHINE
BATCH 'JEIG"H~"
CA 15<;0'1 \J:l1K!':1
r:A flPEN TE1 TE'! C~~
CEME'IT D'JH"ER. PAVINfi
CE~E"T FI ~llS'~ER TE'lDER
CH TPDE P
CHlJC~ TE"D"R
CLEAN-UP L'~'lR!R
CONCRETE F1R'f 5rRIP~FR
CO'!C"ETE SAil O"ERAT01
CRLS'IER "E"'CER
CURI'IG C1/ICR",TE
DEHCLITI'lN. Y~",C~I'lG AND MOVING. (INCL.
l)II/ER
DRILLEI'): \I~GON ~'lD All< PlACK OPERATOR
EPOXY TEe H'! I Cl A'I
FALL"'fl A'I) B'J:~EfI. CflAIN SA\I
GA'lIl)ll U^S!CET '1iJfLI1EP.
GRAO'" CH':C'<,R A~n THNSIT HA'!
GR INnE RS
If[ "H SCALE'!
HOC CArllllER
JACK"A'4H'" R
'II NE"!
'IOUl:"L'lA'I: CO~ClEIF PU'iP, r:REE'1 CUTTER \I"EN
PAVE'lE'IT B1E~KF~
PILor r:A1
f'lI "ELAVE") '~IO CAIJL~E~
PIDE f<FLT/I~P. ('f,'lT I~C;l'lT rYPF:l
r'AuE
2R
1. ~o
1.S5
.20
S/HR.
S/hll.
S/HIl.
. ""~::~:-~'-l;:'(.~.Jt~I~~~:'i.r.t~::;: ~'.;,'
STATE
'lATE
1".53
17.01
1".53
11.85
17.31
H.53
17.01
16.53
16.53
1....53
1".53
1".53
17.01
11.R5
H.53
11,.53
17.37
17.01
11,.55
17.01
11,. 53
11'.01
1".53
17.01
17.01
17.01
17.~1
17.01
17.01
11. A5
11'.01
17.01
!
./
E:.F~ECTIVE DUE":
,r-..l
'.........../
o
PR"V~ILl'I(. MI~lhll/'l HOLlRLY IIAGE RATE'S
LOCATlO~: JEFFERSU'I COJNTY.
310-';171
OCCllPAT 10'1: LAgORE~S - SC:\IEI A'lD wAIE'Rll NE CONSTRUCTION
W AG E ~ ATE S
OCCUPATION
CODE
360-1370
360-1380
360-1390
360-14!15
360-1500
360-1750
:5 60-1753
HO-1765
360-11\ 20
:560-1~40
360-11170
360-11\80
360-1905
360-1940
360-200ry
360-2030
360-2090
360-2100
UTH En
... 'i ,.
I
. . I
f;l;
OC CUPA TI ON
flESCRIPT ION
POT T E~l 0::: R
POIIOFR"A~
POIID~R"A~'S H:::LPFR
Rft,TLROAD SOII(!:. PULLER CP'lIlFR)
RE-TH1RE'l/'lAN
SPREAD':R: CL~RV PO'JER nR 5IHIL~R TYPE
SPRE~D~R (CJ '1C'l::TE)
SlAKE HO'PER
TAMPER A'ID SlttlLAR E.ECTRIC, AIR, AND GAS
TA/'IPFR C~ UL l1i'L:: MID !>~lI"-PROPELLEn)
TOOLR!Jr)/'I ~,~N (~T J03 SITE)
TOPHM~ -T~ILM~N
TRACI( LI'IER (>O\lER)
TUGGFR o~r1ATD", CEMENT
VI ~RAT('lR
VI'IRHIN:; 5CR:::ED (AIR, GAS, OR ELECTRIC>
\IE LL- FOI 'If M A'j
\II N[)l)\1 CLEAN':l
5? OVERTPlr - AL ~'l5 w1RKEO IN EXCESS Cf 8 tlRS
PER nAY ANn 4) ~~5 Pfk \lEI(, HON THROUGH FRI,
Ar~C ~LL fiRS 1I)'l( ED :IN 5ATU'lDAYS (EXCEPT
'lAKEUP DH5 y: IIl:Jf,K IS L'lST DUF. TO INCLEI1ENT
\lEH'IE" CO'IDtTIO'IS) SHALL AE PAlO AT 1 A'IO
1/2 TIMES TH~ REGULAR RATE OF PAY. ALL H'lS
\lURI<.~D 0'1 SU'WA( 5 A:~O HUll CA YS SHALL ~E PAID
AT D1URLC: THe 'lE"r,ULA'l RAlE o~ PAY.
70 PLF.A<;E N'lE: ;FEE"elI 'IE JU~E 9, 19!111, TIiE
PAYMeNT ~F OVo'lTIHc PATES IS NeT HF.QUIREO
FOP Ttlr ~ I'IST ? ftoU~5 IN E XC FS5 Of 8 tllJUPS
l"E" nAY C 111tm~V THr>:>II(,4 ~R WAY), lJNDER
CO~DllI0~S STIPJLATEO IN \lAC 296-121-02?
!Ii ItoLlnAYS - tl~J ~EAQS lH~, MEMORIAL DAY,
EUllf.:TtI or. JULY, "Af1~Q nAY, THA'IKSCiIVINIi nAY,
f' ^u r; 2 q
STATE
qATE
1">.53
17.37
16.53
17.01
17.~7
17.01
17.01
16.53
17.01
17.01
H.53
16.53
17.01
1 S.5:5
17.01
1'>.53
17.01
0.53
" ''''I' _:" ,,-:: i ':'J';'_:/,~:~::i"'.>.'--::)~'{t.~l,~,~;~~"!..~i.~~.~,.:, .0.-;..'. -,
, ,.r,~, '.;':;:"'i~{~~~(~r~3'.t;~'~::i)\:: ",.
/
I
I
EeFF:CTIVE :lATE:
......,...."
o
Pf;=VAlLl'J:i I1JNJI1IJM ri~U"L't IIMiE RA.TES
L0CATJON: JEFF:R50'J COJ~TY.
3/01171
UCCUPAf J C'J: LA'10i>E'lS - 5 ":II":? A'JD .. AT ":RLl SE COi'o5T'lUClJO"
UTnER
')'
r.~/ )
MID THI; =RJD~Y \'JD SATtJl{OA V AFTER
TlIANKSr,I'IJ'lG JAY, At,,, CHRISTMAS DAY. ('1)
PAu~
H
:. ..,~.~. "';:;"~~'::'W,,;tU'!:, "~~~:';,.,;~.,,~:,.J1;,": ,::~..,~.
l
)
o
o
OR:VAIU '113 HI~II1IJr1 rinURLY lIA'iE kUES
I:.FFEeTIVE )HE:
3/0~/?1
L'leATION: JEFFERSO'I C)JN1'V.
OeCUPA! lU'l: PLIJI1'lERS "'10 PP::FI TTERS
FRI'lGE'lE"EFITS
HEALTH AND IIELFARE AN') 'lE'llAL
PEl><SION
TRAINING FU"IO
V AeAT 10'1
2.42
3. Q5
.23
~. so
S/HR.
S/HR.
i IH R.
S/HR.
\I Au ERA TE S
oeCUPA TION
C10 ::
nCCUOATION
DESC<>IPTION
STATE
RATE
530-)030 PLUH'lER AN~ PIPEFITTER
530-0050 \lELDFRS
530-0070 CO"H~RCIH P'Hlo INSTALLERS
1'1.75
1".75
1".75
o TH ER
33 nVERTI"E - PI: FIRSI 2 HRS IN F.XCESS OF II HRS
~ER nAY, H'lN T'l'W Fi<I, , THE Flfl'iT 10 'IRS ON
SAT, SHA'_L B" "A 10 AT 1 1/2 TIMES THE '11\<;1 C
\lAGE PLU5 t 1'7. TIMES THE H I( II, & VAC. DENT,
PE'lS Iml AN') THI'I "U'ID SHALL bF. PAID AT THF.
REG "lATE OF PAY. ALL OTHER UVERTIME Hf<S ~ ALL
HRS ~ORK~D 0'1 SUN ~D ~OLIOAYS S~ALL EE PAID
i\T 2 TTH::S T'tE JASIC wAGF. oLtJS 1 1/2 TH1ES
THE H ~ II, A'I) VAC. DE'IT, PE'ISICN AND TRAIN
FUND SHALL BE PAID AT REGuLAR RATE OF PAY.
70 PL"A';E N1T~: EFFEcn VE JU'l E ", 1Qllfl, THE
PAYH~NT ~F o~nTII1E qATES IS NOT ~E~UIqED
FOR THF ~I1ST 7. HOU~5 IN EXCF.SS OF 8 HOURS
PER 'lAY CH'lN')\Y THROUGH FRIDAY), UNDER
CO'!DI TTO'lS STIPJLATEO IN IIAC 2Q6-127-022.
84 HcunAYS - NF'J fEARS DAY, "'E"10RI"'L DAy,
FOURTH 0" JULY, LAllO!? nAY, THA'IKSGIVIl><G DAY,
rl-'" F~ IDAY Fn~LO'JING THA'IK%IHNG, AND
0111';1 MAS ')\ Y. (?)
PA~!' n
",' "\~ "" ,~('I t/I'~~::"~'t,,!:~'~~);T;~~2~~;"~~\~',;:' ',~.~:;:--' , ....,.,.
.C';
-<2)
o
PR:V'IU'IG I1INIMUr1 ~OURLY IIAGE "'TES
f.Ff Ecrr VE ) AT!::
3/03/"1
LO(ATIO~: JEFFERSO~ CO~NTY.
OCCUPATION: ROOFERS AN) ',JAT:'PROCFFhS
FRI%E BENEFITS
APPRENTICE TRAI~I'G
H EAU H AND liEU AR"
PEl,SI'JN--JOlJR'IEYI1:~/APPr:>. bO~ .. AB:iVE.
PENSION--"'PR::NTI:ES eEL)1I 80l:.
.15
1.70
1.30
.50
II.~GE" RATES
fJCCUFATION
COU E
DeCL"ATIOr,
nESe",1 PI !UN
610-0100 JOUR'lfYH' N
Cl10-010? JCUf<"EYH'~ - lIUn-.of<OOFER
610-0110 JOUR"EYH~N - )51'1(, IRp.JTAdLE MATERIAL
610-01'10 SL~TF. AN'} TILE ~'JurER~
o TH ER
55 OVF.RTI'lE - ALL iRS WORKEC IN EXCESS OF 8 HRS
PE~ 'lAY 'N'} I,J ,,~S PoR HEK, MaN THROUGH S ~T,
SHALL !IE PAl'" AT 1 ANU 1/2 TIMES THE RC:GULAR
RATE OF ~AY. ALL HRS I/'lRKEn ON SUNDAYS AND
HOLInAYS S'lALL ~:. PAr u AT OOUBLE THE REc,uL AR
RATE Or. ~AY.
70 PLEASE NJTE: EFFECTIVE J~,F Or lQH~, THE
PAYMENT Of OY~QTIHr. RATES IS NOT REQUlqEn
FO~ THr. "IQST ~ HOURS IN E XC ES5 OF H H'JUQS
PER DAY CM'lN')\Y THRJlIGH FRID~V1, UNDER
CONDI TlO'lS STI"JLATED rl; wAC 206-127-022.
84 "CLrD~YS - No'" YEAR5 D'Y, MEMORIAL DAY,
FOUflnl Or. JULY, LAP)R DAY, THA'l~SGIIIING DAV,
THF. nrO'y FO~LOllrN(j Tf'AN~SGIllrNG, AND
Cfl RIST liAS 'lAY. (7)
~ A:. E 4 ~
S/HR.
S/HP.
S/HR.
S/HR.
STATE
RATE
10.3~
lQ."~
2;>.35
1 Q. 35
--,.~\
I'
,
I
I;:': I
~""~;':' :',:-:' r;~/!.;,'t.:::.~'t'I::'''~S1~.!f~.'::~~':-;O:i.~~,""~~~"",,
. ."., ~,~.':,..'j'j.l~~~~~:';I,~~:':~'F\::,;, :;..~,
/
/
..---"
o
PftVAILl'lG MINIMUM HOU'lLV IIAr;E RATFS
EFFECTIVE DATE:
3/0~nl
LfJCATIO~: JEFfERSQ'1 COJNTV.
uCCUPAT IU'l: SHC:ETMFT AL ~'1RI(~'>c,
F R I ~G E '3E ~ EF IT S
HEALT" A~D IIELF AI'<:
PENSI~N
SAS'lI
T'lAINING FU'lD
1. 60
t.59
.77
.~5
51 H'l.
;;/H'I.
S/HR.
HH'l.
IdGE ~ATES
,KCUPATION
C'JD"
OCCU?A Tl ON
DESCRlf>T IO~
STATE
'lATE
27..49
630-0031 JOUR'IEY~I\N
D TI1 ER
46 OVF.RTI'lE - AL_' w)RK PE'lFOiP'EO IN EXCF.S5 nF 11
HOURS PE'l 'JAY O~ 4~ liDlJkS PE'l IIEC:K, ~G'lDAY
TH'lO')::iH "RDAI, ,\1'<1) ALL I/JRK PEkFC'lMEli ON
SATUQDAY"5, SU'I/)\YS A~u HOL !DAYS SHALL 'IE PAIl)
AT D(1U'ILO: THE P~~ULAR RATE OF PAY.
70 PLEASE N1T'::: ~"FE<'Tl VE JUNE 9, 1'11Hl, PIE
PAYM"NT 1f oV~qrIMC: PATES IS NOT REQUIRE/)
I'D'! THE" I'IST 7. HOIJRS IN E XCF.5S OF II HOU"5
PE'! nAY 01fJNI)\Y THRJIJc:.H F~IDAYI, UNDFR
CONDI TIO'IS STlPULAED I N wAC 2?6-17.7-07.2.
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PR;:V~ILI 'IG MWIMlJM rlOU~LY \lAG~ R^TES
EF f EC TI VE O.~ 1,:
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LOCATIU~= JEFFEkSO~ COJNTY.
UCCUPAT ION: 1EM.STF.RS
f-RINGE BENEFITS
NO FR II\GE BFNFFTT5
.00
S/HR.
I/PGE RATES
OCCUPATION
COO =:
OCCUPATION
'JE SC P I PIlON
STAn
~AT~
730-0005 ~LL CLAS'iIFIC^TION<;
15.42
OTH ER
40 OHRTl'iE - AL_ <i'lU'!S \lORKEO IN EXC"SS OF 8
HOURS PEq DAV ~~D 40 HOURS PER WEEK SHALL liE
PAID AT 'N': ^~'l ON=: - HALF TIMES THE REGULAR
RAlE OF 'AV.
71 PLEASE N'lTE: EFOECTIV[ JUNE 9, 19811, THE
PAYMFNTI)F OV: 'HHir.: RATES IS NOT REGlUIRED Fo'l
THE FIRST 2 fDU~S I,~ EXCF,S OF 8 HOURS PER
DAY llNOE~ Co'OfT IONS STIPJLATED IN
\lAC 296-127-022.
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SECTION 00700
GENERAL CONDITIONS
&
SUPPLEMENTARY CONDITIONS
The "General Conditions of the Contract for ConstnJction", AlA Document A.201, 1987 Edition, Articles
1 through 14 inclusive is here by made part of these Specifications the same as if reproduced herein in full
except as modified, rescinded or supplemented by these Supplementary Conditions, which take
precedence. Those portions of the AlA General Conditions which are not altered by these
Supplementary Conditions shall remain in effect as published. A copy of the AlA General Conditions Is
available at the Architect's office for reference.
NOTE: Wherever the word "Archilect" is used, substitute the word "Owner".
lllilllx;
Page 2: Change as follows:
Arbitration", the 17th Item in column one, is deleted and substituted in its place Is "Dispute
Resolution".
AB.'llia,E 1 . CONTRACT DOCUMENTS:
1.1 Definitions
1.1 .1 The Contract Documents
Paragraph 1.1.1: Subslllute the following:
In the first line after the word "Agreement", Insert the words, "Instructions to
Bidders, and the Contractor's executed bid:' Delete the last sentence. "Unless
specifically enumerated. . . relating to bidding requirements."
1.1.4 The Project
Paragraph 1.1.4: Add the following sentence:
The Work will be awarded under a single Contract including general, mechanical
and electrical work.
1.3.1 Ownership and Use of Archflect's Drawings, Specfllcatlons and Other Documents.
Paragraph 1.3.1: Add subparagraph as follows:
1.3.1.2
The data given In the specifications and shown on the plans and drawings is
believed to be accur3te but the accuracy Is not guaranteed. The Ccntractor must
take all levels, locallonc, measurements, and verify all dimensions on tM lC1b site
prior 10 construction and adapt his work to the exact construction.
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ARTICLE 3 . THE CONTRACTOR
3.4 Labor and Materials
Paragraph 3.4.3 Shall be added as follows:
3.4.3 The Contractor shall be responsible for the care and storage of materials delivered to the
work or purchased for use thereon. Stored materials shall be carefully and continuously
protected from damage or deterioration and so located as to facilitate Inspection by the
Owner and Architect. This responsibility for the care and storage of materials shall be with
the Contractor whether such materials are furnished by the Contractor or by the Owner.
3.7 Permits, Fees and Notices
Subparagraph 3.7.1: Add the following:
3.7.1 The Contractor shall arrange, pay for, and include In his bid, costs for plan checking and
permit fees required by Code and other regulatory agencies.
3.10 Contractor's Construction Schedule
Subparagraph 3.10.1: Delete the first sentence: "The Contractor, promptly after being
awarded... schedule for the Work.", and substitute for the deleted sentence the
following:
3.10.1 Within ten (10) days after signing the Contract, the Contractor shall submit construction
schedule to the Owner and the Architect. An updated construction schedule shall be
submitted with each Application for Progress Payment.
ARTICLE 4 ADMINISTRATION" OF THE CONTRACT
4.1 Architect
Paragraph 4.1: Add the following subparagraph 4.1.2.1
4.1.2.1 The Architect Is not bound to define the limits of any subcontract, and will not enter Into
disputes between the Contractor and his employees, Including subcontractors.
Paragraph 4.1.4: Revise to read as follows:
4.1.4 Disputes arising under Subparagraph 4.1.2 and 4.1.3 shall be subject to dispute
resolution as defined In paragraph 4.5.
Paragraph 4.2.4: Modify as follows:
Delete the words "endeavor to " after "Contractor shall" In the second sentence.
4.5 Arbitration: Delete entire title and substitute the following:
The title "Arbitration" Is deleted and substituted in Its place Is "Dispute Resolutlor." as the new tIlle
of the paragmph, and throughout 4.5 In it's entirety.
Paragraph 4.5.1 : Revise lines 3.5 as follows:
...shall be settled by the Director of the Jeflerson County Department of Public Works,
and Judgement upon...
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Paragraph 4.5.2: Revise lines 4-6 as follows:
...by the Jefferson County Department of Public Works, unless the parties...
ARTICLE 7 . CHANGES IN THE WORK
7.3 Construction Change Directives
Paragraph 7.3.6: Delete items .1 through .5 and substitute the following:
1. Additive Changes:
a Direct Labor Costs:
This is defined as the estimated labor costs determined by either the estimated number of
journeyman craft hours to perform the change in work and the hourly costs related
thereto; or the unit labor costs applied to the material quantities, providing said unit labor
costs are developed from the above craft man-hour costs; whichever is applicable,
according to Industry practice.
The hourly costs shali be based on the following:
Basic Wages: Current minimum prevailing hourly wage ratbs, Including vacation
pay, for all labor, crew foreman, and general foreman performing and/or directly
supervising the work on the site. These rates, whichever are applicable, are
established by the prevailing wage rate.
Fringe Benefits: Fringe benefits established by the State of Washington,
Department of Labor and Industries or contributed to iabor trust funds as 'temized
fringe benefits, whichever are applicable.
WorkMs Insurances: Direct contributions to the State of Washington as Industrial
Insurance; Medical Aid; and Supplemental Pension, by the class and rates
established by the State of Washington, Department of Labor and Industries.
Federatlnsurances: Direct contributions required by the Federal Insurance
Compensation Act, (F.I.C.A); Federal Unemployment Tax Act, (F.U.T.A.); and the
State Unemployment Compensation Act, (S.U.C.A.).
Costs: Cost incurred by the Washington Industrial Safety and Health Act,
(W.I.S.H.A.), shall be an amount to be agreed upon but not to exceed 2% of 1
,2,3, and 4 above.
Travel Allowance: Travel Allowance and/or subsistence, II applicable, not to
exceed those established by Regional Labor Union Agreements, shall be
itemized and Identified separately.
Items specifically excluded:
. Contractor Organization dues.
b. Direct Material Costs:
(1)
(2)
(3)
(4)
(5)
(6)
(7)
This Is defined as an lIemlzatlon of the estimated quanflty of materials necessary to
perform the change In the work and the cost therefore. These costs shall be by the unit
cost applied to the quantity and extended. The unit costs shall be based on the
following:
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(1)
The competitive costs prevailing in the area considering the quantities Involved
and available delivery time.
The net costs after all discounts or rebates.
(2)
(3)
Freight costs; express charges: or special delivery costs when applicable.
Lump sum costs will be allowed only as provided for In items 4 and 5, this section.
c. Construction Equipment Usage Costs:
Major Tools and Equipment: This is defined as an itemization of and the
estimated length of time construction equipment will be used solely on change
order work at the slle. No extra cost will be allowed if the tools and equipment are
already on the job site for use on the main contract. The rental costs applied
thereto shall not exceed the rates established by the following, whichever Is
applicable:
(a) The current hourly rental rates established by agreement between the
Associated General Contractors, (A.G.C.), and Washington State
Department of Highways.
(b) The current rental rates established by the State of Washington, Utilities
and Transportation Commission for trucks used on highways.
(c) The current rental rates established by the National Electrical Contraclo~s
Association (N.E.C.A.) for equipment used on electrical work.
(d) The current rental rates established by the Mechanical Contracto~s
Association for equipment used on mechanical work.
(e) If equipment is required for which a rental rate Is not established In any of
the above, an agreed rental rate shall be established for that equipment.
Such rates and the use or the equipment on the work must be approved
by the contracting authority prior to periormlng the work.
(f) The rates In effect at the time of the performance of the work are the
maximum rates allowable for equipment of modern design and In good
working condition and Include full compensation for furnishing all fuel, 011,
lubrication, repairs, maintenance, and Insurance.
(2) Small Tools, Expendable and Consumable Supplies:
(1)
(a) These are general In nature and are defined as tools for which the Initial
purchase price Is under $500 and are normally furnished by the
performing contractor.
(b) The allowable rate for small tools will be an amount to be agreed upon but
not to exceed the following:
. General Contractors: 3% of direct labor costs.
. Spnclalty Contractors: 5% of direct labor costs,
(c) Expendable and consumable supplies directly associated with the
change In work to be itemized.
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d. Prime Sub-contractor's Proposals:
Sub-contractor's proposals are to be itemized as In 1a, 1b, and 1c above.
e. Overhead and Profit by the Contractor Actually Performing the Work:
A total amount to be agreed upon but not to exceed 15% of Items 1a, 1b, and 1c above
will be allowed. This is to compensate such contractor for all personnel not defined in 1 a,
above; temporary construction facilities; home office costs: office engineering and
estimation costs; and profit, plus any other cost Incidental to the performance of the
change In work.
f. Overhead and Profit by the Prime Contractor or Intermediate Subcontractor on Sub-
Contractor's Actually Performing the Work:
(1) A total amount to be agreed upon but not to exceed 8% of the total amount of
sub-contractors proposals as defined in "e" above will be allowed for all overhead
and profit to supervise and administer the sub-contractors actually performing the
change In the work.
(2) No direct labor by the prime contractor will be allowed added to a sub-contractor's
proposal. Prime contractor's direcllabor,lf required, must be submitted as
outlined In 1a, 1b, 1c and 19.
g. Cost of Any Increase of Decrease In Premium by Insurance and Public Works Bond
Caused by the Change:
(1) Contractor's Liability Insurance:
To the above, the costs of the Contractor's Uabfflty Insurance as outlined under
Article 27 herein Is to be added.
(2) Public Work Bond:
To the above, the cost of the contractor's public works bond as outlined under
Article 29 herein Is to be added.
2. Deductive Changes:
a. Items 1a.. 1b, 1c, 1 e, and 19 will be itemized for deleted changes in the work.
b. Restocking charges or other special charges shall be allowed at their actual cost.
3. Additive Changes and Deductive Changes Together:
a. If a change In the work Involves both additive and deductive changes the appropriate
overhead and profit amount allowed will be added to the net difference of Items 1a, 1b, 1
c, and 1d.
b. If other additive changed items are Included In the same change proposal the appropriate
overhead and profit allowed Is to be applied to these Individual changod items.
4. Changes Under $500.00:
If the descriplion of the change In the work Is, In the opinion of the Owner, deffnllive enough for
the Owner to determine fair value and total of the change does not exceed $500.00, no
breakdown Is required.
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5. Changes Between $500.00 and $1,500.00:
If the description of the change In the work is, In the opinion of the Owner, definitive enough for
the Owner to determine fair value the breakdown shall consist of the following:
a. Lump sum labor
b. Lump sum material
c. Lump sum equipment usage
d. Appropriate overhead and profit as defined in 1e and 11.
ARTICLE 8 - TIME
Subparagraph 8.3.4: Add as follows:
8.3.4 The Contractor shall notify the Owner In writing within three (3) days of the beginning of
any delay for which an extension of lime Is to be requested by the Contractor. The
causes for such delay shall be included In the notification.
ARTICLF.; 9 - PAYMO:;;NTS AND COMPLETION
Paragraph 9.3 Appllcallons for Payment
Subparagraph 9.3.1 Delete line 9 "if provided for elsewhere in the Contract Documents."
Subparagraph 9.3.1 Substitut~ the following for the deleted line: "In conformance with current
statutes of the Slate of Washington:'
Paragraph 9.6 Progress Payments
Subparagraph 9.6.1: Add as follows:
9.6.1 Based on AppllcaUons for Payment submitted to the Architect and Certificates of
Payment issued by the Architect, the Owner shall make progress payments on accounts
of the Contract Sum to the Contractor as follows:
1. Not more frequenUy than monthly.
2. In amount not to exceed the aggregate value of work completed and
materials stockpiled on the slle as determined by the itemized schedule
of costs submitted on AlA for 0702 as adjusted by subsequent change
orders: less the total of all previous payments made to the Contractor,
and less the stipulated retalnage.
3, Payments shall be made within thirty (30) days of Issuance of Certificate
of Payment, except that amount withheld as retalnage.
AddPara(lraph 9.11 as follow~:
9,11 Liquidated Damages
9.11.1 The Owner will suffer financial loss If the Project Is not subslanllally complete within the
period set forth In the Proposal Form, The Contractor and the Contractor's surety, If any,
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shall be liable for and shall pay the Owner, the sums hereinafter stluplated as fixed,
agreed and liquidated damages, and not as penalty, for each calendar day of delay until
the Work is substantially complete.
a. Three Hundred and no/1 00($300.00) dollars for the first calendar day the Work
remain uncompleted.
b. One Hundred and no/1 00($100.00) dollars for each and every calendar day
beyond the first day that the Work remains uncompleted.
ARTICLE 10 - PROTECTION OF PERSONS AND PROPERTY
10.1 Safety Precautions and Programs
Delete subparagraph 10.1.2, and substitute the following:
10.1.2 In the event the Contractor encounters on the site material reasonable believed to be
asbestos or polychlorinated biphenyl (PCB) which has not been rendered harmless, the
Contractor shall immediately stop Work in the area affected and report the condition to the
Owner and Architect In writing. The Wor'( In the affected area shall not thereafter be
resumed except by written agreement of the Owner and Contractor if In fact the material Is
asbestos or polychlorinated biphenyl (PCB), or when It has been rendered harmless by
writlen agreement of the Owner and Contractor, or in accordance with final determination
by the Architect on which litigation has not been demanded, or by litigation under Article
4.
Add subparagraph 10.1.5 as follows:
Materials containing asbestos are striCtly prohibited for use In this project. Contractor shall
verify that all products utilized are asbestos free.
ARTICLE 11 . INSURANCE AND BONDS
Paragraph 11.1 Contracto(s liability Insurance
Subparagraph 11.1.1.8: Add as follows:
11.1.1.8
liability Insurance shall Include but not be limited to all major divisions of
coverage and be on a comprehensive basis including:
1, Premises Operations (Including X,C, and U coverages as applicable.
2. Independent Contractor's Protective.
3. Products and Completed Operations.
4. Personal Injury liability with Employemenl Exclusion deleted.
e;, Contractual, including specified provision for Contracto(s obligation
under Paragraph 3,18,
6. Owned, non.owned and hired motor vehicles.
7. Broad Form Property Damage Including Completed Operations.
8. Stop Gap or Employers' Contingent liability.
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9. Explosion, Collapse, Underground Damage (Referred to as .X,C,U").
If the General liability coverages are provided by a Commercial General Liability
Policy on a claims-made basis, the poncy date or Retroactive Date shall predate
the Contract; the termination date of the policy or applicable extended reporting
period shall be no earlier than the termination date of coverages required to be
maintained after final payment, certified in accordance with Subparagraph 9.10.2.
Subparagraph 11.1.2.1: Add as follows:
11.1.1.9
11.1.2.1
The insurance required by Subparagraph 11.1.1 shall be written for not less than
the following limits, or greater if required by law:
1. Workers Compensation:
(a)
State
Statutory
2. Comprehensive or Commercial General Liability Including Premises-
Operating; Independent Contractors' Protective; Products and
Completed Operations; Broad Form Property Damage);
(a) Bodily Injury:
$500,000
$SOO,oOO
(b) Property Damage:
$500,000
$500,000
Each Occurrence
Aggregate
Each Occurrence
Aggregate
(c) Products and Completed Operations to be maintained for one (1) year
after final payment:
$100,000
Agregate
(eI) Property Damago Liab11lty Insurance shall provide X,C, and U coverage.
(e) Broad Form Property Damage Coverage shall Include Completed
Operations.
3. Contractural Liability:
(a) Bodily Injury:
$500,000 Each Occurrence
$500,000 Aggregate
(b) Property Damage:
$500,000 Each Occurrence
$500,000 Aggregate
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4. Personal Injury, with Employment Exclusion deleted:
$500,000
Aggregate
5. Business Auto liability (Including owned, non-owned and hired vehicles):
(a) Bodily Injury:
$500,000
$500,00
Each Person
Each Occurrence
(b) Property Damage:
$500,000
Each Occurrence
6. If the General liability coverages are provided by a Commercial Liability
policy, the:
(a) General Aggregate shall be not less than $500,000 and il shall apply, in
total, to this Project only.
(b) Fire Damage Limit shall be not less than $5,000,000 on anyone fire.
(c) Medical Expense limit shall be not less than $500,000 on anyone
person.
Paragraph 11.1 Contracto~s liability Insurance
Subparagraph 11.1.3: Add as follows:
11.1.3 Said c9rtiflcate shall Include the following statement: "The Insurance Company has
reviewed the coverage requirements as stated In these requirements and certifies that
the policy of Insurance represented by said Certificate Includes (bullS not limited to ) the
coverages designated:'
Subparagraph 11.1.14: Add as follows:
11.1.4 The following additional provisions shall be complied with:
The Owner, the Architect and each of their olflcers, agents and employees, shall
be named as an addlllonallnsured on such Insurance as required under Article
11, paragraph 11.1 through 11.1.4.
The Contractor shall conllnue Completed Operallons liability Insurance In force
for at least one year alter the date of Final Certlllcate of Payment.
Insurance shall be wrlltten by a firm licensed to do business In the State of
Washington, and as approved by the Owner, Approval of this insurance by the
Owner shall not relieve or decrease the liability of the Contractor hereunder.
Paragl'aph 11.2: Owner's L1ablllly Insurance
11.1.4.1
11.1.4.2
11.1.4.3
Subparagraph 11.2.1: Delete entire paragraph and subslltute Ihe following:
11,2.1 The Owner, at his opllon, may purchase and maintain such insurance as will
protect him against claims which may arlse from operallons undar the Contract
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End of Documenl
SECTION 00700
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SECTION 01010
SUMMARY OF WORK
1.01 INTENT
A. Lower the overall height of the existing boiler stack by twenty-five (25) feet.
1 . Remove the top thirty (30) feet of the existing stack including
the crown and lightening protection device
B. Verify reinforcing and reconstruct five feet of the removed portion
1. Clean and re-use salvaged brick for reconstruction.
2. Re-Install lightening protection system at top of stack and
verify It Is properly functioning.
3. Construct new reinforced concrete crown
a Reinforcing for anchoring crown to stack to be at approx
two (2) foot centers.
b. Form-pour new crown, similar In shape to the existing
crown.
C. Exterior repair to remaining section of existing stack.
1 . Cracks opening larger than hairline size are to be cut out to a
depth sufficient to obtain a good key for new mortar, the joints
shall be thoroughly wetted, then repolnted.
2, Test all Joints for loose or deteriorated mortar, clean out loose
materials and repolnt.
D. "Clean out" door to be thoroughly wire brushed and scraped clean before
receiving a two-coat application of weather and acid resistant metal paint.
"Hammertlte" or better.
E. Clean brick using water application method: Spray-apply water to
masonry surfaces with constant water temperature, pressure and volume to
produce an even effect.
F. Waterproofing: Apply a one-coat application of standnrd grade 5%
silicone waterproofing cOIT'!'ound to the exterior of the chimney
G. Clean up area and remove debris dally.
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SECTION 01300
SUBMITTALS
PART 1 GENERAL
1.01 SECTION INCLUDES
A. Construction progress schedules.
B. Proposed Products list.
C. Manufacturers' Instructions.
D. Manufacturers' certificates.
1.02 RELATED SECTIONS
A. Section 01700 - Contract Closeout: Contract closeout submittals.
1.03 CONSTRUCTION PROGRESS SCHEDULES
A. Submit Initial progress schedule within 15 days after date established In Notice to
Proceed for Architect/Engineer review.
B. Revise and resubmit as required.
1.04 PROPOSED PRODUCTS LIST
A. Within 15 days after date of Owner-Contractor Agreement, submit complete list of major
products proposed for use, with name of manufacturer, trade name, and model number or
each product.
B. For products specified only by reference standards, give manufacturer, trade name,
model or catalog designation, and reference standards.
1.05 MANUFACTURER'S INSTRUCTIONS
A. When specified In Individual specification Sections, submit manufacturers' printed
Instructions for delivery, storage, assembly, Installation, start.up, adJusting, and finishing,
In quantities specified for Product Data.
B. Identify conflicts between manufacturers' instructions and Contract Documents.
1.06 MANUFACTURER'S CERTIFICATES
A. When specified In Individual specification Sections, submit manufacturers' certificate
to Architect/Engineer for review, In quantities specified for Product Data.
B. Indicate material or Product conforms to or exceeds specified requirements. Submit
supporting reference date, affidavits, and certifications as appropriate.
C. Certificates may be recent or previous t&st results on material or Product, but must be
acceptable to Archltoclll:nglneer.
End of Document
SECTION 01300
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SECTION 01700
CONTRACT CLOSEOUT
PART 1 GENERAL
1.01 SECTION INCLUDES
A. Closeout Procedures.
B. Final Cleaning.
C. Warranties.
1.02 CLOSEOUT PROCEDURES
A. Submit written certification that Contract Documents have been reviewed, Work has been
Inspected, and that Work Is complete In accordance with Contract Documents and ready
lor ArchitectlEnglnee~s Inspection.
B. Provide submittals to ArchllectlEngineer that are required by governing or other
authorities.
C. Submit tlnal Application for Payment on Contractors regular billing form.
1.04 FINAL CLEANING
A. Execute IInal cleaning prior to tlnallnspectlon.
B. Clean site; sweep paved areas, rake clean landscaped surtaces.
C. Remove waste and surplus materials, rubbish, and construction facilities from
the site.
1.05 WARRANTIES
A. Provide notarized copies to owner.
B. Execute and assemble documents from Subcontractors, suppliers, and manufacturers.
C. Submit prior to final Application for Payment.
0, For Items of Work delayed beyond date of Substantial Completion, provide updated
submittal within ten days after acceplance, listing date of acceptance as start of warranty
period.
End of Document
SECTION 01700
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SECTION 02055
DEMOLITION
PART 1 GENERAL
1.01 SECTION INCLUDES
A. Demolish designated structure as outlined in scope of thE
work
B. Remove and dispose of all demolished material that is not to
be re-used.
1.02 RELATED WORK
A. Section 01010 - Summary of Work.
B. Section 01120 - Alteration Project Procedures: Re-
installation of removed materials.
D. Section 01700 - Contract Closeout: Project record documents.
1.03 SUBMITTALS
A, Submit demolition and removal procedures and schedule under
provisions of Section 01300.
B. Submit record drawings under provisions of Section 01700.
1,04 REGULATORY REQUIREMENTS
A, COOlform to "1991 STANDARD SPECIFICATIONS for Road, Bridge, and
Municipal Construction" for demolition of structure, safety of
adjacent structures, dust control, service utilities, and discovered
hazards.
B. Adhere to the requirements of the Washington State Department of
Labor and lIidustries at all times.
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PART 3 EXECUTION
3.01 PREPARATION
A. Provide, erect, and maintain temporary barriers and
security devices.
B. Notify adjacent owners of work which may affect their
property, potential noise, utility outage, or disruption.
Coordinate with owner.
3.02 DEMOLITION REQUIREMENTS
A. Conduct demolition to minimize interference with adjacent
buildings.
B. Conduct operations with minimum interference to public or
private accesses.
C. Maintain protected egress and access at all times. Do not
close or obstruct roadways without permits.
D. Cease operations immediately if adjacent structures appear to
be in danger. Notify Owner immediately.
3.03 SELECTIVE DEMOLITION
A. Demolish and remove components in an orderly and careful
manner, indicated in Section 01010 - "Summary of Work".
B. Protect existing structure and componets.
C. Protect existing items which are not indicated to be altered.
D. Salvage existing antFlnna and lightning rods for re-
Installation.
E Salvage existing brick to be re-used for the re-constructlon of
top six courses of stack,
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3.04 CLEAN UP
A. Remove materials to be re-installed or retained in manner to
prevent damage.
8. Remove, store, and protect for re-installation the fOllowing
materials and equipment:
1. SELECTED BRICK FOR RE-CONSTRUCTION
2. ANTENNA
3. LIGHTENING RODS
C. Remove and promptly dispose of contaminated, vermin
infested, or dangerous materials encountered.
D. Do not burn or bury materials on site.
E Remove demolished materials from site as worK
progresses.
F. Upon completion of work, leave areas of work in clean
condition,
END OF SECTION 2055
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SECTION 04100
MORTAR
PART 1 GENERAL
1.01 SECTION INCLUDES
A. Mortar for masonry.
1.02 SUBMITTALS
A. Samples: Submit two strips, 1/4 x 2 inch in size illustrating
mortar color and color range.
1.04 MIX TESTS
A. Testing of Mortar Mix: In accordance with ASTM C7BO.
PART 2 PRODUCTS
2.01 MATERIALS
A. Portland Cement: ASTM C150, Type I , gray color,
8, Mortar Aggregate: ASTM C144, standard masonry type.
C. Mortar Color: To match existing. Submit sample to
owner for approval.
D, Water: Clean and potable.
E Non-shrink additive
F. Use bonding agena on existing surfaces
2.02 MORTAR MIXES
A. Mortar for Reinforced Masonry: ASTM C270,
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2.03 MORTAR MIXING
A. Thoroughly mix mortar ingredients in quantities needed for
immediate use in accordance with ASTM C270.
B. Add mortar color in accordance with manufacturer's
instructions.
PART 3 EXECUTION
3.01 EXAMINATION AND PREPARATION
A. Apply bonding agent to existing surfaces.
3.02 INSTAllATION
A. Install mortar in accordance with manufacturer's
instructions.
END OF SECTION
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SECTION 04100
MORTAR
PART 1 GENERAL
1.01 SECTION INCLUDES
A. Mortar for masonry.
1.02 SUBMITTALS
A. Samples: Submit two strips, 1/4 x 2 inch in size illustrating
mortar color and color range.
1.04 MIX TESTS
A. Testing of Mortar Mix: In accordance with ASTM C7BO.
PART 2 PRODUCTS
2.01 MATERIALS
A. Portland Cement: ASTM C150, Type I , gray color.
B. Mortar Aggregate: ASTM C144, standard masonry type.
C. Mortar Color: To match existing. Submit sample to
owner for approval.
D. Water: Clean and potable.
E Non-shrink additive
F. Use bonding agena on existing surfaces
2.02 MORTAR MI~<ES
A. Mortar for Reinforced Masonry: ASTM C2/0.
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2.03 MORTAR MIXING
A. Thoroughly mix mortar ingredients in quantities needed for
immediate use in accordance with ASTM C270.
B. Add mortar color in accordance with manufacturer's
instructions.
PART 3 EXECUTION
3.01 EXAMINATION AND PREPARATION
A. Apply bonding agent to existing surfaces.
3.02 INSTAllATION
A. Install mortar in accordance with manufacturer's
instructio ns.
END OF SECTION
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SECTION 04500
MASONRY RESTORATION AND CLEANING
PART 1 GENERAL
1.01 SECTION INCLUDES
A. Water cleaning of exterior surfaces.
B. Replacement of cracked units.
C. Repointing mortar joints.
E Repair of damaged masonry.
F. Moisture repellent coating.
1.02 RELATED SECTIONS
A. Section 4100 - Mortar.
B. Section 07175 - Water Repellant Coatings.
1.03 REFERENCES
A. ANSI A41.2 - Building Code Requirements for Reinforced
Masonry.
B. International Masonry Industry All-Weather Council (1M lAC)
- Recommended Practices and Guide Specifications for Cold
Weather Masonry Construction.
1.04 SUBMITTALS
A. Submit product data under provisions of Section
01300.
C. Provide product data on cleaning solutions,
D. Submit samples under provision;; of Section 01300,
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provisions of Section 01300.
1.05 QUALITY ASSURANCE
A. Restorer: Company with three years documented
experience in masonry restoration.
1.08 PRE-INSTALLATION CONFERENCE
A. Convene a pre-installation conference one week prior to
commencing work of this Section.,
B. Review conditions of installation, installation procedures. and
coordination with related work.
1.09 DELIVERY, STORAGE, AND HANDLING
A. Furnish restoration cleaner materials in manufacturer's
packaging, including instructions for use.
1.10 ENVIRONMENTAL REQUIREMENTS
A. Do not lay masonry, repoint, wash down or wet surfaces when
temperature may drop below 40 degrees F within twenty four
hours.
PART 2 PRODUCTS
2.02 CLEANING MATERIALS
A. Acid Solution: Clean, stain free, commercial muriatic
acid, mixed one part to [10] parts of potable water,
2.03 MORTAR MATERIALS
A. Conform to requirements of Section 04100.
2.04 MASONRY MATERIALS
A, Clean and re-use existing brick.
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PART 3 EXECUTION
3.01 EXAMINATION
A. Verify that surfaces to be restored are ready for work of this
Section.
B. Beginning of installation means acceptance of existing
surfaces and conditions.
3.02 PREPARATION
A. Protect elements surrounding the work of this Section from
damage or disfiguration.
B. Carefully remove and store accessories.
3.03 CLEANING EXISTING MASONRY
A. Low Pressure Steam Cleaning: Apply 100 psi maintaining
uniform depth and surface texture throughout.
3.04 CLEANING REPLACED MASONRY
A. Verify mortar is fully set and cured.
B. Clean surfaces and remove large particles with wood
scrapers, brass or nylon wire brushes.
C. Saturate masonry with clean water and flush loose
mortar and dirt.
D. Scrub walls with detergent solution using stiff brush.
E Thoroughly rinse and wash off cleaning solution, dirt, and
mortar crumbs using clean, pressurized water,
F, Use acid solution mixed with water In accordance with
manufacturer's instructions.
G Apply acid solution and scrub with stiff fiber brushes,
Do not scrub the mortar joints,
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H. Protect area below cleaning operation.
I. Before solution dries, rinse and remove acid solution and
dissolved mortar, using clean, pressurized water.
3.06 REBUILDING
A. Cut out damaged and deteriorated masonry with care in a
manner to prevent damage to any adjacent remaining
materials.
B. Cut away loose or unsound adjoining masonry and mortar to
provide firm and solid bearing for new work.
C. Mortar Mix: Colored to match existing work.
D. Build-in masonry work to match and align with existing,
with joints and coursing true and level, faces plumb and in
line. Build-in all openings, accessories, and fittings.
3.07 REPOINTING
A. Cut out loose or disintegrated mortar in joints to a 1/2 inch
depth,
B. Do not damage masonry units.
C. Premoisten joint and apply mortar specified in Section
04100. Pack tightly in maximum 1/4 inch layers. Leave a
smooth, compact raked joint.
D, Moist cure for 72hours.
3.09 CLEANING
A. As work proceeds and:m completion, remove excess mortar,
droppings, smears, stains, efflorescence, or other unsightly
excess resulting from the work of this Section.
B. Clean surrounding surfaces.
END OF SECTION
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SECTION 07175
WATER REPELLENT COATING
PART 1 GENERAL
1.01 WORK INCLUDED
A. Water repellent coating to exterior masonry] surfaces.
1.02 RELATED WORK
A. Section 4500 - Masonry Restoration.
1.03 REFERENCES
A. FS SS-W-110 - Water Repellent, Colorless Silicone, Resin
Base.
1.04 PERFORMANCE
A. Applied coating to exhibit ability to prevent moisture
penetration in the material being treated.
1 .05 QUALITY ASSURANCE
A, Manufacturer: Company specializing in manufacture of water
repellent coatings with three years minimum experience.
B. Applicator: Acceptable to manufacturer.
1.06 SUBMITTALS
A. Submit product data under provisions of Section 01300.
B. Include details of product description, tests performed,
limitations to coating, cautionary prClcedures required during
application, and chemical properties, including percentagtl of
solids.
C. Submit manufacturer's installation Instructions under
provisions of Section 01300.
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1.08 ENVIRONMENTAL REQUIREMENTS
A. Do not apply coating when [ambient] [surface] temperature is
lower than 50 degrees F or higher than 100 degrees F.
PART 2 PRODUCTS
2.01 ACCEPTABLE MANUFACTURERS
A. "SILOXANE' by Sure Clean or owner approved equal.
2.02 MATERIALS
A. Coating: FS SS-W-110, silicone resin; colorless.
PART 3 EXECUTION
3.01 INSPECTION
A. Verify joint sealants are installed and cured.
B. Verify surfaces to be coated are dry, clean, and free of
efflorescence, oil, or other matter detrimental to
application of coating.
C. Beginning of installation means acceptance of substrate,
3.02 PREPARATION
A. Remove loose particles and foreign matter,
B. Remove 011 or foreign substance with a chemical solvent which
will not affect coating,
C. Scrub and rinse surfaces with water and let dry.
D. Protect adjacent surfaces not scheduled to receive coating,
E If applied on unscheduled surfaces, remove Immediately, by
approved method,
F. Protect Asphalt, property, vehicles and facilities,
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3.03 APPLICATION
A. Delay work until masonry mortar is cured a minimum of 30
days.
B. Apply coating in accordance with manufacturer's instructions.
C. Apply in one continuous. uniform coat.
END OF SECTION
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FRO JtFFERSON COU NTY DEPT. OF PUBLIC WORKS
1820 Jefferson Sl.
P.O. Box 1220
PorI Townsend, WA 98368
(206) 385-9160
SUBJECT: ~EP Pl?LJ:reCT'
M S e 978
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PORT '1 QW'JSF.ND. WA %:368
(206) 385-9160 r'/::; 'i';
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Affidavit of Publication
ST ATE OF WASHINGTON)
SS
COUNTY OF JEFFERSON)
CALL FOR BIDS
Notice Is hereby given that the Board
of County Commissioners, Jefferson
County., Washington. will receive
~~~.e~nbJtt ~2~~~~t~f ~~h~ ~ffld~~~
the County Commissioners, the
Jefferson County Courthouse, Port
Townsend, Washington, 98368 to be
then opened and publicly read at a
meetlMg of the County Commissioners
to be held on that date, forthe Mate-
rials, Labor and Coordination neces-
sary to Renovate the Masonry Boiler
Flue at the Jefferson County Mullt-
Service facUny located at 802 Sheri.
dan, Port Townsend, WA, according
~~h~~~l"mct~:'s~s, s~~cg1~~.ps ~~~
MSC978
Bids shall be submlUed In accor-
dance with the plans, specifications
and bid dpcumenls, on file at the ollice
pI the Dlrectpr of Public Works,
Jefferson County Courthpuse, 1820
Jefferson Street, Port Townsend,
Washington 98388, (206) 385-9160,
A.~ent:on: Frank Hell. Copies may be
pbtalned by depositing $15.00. The
deposit will be refunded lithe Contract
Documents are returned In good con-
dition within 30 days 01 the bid open.
lng,
Each bid shall be accompanied by
a surety bond, postal money order,
. cash, cashle(scheckorcertllledcheck
payable to the Treasurer of Jeflerspn
County In the sum of 5% of the bid
emount, to be forfeited to Jeflerson
County by the successful bidder If he
falls tp enter Into a contract and file an
acceptable surety bond In ths amount
of 100%ofthe contract price within ten
(10) days of the award. The Board of
County CommissIoners reserves the
right to reject eny and all bids, and tp
accept the bid daemad most advanta-
geous toJaffsrson County and to walva
all Informalities In the bidding.
gg~'Ws~ic,~ftiRSON COUNTY
Chairman, Lerry W. Dennison
727 6.26
FRANK W. GARRED. being sworn. says he is the publisher
of the Port Townsend Jefferson County Leader. a weekly
newspaper which has been established. published in the
English language and circulated continuously as a weekly
newspaper in the [Own of Port Townsend in said County and
State, and for general circulat;on in said county for morc
than six (6) months prior to Lhe date aCthe first publication
orthc Notice hereto attached. and that lhe said PortTownscmJ
Jefferson County Leader wa,<; on the 27th day of June 1941
approved as a legal newspaper by the Superior Court of said
Jefferson County and that annexed is a true copy of the
Call for bids
Renovate masonry boiler flue
at Jefferson County
Multi-Service Facility
802 Sheridan
Port Townsend, WA
as it appeared in the regular and entire issue of said paper
i~clf not in a supplement thereof for a period of
~<:Qi)tl(;lOMl(week', beginning on the 26th
dayor June ,19..2l:.-,an<WNlilllfonlhe
..LO..t.h..dayaf ,Tn1~. 19.Jl.L. and
that said newspaper was regularly distrihuted to its subscrib.
en during all of this period. That the full amount of
$ 81. 00 hilS hccnpaid in full, at the ratcoUKM>
per column inch for eh insertion. $ 6 . 00
,L ,"A < '/<Ii/
Publisher
Suhscrihcd and swum to hefnre me this ~b.- d<lY of
.July ,19~. ,
') /, - , 0' t[. . ,
-' .-'}.(. LL.( j,~ - .( ~0
Notary P'uhlic in"'ii \(1 for Lhe Stille nf Wllo;hington,
, residing lit Pml Hadlock.
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TACOMA 98421
2130 EAST 0 ST.
383-2035
~
CUSTOMER (LESSEE):
'D'l'E f\ ~ I
r\ H , \j\r.:1 ""', '^ Vl..'\ -t
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ADDRESS
CITY
PHONE NO.
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ICREDrT
APPR'L
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o CHECK NO.
OEPOSIT AMC: 'N r
SHIP VIA
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AGREEMENT NO.
EQUIPMENT RENTAL CONTRACT
1754
LESSOR
EIE!rq EQUlPfVENT &
5Caffalcllnq CD., Inc.
SEATTLE 98126
2328 HARBOR AVE. S.W.
938-5009
DATE WRITTEN
Your Full Service Scaffolding & Aerial Lift Dealer
(2~':; luv~"t;~(,
T TEAMS
I ~eAT.
0'
INSURANCE
I OATE SHIPPED
DESCRIPTION
IJ-n(Y,
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JA \ev'>LY'I 'u
LO~ATI~N/ ~_
(,I...) 2- :)1, ..V ; ,.. A
) ORDERED BY
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I AUTHORIZED
UNSIGNED
DEUVERY
J'""",BY
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PHPNE
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TIMEOUT
1\':' L IlL-
TIME RETURNED
TIME RENTED
P.O. NUMBER
T3)~;ONS
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o NO
DATE
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DELIVERY HAS
ASSET NO.
RENTAL RATE
DAY WEEK
4 WEEKS
aUANTITV
SHIPPED
CK.
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MINIMUM
2-'52
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,
"OU IN" OATE-
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":g[CHECK HERE
.......-1P' RETURNED
TERMS AND CONDITIONS
1, Rantal rates ara basad on ono el~ht hour shift per day, 5 days per week. AddlUonal usa(je will be chorged ot one holf tho rentnl role, No
~m~~~~?i:~~~va:'IV~t)~;~~~~~no~~ ~~911~g~~7ti~eu~WI~:~ ~prt~~8t~~f~~~ the current published rale lor tho equipment ronted unlfl88 stilted
CHECKED B\
2. ~~:Nn~~~~~o~~3 tl~~~~L~~~~~ ~aOo'a~~1ngr~~~:~t~~ l~g~I~~~~{~2~~~7~ f:ien;~~~0~s~~1~11y 06f tr~B ec~~f~~~r~ ~~8~~:r 1~~:;Uv~~~I~a~~~ ~~:
pense maintain liability, fire, tholl rmd such other Insurnnce roqulrfJd to protect rmd/or preaorvo f1uch property.
3. Warrantlos: Ther" lire no wl'lrrnnUel ot merchantllbllltv or fltnos., either exprauod or Implied. There Is no wlJrranty that the equip-
ment Is suited 'or the cUltomers Inlondod uoo, or that It II troo ot de'octs. Ne 'urthor WArranty shnll bo Implied by low.
4. Tho rentol rnta Is bnsa on Ihn cuntomor Inklno the oqulpmonl "AS tS" ond iI{Jrof)s to '~B8umn lho ontlro risk ns to the quullty 01 the equipment. c=l
5. Customer ill rosponulblo lor tholl of oqulpmont, KEEP IT L.OCKED. Customor Is r6llponlJlblB lor chocking nil hulclluvole dully. litho equi('lmonl 'illls,
00 NOT ATTEMPT TO REPAIR, but nollly our olllco III onco by colll.,g 1-000-458-8:; 11,
8. I liMO boon given, nnr! hove dlflCU6&ACt and undmRlnnd tho opowllno Clnd au/oty inalrucUClnl.l ('II clio flbove rooted oqlllpmnn\. ~
7, IMPOFlTANT: THIS IS A RENTAL CONTRACT AND DEL1VERV RECEIPT. READ aEFORE SIONINa.
o.
I horeby Dcknowledge tho ravorso slclo 0' this pono and ngren to It fl8 pnrt Q; thlo contract, lmet tllot the Ironl nnd Iho bock hnreol comprls8 Iho
ontlro noreomflnt tlfloctlnO Ihls ardor. No other noref?mo.,t or unclorBtnndlng K""l rOJure concorn. Ino sllma hns beon mil. "0 .or entered Inlo. I hnvo
rond, dlscussod nnd undorswnd Iho lorm8 Jlnd condlllona 0' this ooroomont horo ':f'~; \
_ 81 NIN ~....; SON~LY AND FOA THE CllS~O~:~R
'4f7 );; ,"SSEE X IJ. 1 d (X )-.-/""- I 0 f I ~ I'\' .
FOR;; E LESSOR OrTE) l'ITL.E
, l' ,e. /1~/;"71 PRINT
NAME
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CERTIFICATE OF
SUBSTANTIAL
COMPLETION
AlA DOCUMENT G704
Distribution to:
OWNER 0
"RCllIlCCT 0
CONTRACTOR 0
FIELD 0
OTHER 0
1 RECEIVEO-
1
NOV 20 1991
'EFf~riSON COUNTY
J8L1C WORK8 D!;;PT.
PROJECT: BOIL.E~ F"L.UI!; ~EL>"',oma.l
(name, address) SO'Z. SHB2.C1....t.,)
1"~... lo...:1I.)551.W WA QS3&,e
ARCHITECT:
OWIJS
ARCHITECT'S PROJECT NUMBER: MGc. 978
CONTRACTOR: AAA MMO...e... r.ESTO~ATIOIo.l
CONTRACT FOR: '80".....12. FL.LU! -esu::>uA'TIOI.l
TO (Owner):
(:'re""e2S01o.) C!.o...ur... I
'DEI'T OF &s"c. WO~C!>
1'.D Be" f2.Z-0
i::'=-rOWI.>5EI.l.D/ WA Qe3foS -'
DATE OF ISSUANCE: /lJaJ I~, 1991
PROJECT OR DESIGNATED PORTION SHALL INCLUDE:
CONTRACT DATE: 8' -" - <i (
The Work performed under this Contract has been reviewed and found to be substantially complete. The Dale of Substantial
Completion of the Project or portion thereof designated above is hereby established. as ~cr 9J 199'
which is also the dale of commencement of applicable warranties required by the Contract Documents, except as Slated below.
DEFINITION OF DATE OF SUBSTANTIAL COMPLETION
The Date of Substantial Completion of the Work or designated portion thereof is the Date certified by the Architect when
construction is sufficiently complete, in accordance with the Contract Documents, so the Owner can occupy or utilize the
Work or designated portion thereof (or the use for which it is intended, as expressed in the Contract Documents.
A list of items to be completed or corrected, prepared by the Contractor and verified and amended by the Architect, is
attached hereto. The failure to include any items on such list docs not alter the responsibility of the Contractor to complete all
Work" in accordance with the Contract Documents. The date of commencement of warranties for items on the attached list will
be the date of (inal payment unless otherwise agreed to in writing,
OW"-JEta
ARCHITECT
OV--.
DATE
The Contractor will complete or correct ,he Work on the list of items attached hereto within
(rom the above Dale of Substantial Completion~
A AA MA~I.lIi!.'" ~~"f"e,ll;TI~~
CONTRACTOR
9~~-
//-/'-9/
DATE
~<??
/
s:-
The Owner accepl!i the Work or designated portion thereof as substantially complete and will assume full possession thereof
at 12:D, A.M (tlmeJon 0",.,. 10,1991 (datel.
Aa_, a ~J<C-- I fd 42-
, DAl~-
;:r~I'1"J:;p",~) I'.au.~' -l',.RLlt' W~
OWNER
BY
~ ..'
rhe responsibilities o( the Owner and the Contractor (or security, maintenance, heat, utilities, damage to the Warl.,
and insurance shall be as follows:
(NOfe-OwnN'~ and Ccnlr,lelor's ICRill and Imurance ccumel should dC/f>fmlnl' ,1ml rl'V;l'W inwr.1llce requlremcnl.~ and covl'riJse; Contr~clor
shilll secure con.Hl'nl of surely company, If ,lilY,)
p
AlA DOCUM(NT G704 . CERTlFIC^TF. or SUBSTANTIAL COMPLETION . APRIL 19711 EDITION . AlAI!
It) 1978' Tilt AMERICAN INSTITUTE or ARCHITECTS, 171S NEW YORI< AVE" N,W., WACjH1NGTON, D.C. ;1000(1
C;704 -1970
,\; \
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CERTIFICATE OF
SUBSTANTIAL
COMPlETION
AlA DOCUMENT G704
r~
NOV 20 1991
Distribution to:
OWNER
ARCIIIHCT
CONlRACTOR
FIELD
OlHER
'EIVED
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PROJECT: EOILeE. FLU~ ~ElloJlma.l
(name. address) BO~ SHS""""u
;:,,,,,,,..- \OWlI.>S"1.lll WA QS3"l?>
J
ARCHITECT: Ow~lrt.t:;tl': ':\If/:1KS DEPT.
ARCHITECT'S PROJECT NUMBER: MGc. 978.
CONTRACTOR: AAA M~o..e" reSTOIZAT.OI-l
TO (Owner):
f"'j'el'I'ees.ao..) ~u.=y
1A;;!>T aF R...B~lc. Woz:t:~
"P.D Be,,, 12.l.o
-:rOl!:TIOulj.)SEUl>,WA 'lS3'-S
L
DATE OF ISSUANCE: No.! 1:3, /991
PROJECT OR DESIGNATED PORTION SHALL INCLUDE:
I
CONTRACT FOR: BOIl....e. Fuuo ~SL.lo\JA"O'~
.J
CONTRACT DATE: S'-b -.p I'
The Work performed under this Contract has been reviewed and found to be substantially complete. The Date of Substantial
Completion of the Project or portion thereof designated above Is hereby established.as t!Jt::r 9, 199/
which is also the date of commencement of applicable warranties required by the Contract Documents, except as stated below.
DEFINITION OF DATE OF SUBSTANTIAL COMPLETION
The Date of Substantial Completion of the Work or designated portion thereof is the Date certified by the Architect when
constrlJr:tion is sufficiently complete, in accordance with the Conlract Documents, so the Owner can occupy or utilize the
Work or designated portion thereof for the use for which it is intended, as expressed in the Contract Documents.
^ list of items to be completed or corrected, prepared by the Contractor and verified and amended by the Architect, is
attached herelo. The failure to include any Items on such list does not alter the responsibility of the Contractor to complete all
Work' in accordance with the Contract Documents. The date of commencement of warranties (or items on the attached list will
be the date of final payment unless otherwise agreed to in writing.
OWI.JEiIa.
ARCHITECT
BY
DATE
The Contractor will complete or correct the Work on the list of Items allached hereto within
from the abpve Date pI Subslantlal Complellon;
days
A AA MI.~I.lI!."( fE~t>t!mIO/.l
CONTRACTOR
s;f_v~t/~ /" P::~:-
//- /8'- ?/
DATE
The Owner accepls the Work or designated portion thereof as SubSII,ntially complete and will assume full possession Ihereof
at IZ:D, A.M (time) on DC'_... 10,1991 (date).
.d,~, a;?~
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OWNER
BV
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DATE
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The responsibilities of the Owner and the Contractor for security, maintenance, heal, utilities, damage to the Work
and insurance shall be as follows:
(NOle-Own~r',~ and ConlriJctor'5 leg,'1 dnd InJu,anc.e coum('/ should dNNmlnf' ,md r('view InJur.mc,.' wqulrcmcnB and coverag(l; Conlractor
s',all sccule consent of Jurely company, If .,ny.,
AlA DOCUMENT G704 . CERTIFICAT[ or SUBSTANTiAl COMPLETION . ArRIL 1916 [DITION . AlA_
Q) 1918. THE AMERICAN INSTITUTE Of ARCHITECTS, 11J5 NEW YORK AVE., N,W., WASHINGTON, D.C. 2000(,
G704 - 1978
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January 27 J 1992
DEPARTMENT OF LABOR AND INDUSTRIES
STATE OF WASHINGTON
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
PO BOX 1220
PORT TOWNSEND WA 98368
Account 1D: 513,928-00
AAA Masonry REstoration
Contract No. Project #MSC 978
Gentlemen:
ritl;t:'Yt:""
JAN 29 1992
JEFFERSON COUNT
ollRI I" ,^""Q!<,C' ..,r-
Please be advised that the Department of Labor and Industries does hereby release
Jefferson County from any further liability pursuant to RCW 51.12.050 and RCW
51.12.070 as would otherwise incur in connection with a contract calling for
lowering height of boiler flue at the Multi-Service Building.
This certificate does not reLease AAA Masonry Restoration from liability for
additional contributions which later may be determined to be due with respect to
the above mentioned contract or any other contracts said contractor may have
performed.
;;;:;:; ~~
Kaye. Kjprleug
Administrative Assistant
Contractor Compliance Unit
Phone: (206) 753-4398
CCUl.KK: lcd.i5
cc to
AAA MASONRY RESTORATION
24215 BRIER ROAD
BRIER WA 98036
~1"3
,,' ">',~f:!.~~\i'lfl";~)'~':.i:tN.~~:~~';i}~'~,,?~~ifb:~~\~~~~.:I:,;.~~..' ,;,:,~:':"
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January 27, 1992
DEPARTMENT OF LABOR AND INDUSTRIES
STATE OF WASHINGTON
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
PO BOX 1220
PORT TOWNSEND WA 98368
Account 10: 5131928-00
AAA Masonry REstoration
Contract No. Project #MSC 978
Genclemen:
Please be advised Chat the Department of Labor and Industries does hereby release
Jefferson County from any further liability pursuant cO RCW 51.12.050 and RCW
51.12.070 as would otherwise incur in connection with a contract call ing for
lowering height of boiler flue at the Mu~ti-Service Building.
o
This certificate does not release AAA Masonry Reocoration from liability for
additional contributions which later may be determined to be due with respect to
the above mentioned contract or any other contracts said contractor may have
per formed.
:;;;;; ~~
Kaye Kjorlaug
Administrative Assistant
Contractor Compliance Unit
Phone: (206) 753-4398
CCUI.KK: Icd.IS
cc to
AAA MASONRY RESTORATION
242t5 BRIER ROAD
BRIER WA 98036
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State of Washington
Department of Revenue
Audit Procedures & Administration
Olympia, Washington 98504.()()90
600 641 381
o Certificate of Payment of State Excise
Taxes by Public Works Contractor
l 11-;.:;.!.:: '..1 ,.:~' ,~i~
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t
JJl.N 1:3 1992 ~
1 1.". --:'.]);'JT'(
. ;)~PT.
Contractor:
AAA MASONRY RESTORATION CO
24215 BRIER RD
BRIER WA 98036
We hereby certify that taxes, increases and penalties clue or to become due from the above named
contractor uncleI' Chapter 180, Laws of 19:15. as amended, with respect to the following public works
con tract:
JEFFERSON COUNTY
LWR HEIGHT OF MASONRY BOILER FLUE
o
together with nIl other' tnxeH, incl'cnses flllO pennlLicR due fl'om such t'olltt'nclor, hnvc been paid in full
01' that they m'c, in thc Depnrtmcnt's opinion, readily collectihle without rCCOUl'se to the state's lien on
the retnined pCl'ccntngc,
'rhis cel'Uncate is issued pursuant to the I,,'ovisions of Chapter 60.28 Revisecl Cocle of Washington
for the solc purpose of Informing the state, county OJ' mllnieil',ll "rn""r chm'ged with the duly of
disbursing or nuthorizing the paymcnt of puhlic funcls to said contr'actor that the Depurtmenl of
Ill.'\'CllUe hCl'chy I'CIOI1HCS the :-llHlp's lil'n on thc ,'eluincd pCl'l~(mlllgc pl'nvirled by this Chaptet' 1'01' ex-
ciHe taxes clue from Haiel contl'uclor.
This cCl'tillcntc dOCH not I'clea;-;c ~mid contl'aelO!' 11'om liabilily fOl' nclditionnt tax which mny be Inter'
determinecl to be clue with I'espect
te the above mentioned contl'net 01' other activities.
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Dnte nt Olympin, Wnshington,
u
~'rATB Ql<' W ASIIlNGTON
(,.\", "?BI'An.'rMB'~J OF RFNBNUB
;x5ft:Ct:!//!t(.!,U'1"'J
. SUE MORRIS
CI~rtl(/Jltlfl OOlr'lor
IHHITIN<l While ('IIPY lli~hllr~iI111 Oll'il.:cr, ('ul1nr)' ('UP) ('nnlradur,
Pink ('Ull)' File, Cillhlenrnd ('n!"y Spl.'cilll File.
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. 80x 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe. P.E., Director
Rober' G. Nesbitt. P.E.. County Engineer
Att'n: Sue Morris
State of Washington
Department of Revenue AX-02
Audit Procedures & Administration
Olympia, WA 98504-0090
Ref: Jefferson Co. Mlltl-Service Bld'g.
Project #MSC978
Sub: Clarification of Bid Amount
December 17, 1991
We have attached for your clarification and use a notarized leller from AM Masonry
Restoration specifying the actual Contract amount as $22,933.00 plus $1,788.n
W.S.S.T. for a Total of $24,721.n.
We concur that this Information is correct and represents the actual contract costs as
bid for this work.
o
Should you have any questions or comments please call our office.
Sincerely,
~p
Project Manager
c.c: file
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RECEIVED;
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AAA
MASONRY RESTORATION
JIM VAUGHN
24215 BRIER ROAD
BRIER. WASHINGTON 98036
(206) 483.8609
DEe 1 7 1991
JEFFERSON COUNTY
PUBLIC WORKS DEPT.
Att; Sue Morris
Dept.of Revenue
State of Washington
Dec.16,1991
..
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,
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Multi Service:
repair of rempin-
!
Plus $1,788.77 sales tax,for a I
rly; ~~
? V'~A
James E.Vaughn i
flkt::nrY~ReO'7A'
Regarding contract amount for job completed at Jefferson County
Facility in the city of Port Townsend. Demolition of top twenty five feet,and
ing fifty feet of smoke stack.
The orignal amount of contract was $22,933.00
total of $24,721.77
Subscribed and aworn to before me
TIiIS DATE /-z... / Ii..- ('1 I
~ry public in and for t~e st~ j
~)AS:~I""'G:To I ~-D'
S1gnatu ~m'
Reaiding €v t."'-E..iT
My comieaion expirea on .' I ! '1 S"
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Complete & mail entire set
WITH, APPROVAL FEE OF $12.50
~ Department of Labor & Industries
~ ESAC Division
406 Legion Way SE HC710-3
Olympia WA 985044401 (206) 753-4019
TO:
~"_.,..
,-~..\
;.:'~'.
Affidavit of
PREVAILING WAGES PAID
Public Works Contract
INSTRUCTIONS
ON BACK
.. ... ......._..~...,.._..".,... ... . ". ;"Co~u~~t"~~'BPW "No'~'
\.. YOUR APPROVED COPIES WILL BE MAiLED TO " THIS ADDRESS': MSC978
Name"'" .."...................~'.... . :.'B.j<fduc'dare....
AAA MASONRY 7-22-91
Ad.dfess'..N...._W.,........_....,.,.,~..... :"Cc;unty'wher~'w'ork'perlom.'ed'" Date"work compleied
2421~)l~;I:Jglg()AI:l . JEFFERSON COUNTY 10-17-91
thy' .....stniC.....ztp.. ,-, 'Prime"contractor
. ......... AlDERWOODMANOR .. WA . . ...... ... 98036 AAA MASONRY
Pleass 'siiow"s"miiii;;,unto/1'O";o"';'s""i/orki;;g day;;i",' p;oc8ss/ng" '(rom",I,s'" ,,-, .."...\Va.~.'a "s'tate'mcn"i"of"inten"t' thed 'f{)'r 'ih"is-pro:iect'!
. .,...,~~~~, t~fJ, D~partment ,r~~fJ!ved your ~ocun:fJ".t with ,th~ ~o"e~t ~pp~oval fB,B~, Ye.o; :"X'; No
'cciNi'RAcrAwARbiNi'i'ilam...................... ..... .... ...,..... ...
PUBUC AGENCY JEE'fEI<SON COUNTY DEPT. OF PUBLIC WORV.s
"Xd'dress' . ,.. ........ ...... ""... "".. . . ....cTiy.... ......sUit.c'..zyp. 'piioile' number
.... ..... ~O'2S~.IDAN ..I?T~.:rc>\VNSEND ... .......~A.98~68 .............. (206 )385...0327
1. CRAFT 2. RATE OF 3. RATE OF HRLY '4. APPRENTICES: Name. rcgistrati~~.H,
HOURLY PAY :, ~~.9.~.~.~.~~~~ : ~t,~.~,~._c.':~.pt:?g.ression & date of hire
CARPENTER
lABORER
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'"'''ATi'ON''is''CORRECT''' ..
IS WORKS
VAl AGE RATE
TIC THe:
UN THAT
1 ~~ 'IM"
PR UaJECT
X~ ,;;J. _..., PAY
.. NOTARY; (complol. 4 copl.. .nd,~~"fhM.''1'ffj;-l:.
\~DUD30RlD!:T'l MlO G'~ORN TO o:rORt ~t~~~..... ;.... '1)1-1.~
TIll. DAT< I'.. I Ov. .~'LI.~II,::~(~\SS\ON /;-t.o" \( "\.
NOT^RV PUDI..IJ'ir1 ^ND '..of1fl~ '^Tt ~ \,\OTAA yo i1?~... "J\
. :or W(:\~B:\NG~: dl: '\
"'O"otT~U~r. ~_. ~
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,(' IG f\~(L %..... ,10,\~"'~ ~
,i,;:J M~OMM""ON r.XPIR<. ON ~~ .......... ...\~~.,l
d' <.c::Dr 10 \C\ct~- OF W{>..ro~~;)J"
P700.oor.'tmir...;tMdllv\l 0\' wlIgesd.fi~+,,,_,,,"'1
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. .., ....Oiiie.contt3Ct awarded
19.34 ./
16.53 -
3.50-
3.55 -
.RECEl\!ED
. .0I::0J .OJ991
yt=FF'!;f]:;)QN.GOUNTY
PUBLIC WORKS DEPT,
...... . ... :\\:a5~Ld6 /d,,6Q
Name and address of company completing this fonn:
~"C~'mpnny"n~m'e"
:...JlEilG.Ir.Ql1IPMElrI& ..~CAFF01.DINc::.. CO, / INC.
: Addre!!s
, .. 2130 EAST D STREET
! 'city'" . "SO'lle '"zip'''
, TACOMA WA 98421
\Piiorle"niimh'~'r'" '. "TR'cg'i's'triHion "niinii>C'r
i.+i.t~?6)....38.3:2?351~n~~:S~~'SCii:.. /LJ
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. Box 1220
Port Townsend. WA 98368
(206) 385.9160
Gary A. Rowe. P.E., Director
Robert G. Nesbitt, P.E., County Engineer
Att'n: Sue Morris
State of Washington
Department of Revenue AX-02
Audit Procedures & Administration
Olympia, WA 98504-0090
Ref: Jefferson Co. MUll-Service Bld'g.
Project #MSC978
Sub: Revised "NOTICE OF COMPLETION"
December 3, 1991
I am Inclosing for your use three (3) copies of the revised 'NOTICE OF COMPLETION OF
PUBUC WORKS CONTRACT".
Please disregard the previous form which had the Incorrect contract amount on It. The
correct contract amount Is $24,721.n (Including State Sales Tax), as stated on this
form dated 12/2/91.
Also Inclosed per your request are copies of the following original documents:
- Bid form: daled July 18, 1991
- Owner's lelter of 'Intent to Award": dated July 25, 1991
. Contract: dated: August 6, 1991
- Contractor's Application for Payment #1: approved October 2, 1991
- Contractor's Application for Payment #2: pending release from Washington
State departments of L&I and Revenue.
Should you have any questions or comments please call our office.
~~
Frank Hall
Project Manager
c.c: file
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Reg. No.:
NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT
Dale:
From: -:rSI"~Eesoo Cw/JrY
l)ePAltT).IB.JT .oF 'PUBL.It: \.IJo~K.5
An'..::!: F2AI.>K HAL.L
l' D 60'>< ,'Z. ZL>
-:P()~Ij)W/.l:SEI.JDJ WA 9B3bB
'NWW@tiYtH'DEPARTMENrJUSE::tONLY\1l'ti N1!!i@;fibt
Assigned To
Description of Contract
J...IJt<JEiR
@ ~CJz.
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Notice Is hereby given relative to the completion of contract or project descnbed below.
Conlracto(s Name
AAA
MAsalJlZ.Y'
=24:215
B/I!IEe. ,
1<E6'T'01!ATJt>I.J
tEIZIIU! /CD
WA QL303("
Contracto(s Address
MASD/.JeV eO/LEitZ. F"Ut~
1?:,TZ'T~WIoJSe-IoJD~ WA
Telephone No.
20Go) 4B3-"'~
~
Date Wor1< Commenced
-6EP1 3J /9'1/
Surety or Bonding Co. WIlIV~ PEe 1Zt!1.tJ 39.08.010
... 1?ETEJJT/OI.J aF i!",/JTfiUleT II/ofOPIJT IAJ LIEU OF I/IJI.JCI .:
Agent's Address
Contract Amount: $ "* :;24,72/.77
Additions:
Sales Tax: 11Vt:.L./.I.OSCl
Date Work Completed
OCT "1J I '1q (
Amount Disbursed:
$ 1~,Zo7,33
"* 1:2. 5/4.44
~ ~4 7 :l /. 77
Amount Retained:
Total:
B~L~/
(DisbJrslng Offalr)
Phone No(ZOb) g,q5-'i/fL,O
.111\ The Disbursing Officer must complete and mall three copies of this notice to the Departmenl of Revenue, Olympia,
\;,;.,.l Washington 98504, Immediately efter acceplance of the wer1< done under thle conlract, NO PAYMENTS SHALL
BE MADe FROM RETAINED FUND until receipt of Department's certnicate, and then only In accordance wllh said
certlllcale,
FORM REV 31 0020 (2-86)
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DOCUMENT 00310
BID FORM
Proposal of
AAA MASONRY RESTORATION CO. 24215 Brier Rd. Brier.Wa.98036 483-6609
(name. address. telephone number of bidder)
Proposal for BOILER FLUE RENOVATION AT the Jefferson County Muhi-Servlce building located ai 802
Sheridan, Port Townsend, WA. .
To: Board of Jefferson County Commissioners
P.O. Box 1220
1820 Jefferson Street
Port Townsend, Wa 98368
Dear Sir:
. The Underslllned, having examined the site of the proposed work, Drawings. Specificalions. and related
documents, being familiar with all of the conclilions relaling to the construction of the proposed project,
Including the availability of materials,servlces, equipment and appfiances required In connection with or
Incidental to said construction In strict conformance with the above mentioned documents, 10r the Base
Bid Amount of:
Twenty four thousand,seven hundred twenty one dollars and seventy seven c.ents
Do1Iars
($
21,,721.77
,
NOTE: The above Base Bid Is Inclusive of Washington State and Local Sales Taxes.
All appficable taxes which the Contractor Is required 10 pay as herein specified shall be Included by him In
his various bid price(s) or any other cofTllenSallOn to be paid to him under the contract.
TIME OF COMPLETION & UOUtDATED DAMAGES
We agree to col1l>lete the work of this contract within a period 01 30 calendar days beginning on Ihe
effective date of Notice to Proceed. In the evenl that the work Is not completed at said tlme,the
Contractor agrees to forfeit to the Owner 8S liquidated damages the sum of Three hundred Dollars
($300.00) for the first calendar day and One Hundred Dollars ($100.00) for each and every additional
calendar day the work remains uncompleted.
ADDENDA
Receipt of Addenda numbered ---!..--, _, _, are hereby
acknowledged and all cost of work therefore have been Included In this proposal.
The Contractor Is hereby advfsed thai by slgnalure of this proposal he Is deemed to have signed the
following non-collusion certificate required for this project.
CONFIRMATION OF SITE REVIEW REQUIREMENTS
OJrrepresertatlve TA!"PA F. VAllohn
reviewed the project site on ,,-, ?-"1
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DOCUMENT 00410
BID GUARANTEE
The undersigned fumlshes herewith bld guarantee In the amount of 5% 01 the total 01 the base bid
proposal. This bld guarantee warrants that the undersigned will not withdraw his proposal lor a period 01
thirty (30) days alter the scheduled closing time lor the receIpt of proposals. That" this proposal Is
accepted, the undersigned will enter Into a lormal contract prepared by Jellerson County and that the
required performance bond and payment bond will be given. In the event 01 the withdrawal of this
proposal within the period sllpulated above, or the failure of the undersigned to enter Into a contract and
give the required bonds within the ten (10) days alter the undersigned has received notice of the
acceptance of this proposal, the undersigned shall be lable to the OINner for the fuil amount of the bld
guarantee as Iquldated damages on account 01 the delautt .01 the undersigned.
" a bld bond Is used.. 1\ shail be submitted on a fonn furnished or approved by the County and s1gned by
the bidder and his surely col11lany. The sureties attorney In fact ITlJst be regIstered with the Washington
Slate Insurance Conllnsslon. .
AAA MA~nNRI Rp.~TnRATTnN rn
Bidder
JAMES E. VAUGHN
By
'lIt?' c;. ~:r; ""'.... 11,.1
Street Address
BRIER
CIty
WASHINGTON
Slate
9B036
Zip
"0':' I.O':t I'..,:.na
Telephone Number
AAAMAS14400
State of Washington, Contractor Registration Number
End 01 Document
DOCUMENT 00410
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NON-COLlUSION CERTIFICATE
The undersigned, being duly sworn, deposes and says that the person. linn, association, co-partnership
or corporallon herein named, has nol, ehher directly or IndireclIy, entered Into any agreement, participated
In any collusion, or otherwise taken any action In restraint of free competitive bidding In the preparation
and submisslon of this proposal to Jellerson County for hs consideration In the award 01 the contract.
The Contractor lor hlmsell, and for his heirs, execulors. administralors, successors, assigns, does hereby
agree to the lull performance of all the covenants herein contained upon the part of the Contractor. -
It Is further provided that no lIablnty shall attach to the County by further reason of entering Into tills
contract, except as expressly provided herein.
IN WITNESS WHEREOF, the Contractor has executed this Instrument, on the day and year first belo'o'l(
written.
Execufed by Ihe Contractor ~ ~ ,1991
~ ~~~~i-r~-~-
~~
Foregoing contract approved and ratified
,1991
Surety
Attorney-In.fact
On this day personally appeared before me ~ e. d~known to me to be the Individuals
described In and who executed fhe within and foregoing Instru ent, and acknowledge that they signed
the same as their Iree and voluntary act and deed,forthe use and purpose therein rnenlloned.
Given under my hand and olllclal seal this I~I ~ :1991,.
1/
E"d of Document
DOCUMENT 00310
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
~~~i;~;:;;;&>'~
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1820 Jefferson Street
P.O. Box 1220
Port Townsend, WA 98368
(206) 3B'5-9160
Gsry A. Rowe, P.E.. Director
Robert G. Nesbitt, P.E., County Engineer
AII'n: Jim Vaughn
AAA Masonry Restoration
24215 Brier Road
Brier, Washington 98036
Ref: Boller Flue Renovation at
the Jefferson County Multi-Service Bldg.
Sub: Contract for Project # MSC978
The bids were opened on July 22 for the Multi-Service Building Flue Renovation
Project. The Board of County Commissioners has approved the Department of -
Public Works to proceed with award of this Contract to AM Masonry Restoration
for the bid amount of $24,721.n (Including Washington State Sales Tax).
25 July, 1991
p
You are requested to remove the contract forms from the bid package and make
three copies. Completely fill out these forms In triplicate and submll with
original signatures on each copy. One copy will be returned 10 you with the
necessary signatures to Inlllate the Contract,
-Contract (Document 00500) two sheets
-Contract Bond Form ( Section 00600) two sheets
(with a copy of the Performance Bond)
In addition to these documents you will need to 1111 out one copy of the
CONTRACTORS DECLARATION OF OPTION FOR MANAGEMENT OF STATlTTORY
RETAINED PERCENTAGE (DOCUMENT 00661) one sheet.
Upon receipt of these documents we will proceed with Issuance of the Contract and
Notice to proceed.
Sincerely,
~~
Frank Hall
Project Manager
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100% Recyclod Papor
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DOCUMENT 00500
CONTRACT FORM
CONTRACT
JEFFERSON COUNlY, WASHINGTON
THIS AGREEMENT, made and entered Into this .....h dayof AlIPll~t ,1991, between the
COUNTY OF JEFFERSON, acting through the Jefferson County Commissioners and the Director of
Pub~c Wo~o\S under and by virtue 01 Tille 36, RCVl, ssamended and ... M.onnrJ "~o.nr..; nn Co.
d. Buer Wa. hereinafter calle the Contractor.
WITNESSETH:
That In conslderallon of the te""s and conditions contained herein and allached and made a part of this
agreement, the parties hereto covenant and agree as follows:
The Contractor agrees fo furnish all materials and do certain work, to-wit: Thatlhe said Contractor
herein will undertake and co"l>lete the following described work: Furnish all labor, equipment and
coordination necessary to renovate the Boller Flue at the Jefferson County Muffl-Servlce facility
located at 802 Sheridan, Port Townsend, WA,ln accordance wllh and as described In the
attached specifications and the terms and conditions herein contained and shall at the owner's
dlscrellon perform any afferalions In or addillons to the work provided under this contract and
every part thereol.
The Contractor shall provide and be at the expense of all equipment, wor1< and labor of any sort
whatsoever that may be required lor the transfer of male rials and for cons1ructlng and completing
the work provided for In this contract and every part thereof, except such as are mentioned In the
specifications furnished by the County 01 Jellerson.
2. The County of Jefferson hereby promises and agrees with Ihe Contractor to e~roy, and does
employ the Contractor to provide the materials and to do and cause to be done the above
described work and to complete and finish the same according to the attached plans and
speclflcallons and the terms and conditions herein contained, and hereby contracts to pay for the
same according to the attached specifications and the schedule 01 unit or itemized prices hereto
attached, at the lime and In the manner and upon the condlllons provided lor In this contract. The
County furiher agrees at the County's dlscrellon 10 employ the Contractor to perform any
aherallons In or additions to the work provided for In this contrac1that may be ordered and to pay
for the same under the terms of this contrec:t and the allached plans and specifications,
S, The Contractor for hlmseff, and lor his heirs, executor, admlnlstralors. successors, and assigns,
cloes herehy agree to the lull perfomlance of all the covenants herein contalnecJ upon the part 01
the Contractor,
1.
4,
it Is further provided that no lIablflty shall attach 10 the County by leason of entering Into this
contract, except as expressly provided herein.
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IN WITNESS WHEREOF, the Contractor has executed this Instrument on the day and year tlrst below
written. and the Board 01 County Commissioners has caused this instrument to be executed by and In the
name of said County of Jefferson the day and year first above written.
Executed by the Contrac1or
AURust 6_
,4,04.11. M~C!nn,..y
Contractor
::::::::'~ 9-~ /" d'~
James
By
Foregoll)g Contract Approved and Ratilled
RCW 39.0B.OlO
see below
Surety
By
At1omey~n-Fact
,1991
,1991
Member
Approved as to form this --9.!:::day 01
~c ::...~
ProsecuUng Attorney
* We request the elimanation of the performance bond per state RCW 8uirlelines where
contract unrler $25,000_00 does not require such bonding.
A.,;,\3 .....'l!" "t-
End 01 Documenl
DOCUMENl 00500
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Jefferson County Department of Public Works
Contract Closure I Retained Release Schedule
Arch~ecturol Projects
P ROJ E CT TilL E: ~GJZ.-'d~~LO.E.._.1fp~_E..L/.JE:.._________
FACILITY: t11,O!<L'-.2E'E':!.!fSL_.J?_<d?.~ PROJECT NUMBER:.M..~.r~~:?..&!___
CO NTR AC TO R: __AAA__~Q.blR:l:__________________________
Address:
__~_~~l~___~le$~__€:D_________________________
C11y: __J3~______________ State: _ill&....._ Zip: QB03{, _
P R OJ E CT COO R 0 I N AT 0 R : _...E&AIJ~__8~~_____________________
Documen1:
Completion letter to Contractor and Interes1ed parties:
Final progress payment to Con1ractor:
Final Contract Voucher Certification to Contractor:
Noltce of Completion to Deportment of Revenue
Notice of Completion to L & I, Con1ractor Compliance Un~
Certlflco1e of Subs1antlal Completion (AlA G704)
Consent of Surety to Final Payment (AlA G707)
Contractors Affidavit of Payment of Debts and Claims (AlA G706)
Contractors Affldav~ of Release of Liens (AlA G 706A)
Affidavit at Wages Paid - Contractor al1d Subcontractors
Notice from Contract Compliance Unit
Certlflco1lon from the Department of Revenue
Retolnage:
Total Contract Amount:
5% Retained
. ;~""'--..~'~"',
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Interest on retained amount:
Subtotal (Retoinoge plus Interest)
Total Liens against the retolnoge'
Total retolnoge less liens
Retoinoge dispersed 10 Contractor
. Attach Lien Detail
1:.J,:'~;:,"ii::A:~'~1i.t.:f?~~-,~,~~~;'~~ . . '
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By:
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JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. Box 1220
Port Townsend. WA 98368
(206) 385-9160
Gary A. Rowe, P.E., DIrector
Robert G. Nesbitt, P.E., County Engineer
AU'n: Kaye Kjorlaug
Contractor Compliance Unit
Dep't. of Labor & Industries
905 Plum St., SE, HC-214
Olympia, WA 98505
Ref: Jefferson Co. Miltl-Servlce Bld'g.
Project #MSC978
Sub: Revised "NOTICE OF COMPLETION"
December 3, 1991
I am Inclosing for your use a revised copy of the "NOTICE OF COMPLETION OF PUBLIC
WORKS CO'lTRACr.
Please disregard the previous form which had the Incorrect contract amount on II. The
correct contract amount Is $24,721.n (including State Sales Tax), as stated on this
form dated 12/2/91.
Should .you have any questions or comments please call our otnce.
Sincerely,
~~
Project Manager
c.c: file
100% Aocyclod PAper
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Reg. No.:_
Date:
NOTICE OF COMPLETION OF PUBLIC WORKS
From: -:::rS"'~E'esoo Ca..urv
'DePAlttME\.JT DF 'f'uBI.Il: WOl/:1::5
,1m'!.), ~lJ" HAL.L
1'D 60.< I'z.z.o
l'oRTTow/oJ5EI->D, WA !383bB
M%it%@fYiiDEPARTMENT.;USEiONLYtil'!>MfiiANiHV/
Assigned To
ate sign
Notice Is hereby given relative to the completion of contract or project descnbed below.
Description of Contract
J..tf)/dER
@ c20oZ-
HE'i:HT I!>F MAS"IJf!.V e""E~ F'L.LtE'
"5JlelZlt7AI.) j 1?Jn-r;,UJ~EAJ./>_. WA
Telephone No.
"Z.ot..) 483-"'~
Contracto(s Name
AAA MASDIJI2."t' 1<a;.,.~r:A-r/~ ~
:24215 JB/ZIIUI. /CD
B/ZIEl!.. WA '1803(,>
r Dale Work Accepted Date Work Commenced
.. Oc.T ~ I~f/ 6ePT 3J /99/
Surety or Bonding Co. W1/lvero PEfZ. lCew 3'1.tJB.OIO
.. 1lETEI.:JTI.o1J OF ntJlJT'l!/Ia 1I~t<1JT IIJ LIEU OF 8.01.)0 ~
Contracto(s Address
Date Work Completed
Ocr l':/, /'11 {
Agent's Address
Contract Amount: S "* ~4,72' .77
Addnlons:
Amount Disbursed:
$ 1'2.,207.33
"* 125,4.44
7' ;Z4 72/.77
Amount Retained:
Sales Tax: 1/oJ('L. U DeD
Tolal:
Total:
By 4"AAf<L vdI.#
~ (DisbJrsi'\'j 0Ifcer)
Phone No.(206 ) 38S - 9/{,o
o The Disbursing Ofllcer musl cofl1)lete and malllhree copies of this notice to the Department of Revenue, OlympIa,
Washington 98504, Immediately alter acceptance of the work done under this contract, NO PAYMENTS SHAlL
BE MADE FROM RETAINED FUND until receipt 01 Departmont's certllcate, and lhen only In acoc.rdance whh said
certKlcate,
FORM REV 31 0020 (2-86)
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Date:
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NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT
WW)hMWWWDEPARTMENT'iOSE?ONLYJM?;:!i.Nii@@iM
Assigned To
ate slgne
Description 01 Contract
I
h.lJUJER.
@ l2loZ.
Notice Is hereby given relative to the completion of contract or project described below.
IIElt:H'T' ",,r MASo"'f!:""
"!5kE:1i!/1?A/J j
Contractofs Name
AAA
MAStjOfZ.y
:24:215
B~ 1I.e. ,
BOILER. P'UI e'
1?:,/Z'T-roW~€AJDJ WA
Telephone No.
2C(o) 4a3-"'~cp.>
.~:. '''';'''~l':,t.t'~~~'f",:!t,.r.~~.,: .1.".
'.
l"~ The Disbursing Officer must complete and mall three copies of this notice to the Department 01 Revenue, Olympia,
I..",;.IWashlngton 98504, Immedlatoly after accoptance of the wort< done under this contract. NO PAYMENTS SHALL
BE MADE FROM RETAINED FUND until receipt 01 Department's certHlcate, and then only In accc.rdance with said
certHlcate.
f(1Y.G'r()~k'T'lOlJ t.:,
E31i! IIUl. Ii? D
WA Qao3I.P
Date Wo/1( Commenced
6EPT 3,199/
kh/tve:o PG1!!. Iet:!.W 39.aB.%
;r RETE:J.JTIOO .oF dolJTli!At:T AJ.10t<1JT '/J LIEU I<IF eOI.J{J ~
From: ":Jsl'f=eesoo C-a.urY
'DEPAR:Tt-IB.rr .oF 'PUBL..le Waei<:5
An' I.) , fitAl.)~ HAt.1.
l' 0 BCh< I 'Z. ZD
-:Po= TllWJ.),sEt..lD, WA 983"'8
Contractofs Address
Date Wort< Accepted
OC.T t:I, ,~'1/
Surely or Bonding Co.
Agent's Address
Contract Amount: $ "* ::24,721.77
Additions:
Sales Tax: I"'Cl.UOBO
Total:
FORM REV 31 0020 (2.86)
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Date Wort< Completed
Ocr 1, l'Iq(
Amount Disbursed:
$ 1:2,2.07. :33
"* 12!S/4.44
l' 1.4 711. 77
Amount Retained:
Total:
By ({ZIA,~L ~/
-- (D'sburslng OffIOll~
Phone No. (1,<'){-) ..q,q.c;' - -1/ he>
~
TO (Owner)
[JEFFERSON COUNTY DEFT .OF PUBLIC -,
WORKS
POBOX 1220
~ORT TOWNSEND,WASHINGTON 98368
PROJECT: BOILER FLUE RENOVATION
(name, address) Jefferson County Dept .Of Public Works
o
CONTRACTOR'S
AFFIDAVIT OF
RELEASE OF LIENS
AlA DOCUMENT G706A
OWNER
ARCHITECT
CONTRACTOR
SU RETY
OTHER
~~ECEIVED
[XI
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NOV 20 1991
,JEFFbl",ON COUNTY
'j; !1~L1C WORKS DEPT
ARCHITECT'S PROJECT NO: NSC978
CONTRACT FOR: Boiler flue renovation
..J
CONTRACT DATE: 8-6-91
820 Sheridan St. pt.Townsend Wa.98368
State of:
County of:
The undersigned, pursuant to Article 9 of the General Conditions of the Contract for Construction, AlA Document
A2D1, hereby certifies that to the best of his knowledge, information and belief, except as listed below, the Releases
or Waivers of Lien attached hereto include the Contractor, all Subcontractors, all suppliers of materials and equip~
ment, and all performers of Work, labor or services who have or may have Hens against any propertY of the Owner
arising in any manner out of the performance of the Contract referenced above.
EXCEPTIONS: (If none, write "None". If required by the Owner, the Contractor shall furnish bond satisfactory to the
Owner for each exception.)
/ / //"'.~
9~"V/~/4- ?? ?/;;'7/1.--'
Subscribed and sworn to before me this
/ g day of f/O//r' l7?h(A_'
Nolory Public: I'd 117 S".( / lac .t( "1
My Commission Expires: .f / / / q $-
AlA DOCUMENT G106A ' CONTRACTOR'S AFFIDAVIT OF RHEA5E OF LIENS' APRIL 1970 EDITION' AIAiJfl
= 1970 I THE AMERICAN INSTITUTE OF ARCHI'TECi'5, '7)5 HEW YORK AVE., NW. WASHINGTON, D,C. 20006
NONE
a
SUPPORTING DOCUMENlS ATTACHED HERETO:
1. Contractor's Release or Waiver of Liens, condi-
tipnol uppn receipt of IInol payment.
2. Separate Releases or Waivers of Liens (rom Sub.
contractors and material and equipment sup-
pliers, 10 the extent requlrer! by the Owner, ac..
companied by a liS! thereof.
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CONTRACTOR: AAA NASONRY RESTORATION CO.
24215 BRIER RD.
BRIER,WA. 98036
Address:
19 r:)/
ONE PACE
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CONTRACTOR'S
AFFIDAVIT OF
PAYMENT OF
DEBTS AND CLAIMS
AlA Document G706
OWNER []
ARCHITECT 0
CONTRACTOR 0
SURETY 0
OTHER
l RECEIVED
I
NOV 20 1991
JEFFERSON COUNTY
PUBLIC WORKS DEPT.
TO (Owner)
rJEFFERSON COUNTY DEPT.oF PUBLIC ~
WORKS
POBOX 1220
PORT TOWNSEND,WA.98368
L
PROJECT: BOILER FLUE RENOVATION
(name, address) JEFFERSON COUNTY DEPT. OF PUBLIC WORKS 820 SHERIDAN 3T. PORT TOWNSEND WA. 98368
ARCHITECT'S PROJECT NO: MSC978
CONTRACT FOR: BOILER FLUE RENOVATION
-.J
CONTRACT DATE:
8-6-91
State of:
County of:
The undersigned, pursuant to Article 9 of the General Conditions of the Contract for Construction, AlA Document
A201, hereby certifies that, except as listed below, he has paid in full or has other~jse satisfied all obligations for all
materials and equipment furnished, (or all work, labor, and services performed, and for all known indebtedness and
claims against the Contractor for damages arising in any manner in connection with the performance of the Contract
referenced above for which the Owner or his property might in any way be held responsible.
EXCEPTIONS: (If none, write "None". If required by the Owner, the Contractor shall furnish bond satisfactory to the
Owner for each exception.)
NONE
~
SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: AM HASONRY RESTORATION CO.
1. Consent of Surety to Final Payment. Whenever
Surety Is Invplved, Consent pI Surety Is required.
AlA DOCUMENT G707, CONSENT OF SURETY, Address: 24215 I3RIER".&D.
m.y be used (or this purpose.
Indicale allachmenl: (yes ) (no). ._ BRIER. \,ASHING'fON 980. 36 .r::;/
The following supporting documents should be al- ~7 V" / /' r~
tached hereto If required by the Owner: BY: .. - ">;:>7-"""..;;l.- C. r..-/?I..bL ">-
1. Contractor's Release or Waiver of liens/ condl. 1'/ 4
tlon.! uppn receipt of final payment. Subscribed and swprn to before me this
2. Sep.rale Rele.ses or Waivers of Liens from sub-;O day of Y/"!.i""" J". t.' 1~ if /
contractors and material and equIpment sup. ~ Ilv q ",p, ./
pliers, to the extent required by the Owner, ac- )
companied by a liS! thereof. Not.ry Public: ~'.. . ~? J
3. Contractor's Affld.vlt of Rele.se of Liens (AlA (;2111 '.. ,( ( {2 (.1.1' II
DOCUMENT G706A). My Cpmmlsslon Expires: 1/1 I q ()
AlA DOCUMENT G106 . CONTRACTOR'S AFFIDAVIT OF MVMENT OF DEDTS AND CLAIMS . M'RIL 1970 EDITION ONE rACE
AIA~' 1Il '970 . THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW VORl( AVE., NW, WASHINGTON, D,C. 20006
. --. ,.\; \
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Complete" & mail entire set
WITH APPROVAL FEE OF $12.50 TO:
Department of Labor & Industries
ESAC Division
46 Legion Way SE HC710-3
-.,jJmpia WA 98504.4401 (206) 753-4019
~,.......-
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'..;'" .
Affidavit of
PREVAILING WAGES PAID
Public Works Contract
INSTRUCTIONS
ON BACK
'" "' ,..."... .
YOUR APPROVED COPIES WILL BE MAILED TO V THIS ADDRESS
."': (C~ntract or BPW"'N~.
#NSC978(RCW ...39.08.010
, BId d,je'd~ic . ... .. . . . .. ..... . D'ate'oontriiCi 'awarded'
.7IW9L< .........8/2/9.1-. .
: County where work pcrfonned Date work completed;?
.;retf"X~9n ..- 1~CJJrqJ
: Pnme contractor
Name
AAA.MASONRYRESTORATION
24215 Brier Road
.. ..... . Suu.Zip
Brier Washington 98036
...., ......, ,..... ..... .... ".",. .""
Please allow a minimum of 10 to 15 workIng days for processIng from the
dats the Department received your document with the correcl approval fBS. ~
CX)NiRACr AWARDINO.'....namtr.'...............................".......... ..,........ ............. ".. ....." .........
PUBUCAGENCY JEF?ER80N CuUi~TY D82....'I'~,1::::!~'i' Ol PUBLIC ~:O:\K3
Addie'5s "city
1820 Jefferson Street Port Townsend
. '''''i: RATii6F 3," RATE'O'FHRLY'
HOURLY PAY FRlNGEBENEmS
Address
Cily
AAA NASONRY RESTORATION
, Was a in3[Cmeni .o(in~c~i.fii'cd..fo.r'"ttlfi.pr.~~jcct?
Yes: . ... No leX'
I. CRAFT
Jkic' ZJ~;63 phoo'c 'num&;r'"
....... ... .........L20q),::l~5::9J69
; 4. APPRENTICES: Name, registration #,
.: ~ta~.~ ~~ ~~.~.~,s~i.~~ & ~,~.~~.~.f hire
Brick. Layer
Tu.ck .1'"ln.t.er..
20.72 -
4.36 -
20.72 -
1..36 -
Gen._ ~.?b9:r;-~:r:..
16_53 --
,..,,,..,,,...,, .. ....".....
3.55 -
:5
.-Wj<fc~i . jd.512. .
Name and address of company completing this fonn:
:"Co'mpany n'am'e "
. AAA ~IASONRY~EilTOR^TIq~
)~dili~lis "....."
24.21.5 .B.ri.er. Road
CilY ..... , .. 's'rl'lte . 1.ii'f .
, J~r:.i.e.r... ........ ....... Y^.?~~~(~. ............... .5'6/..>. . , ,
. Phone number :Rcglstration "umhcr '.., , .,' /
(206 )483"'6~6Q') ... .. ..:AAAN^R1A4QQ.~.4t.>~I) I"~ .
~ Slgnaturc ~ of... <.. I: "'~;;r
........ 'Ui{...... ... .... ~~?:~t:?-t),i: I
'or I..,,~I lJ~e Only
, ^PPROV~ DcpnnmcJllllLJ.. Q!.!!~llnd/lwlc" ,
By (I.4.",../f$;; - -' SEP 26 91
(mllwr/(JH'tnti,'ftidmt......
" iNfO'RM'A'TkiN"IS'CO'RRE:CT'"
THIS PUElL.IC WORKS
'NO WAGE RATE
THE
AND THAT
I.E.
ERS. IM-
SUBJECT
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WITH APPROVAL FEE OF $12.50 TO:
Department of Labor & Industries
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jll/ll\406 Legion Way SE HC710-1
~Olympia \VA 98504-4401 (206) 753-4019
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STATEMENT OF INTENT TO
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Public Works Contract
INSTRUCTIONS
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YOUR APPROVED COPIES WILL BE MAILED TO t THIS ADDRESS
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JEFFERSON COUNTY
DEPARTM~NT OF PUBLIC WORKS
\
1820 Jefferson Street
P.O. Box 1220
Port Townsend, WA 98368
(206) 385-9160
AU'n: Jim Vaughn
MA Masonry Restoration
24215 Brier Road
Brier, WA 98036
Ref: Jefferson Co. Miltl-Servlce Bld'g.
Project #MSC978
Gary A. Rowe, P.E.. Director
Robert G. Nesbitt, P.E" County Engineer
14 November, 1991
Sub: Close out Documentation
We require only one (1) copy of these documents so I am hereby returning all extra
copies.
1. Two copies of the Certified Payroll
2. Two copies of "Intent to Pay Prevailing Wages'
for MA Masonry Restoration
3. Two copies of "Affidavit of Prevailing Wages Paid"
for MA Masonry Restoration
I stili need the 'Affidavit of Wages Paid" for Berg Scaffolding as requested twice before.
In pursuit of expediting the release of retalnage we are including the foJlowing
documents: .
4. Letter of compleJlon.
5, Notice of Com pie lion of Public Works Contract (copies have also been sent to
the Washington State Departments of Revenue and Labor & Industries for their
release,
6. Certificate 01 Substanllal Complellon (AlA G704)
7. Contractors Affidavit of Payment of Debts and Claims (AlA G706A)
8. Contractors Affidavit of Release of Uens (AlA G706A)
item #6 is to be completed by MA Masonry Restoration and returned to me. Return all
three copies to me for County approval I will then return a copy for your records with
our signature of acceptance.
item #7 & 8 are to be completed by MA Masonry Restoration. notarized and returned to
me,
Should you have any questions or comments please call our office,
Sincerely,
~~
Project Manager
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DEPARTMENT OF PUBLIC WORKS
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1820 Je1ferson Street
P.O. 80x 1220
Port Townsend, WA 98368
(206) 385-9160
It has been a pleasure to work with you and your employees.
Thank you for a job very well done.
([) Should you have any questions or comments please call our
office.
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1:'.("
Gary A. Rowe, P.E., Director
Robert G. NeSbitt, P.E., County Engineer
Att'n: Jim Vaughn
AAA Masonry Restoration
242lS Brier Road
Brier, WA 98036
13 November, 1991
Ref: Jefferson Co. Milti-Service Bld'g,
Project IMSC978
Sub: Letter of Completion
My inspection of this project on October 9, 1991 finds the
work to be complete in accordance with the contract documents
Sincerely,
~~
Project Manager
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CERTIFICATE OF
SUBSTANTIAL
COMPLETION
o AlA DOCUMENT G704
(
Distribution to:
OWNER 0
..RCIIIHC, 0
CONTRACTOR 0
FIELD 0
OTHER 0
PROJECT: BOILEt:. F'Lu~ ~EllaJ""'a.l
(name, address) ao~ '5H92,0...,.,)
Y.olZoT \ow/.lSz;o.u> WA Qa3"e
TO (Owner):
r:re"~e2~ao..) ~l.I.=y -,
:DEPT DF 'R.o.Bt.IC: W.ot:r!:
'P.D &" 1'2.z.o
[:'v:rIOWI.)SEIJJl,WA qS,U;,g .J
DATE OF ISSUANCE: MDJ I~ 1991
,
PROJECT OR DESIGNATED PORTION SHAll INCLUDE:
ARCH !TECT:
CJWIJS/it..
ARCHITECT'S PROJECT NUMBER: MGc. 97$
CONTRACTOR: AAA MASol.>l2.v r.ESTOJC:ATIOI-l
CONTRACT FOR: BO,.....12. FLLLe lCSU>IJA'llO/.l
CONTRACT DATE:
The Work performed under this Contract has been reviewed and found to be substantially complete. The Date of Substantial
Completion of the Project or portion thereof designated above is hereby established.as CJcr 9, 199/
which is also the date of commencement of applicable warranties requited by the Contract Documents, except as stated below.
DEFINITION OF DATE OF SUBSTANTIAL COMPLETION
p
The Date of Substantial Completion of the Work or designated portion thereof is the Date certified by the Architect when
construction is sufficiently complete, in accordance with the Contract Documents, so the Owner can occupy or utilize the
Work or designated portion thereof for the use for which it is intended, as expressed in the Contract Documents,
^ list of Items to be completed or corrected, prepared by the Contractor and verified and amended by the Architect, is
attached hereto, The failure to include any items on such list does not alter the responsibility of the Contractor to complete all
Work' in accordance with the Contract Documents, The date of commencement of warranties for items on the attached list will
be the date of final payment unless otherwise agreed to in writing.
The Contraclor will complete or correct the Work on the list of items attached hereto within
from the above Dale pI Substantial Complellon;
A AA MJ.~IlIZ.'" ~Sil)eATIOI.)
CONTRACTOR
OWAJEUa
ARCHITECT
BY
DATE
days
BY
DATE
The Owner accepts the Work or designated portion thereof as subslanllally complete and will assume (ull possession thereof
at 12:01 A.M (lime) on a"_T 10,1991 (date).
~I': I'F'I;V;<;lXl (I.atm:-.' -1?AR/ Ir Welt/' \(c;
OWNER
BY
DATE
The responsibilities of the Owner and the Contractor for security, malntenanc:e, heat, utilities, damage to the Work
and insurance shall be as follows:
(Notf.'-Owner's and Contr,lctor'j If.'B'lf and Insur,lnce coun!f'/ 5hould dNl'rmlnt~ ,1nd reV;fJW Insur,lIlcf' rf.''1lJirf.'menu and COvfJraBf:',' Contraclor
shall secure coment of surely company, II any.)
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AlA DOCUMENT 0704 . C[RTlFlCATE or SUBSTANTIAL COMPLETION . APRil 1978 [DITION . AI""
Cl1!)711' THE AM[RICAN INSTITUTE Of ARCHITECTS, 17J5 N[W VORl< AV[" N,W" WNiHINGTON, D,C, 200M
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G704 -1978
...... RECe.IVt'.tJ AAA
CD MASONRY RESTORATION
OCT 21 1991 JIM VAUGHN
24215 BRIER ROAD
BRIER, WASHINGTON 98036
(2061483-6609
JEFFERSON COUNT"
PUBLlG WOR!<'S nF'-
Brier Washington
Oct. 17.1991
Mr Rob Sears;
I understand I errored in not having you or someone from your office inspect the
smoke stack at the hospital as we demolitioned the top twenty five feet and recrowned the
new top. This waS a total oversite on my part as I was under the impression that Frank Ha11
from the Department of Public Works was the only inspection that was needed. I appologize for
my mistake and will see that it does not happen again. Ibe county representative Frank Hall
took pictures and inspected daily as the work progressed and found that we followed specific-
ations and completed the work as required.
Again I apologize for my oversite and hope it does not present a problem.
~
~SinCer,I~;
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A MASONRY ~'E ORATION CO.
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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1820 Jefferson Street
P.O. Box 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe. P.E.. Director
Rober' G. Nesbitt, P.E., County Engineer
To:
Jefferson County Hospital
9 October, 1991
All'n: Board of Commissioners
()
Ref: Boller Stack Renovation
Project # MSC978
Subj: Project Completion
As of today with the removal of the scaffolding our Contractor, A A A Masonry
Restoration, has completed the project to Lower the Boller stack at 802
Sheridan.
The Jefferson County Department of Publlo Works wishes to thank all parties
involved with this project for their cooperation and Involvement in completion of
this project. Our special thanks are to:
-Anthony Deleo, Jefferson County Board of Commissioners,
-Brell Kinney, Materials Manager Jefferson General Hospital
-Richard Warren, Maintenance Supervisor Jefferson General Hospital
and his staff.
Jim Vaughn of A A A Masonry Restoration and myself wish to extend our thanks to
each and every one of these participants toward the completion of a Job well done.
We look forward to continuation of mutual cooperation on any additional projects
that may Involve both Jefferson County and Jefferson General Hospital,
Sincerely,
~~
Frank Hall
Project Manager
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Streel
P.O. Box 1220
Port Townsend, WA 98368
(206) 385-9160
Att'n: Jim Vaughn
AAA Masonry Restoration
2421S Brier Road
Brier, WA 98036
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
24 September 1991
Ref: Jefferson Co. Milti-Service Bld'g.
Project 'MSC978
Sub: Application And Certificate for Payment .1
I am returning your Application for Payment .1 without any
action. You signed a form for SO% retainage to alleviate the
requirement of providing a Performance bond. Therefore your
payment form should show fifty percent retained on the work
identified on linef4 - TOTAL COMPLETED AND STORED TO DATE.
Form G702 should have the following information entered
.on lines as follows:
1. ORIGINAL CONTRACT SUM,...,......... .$24,414.67
2. Net change by Change Orders,....... ,$ 0.00
3 CONTRACT SUM TO DATE (Line 1 + 2).. ,$24,414.67
4. TOTAL COMPLETED & STORED TO DATE... .$12,207.33
5. RETAINAGE
Total in Column 1 of G703.........$ 6,103.66
6. TOTAL EARNED LESS RETAINAGE........ ,$ 6,103.67
7. LESS PREVIOUS CERTIFICATES FOR
PAYMENT. . . , . , . . , . . . . . . . . . . . . . . . . . . $ 0.00
8. CURRENT PAYMENT DUE.................$ 6,103.67
9. BALANCE TO FINISH, PLUS RETAINAGE.. .$18,311.00
Form G703 should show retainage under column 'I in the
amount of $6,103,66.
You are requested to re-submit this payment request acording
to the above information, Should you wish to change the
percentage complete the same format shall be used.
Should you have any questions or comments please call our
offlce.
Sincerely,
~44/
Frank Hall
Project Manager
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29, 1991
Ha 11
RSON COUNTY
BOX 1220
Townsend,
Olympic Air Pollution Control Authority
120 East State Avenue
OLYMPIA, WASHINGTON 98501
(206) S86-0593 R E C E. ~ "'d I:. I...
JUL 30 1991
PUBLIC WORKS
JEFFER~or~ COUNT
PUBLIC WORKS DI='
WA 98368
SUBJECT: LOWERING OF TilE JEFFEHSON GENERAL BOILER STACK
Dear Mr. Hall:
It t s
project
would be
about 48
my understand that the boiler stack Is cracked and your
ts to remove this portion of the stack. The stack height
reduced about 28 feet _ The proposed stack height would be
feet above ground level.
CD
I have reviewed tho botler rOKlstration data and It appears that re-
ductng the stack belght would not adversely affect surrounding air
qualtty. OLYMPIC AIR POLLUTION CONTROL AUTHORITY would not require
permtt to change the stack height. I would Itke to point out the
following:
1) The boilers use #2 diesel for fuol which burns cleanty If proper
maintenance and good operatton practices are practiced, The emiS-
sions of Sulfur Oloxtde S02, Oxtdes of Nitrogen (NOX), Carbon Monox-
Ide (CO), and Particulates should not change but the dtsperslon
characteristics of the stack emissions could change.
2) I do not believe that the shortened stack would create a stg-
nlficant adverse effect on local air qualtty but without modeling
the emissions I can only make an educated guess. I have spoke with
our Atr Quality Specialist, Jim Wilson, and an Air Pollution Engi-
neer with the Washington State Department of Ecology and they have
beth indicated that the stack emissions could be modeled tor Impacts
If you provtde us with the stack velocity In actual cubic feet per
mlnlltfl,
3) If at. quality Impacts are caused by the shortened stack a
Regulatory Order could be Issued to reduce or eltmlnate the Impact.
Please feol frfle to contact me at 586-0593 extension 105 If you have
any qucsttons.
.
S I ne"'::;,l}!
jR/l.1//f#~
CI.i~rnes p, We,'ner
Monitoring Tech/Inspector
cc: C. Ponco, J, Wilson
B:JEFPWHAL JPWll 7-29-91
An Aaonc)' 0' OOy/Hnm_nl Huvlntt Ihgulntory ,md 1!'"'nrCltnlll"1 Authorltv In and 1M
Clallarn, O,aYI Harbor, hnllrlon, MCHan, p"cln,. end fhonlon Caunll.. of Wmhlnolon Stal.
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ReplY
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COMMENTS:
SALMON BAY SAND & GRAVEL COMPANY
(206) 78"-1234 . CAJ(: (208) 181..0984
FAX TRANSMITTA~ INFOaMATION
TO:
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F~A/lJh. 1+11-1/
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URGENT
ReplY AS Soon A. po.sible
At ~our convenience
!lot NeceSsary
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fJ.1474
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including this page,
Number of pages,
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If you do not receive thi~;ransmission 1n i~n entir.ty, or in
good condition, contact ~~~ ~ ~~ at (206) 784-1234.
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B~lfA
Weather Seal Siloxane
DESCRIPTION AND USE
Sure Kleane Weather Soal Slloxane Is a clear. pene-
trating water repellent for use on concrete. brick, ~
oIay tile surfaces. Treatment with Weather Seal
SlIoxnne provides superior protection against mois-
ture intrusion' end resuning etflorescenee,'leaching,
mildew and atmospheric staining. free~fitlthaw spa!..
ling, elc. Masonry treated with Weather Seal SlIoxanG
resists acida, alkalis and the damaging e"acts of the
environment such as acid rain and carbOn crusting.
Weather Seal SlIoxane Is an oligomeric Qlkylalkoxy
s1loxane malerial suspended In a high flash solvent
carrfer. upon reaction with thG surface and humidity
tho product Is transformed into a highly water repel-
lont sllo""no compound which 10 ehemlcally bonded
to thO masonry substrate. The produellO superior to
conventional silane, acrylic and mG'tal11c stearato ro-
pellents because of two Importanl chamel.rt.llce:
1. Extremely small melOC1Jw structure allows
superior penet1'B'tion Into the masonry fot long ur-
vloo 1110. Meoonry pores are not 'plugged". Ninety.
eight peroent of the natural vapor permeability Is
unanOCled, pl'llllenting damage cauaed by trapped
moisture.
2. R...lstance to surface alkalinity allows good po'"
formonoe on new mortar, grout nnd concroto SUI""
facos where othel' trQalmonts frequently fall.
POIlt1tf't1tJot1 depth 01 conwnl/Qna/ sJJlccno wutor feptJlI,nt
(Isft) oomptJf'tI(/lO w"athor Snlfl SIIl>1tIIn. (rlgh'),
Surfao"" treated with W.ath.r Sa.1 SlIoxana havo a
naturel nppaorance, Whon properly .ppllod wllh low
pressure spray, the treatmont does not produce n sur.
face film or slgnlflcantlv altor naturol oolor end
tftxh.Jre,
LP ProSoCo.lno.l<AN....c'TY,K.
Page 2 Qr8
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:aSUREIH.1Alb
Deep ponOtTDtlon OfWRRttNt $lI81 SlI())ClU7(I r9sull$ kJ botit
surface and subsurllJCf1 prottK::tfon. Wat(Jl'dmps on tIJl'g bfo..
kbn bn'ck Show the $lJl)SVrlSCfI repollont:;:
ADVANTAGES OF OLIGOMERIC SILOXANES
OVER OTHER WATER REPELLENT COM-
POUNDS ($eO Consorv"",. Toctl Bullotln 983-1
for a detallod dlscu...lan and oompllrfaon of
masonry wnlOt ropllllonts.) SllIcClnCl. OUII. 0..
aanlc sealeN. SUrfo~ Casttnus. Conventional
materials lor wator repel ani treatment of masonry
surfaco8 are surfAce contJnos, oils or organic seal..
ants which deposit matorinJs in or ovel' the porfitt: Of
the surface, These dopos". block tha natural poros-
Ity and permeability of thO mll!lonry matertals. Water
vapor which ent.", by condonsatlon mlgmtos
through tho masonry and attacks the ~he.lvO bond
which holds thoso conventional moto ala In place.
This gro.lly reduces the servlco life of the tMatment
and may damage tho masonry by causing spoiling cr
craoklng,
Weathor Seal SlIoxano rencls with the surface and
producGo a ohomlonl bond With lhe natural mntorialS
In the masonry. Internal moisture dl..lpate.. through
Iha stili parme.ble masonry wlthoulaclV.rsoly affoct-
Ing Ihe water repellent, preventing damage Irom
trapped mols1ure.
Another mason for the high fallura rute of eonvon..
t1on.1 trentmenta on new construction materials ,.
their lOw ""slstnnce to alkaline oonotruollon m.to~a1e
such o.a mo.oonry mortalS and ooment rich conerotB.
Alkali no ourfnoes attack moll1 rosins and olle, draIJtJ-
""lIy reductng the longth 01 Ume they tua offocti~,
eecause 01 Its chomlCIII maksup, Wealhor Seol
SIIOl<l\ne I. effoctlve lor all m..'IO~ry Including highly
alkaline mortars Bnd cement rich matort.I..
PO-WSSL-111SSe
-Copyright ProSoCo, Inc, 19ge
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-~t.;d HWd siJaxaM treated
WeIJtt?6r S"sJ SilO'KSne repels rsln wattHwhil8 aJ10wItIg 6sn~ ofnaJIKaJ wal9t'vapor
o
A S
Soa/o,. ICrm << film on the 8Vrlac;o (A). P(H1"tfStfng wat",
"'~"""" PfDISC1 wllt>OUl blOCkInIJ 1M _ (S).
I..'mlllltlona
Weather $..1 Slloxane will not com""n.at. tor sttuo-
Mal Of motorial doteots. May not bo .ullalll. tor appli-
cation to somo types of nolu",1 stono Ot surfacea
s""clfled to receive pBinlS or coatings - always test.
Not fot applloatiotllO .""h.lt. gypsum plllllter, c.ICltic
aurfacos, or s~lhotlc rosin palms. Asllghl dlltk.nlng
o"GCt may bo notlcod on eome surfac.. depending
on texture or porostty. VariatIons In texture ond poron-
Ity may load to an Incon.lstont appell/anoe. Do not
apply at surface and afr 1tmporoturos belOW 400F or
:0: ~~~~~': h~,:,ealod contaln.rs and Keop
TECHNICAL DATA
ACTIVE SUBSTANCE: ollgomerlo sllo.ano Wllh
ACTIVE SUBSTANCE~~~~.}f~~
FORMATION OF ACTlIll! MATERIAl.: 5.00/.
SPECIFICQRAVITV: 0.792
Fl.ASH POINT: 100'1'
APPEARANCE: Clo.; liquid
SOl.VENn Mlnorat Spl,no
WT.lClAl..: 0,0 lb.,
APPLICATION INFORMATION
Take procnullono 10 ovoid harm 10 building occu-
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pants, pedestrlans. nearby property and all non-
masonry surfaces from contact With sonlor and
tume.. Protcot andlo, dlvort aulp .nd pedostrlan
110"10.
propa....tory W,"'k: ProtGCt adjoining glasll, mOlal,
painted surfa""s, and ai, other nonmasonry surfaces
including plantl~a and roofing matorlals from over-
spray, wind drift and splash, Remove Inadvertent
splashes uslng mlnerolsplrf1S bofore the moterial has
d~ed, Product will bond to gl.... and aluminum ancI
may be dlfffoult or Impossible to remove.
ALWAYS TEST ellCl1 type of mBSOnry (minimum four
It. by Iou, ft. a,o.) beforo OY<lr.II.pp/lcatlon to tl&!luro
compatibility and dulred water ropellent results.
(1l'eated and cured masonry should shed water and
nol wet out,) Apply tests using lhe same equipment
as lor Job application and allow tp cure 24 to 40 hour..
:'-:'r.=~' ohould remain avaIlablo for Inspect/on by
Surfaco Proporotlon
Fill all oraoks t.lnd voids to ovoid ponetratlon pI tum""
Into the building. (Such openings m.y permit mola-
ture, sealer or eeo.Jnr fumns to S)ntlotrnto wall.) Make
sure Ihat all caullcs and sealants are In place and
completely cured,
Ci<lon dirt, ollllnd other contaminant. from tho su"
taco. Use appropriate proprietary olonnOnl (do not
u.o raN soldo, whoro nOO<Jll8llfY. RI"... with prooouro
oqulpmonl .1 500 to 1,500 ptll to thoroughly romovo
all dotorgont ro!Jkluon. 00 not apply to surlaooslhat
are wot to tho touch. BOIlt resullfl are obtained on dry
surfaoas. (lntornal moisture sI\ould al.o dissipated,)
Application
00 not dlluto or .IIor mOlerial. Applywith low pre.oure
(20 p.l) nprllY &elulpm.nt or with brush or roll.r, Use
sprayor& wltn sotvenl resIstant hos., I!.nd ~flskftt8
~c~;:,o~don~::f.'lor.tlon. Fnn typo nproy I ps oro
Vortloa' Surfoces
Apply in two succollSlve "Wot-on-wet' applications.
On oxtromoly donee architectural concrelo and .Im!-
. ,,:. - ',. ;.~..,?:,I.~:J:f1f.~~~.~J.:'t',';,,,,,.', ..'~ " :
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2D
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Iar surfaces. It may bo ne<;eSSlll"f to apply only one
saturaUng application 10 avoid darkonlng.
Unilonnly apply; worl<lll\l ftom the bonom up, suffi-
cient m81erial to prOduce a 6'" to 8" rundown below the
c:ontaCl point. Allow thO first application to ponotm19
(approximately 5 mlnutos) and reopply In !he same
saturating manner. Less material will b9 required on
the second appr.eation.
When usiflQ brush or toner, apply sufficient material
to thoroughly murate the .uria"". erush out heavy
run. or drips.
Hortmntal su_
Apply In a slnglo saturnling applioolJon so tho nurfaoo
romalns wet for a fow minutes boforo ponotrnting.
Broom out surface residue., pools and puddles until
Iltey complelely penelrate.
Covomgo FlllI09
Surfaoo poroclly and 10xturo dotormlne lhO amount of
material necessary. The following Is a guide for es-
timating malerial requlremsnts:
Clay Briel< 100-150 sq. iI,/gol.
Cement Brick 80-120 sq. ilJgal.
ConcrotD Block 80-80 sq. iI.lgol.
Smooth COnctuw. (procast) 12s-m' sq. iI.lgal.
Smooth Con",.ta. (rock 'ace) 150-200 sq. fl.lgoJ.
stucco 100-150.q. IlJgal.
Exposed Aggregate 100-150 sq. ilJgal.
Natural StonG (rock face) 100-150 sq, ii/gal,
Natural Stona (smoolh cut) 100,150 sq, iI.lgal,
-Some concrete matenals contaln Integral water-
proofing agents and admhclu"" which produce e.-
tromoly donsa surfaces. It may bo neoossnry to
extend coverage up to 300 sq. ftJgal.lo provide 0 uni-
form appearance.
Palnt AdhotJlon
Apply mineral Doatlng., oomontltlou. paint COaling.
and coment pll1lltom bolom Inatolletlpn of Woather
Soal SlioxlIno to Qlltluro oOMo/pn, Apply other ooot-
Ingn nuoh Qtl .lIIoono omul.lon polnl:l and mon! 011
b.'1nOd ptIlnts !!!!!!! tho BurlacO hM been treated. &
wrNtl tOIl! to QMUro point odhoslon.
SAFETY INFOFlMATION
(.
WA.ANINQI
COMBUSTIBLE
HARMFUL OR ~ATA.L IF SWALLOWED
OR INHALED
CAUSES IRRITATION
FOA USE BY PROPESSIONAL APPUCATOFlS
ONLY
KEEP Ol1T OF'rH!:; REiACH OF CHILDREN
READ PRECAU'm~NARY MEAllURES CAReFULlY
pntClIullonery Mea.uro.
Conltlln. mlner.1 .plrit.. Hnndle en",fully, Avoid
spnrkR by turning pH oil oloclrlo moloro and axtl...
.' ..";.' IJ ,(~' ~~ .: ~
, ", :j,~~, t..~,',.J._ ;'~~~'fJ;!r~~ ~~"~;,>:~..'
guishlng all pilot IIgtrts. EJCllnguls/l all .mol<ingmate-
rials. 00 not use near fIre or extreme heat. Vapors
may Ignlle explosively and mey travel <<long ground
or by ventilation to Ignition !JQurces farfrom container.
Avoid breathing fumes. AppllcalOlS should wear
NIOSHlMSHA approved rospIralOlll and provldo
good cress vontilatlon to avoid buildu\) 0/ solvenl
!urnes. Ventilation equipmenl muS! bo explosion
proof. Ket>p contain,,", closed. When applying out-
.ide occupied buildings. all Windows. exterior air con-
dilJonlng vents and air Intake_should be covered
(and air handling ",\ulpment shut down) during and
:1I~t:: =~1':"IO't~lcotlon. Avoid ,,'poslng
00 nol gel In eyes, on skin or clotl1lflQ. Wear eye pro..
teetlon and prob)Ollvo clothing. Wash lhproughly after
handling. D\:lp09O 01 all amply oontOlnorn according
to federal, slale BIld local regulations. U88 only as
spaclfied. Do not use for any cIlter purpoee. 00 nol
remove label. Read Maleriat Safety Data S/1....t for
additional ..rety and haalllt hazard information.
Firs! AId - InatrllCtlOIlG In C:>ao Of COnl3Ct Or
Exposuro
Inhalatlon 1l1lalmont: Remove to fresh air. " nol
bronlhlng. giva artificial respiration. prefnrably
mouth-Ie-mouth. " bl'3athlng Is dlffoeuil, call ambu-
Ian'" or proceed to a hospital amergency room. Call
physician.
Skin Contaot1l1l&tment: Wash With soap and waler.
!:;ye Contact TI'Onlmanl: Flush With plenly of water
for 01lea0115 minutes and oaJloye .peclallolor olhar
physlolan,
lngarion 1l1ltllMOnl: Do notlnduc. 'IOmIllng oven
though vomiting may ooeur, If vomiting occur.. kOOll
hood boIow wal.IIO provont entry 01 liquid Into lungo,
which can causo potentially fatal chomloaJ
pneumonia. Nover give any1hlng by moutl1 to an un-
oonoclou. person. calt . phy:llcIM.
"Ira Actlon And Explosion Haznrd CaIn
FLASH POINT: 100"F (minimum temperatu'" at
which lumlng Is .ufflclent for IgnHlon). In oase 01 fira,
Ula foam, dry chemloal. CO,. water .proy or fog,
Cool containers wIlh water spray to prvvent explosion.
Spill Or Leak Prooodurotl
In cas.. of oplll or loak, do not uso WIltor. Sank up re.
.ldue wHh a nancombu.tlblo abllOfbont, suoh as oloy,
and pin"" In drums for proper dl.po.al. Flush 0"'0
with wlltor to remove trace re.ldue: dispose of lIush
.olulion. In drum., Ellmlnat. sources of Ignition,
wear protective equipment. Collect '1'111 for disposal,
avoid dlaeharge to .ewers or watorways, CI.po.. 01
In compliance with local, slola and ledorol regulallon..
Conlalner Handling And Stomae
etorc contalnera In an up~gnt mnnnor to provontloaK'
age. Kaop contain.", nut 01 Dun ond aHOy from hoaL
Storage at worm lO.npsralUnlU mey causo buildup of
preMure. Co ,.ut eut, d~II, grind, orWllld on or nelll'1lt1s
container, 00 not droi> onto, or .Ildo oorooo. DMrp 01>-
jeet.s, Keep lights, fi"" nnd npnrl<n rmrry from oonllil...
erl. Never uoo pronnuro to empty: contalnel'l are not
>'.". -.'.;';....~:,,~{:..~f:!~~'r:'l'il,r.-t~.: n
Peg. 3 of'
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awn _oontalnW Is omptlod.
let inCidOOlai, conseo.uentieJ or """'1Ia/lt damages
whether due to breaCh ofwerrar>lY, negllglll"CG. or etri<:I
. IiaI:lni\y. This waJrarfro! rntt/ not be modified or extended
~tiv<l$ of PrOSoCo, Inc., its dJslributorS 0(
(
WARRANTY
CUSTOMER SERVICE
FaclOlY ~ ani avaJISble for __nee wI1hoUI
obligatIOn. Call C\lSlO<I>GI' SElrvIOC9 (913) 281-2700.
FaclOlY trained """""",,_ me estabfished In prin-
opal <:/IklS throughOut the United Slales. call eustomer
SElrvICe. (913) \ZIl1-2700, and """,est the name of It1e
Sum Kleen" represerrtatM> In your area.
p,osoco. Inc. wanants thiS prOduct to be froG IrOITI de-
1ect9. PRosOCO MAKES 110 (mIeA WARAAN-
'TIES 'Ml11 RESPIiCT TO nuS PRODUCT.
EXPRESS OR IMPLIED. INCl-UOING WTTliOUT
UMrr.omON TIlE IMPUED WARR/U'lT1ES OF MEfI-
C!U<NTAIIIUI'Y OR FTIllESS FOR PARTICULAR
PURPOSE. ProSoCo's Ilablllty shall be llm~ed In all
_nts 10 supplying sufficient product to _1l\e spe..
elfIc """'" to whl<::h defeCtiVe prodUcl has been ""piled.
f'rpSoCo .hall haw np otIler lIabnlty, Including rlBbi~ty
ecopyrlght ProSoCo, Inc. ,988
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Document: ~~/l1L91...1:J!!M. ~~'!1:3!1 O?~~t.~~eate~.7~,2i2~ '..:J.B, rM _"'_
Pege60rll
MAT5-175-003
:9
Material Safety Data Sheet
iP ProSoCo, Inc.
---------------------------------------------------------------------------------------~---
1 PRODUCT IDENTIFICATION
-------------------------------------------------------------------------------------------
MANUFACTURER'S NAME ProSoCO, Inc. ~ERGENCY TELEPHONE NUMBER: 913/281-2700
AND ADDRESS: P_O. Box 111677
Kansas City, Kansas 66117
PRODUCT TRADE NAME: Sure KleaO$ Weather Seal S110xane
------------------------------------------------------------------------------------------~
11 HAZARDOUS INGREDIENTS
-------------------------------------------------------------------------------------------
CHEMICAL NAME
(COMMON NAME)
~
NFPA CODE ACGIH TLV/TWA OSHA PEL(TWA
Mineral Spirits (Petroleum Naphtha) 64741-41-9
2,2,0,-
100 ppm
100 ppm
Percent content of hazardous Ingredients withheld as trade secret pursuant to Massachu-
setts rogulations.
-------------------------------------------------------------------------------------------
CD
III PHYSICAL DATA
-----------------------------------------------------------~-------------------------~----
Mineral Spirits
VAPOR VAPOR EVAPORATION
BOILIUG PRESSURE DENSITY RATE
POINT ( F) ~ (Air-I) (n_Butyl Acetate)
300 2.0 (6SoF) 4.9 0.1
SPECIFIC " VOLATILE SOLUBILITY APPEARANCE
GRAVm BY VOLUME IN 1I11lER AND ODOR
0.792 96.2 Negligible Clear liquid.
potrolRum odor
Weather Seal Siloxane
._~----------------------------~-----------------------------------------------------------
IV FIRE AND EXPLOSION HAZARD DATA
------------------------------------------------------------------------~------------------
,L!.~H POINT (METHOD): 1000, (T.e.C.)
FLAHMABLE LIMITS: Lower: 1.0 Upper: 6.0
EXTINGUISHING HEDIA: Use water spray or fog, foam, dry chemical or CO. Do not use a
direct water stream, Avoid accumulation of wator as prgduct will float,
CD
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, . r
DGCUmenl: !..fJ~111!...91}:}~!M, ~2.f!':.}~1 O?~~~~~e.!lte'!:.,1L'.2L~I. l.u,~ ~M...........
SPECIAL FIRE FIGHTING PROCEDURES:
($) . Do not enter conf;ned f1re space without proper protective equipment
including a NIOSH/MSHA approved self-contained breathing apparatus. Cool
fire exposed containers, surrounding equipment and structures with water.
UNUSUAL FIRE AND EXPLOSION HAZARDS:
Vapors are heavier than air and may accumulate in low areas or areaS
inadequately vent1lated. Vapors may also travel along the ground to be
ignited at location distant from handling site; flashback of flame to
handling site may occur. .
Never use welding or cutting torch on or near drum (even empty) because
product (even just residue) can ignite explosivelY.
CO"BUSTIBLElll Keep conta1ner tightly closed, Isolate from oxidizers,
heat, and open flame. Closed containers may explode if exposed to extreme
heat. Applying to hot surfaces requires special precautions.
------------------------------------------------------------------.------------------------
V HEALTH HAZARD DATA
-------------------------------------------------------------------------------------------
Mineral Spirits
PRIMARY ROUTES OF EXPOSURE: Inhalation, skin, eyes.
CARCINOGEN INFORMATION: Not listed (OSHA, IARC, NTP).
MEDICAL CONDITIONS AGGRAYATED BY OVEREXPOSURE: No applicable information found.
EFFECTS OF OVE~EXPOSU~E:
Overexposure can lead.to central nervous system depression producing such
effects as headache, dizziness, nausea and loss of consciousness, and even
asphyx1at ion.
Short-term liquid or vapor contact may result in slight eye irritation.
Prolonged and repeated contact may be more irritating.
prolonged and repeated liquid contact can CaUse defatting and drying of the
skin which may reSUlt in skin irritation and dermatitis.
High concentrations or prOlonged exposure to lower concentrations may be
SlightlY irritating to mucous membranes.
Liquid ingestion may reSUlt in vomiting: aspiration of liquid Into the lungs
must be avoided as liquid contact with the lungs can result in chemical
pneumonitis and pulmonary edema/hemorrhage.
EMERGENCY AND FIRST AID P~OCEDURES:
o
EYE CONTACT:
SKIN CONTACT:
INIIALAl'ION:
INGESTION:
EVE CONTACT:
SKIN CONTACT:
e
If in eyes, flu~h with large amounts of w~ter, lifting upper and lower lids
occasionally. Get medical attention. If persistent 1rrit~tion occurs, got
medical attontion.
Wash with soap and water. ~emove contaminated Clotlling and do not reuse
until laundered. If persistent irritation occurs, get medical attention,
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INHALATION:
Remove victim to fresh air and provide oxygen if breathing is difficult.
Give artificial respiration if not breathing. Get medical attention_
Do not induce vomiting even though vomiting may occur. If vomiting occurs,
keep head below hips to prevent aspiration of liquid into lungs, which can
cause chemical pneumonitis, which can be fatal. Get medical attention_
INGESTION:
VI REACTIVITY DATA
STABILITY:
Stable.
CONDITIONS TO AVOID: Heat, sparks, open flame.
INCOMPATIBILITY (KATERIALS TO AVOID): Oxidizing materials.
HAZARDOUS COMBUSTION OR DECOMPOSITION PRODUCTS: Carbon monoxide and unidentified organics
may be formed duri ng combus.t i on.
VII SPILL OR LEAK PROCEDURES
o
LEAK AND WASTE DISPOSAL PROCEDURES:
STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED:
Large SpillS: Elim1nate potential sources of ignit,on. Wear appropriate
resp,rator and other protective clothing. Shut off source of leak only if
safe to do so. Dike and contain. Remove with explosion-proof equipment.
Soak up residue with a noncombustible absorbent such as clay or vermiculite:
place in drums for proper disposal. Flush area with water to remove trace
residue; dispose of flush solutions In drums.
Small Spills: Soak up with a noncombustible absorbent and place in drums
for disposal, Flush area with water to remove trace rosidue; collect flush
solutions for disposal.
WASTE DISPOSAL METHODS:
Dispose of in a facility approvea under RCRA regulations for hazardous
waste. Containers must be .leak-proof and properly laboled.
SPILL,
_______________________________M__________________________________________________________
VIII SPECIAL PROTECTION INFORMATION
--------------------------------------------------------------------------------~---------
RESPIRATORY PROTECTION:
If Threshold Limit Value (TLV).of the product nr any component is exceeded,
a NIOSH/MSHA jointly approved air suppliod respirator is advised in absence
of proper ~nvh'onmental control. OSHA regUlations also permit other
NIOSH/MSHA respirators under specified conditions. (Soe your safety
equipment supplier.) Engineering or administrative controls should be
implemented to reduce exposure.
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Provide sufficient general and/or local exhaust ventilation to maintain
exposure below TLV(s),
Use explosion-proof ventilation as required to control vapor concentrat10ns
below the TLV(s).
PROTECTIVE CLOTHING: Wear protective clothing as required to prevent skin contact.
VENTILATION:
PROTECTIVE GLOVES: Wear solvent-resistant gloves, such as nitrile rubber.
EYE PROTECTION: Chemical splash goggles in compliance with OSHA regulations are advised;
however, OSHA regulations also permit other type safety glasses. (Consult
your safety equipment supplier.)
OTHER PROTECTIVE EQUIPMENT: Solvent-resistant boots and headgear. Safety shower and
eyewash.
IX SPECIAL PRECAUTIONS
o
PRECAUTIONS TO BE TAKEN IN HANDLING AND STORAGE:
Store away from oxidizing materials in a cool, dry place with adequate
ventilation. Keep away from heat and open flames. Keep containers tightly
sealed. Wash up with soap and water before eatin9, drinking, smoking or
using toilet facilities. Launder contaminated clothing be foro reuse.
Containers of this material may be hazardous when emptied since, emptied
containers retain product residues (vapor, liqUid. and/or solid). All
hazard precautions given in the Data sheet must b~ observed.
OTHER PRECAUTIONS:
Environmental Hazards - This product is considered an "oil" under the Clean
Wator Act. Keep out of surface water and watercourses or sewers entering
or leading to surface waters.
DISCLAIMER:
The 'informati on contained on the. Material Safety Data Sheet has been compiled
from data consi~ered accurate. This data is bel1eved to be reliable, but It
must be pointed out.that values for certain properties are known to vary from
source to source. ProSoCo, Inc. expreSsly disclaims any warranty oxpress or
implied as well as any liability 101" any injury or loss arising from the use
of this Information or the materials described. This data is not to be
construed as absolutely complete since additional data may be desirable when
particular conditions or circumstances exist. It is the ,esponsibility of the
user to dotermine tho bost precautions necessary for the Safe handlin!l and use
of this product for his unique application. This data rolates only to the
speci~lc material designated and is not to be used in COmbination with any
other IIMterial. Many federal and state regulations portain u':..ectly or
indirectly to the product'S end u~e and disposal of containers and unused
material. It is the purchaser'S responSibility to familiarize himself with
all applicable regulatIons,
o
DATE OF PREPARATIOH
January 10. 1990
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07/15/1991 12=53 FROM
TO
OLYMPIC AIR POLLUTION CONTROL AUTHORITY
120 East State Avenue
Olympia, WA 98501
A==o~=c~=g the FAX!
,~~~~~~O~ ~ ~~ b Le' uJvk~
FROM: , 7. ~ l..A-) Q..,r tA ~ _
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Date: 7~ 15'-.91
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at (206) 586-0593 (1-800-422-5623) or FAX 352-1764.
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07/151'1991 12:54
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FROM
OLYMPIC AlR POLLUTION CONTROL AUTHORITY
122 East State Avenue
Oly'mpla, Washington 98501
SPACE HEATlNG AND POWER
P.02
NAME:
In order to comply with the Registration requirements of the OlymplcA1r Pollution
Control Authority Regulation 1, Article 5, Sections 5.01 and 5 _ 03, the following
information is required. Forms must be accurately completed, signed, and re-
turned to the Authority within thirty (30) days.
Answer ALL questions on form. Indicate DNA (Does Not Apply) if necessary.
If you need more space to write, use back of form,
o Total Numbe, pf IDENTICAL Unlts Reported on TI1i5 Form.
I. EOUIPMENT DATA
1. TYPE OF UNIT
A.D Wate, Tube Boiler
B. 0 SepIch Marine BoU.,
C. 0 CaS! uon ,,,clion.1 boUer
D. 0 Othcr Fit. Tube BoUer (dmribe)
E. 0 Othe, (d.scrib.)
2. RATED PRESSURE IN PSIG.
3. RATED CAPACITY rN LB. STEAM PER HOUR, OR BTU, ETC.
4. STEAM CONDITION IN % SATURATION, OR DEGREES
5. TYPE OF FUEL FEED 01' SUPERHEAT
A. 0 Rolary Atomlur
D, DA.lr Atpmiu,
C. DStcam Atomi~er
D, 0 Other (des.ribe) .
6. MANUI'ACTlJR.ER, MODEL & YEAR OF UNIT
GklD
SIC
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J.
2.
3..
4.
S.
6.
7.
8.
9,
10,
11.
12.
13.
14.
IS.
16.
17.
18.
19.
20,
7. YEAR INSTALLED
ii. PHYSICAL DATA
t. STACK HEIGHT ABOVE ROOF (reet)
2. STACK HEICHT ABOVEGROUND (r.et)
3. INSIDE STACK DIAMETER OR DThIENSJONS AT TOP OF
STACK (inche,)
4. ARESAMPLINGPORTSAVAILABLE? Yes 0 No D
5, GAS TEMPERATIJRE AT BOrrCM OF STACK.
6. GAS TEMPERATURE AT TOP OF STACK, (iflulown)
7, CUBIC FEET PER MIl\1JTE OF GAS FLOW THROUGH
STACK (if Iulown)
8, STACK CONSTRUCTION (BRICK, CONCRETE, STEEL PLATE, ETC.)
9. UST AL.LOTHER SOURCES CONNECTED TO THIS STACK.
';:.'.:',;':''''?~~''~~~\ll':U?~:';I!:,'".,.,
AO!:NCY USE ONLY'
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07/15/1991 12;55 FROM
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III. AIR POLLUTION CONTROL EOUIPMENT
J. 0 CYCLONE <frn preSlure drop
2.0 ELECfROSTATICPRECIPITATOR "frn
3. 0 OrnER (DESCRIBE) drn pressure drop
4. MANUFACTURER. MODEL &. YEAR OF EACH ITEM
S. 0 NONE
IV. COMBUSTION CONTROL DEVICES
1. 0 AVTOMATICCONTROLS (describe)
2. 0 MONITORS OR RECORDERS (des.ribe)
3, 0 OrnER (describe)
4. MANUF ACTlJRER MODEL I< YEAR OF EACH ITEM
5. 0 NONE
V. FUEL USED
PlUMARY F\JEL
AUXlIJARY FUEL
o COAL (spoo\fy $Upplier or mlneloeation)
). 0 COAL (specify .upplier Or mine location)
2. 0 NATURAL GAS
3. 0 OIL (spe.lfy grade)
4. 0 WOOD WASTE
5. 0 OTIIER (des.rlbe)
o NA TlJR.AL GAS
.0 OIL (speetfy grade)
o WOOD WASTE
o OTIlER (doscrlbe)
STAND.BY F\JEL
o COAL (spo.ify supplier or mine loe.llon)
o NATURAL GAS
DOlL
o WOOD WASTE
o OTHER (dtscribe)
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, 07/15/1991 12155 FROM
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VI. FUEL CONSUMPTION IBased on Last Year)
1. PERCENTAGE OF BTU OUTPUT FOR SPACE HEATING DURtNG WINTER
2. PRIMARY FUEL CONSUMPTION (.Iote units used)
Per Winter Hour; And Total Pei Vear
3. AUXILIARY fUEL CONSUMI'TJON (,tate units used)
Per Hour And Total Per Vear
4. STANDBY FUEL CONSUMI'TION (stale units u.ed)
Pe, Hour And Tolal Pel Year
..
5. CIiECK MONTIiS FUEL WAS USED
TYPE ~. J F M A M 1 1 A SON 1> - --
Prima!')'
Au"mary
Stand.by
6. NUMBER OF DAYS UNIT COUlD BE OPERATED ON ST AND.BY FUEL NORMALLY ON HAND
"
7. TIME NECESSARY TO AFFECT COMPLETE CHANGE OVER TO STAND-BY FtmL
VII. UNIT OPERATION
1, Based on lall yeaTS operation, whleh HOURS during the day Is the unH(,) usually operated?
(Example: B:..m.to 4:30 p.m,)
. 2. Bued on la.t years operatlpn, whJch DAYS during the week Is the unites) usually operated?
(Exampl.: Monda)' thru Friday)
3. Based on last years operation, indicate any seasonal variations in the unlt'l operation.
Include scheduled shut downs for mainlainence and any significant periods of vulations
In process st""" or rower gene..tion - (Example:"Annual shutdown July I, to July 15
and only 65 percent production during Jan. and Feb.")
SIONA T!JRE of owne, or Aulhorized Agent _~
Name of Person to Conucl Reg:uc1ing 'fhj. Unit (print 0' type)
Till.
Date _'._
o
R EMAR KS In addition to seneral rcm.uk<,lnclude commenl. on any .1l:"lfieanl repair or
changes performed on !l,e unlt(.) during the pan ye.r, or planned for next yea':
'.
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lj4~-S2(j3
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FAX TRANSMITTAL
DATE
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FAX NUMBEK DIALED \ - ~~S- C\ \90;::.",
NUMBER OF PAGES BEING,'1'RANSMITTED INCLUDING FACE SHEET ~----
PLEASE DELIVBIl 'rHE A'l"rACHED DOCUMENT(S) PROMPTLY TO 'rHE PERSON
INDICATED ABOVB. THANK YOU.
PLEASE.CONTACT JANNA JOHNSON AT 206-542-8253 IF ALL PAGES ARE NOT
RECEIVED. THANK you.
--~;"l
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PROPOSAL AND CONTRACT
AAA
MASONRY RESTORATION
~O: Jefferson Coun~y PubHc Worke
. POBOX 1220
Por~ Townsend Wa.9836B
ATT: Frank Hall
Oat. 6-10-91
Pro""..1 No. 9632
Fax: 385-9172
Phone 1-385-9160
Following is a proposal to inspect interior Bnd exterior of emis~10n stack
for Public Works in Port Townsend Washington.
Man Uf't rentsl;
Labor two mon
$550.00
650.00
$1,200.00
98.4U
$1,298.40
Sale a tax
o
ACCEPTANCE OF PROPOSAL: TilE PRICES, SPECIFICATIONS AND CONDITIONS HEREIN AND ON EXlilBIT "A" REVERSE SIDE, ARE
SATISFACTORY AND I HEREIIY ACCEPT THIS PROPOSAL.. YOU ARE AUTHORIZED TO 00 THE WORK AS SPECIFIED AND lHE
Pavmcnll 10 b~ made ___~. .on....complot1on-
...........__ .. thl wDrk progrllllal
10 the value 01 --ene-lm-n<l.t-&d
po, cenl (--100-%) of .11 work campl.tld, The enllre amounl
0' eonH.cl; 10 bl paid withIn
~h4-r~y
d.~. ah.r OtImpl.llon,
PRICES OUOTED ARE GOOD FOR 30 DAVS FROM THE DATE OF THIS PROPOSAL.
THIS PROPOSAL IS SUBMITTEO IN OUP",CATE.lHE RETURN 10 US OP ONE COpy WITH YOUR SIGNATURE SHALL C:ONSTITUlE A CONTRACT.
O~UBMlllEO: AMMAR14400
ACCEPTED _..
0110:_
B, --....-.. ..c:::::?w~ .._. ......_ D.'. 6-W..o1-
· B'~~lnllton 09038 . (208) 4B3.8609
AM MASONRV RIRTORAllON
24215 Brlor Rood
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Section 00030 Page 1
ADVERTISEMENT FOR BIDS
Project No. /vIS'C 978
ADVERTISEMENT FOR BIDS
Notice Is hereby given that the Board of County Commissioners, Jefferson County, Washington,
will receive sealed bids up until the hour of OIJ at the office of the
County Commissioners, the Jefferson County Courthouse, Port Townsend, Washington, 98368,
to be then opened and publicly read a~ a meeting of thR County Commi,;sioners to be held on
that date for /..L'i.x:RIAX ll"cl6.ri7" oP: :51-'u)~ 7:'pci<.. l~9 -;JiE.FFGUtJ;.) 'Ct..1(,.(/jjJ
;'fuL1'/ -5;;;""1(." FAt:'LtT'f . according to the plans and specffications prepared forthls
project.
Bids shall be submitted In accordance wfth the plans and specifications on file at the office of
the Jefferson County Department of Public Works, 1820 Jefferson Street, Port Townsend, WA
---..ll8368L!!!Iention: Frank Hall, (206) 385-9160. Plans and specffications may be obtained by
sUbmittinga$65:90 refundable deposft to the Jefferson County t'epartment of Public Works. The
deposft will be reJunded If the plans and specifications are retumed In good condftlon within 10
days of the bid opening.
A pre-bid conference will be I1eld Ilt Ihe proJect sfte on . . at ~
.:~ tJl~ "'J;:FreRYl/J t!.c.i..l1.JT'r' f.--(i-.~""I 561!.";i(~s F~r.I'IT"" til..O/lllN! ,III.'t, 8oz. :>He/iIOAAJ
;t3;."7 "'7P/JIJ.:fFIWJ" 0/1 ?gS~8 ... . Pre-bid approval of
product llubstitutlons Is a requirement of this contract. Request for approval by Owner must be
received seven (7) working days prior to bid opening dale.
Each bid shall be accompanied by a surety bond, postal money order, cash, cashier's check or
certffied check payable to the Treasurer of Jefferson County In the sum of 5% of the base bid
amount, to be lorfefted to Jefferson County by the successful bidder If he falls 10 enter Into a
contract sI1d file an acceptable surety bond In the amount of 100% of the contrac:t price wfthln
10 days of the award. The Board of County Commissioners reserves the right to reject any and
all bids, and to accept the bid deemed most advantageous to Jefferson County and 10 waive all
Informalities In the bidding. .
COMMISSIONERS
BOARD OF JEFFERSON COUNlY
Chairman, Larry Dennison
Member, Richard Woj1
Member, B.G. Brown
Dated
Lorna Delanoy, Clork 01 the Board
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DOCUMENT 00100
INSTRUCTIONS TO BIDDERS
1. SUMMARY
1.01 DOCUMENT INCLUDES
A. Invitation
1. Bid Submission
2. Intent
3. Work Identified in the Contract Documents
4. Contract Time
B. Bid Documents and Contract Documents
1. Definitions
2. Contract Documents Identification
3. Availability
4. Examination
5. Queries/Addenda
6. ProducllSystem Substitutions
C. Site Assessment
1. Site Examination
2. Pre bid Conference
D. Qualifications
1. Qualifications
2. Prequallflcatlon
3. Subcontractors/Suppliers/Others
E. Bid Submission
1. Bid Depository
2. Bid Ineligibility
3. Submission Procedure
F. Bid Enclosures/Requirements
1. Security Deposit
2. Consent of Surety or Agreement to Bond
3, Performance Assurance
4. Insurance
5. Bid Form Requirements
6. Fees for Changes In the Work
7. Bid Form Signature
8. Addilional Bid Information
9. Prevailing wage requirements
1o,Retalnage
G. Offer Acceptance/Rejection
1, Duration of Offer
2. Acceptance of Offer
. :;,i:'~':1'~::?)1.~;'r;\~'r;~_~F'N~~~~i~~~,]\~~i~';~'''.',~,';,,; ,~'.~",
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A. Identify Contract Time In the Bid Form. The completion date In the \1.. '" :i
Agreement shall be the Contract Time added to the commencement date ~ ~ t ~
denoted as calendar days. ~ ;:!, ~ ~
...."'...~
B. The Owner requires that the Work of this contract be completed as quickly .
as possible, Consideration will be given \0 time o~comPletlon when <..J
reviewing the submitted Bids.
--------.---........
1.02 RELATED DOCUMENTS
A. Document 00020 - Invitation To Bid.
B. Document 00480 - Non collusion certificate.
C. Document 00310 - Bid Form.
D. Documenl 00660. Sample close out forms.
2. INVITATION
2.01 BID SUBMISSION
A. As noted In Document 00020: Call For Bids
B. Offers submilled after the above time will be returned to the Bidder
unopened.
2.02 INTENT
A. As noted in Document 00020: Call For Bids
2.03 WORK IDENTIFIED IN THE CONTRACT DOCUMENTS
A. As noted In Document 00020: Call For Bids
2,04 CONTRACT TIME AtJ:D tlC!.V./DA-1E.1J llflMA#
3. BID DOCUMENTS AND CONTRACT DOCUMENTS
3.01 DEFINITIONS
A. Bid Documents: Contract Documents supplemented with Invitation to Bid,
Instructions to Bidders, Bid Form and Appendix A. Supplements To Bid
Forms and Appendices, Identified herein,
,1'ItJ1
B. Contract Documents: Defined In AlA A201 Article 1 Including Issued
Addenda.
C, Bid, Ofter, or Bidding: Act of submitting en offer,
D. Bid Price: Monetary sum Identified by the Bidder In the Bid Form.
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3.02 CONTRACT DOCUMENTS IDENTIFICATION
,q19
,.,st
nu mber ..Jl9B'I'f as
A. The Contract Documents are Identified as Project
prepared by the ArchitecVEngineer .
3.03 AVAILABILITY
A. As noted in Document 00020: Call For Bids
3.04 EXAMINATION
A. Bid Documents may be viewed at the office of the Jefferson County
Department of Public Works.
B. Upon receipt of Bid Documents verify that documents are complete.
Notify ArchltecVEngineer should the documenls be Incomplete.
C. Immediately notify the ArchitecVEngineer upon finding
discrepancies or omissions in the Bid Documents.
3.05 QUERIES/ADDENDA
A. Direct questions to Frank Hall, telephone (206) 385-9160.
B. Addenda may be Issued during the Bidding period. All Addenda become
part of the Contract Documents. Include resultant costs in the Bid
Price.
C. Verbal answers are not binding on any party.
D. Clarifications requested by Bidders must be In writing not less than 7
days before date set for receipt of Bids. The reply will be In the form
of an Addendum, a copy of which will be forwarded to known
recipients.
3.06 PRODUCT/SYSTEM SUBSTITUTIONS
A. Where tho Bid Documents stipulate a particular Product, substitutions
will be considered by the Architect/Engineer up to 10 days before
receipt of Bids,
B. The submission shall provide sufficient Information to determine
acceptability of such products.
C. When a request to substitute a Product Is made, the Architect/Engineer
may approve the substitution and will Issue an Addendum to known
Bidders.
D. In submission or substitutions to products specified, Bidders shall
Include In their Bid, any changes required In the Work and changes to
Contract Time and Co..:; ...ct Sum/Price to accommodate such
substitutions. A later claim by the Bidder for an addition to the
Contract Time or Contract Sum/Price because of changes In Work
necessitated by use of substitutions shall not be considered.
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4. SITE ASSESSMENT
4.01 SITE EXAMINATION
A. Examine the project site before submitting a Bid. -
B. ~f~urr~tly oq;\!pielll.~eml~~t thll-QrojecfSilll. are Ppe.Q for
exl}mli'tatil:j'lt-~iadeclo o~uring-tRa fulla.l'!lng hOlm!': ~
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All bidders are required to attend a pre bid conference at the locatio
. ect. The exact date and time will be furnished each ective
bidder by m rand! Ie hone. Failure of the' to receive this
information on time shall not constltu e . Ge..~e part of
Jefferson County or It's empJoyees:lhe bidder shall emptoy-El-SlJ.!fu:lent
effort SU~Id-be'1'1eCessary to establish the time and date of tf1lS'--
......'"..Jleting.
5. QUALIFICATIONS
5.01 EVIDENCE OF QUALIFICATIONS
A. To demonstrate qualification for performing the Work of this Contract,
Bidders may be requested to submll written, evidence of financial
position, previous experience, current commltment~, license to perform
work in the State of Washington.
5.02 PREQUALlFICATION
A. Jefferson County does not require prequallflcations of prospective
bidders prior to furnishing them a bid proposal packet. However,
Jefferson County will determine a bidder's qualifications after bids
are submitted. This determination shall be based upon financial
ability to complete the project and prior contract performance.
5.03 SUBCONTRACTORSlSUPPLlERSlOTHERS
A. The Owner reserves the right to reject a proposed
Subcontractor for reasonable cause.
B. Refer to AlA Article 5 of General Conditions A201~19e.7 .
6. BID SUBMISSION
6.01 BID DEPOSITORY
A. As noted In Document 00020: Call For Bids
6,02 6C:';iv1ISSION PROCEDURE
A, Bidders shall be solely responsible for the delivery of their Bids In the
manner and time prescribed.
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B. Submit one copy of the executed offer on the Bid Forms provided,
signed and sealed with the required security and bid bond in a closed
opaque envelope, clearly identified with Bidder's name, project name
and Owner's name on the outside.
c. Improperly completed information, irregularities in bid bond, may
be cause not to open the Bid Form envelope and declare the Bid invalid
or informal.
D. An abstract summary of submitted Bids will be made available to all
Bidders following Bid opening.
6.03 BID INELIGIBILITY
A. Bids that are unsigned, improperly signed or sealed, conditional, illegible,
obscure, contain arithmetical errors, erasures, alterations, or
irregularities of any kind, may at the discretion of the Owner, be
declared unacceptable.
B. Bid Forms, Appendices, and enclosures which are improperly prepared
may at the discretion of the Owner, be declared unacceptable.
C. Failure to provide security deposit, bonding or insurance requirements
may at the discretion of Ihe Owner, invalidate the Bid.
7. BID ENCLOSUREs/REQUIREMENTS
7.01 SECURITY DEPOSIT
A. Bids shail be accompanied by a security deposit as foilows:
1. As noted in Document 00020: Call For Bids
B. Endorse the Bid Bond In lhe name of the Owner as obilgee,
signed and sealed by the Contractor as principal and the
Surety.
C, The security deposit will be returned after delivery to the Owner of the
required Performance Bond by the accepted Bidder.
D. Include Ihe cosl of Bid security In the Bid Price,
E. After a Bid has been accepted, all securities wiil be returned to the
respective Bidders within ten days after execution of the contracl.
F. If no contract Is awarded, all security deposits will be returned.
7.02 CONSENT OF SURETY
A. Submit ~J;th the Bid.
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7.03 PERFORMANCE ASSURANCE
A. Accepted Bidder: Provide a Performance bond as described in Document
00600 - Contract Bond.
B. Include the cost of performance assurance bonds in the Bid Price and
identify the cost when requested by the Owner.
7.04 INSURANCE
A. Provide an executed "Undertaking of Insurance" on a standard form
provided by the insurance company stating their intention to provide
insurance to the Bidder in accordance with the insurance requirements of
the Contract Documents.
7.05 BID FORM REQUiREMENTS
A. Complete all requested information In the Bid Form and Appendices.
7.06 FEES FOR CHANGES IN THE WORK
A. Include in the Bid Form, the overhead and profit fees on own Work and
Work by Subcontractors, applicable for Changes in the Work, whether
additions to or deductions from the Work on which the Bid Price is based.
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7.07 BID FORM SIGNATURE
A. The Bid Form shail be signed by the Bidder, as follows:
1. Sole Proprietorship: Signature of sole proprietor In the presence of a
witness who will also sign. Insert the words "Sole Proprietor" under
the signature.
2, Partnership: Signature of all partners In the presence of a witness
who wiil also sign. Insert the word "Partner" under each signature.
3. Corporation: Signature of a duly authorized signing officer(s) In their
normal signatures. Insert the officer's capacily in which the signing
officer acts, under each signature. Affix the corporate seal. If the Bid
Is signed by officials other than the President and Secretary of the
company, or the President/Secretary/Treasurer of the company, a
copy of the by.law resolution of the Board of Directors authorizing
them to do so, must also be submilted with the Bid Form In the Bid
envelope.
4. Joint Venture: Each party of the joint venture shail execute the Bid
Form under their respective seals in a manner appropriate to such
party as described above, similar to the requirements of a
Partnership.
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7.08 ADDITIONAL BID INFORMATION
A. Submit the following Appendices to the time stated after Bid submission:
1. Appendix A - Subcontractors: 48 hours.
2. Appendix E - Cost Breakdown: 48 hours.
B. Appendix A - Subcontractors: Include the names of ail Subcontractors
and the portions of the Work they will perform.
C. Appendix E - Cost Breakdown Identifies the Bid Price/Sum segmented
into portions using the standard CSI Masterformat sections as
requested by the owner.
7.09 PREVAILING WAGE REQUIREMENTS
A. Contractor must conform to all local, state, and federal prevailing wage
requirements and must obtain all information related to paying
prevailing wages and filing intent to pay prevailing wages and
affidavit of wages paid. Contractor must pay all fees incurred in filing
these forms. Sample forms are provided in Document 00660 and a
sample prevaiilng wage chart Is provided in Document 00670. The
inclusion of these documents In the specification document does not
diminish the responsiblity of the contractor in any way as to
establishing current requirements or current prevailing wage rates.
7.10 RETAINAGE
A. The Jefferson County Department of Public Works standard rate of
retain age for this project is set at the rate of-fkoe percen~.
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8. OFFER ACCEPTANCE/REJECTION
8.01 DURATION OF OFFER
A. Bids shall remain open to acceptance for a period of thirty (30) days
after the Bid closing date.
8.02 ACCEPTANCE OF OFFER
A. The Owner reserves the right to accept or reject any or all offers.
B. After acceptance, the Jefferson County Department of Public Works
will Issue to the successful Bidder, a wrillen leller of Contract Award
END OF DOCUMENT
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DOCUMENT 00310
BID FORM
Proposat of
(name, address, telephone number of bidder)
Proposal for the Phase Three Renovation of the Jefferson County Courthouse
To: Board of Jefferson County Commissioners
P.O. Box 1220
1 820 Jefferson Street
Port Townsend, Wa 98368
Dear Sir:
The Undersigned, having examined the site of the proposed work, Drawings,
Specifications. and related documents, being familiar with all of the conditions relating
to the construction of the proposed project, Including the availability of materials,
services, equipment and appliances required in connection with or Incidental to said
construction In strict conformance with the following:
Specifications: Instructions to bidders; General Conditions and AtchlIacIuml..Sheels:-1.
eover;2;9-arel1itectornnm-crplomblng-;-4;5-;6;-7;8';-and- Electrlcal/m echanlcal- Shee t..g ,-
As prepared by the Jefferson County Department of Public Works for the8ase Bid
Amount of:
Dollars ( $
~l71"E ~ The above Base Bid Is Inclusive Q!..W.ash!n9!9~te and Locll.1 Sales Taxes.
Ail appilcable taxes which the Contractor Is required to pay as herein specified shall be
Included by him In his various bid prlce(s) or any other compensation to be paid to him
under the contract.
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We agree to complete the work of this contract on or before ( I. In
the event that the work is not completed at said time, the Contractor agrees to forfeit to
the Owner the sum of l'en-+OOtffiand-gellm-s- ($IO,66&.00) as liquidated damages for the
first calendar day the work remains uncompleted and ~ I ()O~
($-1-,GGll,OO) for each and every day the work remains uncompleted beyond the first
day.
TIME OF COMPLETION
ADDENDA
Receipt of Addenda numbered , are
hereby acknowledged and all cost of work therefore have been included In this proposal.
The Contractor Is hereby advised that by signature of this proposal he is deemed to have
signed the following non-collusion certificatae required for this project.
NON-COLLUSION CERTIFICATE
The undersigned, being duly sworn, deposes and says that the person. firm, association,
co-partnership or corporation herein named, has not, either directiy or indlrectiy,
enterd Into any agreement, participated in any collusion, or otherwise taken any action
in restraint of free competitive bidding in the preparation and submission of this
proposal to Jefferson County for its consideration In the award of the contract.
The Contractor for himself, and for his heirs, executors, administrators, successors,
assigns, does hereby agree to the full performance of all the covenants herein contained
upon the part of the Contractor.
It Is further provided thai no liability shall attach to the County by further reason of
entering Into this contract, except as expressly provided herein.
IN WITNESS WHEREOF, the Contractor has executed this Instrument, on the day and year
first below written.
Executed by the Contractor
, 19_
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Foregoing contract approved and ratified
,19_
Surety
Attorney-in-fact
On this day personally appeared before me known to me to be
the individuals described in and who executed the within and foregoing instrument, and
acknowledge that they signed the same as their free and voluntary act and deed, for the
use and purpose therein mentioned.
Given under my hand and official seal this _ day of
Notary Public In and for the State of Washington
residing at
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1991.
11
BID GUARANTEE:
The undersigned furnishes herewith bid guarantee in the amount of 5% of the total of the
base bid proposal. This bid guarantee warrants that the undersigned will not withdraw
his proposal for a period of thirty (30) days after the scheduled closing time for the
receipt of proposals. That if this proposal Is accepted, the undersigned will enter into a
formal contract prepared by Jefferson County and that the required performance bond
and payment bond will be given. In the event of the withdrawal of this proposal within
the period stipulated above, or the failure of the undersigned to enter into a contract and
give the required bonds within the ten (10) days after the undersigned has received
notice of the acceptance of this proposal, the undersigned shall be liable to the Owner for
the full amount of the bid guarantee as liquidated damages on account of the default of the
undersigned.
If a bid bond is used, it shall be submitted on a form furnished or approved by the County
and signed by the bidder and his surety company. The sureties attorney in fact must be
registered with the Washington State Insurance Commission.
Bidder
By
Street Address
City
State
Zip
Telephone Number
State of Washington, Contractor Registration Number
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DOCUMENT 00500
CONTRACT FORM
CCiNTRI'CT
JEFFERSON COUNTY, WASHINGTON
THIS AGREEMENT, made and entered Into this day of ,1991,
between the COUNTY OF JEFFERSON, acting through the Jefferson County Commissioners
and the Director of Public Works under and by virtue of Title 36, RCW, as amended and
of
hereinafter called the Contractor.
WITNESSETH:
That In consideration of the terms and conditions contained herein and atlached and made
a part of this agreement, the paries hereto covenant and agree as follows:
1 . The Contractor agrees to furnish all materials and do certain work, to-wit: That
the said Contractor herein will undertake and complete the following described work: the
Phase Three Renovation ProJect located at the Jefferson County Courthouse in accordance
with and as described in the attached plans and specifications and shall perform any
alterallons In or additions to the work provided under this contract and every pari
thereof.
The Contractor shall provide and be at the expense of all equipment, work and labor of
any sort whatsoever that may be required for the transfer of materials and for
construcllng and completing the work provided for in this contract and every part
therof, except such as are mentioned In the specificallons to be furnished by the County
of Jefferson.
2, The County of Jefferson hereby promises and agrees with the Contractor to
employ, and does employ the Contractor to provide the materials and to do and cause to be
done the above described work and to complete and finish the same according to the
attached plans and specifications and the terms and conditions herein contained, and
hereby contracts to pay for the same according to the attached specifications and the
schedule of unit or itemized prices hereto attached, althe time and In the manner and
upon the conditions provided for In this contract. "Ule-G6urHy-.turt~r-a!}l'e9&-to-emplQ.y.
tRe-Gen1rae~rlerm--ally-ellerfl:tlolls-JFt-Sr-oddlllonS-lfMhe--WQrk.-p1QvldecHor--in-thls
conlmcUhat-may-be-crder~d-and-to-pe~same-under-tll9-lerm~thl8-QoAttaet-and
the-al1acll&G-pltlns-am:f'"Spllelfleetkms,
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3. The Contractor for himself, and for his heirs, executor, administrators,
successors, and assigns, does hereby agree to the full performance of all the covenants
herein contained upon the part of the Contractor.
4. It is further provided that no liability shall attach to the County by reason of
entering into this contract, except as expressly provided herein.
IN WITNESS WHEREOF, the Contractor has executed this instrument on the day and year
first below written, and the Board of County Commissioners has caused this instrument
to be executed by and in the name of said County of Jefferson the day and year first above
written.
Executed by the Contractor
, 1989
Contractor
By
Foregoing Contract Approved and Ratified
, 1989
Surely
By
Attorney-in-Fact
County of Jefferson
Board of Commissioners
Chairman
Member
Member
Approved as to form this.
day of
, 1989
Prosecuting Attorney
14
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DOCUMENT 00600
CONTRACT BOND FORM
CONTRACT BOND
JEFFERSON COUNTY, WASHINGTON
KNOW ALL MEN BY THESE PRESENT:
That ,of
, as Principal,
and , as Surety, are jointly and
severally held and bound unto the County of Jefferson, the penal sum of
Dollars ( $ ) , for the payment of which
we jolntiy and severally bind ourselves, our heirs, executors, administrators, and
assigns, and successors and assigns, firmly by these presents.
The condition of this bond is such that WHEREAS, on the day of
, A.D, , 1991, the said Principal herein,
executed a certain contract with the County of Jefferson, by the terms, conditions and
provisions of which conlract the said ,
Principal herein, agrees to furnish ait materials and do certain work, to-wit: That the
said Principal herein will undertake and complete the following described work:
In Jefferson County, Washington, between Station and
Station , as per maps, plans and specifications made a part of
said contract, which contract as so executed, is hereunto attached and is now referred to
and by this reference Is Incorporated herein and made a part hereof as fully for all
purposes as if here set forth at length.
NOW, THEREFORE, if the Principal herein shall faithfully and truly observe and comply
with the terms, conditions and provisions of said contract In all respects and shall weif
and truly and fully do and perform all matters and things by the said Principal
undertaken to be performed under the said contract, upon the terms proposed therein,
and within the time prescribed therein, and until the same Is accepted, and all persons
who shall supply such contrac.:,)r nO' subcontractor with provisions and supplies for the
carrying on of such work. pnd shall In all respects faithfully perfl1rm said contract
according to law, then this obligation to be void, otherwise to remain in fuif force and
effect,
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WITNESS our hands this
PRINCIPAL
By:
APPROVED AS TO FORM this _ day of
Prosecuting Attorney
Address of local office and agent of surety company:
Street
City
State
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day of
1991,
SURETY COMPANY
By:
By:
Zip Code
Attorney-in-Fact
1991.
16
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(JOGS"
CONTRACTOR'S DECLARATION OF OPTION FOR MANAGEMENT OF
STATUTORY RETAINED PERCENTAGE
A. I hereby elect to have the retained percentage of this contract held in a fund by the
Owner until (30) days following final acceptance of the work.
Date
Signed
B. I hereby elect to have the Owner deposit the retained percentage of this contract in
an interest bearing account, not subject to withdrawal until after final acceptance of
the work.
Date
Signed
C. I hereby elect to have the Owner invest the retained percentage of this contract from
time to time as such retained percentage accrues.
I hereby designate
the repository for the escrow of said funds.
I hereby further agree to be fully responsible for payment of all costs or fees incurred
as a result of placing said retained percentage in escrow and investing it as authorized
by statute. The Owner shall not be liable in any way for any costs or fees in
connection therewith.
Date
Signed
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Request for Release:
Section 00660 Page 1
SAMPLE CLOSEOUT FORMS
Owner Provided
Public Works Contract Reconciliation of Taxes:
State of Washington
Oept. of Revenue
Excise Tax Division
Olympia. WA 98504
Owner provided
Notice of Completion of Public Works Contract:
AlA Document G707
Consent of Surety Company to Final Payment:
AlA Document G706
Contractor's Affidavit of Payment of Debts and Claims:
AlA Document 706A
Contractor's Affidavit of Release of Liens:
AlA Document G704
Subcontractor Detail:
Certificate of Substantial Completion:
Obtain from WA State
Dept. of Revenue
Certified Payroll of General Contractor and Subcontractor:
Form from Contractor or
Public Works Dept.
Affidavit of Prevailing Wages Paid:
Owner Provided Contractor
Pays Fee
The inclusion of these documents is provided to assist In the document routing procedure and
in no way diminishes the Contractor's responsibility to obtain the correct and most current
forms or Information.
Copies 01, the above sample closeout forms are available from the Owner. Contact
Department of Public Works Jefferson County, Attn: Frank Hall.
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Section 00660 Page 2
SAMPLE CLOSEOUT FORMS
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END OF SECTION 00660
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The "General Condnlons of the Contract for Construction", AlA Document A-201. 1987
Ednlon. Articles 1 through 14 Inclusive Is here by mode port of these Speclflcations the
some os If reproduced herein In full except os modified. rescinded or supplemented by
these Supplementary Condnlons. which toke precedence. Those portions of the AlA
General Conditions which ore not anered by these Supplementary Conditions sholl
remain in effect os published. A copy of the AlA General Condnions Is available at the
Architect's office for reference.
Note: wherever the word 'Architect' Is used, substitute the word 'Owner'.
~
Page 2: Change os follows:
Arbnrotlon". the 17th item in column one. Is deleted andsubstnuted In its pioce Is
'Dispute Resolution".
Article 1 - Contract Documents'
1.1 Definitions
1.1.1 The Contract Documents
Paragraph 1.1.1: Substnute the following:
In 1he first line ofterthe word 'Agreement', Insert the
words, 'Instructions to Bidders. and the Contractor's
executed bid.' Omit the lost sentence. 'Unless
speclflcally enumerated, . . relating to bidding
requirements. "
1.1.3 The Work
Paragraph 1.1,3: Add subparagraph as follows:
1.1.3.1 The data given In the specifications Is believed to be accurate
but the accuracy Is not guaranteed, The Contractor must take 011
levels, locations. measurements, and verify 011 dimensions
on the job sne prior to construction and adapt his work to
the exact construction.
1.1.4 The Project
Paragraph 1.1,4: Add the following sentence:
The Work will be awarded under a single Contract
including general, mechank;a: and electrical work.
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Article 3 - The Contractor
3A Labor and Ma1erlals
Paragraph 3.4.3 Sholl be added as follows:
3.4.3 The Contractor shall be responsible for1he care and
storage of moterials delivered to the work or purchased for use thereon.
stored ma1erials shall be carefully and continuously protected from
,damage or deterioration and so located as to facll~a1e Inspection by the
Owner and Architect. This responsibility forthe care and storage of
materials sholl be w~h the Contractor whether such
materials ore fumished by the Contractor or by the Owner.
3.7 Perm~s. Fees and Notices
Subparagraph 3.7.1: Add the following:
3.7.1 The Contractor shall arrange. pay for, and Include In his
bid, costs for plan checking and perm~ fees required by Code and other
regulatory agencies.
3.10 Contractor's Construction Schedule
Subparagraph 3.10.1: Add the following:
3.10,1 W~hln ten (10) days after signing the Contract, the
Contractor shall submit construction schedule to the Owner and the
Arch~ect. An updated construction schedule sholl be submHted w~h
each Appllca1lon for Progress Payment.
Article 4 - Adminlstra1lon of the Contract
4.1 ArcMect
Paragraph 4. 1: Add the following subporagroph 4.1.2. 1
4.1.2.1 The Arch~ecf Is not bound to define the limits of any
subcontract, and will not enter Into disputes between the
Contracfor and his employees, Including subcontractors.
Paragraph 4.1.4: Revise to read os fallows:
4,1.4 Disputes arising under Subparagraph 4.1.2 and ,.:.1.3 sholl
be subject to dispute resolution os deflnerl In paragraph
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4.5.
Paragraph 4.2.4: Modify as follows:
Delete the words "endeavor to " after "Contractor shall' in the second
sentence.
4.5 Arbitration: Delete entire title and substitute the following:
The title "Arbitration" Is deleted and substituted In Its place Is "Dispute Resolution'
as the new title of the paragraph. and throughout 4,5 In Ws entirety.
Paragraph 4.5.1: Revise lines 3-5 as follows:
...shall be settled by the Director of the Jefferson County Department of Public
Works, and jUdgement upon...
Paragraph 4.5.2: Revise lines 4-6 as follows:
...by the Jefferson County Department of Public Works. unless the
parties...
Article 7 - ChanaAs In the Work
7.3 Construction Change Directives
Paragraph 7.3.6: Revise items .1 through.5 to read as follows:
1. Additive Changes:
a. Direct Lobar Costs:
This is defined as the estimated labor costs determined by
either the estimated number of Journeyman craft hours to perform the
change In work and the hourly costs related fhereto; or the unit labor
costs applied to the material quantHles, providing said unH labor costs
are developed from fhe above craft man-hour costs; whichever Is
applicable, according to Industry practice.
The hourly costs shall be based on the following:
(1) Basic Wl'lges: Current minimum prevailing ha.;rly wage
rates, Including vacation pay, for all labor, crew foreman,
and general foreman performing and/or directly supervising the
work on the sHe, TheSe rates, whichever are applicable, are
established by the prevailing wage rate.
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(2) Fringe Benefrts: Fringe benefits established by the State
of Washington. Department of Labor and Industries or contributed
to labor trust funds as itemized fringe benefits, whichever are
applicable.
(3) Worke(s Insurances: Direct contributions to the State of
Washington as Industrial Insurance; Medical Aid; and
Supplemental Pension. by the class and rates established
by the State of Washington. Department of Labor and
Industries.
(4) Federal Insurances: Direct contributions required by the
Federal Insurance Compensation Act, (F.I.C.A); Federal
Unemployment Tax Act, (F.U.T.A.); and the State
Unemployment Compensation Act. (S.U.C.A.).
(5) Costs: Cost incurred by the Washington Industrial Safety
and Health Act, (W.I.S.H.A.), shali be an amount to be
agreed upon but not to exceed 2% of 1,2,3. and 4 above.
(6) Travel Allowance: Trovel Allowance and/or subsistence.
if applicable. not to exceed those established by Regional
I.abor Union Agreements, shall be itemized and Idenmled
separately.
(7) Items speCifically exciuded:
- Contractor Organization dues.
b. Direct Material Costs:
This Is defined as an itemization of the estimated quantity of
materials necessary to perform the change In the work and the
cast therefore. These costs shall be by the unit cost applied to
the quantity and extended. The unit costs shall be based on the
following:
(1) The competitive costs prevailing In the area considering
the quantities Involved and avaliable delivery time.
(2) The net costs after all discounts or rebates.
(3) Freight costs: express charges: or speclai delivery cosfs
when applicable.
Lump sum costs will be allowed only as provided for In items 4
and 5, this section.
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c. Construction Equipment Usage Costs:
(1) Major Tools and Equipment: This Is defined as an
itemization of and the estimated length of time
construction equipment will be used solely on change
order work at the site. No ex1ra cost will be allowed If
the tools and equipment ore already on the job site for
use on the main contract. The rental costs applied
thereto shall not exceed the rates established by the
following. whichever Is applicable:
(a) The current hourly rental rates established by
agreement between the Associated General
Contractors. (A.G.C.). and Washington State
Department of Hlghwoys.
(b) The current rental rates established by the state of
Washington, Utilities and Transportation
Commission for trucks used on highways.
(c) The current rental rates established by the
National Electrical Contractor's Association
(N.E.C.A.) for equipment used on electrtcal wort<.
(d) The current rental rates established by the
Mechanical Contractor's Association for equipment
used on mechanical work.
(e) If equipment is required for which a rental rote Is
not established in any of the above, an agreed
rental rate shali be estoblished for that equipment.
Such rates and the use of the equipment on the
work must be approved by the contracting
au1hority prior to perfomning the work.
(f) The rates In effect at the time of the performance
of the work are the maximum rates aliowable for
equipment of modem design and In good working
condition and Include fuli compensation for
furnishing all fuel, 011, lubrtcation, repairs,
maintenance, and insurance.
(2) Small Tools. Expendable and Consumable Supplies:
(a) These are general In nature and are defined as
tools for which 1he Initlol purchase price Is under
$500 and are normally fumished by the
performing contractor.
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(b) The allowable rate for small tools will be an
amount to be agreed upon bu1 notto exceed the
following:
- General Contractors: 3% of direct labOr costs.
- Specially Contractors: 5% of direct labOr costs.
(c) Expendable and consumable supplies directly
associated wllh the change In work to be lIemlzed,
d. Prime Sub-contracto(s Proposals:
Sub-contractor's proposals are to be lIemlzed as In la, lb, and
1 c above.
e. Overhead and Prom by the Contractor Actually Performing the
Work:
A total amaunt to be agreed upon bu1 not to exceed 15% of
Items 1 a, 1 b. and 1 c above will be allowed. This Is to
compensatesuch contractor for all personnel not defined In 1 a,
(1)above: temporary construction facilities; home office costs;
office engineering and estimation costs; and profit, plus any
other cost Incidental to the performance of the change In work.
f. Overhead and Prom by the Prime Contractor or Intermediate
Subcontractor on Sub-Contractor's Actually Performing the
Work:
(1) A total amount to be agreed upon but not to exceed 8% of
the total amount of sub-contractors proposals as defined
In 'e' above will be allowed for all overhead and profit to
supervise and administer the sub-contractors actually
performing the change In the work.
(2) No direct labor by the prime contractor wili be allowed
added to a sub-contracto(s proposal. Prime contracto(s
direct labor, If required. must be submitted as ou1l1ned In
10, lb, 10 ond 19.
g. Cost of Any Increase of Decrease In Premium by Insurance and
Public Works Bond Caused by the Change:
(1) Contractor's Liability Insurance:
To the above, the costs of the Contractor's Liability
Insurance a!; ou1l1ned under Article 27 herein Is to be
added,
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Public Work Bond:
To the above. the cost of the controctor's publiC works
bond os outlined under Article 29 herein Is to be added.
2. Deductive Changes:
a. Items la.. lb. lc. Ie. and 19 will beltemlzedfordeletoo
changes in the work,
b. Restocking charges or other special charges shali be allowed at
their actual cost.
3. Additive Changes and Deductive Changes Together:
a. If a change In the work Involves both additive and deductive
changes the approprtote overhead and profit amount allowed
will be added to the net difference of Items 1 a. 1 b, 1 c, and 1 d.
b. If other additive changed Items are Included in the same r::hange
proposal the approprtote overhead and profit allowed Is to be
applied to these individual changed items.
4. Changes Under $500,00:
If the description of the change in the work Is. in the opinion of the Owner,
definitive enough for the Owner to determine fair value and total of the
change does not exceed $500.00, no breakdown Is required.
5. Changes Between $500.00 and $1,500.00:
If the description of the change In the work is, In the opinion of the Owner,
definitive enough for the Owner to determine fair value the breakdown shall
consist of the following:
a. Lump sum labor
b. Lump sum material
c. Lump sum equipment usage
d. Approprtate overhead and profit as defined In le and If.
Article 8 - Time
Subparagraph 8.3.4: Add os foliows:
8,3.4 The Contractor shall notify the Owner In wrttlng within
three (3) days of the beginning of any delay for which an
extension 01 time Is to be requested by the Contractor. The causes for such
delay shali be Included In the notification.
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Article 9 - Pavments and Comoletion
Paragraph 9.3 Applications for Payment
Subparagraph 9.3.1.3: Add as follows:
The Owner will retain a sum equal to fIVe percent of the
Contract Sum until final payment. to allow claimants to
assert a lien. ~ necessary.
Paragraph 9.6 Progress Payments
93.1.3
Subparagraph 9.6.1: Add as follows:
9.6.1 Based on Applications for Payment submitted to the
Architect and Certificates of Payment Issued by the
Architect. the Owner shall make progress payments on
accounts of the Contract Sum to the Contractor as follows:
1. Not more frequently than monthly.
2. In amount not to exceed the aggregate value of
work completed and materials stockplied on the
site as detenmined by the itemized schedule of
costs submitted on AlA for G702 as adjusted by
subsequent change orders; less the total of all
previous payments made to the Contractor, and
less the stipulated retainage.
3. Payments shall be made within thirty (30) days of
Issuance of Certificate of Payment, except that
amount withheld has provided In Paragraph
9,3.1.3.
Paragraph 9.11: Add as follows:
9.11 liquidated Damages
9.11.1 The Owner will suffer financial loss If the Project Is not
substantially complete within the period set forth in the
Propasal Form. The Contractor and the Contractor's
surety, ~ any. shall be liable for the sholl pay to the Owner, the sums
hereinafter stluplated as fixed, agreed and liquidated damages, and not
as penaity. for each calendar day of delay until the Work Is sub.tantlally
complete.
Two Hundred and Noll 00 .....--------.........,---....-Dollars
($200.00>
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Article 10 - Protection of Persons and Prooertv
10.1 Safety Precautions and Programs
Subparagraph 10.1.2: Revise to read os follows:
10.1.2 In the event the Contractor encounters on the s~e
material reasonable believed to be asbestos or
polychlorinated biphenyl (PCB) which has not been
rendered harmless, the Contractor sholl Immediately stop
Work In the area affected and report the condition to the
Owner and Architect In writing. The Work in the affected
area sholl not thereofler be resumed except by written
agreement of the Owner and Contractor If In fact the
materlol is asbestos or polychlorinated biphenyl (PCB), or
when it has been rendered harmless by written
agreement of the Owner and Contractor, or In accordance
w~h finol determination by the Architect on which 1~lgation has not been
demanded. or by 1~lgatlon under Article 4.
Subparagraph 10.1.5 add as follows:
Materials containing asbestos are strictly prohlb~ed for u~e in
this project. Contractor shall verify that all products utilized are
asbestos free.
Article 11 - Insurance and Bonds
Paragraph 11.1 Contractor's Liability Insurance
Subparagraph 11.1.1.8: Add os follows:
11.1.1.8 L1abll~y Insurance shall Include all major divisions of
coverage and be on 0 comprehensive basis Including:
1. Premises Operations (Including X,C, and U
coverages as applicable.
2. Independent Contracto(s Protective.
3. Products and Completed Operations.
4. Personal Injury Liability with Employement
Exclusion deleted.
5. Controctual. Including specified pro\:lslon for
Contractor's obligation under Paragra~h 3.18.
6, Owned, non-owned and hired mofor vehicles.
7. Broad Form Property Damage including Completed
Operations.
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9.
Stop Gap or Employers' Contingent Liability.
Explosion. Collapse. Underground Damage (Referred
to as "X,C,U").
If the General Liability coverages are provided by
a Commercial General Liability Policy on a claims-
made basis. the policy date or Retroactive Date
shall predate the Contract: the termination date of
the palicy or applicable extended reporting period
shall be no earlier than the termination date of
coverages required to be maintained after final
payment. certified in accordance with
ubparagraph 9.10.2.
Subparagraph 11.1.2.1: Add as foliows:
11.1.1.9
11.1.2.1
The insurance required by Subparagraph 11.1.1 shall be
written for not less than the foliowing limits, or greater If
required by law:
1. Workers Compensation:
(0) State Statutory
2, Comprehensive or Commercial General Liability
(Including Premises-Operating; Independent
Contractors' Protective; Products and Completed
Operations; Broad Form Property Damage):
(a) Bodily Injury:
SSOO.lXXl
SSOO.lXXl
Each Occurrence
Aggregate
(b) Property Damage:
$SXl.lXXl
$SXl.lXXl
Each Occurrence
Aggregate
(c) Products and Completed Operations to be
maintained for one (1) year after final payment:
$l00.cro
AQregate
(d) Property Damage Liability Insurance shali provide
X,C, and U coverage.
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(e) Broad Form Property Damage Coverage shall
Include Completed Operations.
3. Confrac1ural Uabillty:
(a) Bodily Injury:
SOCO.an Each Occurrence
SOCO.an Aggregate
(b) Property Damage:
SOCO.an Each Occurrence
SOCO.an Aggregate
4. Personal Injury, with Employment Exclusion deleted:
soco.an
Aggregate
5. Business Auto liability (Including awned. non-awned and
hired vehiCles):
(a) Bodily Injury:
SOCO.an
SOCO.oo
Each Person
Each Occurrence
(b) Property Damage:
SSCO.<ro
Each Occurrence
6. If the General L1ablllfy coverages are provided by a
Commercial liability poilcy, the:
(a) General Aggregate shall be nat less than SSOO,CXXl
and if shall apply, In total. to this Project only.
(b) Fire Damage Umlt shall be not less fhan SSCO.CXXl
an anyone fire.
(c) Medical Expense limit shail be not less than
S5CO,<XXl on any ane person,
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Paragraph 11.1 Contractor's Liability Insurance
Subparagraph 11.1.3: Add as follows:
11.1.3 Said certificate shall Include the following statement:
"The Insurance Company has reviewed the coverage
requirements as stated In these requirements and
certifies that the poliCY of Insurance represented by said
Certificate Includes (but is not limited to ) the coverages
designated.'
Subparagraph 11.1.14: Add as follows:
11.1.4 The following additional provisions shall be complied
with:
11.1.4,1 The Owner. the Architect and each of 1heir officers.
agents and employees, shall be named os an additional
Insured on such Insurance as required under Article 11,
paragraph 11. 1 through 11. 1.4.
11.1.4.2 The Contractor shali continue Completed Operations
Uabllity insurance In force for at least one year after the
date of Final Certificate of Payment.
11.1.4.3 Insurance shall be wrlttten by a firm licensed to do
business In the State of Washington, and as approved by
the Owner. Approval of this Insurance by the Owner
shall not relieve or decrease the lIabliity of the Contractor
'hereunder.
Paragraph 11.2: Owners Liability Insurance
Subparagraph 11.2.1: Delete entire paragraph and substitute the following:
11.2.1 The Owner, at his option, may purchase and maintain
such insurance as will protect him against claims which
may arise from operationS under the Controct.
Paragraph 11.3: Property Insurance
11.3,1 Modify first sentence of Subparagraph 11.2.1 as follows:
Delete 'Unless otherwise provided, the Owner' and
substitute 'the Contractor'.
Add the following sentencos:
If the Owner Is damaged by the failure of the Contractor
to maintain such insurance, then the Contracfor shall bear
011 reasonable costs properly atHrlbutable thereto,
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Subparagraph 11.3,6: Delete and substitute the following:
11.3.6 Before an exposure to loss may occur. the Contractor shall
file with the Owner two certified copies of the policy or
policies providing this Property Insurance coverage, each
containing those endoresements specifically related to
the project. Each policy sholl contain a provision that the
policy will nof be cancelled or allowed to expire until at
least thirty days prtor written notice has been given to
the Contractor.
In addition to the A.I.A. A-201 Document. the following Federal & State provisions apply
and are Included herein as a port of the Contract Documents.
1. Construction Contracts
2, Contractor/Subcontractor Contract Agreement
3. Public Works Construction
Project Construction Contract
Document Checklist
4. Spare.
5. Mlnortty/Women Owned Business Centers & Information
Contacts
6. TItle VI of the Civil Rights Act of 1964 Clause
7. Access to Records Clause
8. Section 109 of the Housing & Community Development Act of
1974 Clause
9, Section 3 Compliance In the Provision of Training Employment
and Business Opportunities Clause
10, Minority Newspapers
11. Organizations Serving the MinoMty Community
12. Preconstructlon Checklist for Contractors: Meeting Labor
Standards Contract Requirements
13. 6/31/69 or most cUrr~n ~ Washington State Prevailing Minimum Hourly
Wage Rates os of the submittal of this bid.
End of Supplementary Conditions
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REOIONAL LOCATION MAP
Jefferson County Multl-8ervl
Port Townsend, wnshlng~~I~ldg
January 24, 1989
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DOCUMENT 00310
BID FORM
Proposal of
AAA MASONRY RESTORATION CO. 24215 Brier Rd. Brier,Wa.98036
(name, address, telephone number of bidder)
Proposal for BOILER FLUE RENOVATION AT the Jefferson County Mu"i-Servlce building located at 802
Sheridan, Port Townsend, WA.
483-6609
To: Board of Jefferson County Commissioners
P.O. Box 1220
1820 Jefferson Street
Port Townsend, Wa 98368
Dear Sir:
The Undersigned, having examined the site of the proposed work, Drawings, Specifications, and related
documents, being familiar with all of the conditions relating to the construction of the proposed project,
Including the availability of materiats,servlces, equipment and appliances required in connection with or
Incidental to said construction In strict conformance with the above mentioned documents, for the Base
Bid Amount of:
Twenty four thousand,seven hundred twenty one dollars and seventy seven Cents
Dollars
($ 21" 7f1. 77
NOTE: The above Base Bid is Inclusive of Washington State and Local Sales Taxes.
All applicable taxes which the Contractor is required to pay as herein specllied shall be Included by him in
his various bid price(s) or any other compensation to be paid to him under the contract.
TIME OF COMPLETION & LIQUIDATED DAMAGES
We agree to complete the work of this contract within a periOd 01 30 calendar days beginning on the
effective date of Notice to Proceed. In the event that the work is not completed at said time. the
Contractor agrees 10 fortelllo 1he Owner as liquidated damages the sum of Three hundred Dollars
($300.00) for the first calendar day and One Hundred Dollars ($100.00) for each and every additional
calendar day the work remains uncompleted.
ADDENDA
Receipt of Addenda numbered -L-, _, _, _, are heleby
acknowledged and all cost of work therefore have been included in this proposal.
The Contractor Is hereby advised that by signature of this proposal he Is deemed to have signed the
following non.collusion certificate required lor this project.
CONFIRMATION OF SITE REVIEW REOUIREMENTS
Ourropresentallve .In,mfls R Vnll(,hn
reviewed the project slle on (, i ~_O]
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SENEi~R: . .
. c' ,'to items 1 andlor 2 lor additional services.
. C to items 3. and 48 & b.
. Print your name and address on the raverse ot this form so
thot we can return this card to you.
. Attach this form to tho front of the mnllpicce, or on tho
back if space does not permit.
. Write "Return Roceipt Requested" on tho mailpiecll next to
the artlcla number.
3. Artlclo Addressod to:'l. tt)
'JIfYl VO-U9hrf" ,
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I also wish to roO th~
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lee):
1, 0 Addressee's Addross
2. 0 Restricted Delivery
Consult ostmoster for 100.
4a. Article Number
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nd leo 18 paId
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PS Form
, October 1 a90 .U,B, OPO, 'OOO-27~'81 DOMESTIC RETURN RECEIPT
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DOCUMENT 00410
BID GUARANTEE
The undersigned furnishes herewith bid guarantee In the amount of 5% of the total of the base bid
proposal. This bid guarantee warrants that the undersigned will not withdraw his proposal for a period of
thirty (30) days alter the scheduled closing time tor the receipt of proposals. That if this proposal is
accepted, the undersigned will enter into a formal contract prepared by Jefferson County and that the
required performance bond and payment bond will be given. In the event of the withdrawal of this
proposal within the period stipulated above, or the failure of the undersigned to enter Into a contract and
give the required bonds within the ten (10) days after the undersigned has received notice of the
acceptance of this proposal, the undersigned shall be liable to the Owner for the full amount of the bid
guarantee as liquidated damages on account of the defauil of the undersigned.
if a bid bond is used,lt shall be submitted on a form fumished or approved by the County and signed by
the bidder and his surety company. The sureties attorney in fact must be registered with the Washington
State Insurance Commission.
AAA MA~nNRV RF~~n~^TTnN r.n
Bidder
JA~IES E. VAUGHN
By
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?(,?lC\ 'Rr;Ar QrI
Street Address
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WASHINGTON
State
98036
BRIER
Clly
Zip
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Telephone Number
AAAMAS14400
State of Washington, Contractor Registrallon Number
End 01 Document
DOCUMENT 00410
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NON.COLLUSION CERTIFICATE
The undersigned, being duly sworn, deposes and says that the person. firm, association, co-partnership
or corporation herein named, has not, either directly or indirectly, entered into any agreemenl, participated
In any collusion, or otherwise taken any action in reslraint of free compelilive bidding In Ihe preparation
and submission of this proposal to Jefferson County for Its consideration in the award of the contract.
The Contractor for himself, and for his heirs, execulors, administrators, successors, assigns, does hereby
agree to the full performance of all the covenanls herein contained upon Itle part 01 lhe Contractor. '
11 is further provided that no liability shall anach 10 the County by further reason of entering into ttlis
contract, except as expressly provided herein.
IN WITNESS WHEREOF, the Contractor tlas executed this instrument, on the day and year first below
written.
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Foregoing contract approved and ratified
, 1991
Surety
Attorney.ln.fact
On this day personally appeared before me ~ 'C: O~known to me 10 be the Individuals
described in and who executed the within and fOregOing Instru enl, and acknowledge that they signed
the same as their free and voluntary act and deed, lor the use and purpose therein mentioned.
Given under my hand and olllclal seal thIs I ~l ~1991.
End 01 Document
DOCUMENT 00310
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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ESTIMATE SHEET
Bid Opening: 11 :00 A.M. ; July 22, 1991
Project: BOILER FLUE RENOVATION
Site: Jefferspn County Multi-Service Building
Project No: MSC978
Prospective Bidders:
-AAA Masonry Restoration
-Pioneer Masonry Restoration
-Olympic Masonry Restoration
-Delhur Industries
-Tony Rodeghler
Archlteots E~timaIA:
-Construction Cost:
1820 Jefferson Street
p,O, 80x 1220
Pori Townsend. WA 98368
(206) 385-9160
Gary A. Rowe, P.E., Director
Robert G. NeSbirt, P.E., County Engineer
,;41/2,/. 7/
;
$27.000.00 (including Slate Sales Tax)
100% Aocycllld Papnr
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DOCUMENT 00020
CALL FOR BIDS
Notice Is hereby given that the Board of County Commissioners, Jefferson County, Washington,
will receive sealed bids up until the hour of //JtJO on .tv":" 2'2- at the office of the County
Commissioners, the Jefferson County Courthouse, Port Towns"end, Washington, 98368, to be then
opened and pubficly read at a meeting of the County Commissioners to be held on that date, for the
Materials, Labor and Coordination necessary to Renovate the Masonry Boiler Flue at the Jellerson County
Mulit-Servlce facility located at 602 Sheridan, Port Townsend, WA, according to the project plans,
specifications and bid documents. PROJECT NO: MSC978.
Bids shall be submitted In accordance with the plans, specifications and bid documents on file at
the office of the Director of Public Works, Jefferson County Courthouse, 1820 Jellerson Street, Port
Townsend, Washington 98366, (206) 385.9160, Attention: Frank Hall. Copies may be obtained by
depositing $15.00. The deposit will be refunded II the Contract Documents are relurned In good
condition within 30 days of the bid opening.
Each bid shall be accompanied by a surety bond, postal money order, cash, cashier's check or
certified check payable to the Treasurer of Jefferson County In the sum of 5% of the bid amount, to be
forfeited to Jefferson County by the successful bidder II he falls to enter Into a contract and llIe an
acceptable surely bond In the amount of 100% of the contract price within ten (10) days oflhe award. The
Board of County Commissioners reserves the right to reject any and alt bids, and to accept the bid
" deemed most advantageous to Jelferson ~ounty and to waive alllnformalil1es In the bidding.
BOARD OF JEFFERSON COUNTY COMMISSIONERS
OaIed
~~
ChaJ ,rry. Dennison
~a1df
ard E. WOJI
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End of Document
DOCUMENT 00020
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DOCUMENT 00500
CONTRACT FORM
CONTRACT
JEFFERSON COUNTY, WASHINGTON
THIS AGREEMENT, made and entered Into this "rh day of Al1?""r ,1991, between the
COUNTY OF JEFFERSON, acting through the Jefferson County Commissioners and the Director of
PubncWo~~sunderandbyvirtueollitle36,RC'{{.asamendedand ^^^ ""onnrd l>pot-nr"t-inn Co.
d Bner Wa. hereinafter calle the Contractor.
WITNESSETH:
That In considerallon of the terms and condillons confalned herein and attached and made a part of this
agreement, the parties hereto covenant and agree as follows:
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The Contractor agrees to furnish all materials and do certain work, to.wit: That the said Contractor
herein will undertake and complete the following described work: Furnish all labor, equipment and
coordination necessary to renovate the Boller Flue at the Jefferson County Mulll.Servlce facility
located at 802 Sheridan, Port Townsend, WA, In accordance with and as described In the
attached speclfications and the terms and conditions herein contained and shall at the owner's
discretion perform any alleratlons In or additions to the work provided under this contract and
every part thereof.
The Contractor shall provide and be at the expense of all equipment, work and labor of any sort
whatsoever that may be required for the transfer of materials and for constructing and completing
the work provided for In this contract and every part thereof, except such as are mentioned In the
specifications furnished by the County of Jefferson.
2. The County of Jefferson hereby promises and agrees with the Contractor to employ, and does
employ the Contractor to provide the materials and to do and cause to be done the above
described work and to complete and finish the same according to the attached plans and
speCifications and the terms and conditions herein contained, and hereby contracts to pay for the
same according to the attached specifications and the schedule of unft or lIemlzed prices hereto
attached, at the time and In the manner and upon the conditions provided for In this contract. The
County further agrees at the County's discretion to employ the Contractor to perform any
alleratlons in or additions to the work provided for In this contract that may be ordered and to pay
for the same under the ferms of this contract and the attached plans and specifications.
1.
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3. The Contractor for himself, and for his heirs, executor, adminlslrators, successe'J, and assigns
does hemby agree to the full performance of all the covenants herein contained upon the part of
the Contractor.
4. ft Is further provided that no lIablllly shall attach to the County by reason of entering Into this
contract, except as expressly provided herein.
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IN WITNESS WHEREOF, the Contractor has executed this instrument on the day and year first below
wrillen. and the Board 01 County Commissioners has caused this instrument to be executed by and in the
name of said County of Jefferson the day and year 'lrst above wnllen,
Executed by the Contractor
August 6.
A A A M~ "".....n....y.
Contractor
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[i2/Y1tE<V /" ;:i~
James E.Vau~hn
By
Foregoing Contract Approved and Ralilied
RCW 39.08.0lD
see below
Surely
By
Allomey-In-Fact
.1991
.1991
Member
Approved as to form this ~day ot ~~.....,~ 1- . 1991
~ I' ___._-.--
Prosecuting Afforney
* We request the elimanation of the performance bond per state RCW guidelines where
contract under $25,000.00 does not require such bonding.
End 01 l)oGullloo1
DOCUMEr.l OO~OO
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, Box 1220
Pori Townsend. WA 98368
(206) 385-9160
Gary A. Rowe. P.E., Director
Robert G. Nesbitt. P.E., County Engineer
PAGE 1 OF4
Project: BOILER FLUE RENOVATION
Site: JEFFERSON COUNTY MULTI-SERVICE BUILDING
Project No: MSC978
Subject: ADDENDUM # 1
Issued: 15 July, 199t
Owner: Jefferson County, Department of Public Works
1820 Jefferson Street
Port Townsend, WA 98368
Contact: Frank Hall
Architectural Project Inspector
(206) 385-9160
To All Bidders: We are submitting lor your use in bidding this project copies of ten (1 0) photos
showing the existing condition of this boiler flue on 12 June 1991,
..Photo # 1 through 6 show existing exterior conditions,
..Photo #7 through 9 show aexlsting interior conditions,
..Photo 10 shows existing condition of existing crown.
COPIES OF PHOTOS ARE ATTACHED ON SHEETS 2,3 & 4 OF THIS
ADDENDUM.
Acknowledge receipt of this addendum on the bid form.
100% Rocyctod Paper
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, Box 1220
Port Townsend. WA 98368
(206) 385.9160
Gary A. Rowe. P.E., Director
Robert G. Nesbitt, P.E., County Engineer
Att'n: Jim Vaughn
AAA Masonry Restoration
24215 Brier Road
Brier, WA 9B036
24 September 1991
Ref: Jefferson Co. Milti-Service Bld'g.
project ilMSC978
Sub: Application And Certificate for Payment ill
I am returning your Application for Payment ill without any
action. You signed a form for 50% retainage to alleviate the
requirement of providing 'a Performance bond. Therefore your
payment form should show fifty percent retained on the work
identified on lineil4 - TOTAL COMPLETED AND STORED TO DATE.
Form G702 should have the following information entered
'on lines as follows:
1. ORIGINAL CONTRACT SUM."..",...... .$24,414,67
2. Net change by Change Orders,.., .....$ 0,00
3 CONTRACT SUM TO DATE (Line 1 + 2).. .$24,414.67
4. TOTAL COMPLETED & STORED TO DATE,.. .$12,207.33
5. RETAIN AGE
Total in Column 1 of G703,.,.",..$ 6,103,66
6, TOTAL EARNED LESS RETAINAGE."""..~ 6,103.67
7. LESS PREVIOUS CERTIFICATES FOR
PAYMENT, , . , . . , , . . , , , . , , . . . , , . , , . . . $ 0.00
8, CURRENT PAYMENT DUE.. ..,.,..",.,., ,$ 6,103.67
9. BALANCE TO FINISH, PLUS RETAINAGE.. .$18,311,00
Form G703 should show retainage under column ill in the
amount of $6,103,66.
You are requested to re-submit this payment request acording
to the above information, Should you wish to change the
percentage complete the same format shall be used,
Should you have any questions or comments please call our
office.
Sincerely,
~~4~
Frank Hall
Project Manager
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, 80x 1220
Port Townsend. WA 98368
(206) 385.9160
Gary A. Rowe. P.E., Director
Robert G. Nesbitt, P.E., County Engineer
Atl'n: Jim Vaughn
AAA Masonry Restoration
24215 Brier Road
Brier, Washington 98036
Ref: Boiler Flue Renovation at
the Jefferson County Multi-Service Bldg.
Sub: Contract for Project # MSC978
The bids were opened on July 22 for the Muiti-Servlce Building Flue Renovation
Project. The Board of County Commissioners has approved the Department of
Public Works to proceed with award of this Contract to AM Masonry Restoration
for the bid amount of $24,721.77 (including Washington State Sales Tax).
25 July. 1991
You are requested to remove the contract forms from the bid package and make
three copies. Completely fiil out these forms In triplicate and submit with
original signatures on each copy. One copy wiil be returned to you with the
necessary signatures to initiate the Contract.
-Contract (Document 00500) two sheets
-Contract Bond Form ( Section 00600) two sheets
(with a copy of the Performance Bond)
In addition to these documents you will need to fill out one copy of the
CONTRACTORS DECLARATION OF OPTION FOR MANAGEMENT OF STATUTORY
RETAINED PERCENTAGE (DOCUMENT 00661) one sheet.
Upon receipt of these documents we will proceed with Issuance of the Contract and
Notice to proceed.
Sincerely,
~~
Frank Hall
Project Manager
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O, Box 1220
Port Townsend. WA 98368
(206) 385-9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E.. Couflty Engineer
PAGE 1 OF4
Project: BOILER FLUE RENOVATION
Site: JEFFERSON COUNTY MULTI-SERVICE BUILDING
Project No: MSC978
Subject: ADDENDUM # 1
Issued: 15 July. 1991
Owner: Jefferson County, Department of Public Works
1820 Jefferson Street
Port Townsend, WA 98368
Contact:
Frank Hali
Architectural Project Inspector
(206) 385-9160
To All Bidders: We are submitting for your use In bidding this project copies of ten (10) photos
showing the existing condition of this boiler flue on 12 June 1991.
..Photo # 1 through 6 show existing exterior condilions.
..Photo #7 through 9 show aexlstln9 Interior conditions.
.-Photo 10 shows existing condition of existing crown.
COPIES OF PHOTOS ARE ATTACHED ON SHEETS 2, 3 & 4 OF THIS
ADDENDUM.
Acknowledge receipt of this addendum on the bid form,
100% Rocyclod papor
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JEFFERSON GENERAL HOSPITAL
834 SHERIDAN
PORT TOWNSEND, WA 98368
To:
Jefferson County Department of Public Health
From: -
Richard Warren, Chief Engineer
Re:
Boiler Stack Renovation
Date:
July 12, 1991
ATTN:
Frank Hall
-----------------------------------------------------------------
-----------------~.-----------------------------------------------
o
Frank, I have some concerns regarding the Summary of Work &
Execution segment of your bid document. In reference to the ability
of the hospital to stay functional and the safety of staff and
service personnel, without hindering the speedy completion of the
project, I have questions regarding the following:
a, downtime scheduling
b. personnel access
c, scheduling of staff & deliveries
d, fuel deliveries
e, cardboard pick-up
f. incineration burning
g. equipment access
h, supply deliveries
The questions regarding safety include:
a. water overspray
b, dust
c. odors
d. noise
e. material storage
f. falling debris
I want to be ver)- clear that in no way do we lntf'nd to slow
down the work process, We would like to plan ahead to do whatever
we need to see the job completed,
Please contact either Brett Kinney (Materials Manager) at ext
264 or myself (ext, 246,) at your earliest convenience,
Thank you,
o
RW:plb
boiler,,"em
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
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1820 Jefferson Street
P.O, Box 1220
Port Townsend. WA 98368
(206) 385.9160
Gary A. Rowe, P.E., Director
Rober' G. Nesbitt. P.E., County Engineer
To: Jefferson County Hospital
Att'n: Brett Kinney
Ref: Boiler Stack Renovation
8 July, 1991
Subj: Concerns
On June 27, 1991 you asked me about Jefferson County, Department of
Public Works Intended plans to repair the boiler Stack at our Multi-Service
Building. During thIs discussion you stated that at least one of the Commissioners
for the Jefferson County Hospital is strongly opposed to the county's intended
plan to lower the overall height of the stack by approximately twenty-seven
(27) feet. I need a written response outlining the specific concerns of
IndivIduals.
We have attempted to take the Hospitals continued use of this facility Into
consideration by limiting the potential time periods of shut down of the boiler to
(("0 a maximum of four (4 ) hours at anyone time with coordination through this
~ office. The hospitals use of this facility have been discussed with Brett Kinney
and any shut down is required by the specifications to be coordinated and
approved by me. These requests wili be cleared with Brett Kinney prior to being
approved.
We have included for your review and comments a copy of our bid
documents which are presentiy out to bid.
Should you havo any comments or recommendations please notily me In
writing by Friday 12 July 1991.
Sincerely,
~~
Frank Hall
Project Manager
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Slreet
P.O. Box 1220
Port Townsend, WA 98368
(206) 385-,9160
Gary A. Rowe, P.E., D/IBctor
Robert G. Nesbitt, P.E.. County Englnee,
FAX COVER SHEET
Date 1'1 ,-\(..(/....- ; qq I
To: :r,M WERN5"-.
From: F R A ,,) 1<'. r-JA '-i-
Re: Rr.>\LI=!!? R;~ f.5-rI? ATIt?/..)
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Time
nAPAf'.
Number or pages (including cover sheet), ~
Remarks:_-=l'" I,<)ILI: <{{'i'IJD OR-IG 1/o.JIl < i~C/Py. -rI-lk:o.<C,k
-fl-l,c, M 11/ C
Jefferson Ccunty Public Works
phone: (206) 385-g160
Fax: (206) 385-g1g5
100',. Rocycled Paper
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" 07....15/1991 12=53 FROM
TO
OLYMPIC AIR POLLUTIO~ CONTROL AUTHORITY
120 East State Avenue
Olympia, WA 98501
.../
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A===~nc~=g the FAXl!
TO: rlal~ \-L 1I
,)Q ~~E',rso::-C: ~"- b (,c.' LU~r Ks;'
FROM: , -:), ~ LA.) Q.,r v\ ~ _
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Date: 7- /s-f/
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at (206) 586-0593 (1-800-422-5623) or FAX 352-1764.
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2I7/1:i/1991 121:i4
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FROM
TO
P.02
OLYMPIC AlR POLLUTION CONTROL AUTHORI1Y
122 Last Stllte Avenue
Olympia, Washington 98501
SPACE HEATING AND POWER
NAME:. ~F.fe(uo^/ c;8>UN"lY n,~L;c. LUor<:-Ks
In order to comply with the Registration requirements of the OlympiC Air Pollution
Control Authority RegulaUon I, Article 5, Sections 5.01 and 5.03, tllefollowing
information is required. Forms must be accurately completed, signed, and re-
turned to th e Authority within thirty (30) days.
Answer ALL questions on form. Indicate DNA (Does Not Apply) if necessary.
If you need more space to write, use back of form.
o Total Number of IDENTICAL Uruls Reporled on 11ili Form,
o
I. EOUIPMENT DATA
I. TYPE~IT
A.l/i!rWaler Tube Boner
B. 0 Scotch Marine Boiler
C. 0 Cast Iron sectional boiler
D. 0 Other Fit. Tube Boiler (describe)
E. 0 Other (describe)
2, RATED PRESSURE IN PSIG. '30 Lh.5 ~1t7e<"',
3. RATED CAPACITY IN LB. STEAM PER HOUR. OR BTU, ETC. 1..,3'10, ~D
4. STEAM CONDITlON IN % SATURATION, OR DEGREES
5. TYPE OF FtJE.L FEED OF SUPER.H.EA T
A. 0 ~.ry Atomll.Cr
B. mu Atomi..r
C. DSteam Atomi~er
D. 0 Other (describe)
6. ANUF ~R~O~
7. YEARJNSTALLED
AOENCY USE ONLY.
OIJA
G"'D
SIC
nl-
BEe
1.
2.
3,.
4.
S.
6.
7,
8.
9.
10.
11.
J2.
J3.
14.
15,
J6,
17,_
J8.
19.
20.
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8.
II. PHYSICAL DATA
I.
2.
3,
4.
5.
6.
7.
9,
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III. AIR POLLUTION CONTROL EOUIPMENT
J, 0 CYCLONE .r", preSl.,.drop
2, 0 ELECTROS't A TIC PRECD'I't A TOR "rm
TO
3. 0 ornER (DESCRIBE) .f", pr....re drop
4, MAN~RER. MDDEL.& YEAR OF EACH ITEM
S. ItrlIDNE
IV. COMBUSTION CONTROL DEVICES /)
1.0 AllTOMATlCCONTROlS (describ.) l ~ Leve l14l\/cL
2. 0 MONITORS OR RECORDERS (d.scribe)
3. 0 OTHER (d..eno.)
4. MANUF ACTlJRER MODEL.& YEAR OF EACH ITEM
s.D NONE ' (I1D de L
V. FUEL USED
PRIMARY FUEL
I. 0 COAL (sp.cily roppU.r or mine location)
2.0 NjJ:URALCAS
3. lB"OlL (spe.lfy grade) :#-tJ.. 1> (l!'$e L
4,0 WOOD WASTE
S, f.1 OTIiER (d.mlbe) ~/Ve SI!!&.L
STAND.BY FUEL
o COAL (.pecify suppUer or mine lo.atlon)
o N~URALC;AS
L9"'0IL
o WOOD WASTE
o OTHER (dtscribe)
, .~,.." "'''..,....''..............~~~~I'~'(~,-I-......._.-,.,... "',
p..e3
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~/ell"LI'lNd 'C6~l.s'i-:;:;"C.
1'Jc'fC-AS-E
19&,{P
AUXlIlARV FUEL
o COAL (.p.cify ""pplier 01 mlnclo"'ltion)
o NATlJRALCAS
'~(spcc\fY grade)
o WOOD WASTE
o OT1lER (''''crlbe)
.,._..,'..~~":"l.~...,'.~.....';,' ......
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". e7....1~.I1991 121~5 FROM
TO
P.04
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.
VI. FUEL CONSUMPTION IBased on Last Year)
1. PE.RCENTAGE OF BTU OUTl"UT FOR SPACE HEATING DtlRING WINTER
, 2, PRIMARY fUEL Cp~S\JMP'fION (state unlls u.ed) 't:-r L1
S~pTTbRl.<..f1t;Ir;LperWinlorHour; Yv., ~'},"""AndTotalPciY..r ..::t 0 ~85 Sld-Lo,vs
3. AlJXIUARY f\JELC'~SUMI'TION (.tate units u.ed)
Per Hour 1) fJ And Total Per Year
65/D
4, ST ANDB), f'LJEL CONSUMI'TION (slate units u.ed)
Per Hou, ~;II ff And rolal Pe, Year
S. CHECK MONnlS FUEL WAS USED
TYPE
Plimary
Auxiliary
Stan~.by
~. J F M A M J J A S, 0 'N 1> ---
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6. NlJMBER OF DAYS ~T ~U~ llE OPERATED ON ST AND-13Y FTJEL NORMALLY ON HAl'iD
7. TIME NECESSA.RY TO AFFECTSOMPLETE CHANGE OveR TO STAND-BY FUEL
"DlLlff
=
VII. UNIT OPERATION
I. Basecl onla'l y,aTS operation. wWeh HOURS. clJ'JinJ tlle day Is thelll'!!l(S) usually operaled?
(E","",pl.: 8:a.rn.t04:30p.m.) .;a.::r- l::l"IJF'-/L.l:l~Y
Bas.d 01'11..1 yeall operallon, which DAYS during the w~,k I the unil(') u all ol'!!,.te
(Ellample: Monc1a)' thru Frlc1a)l) e f\/
3, Ba.ed on lasl )leall operalion,lndlcat' any .euonal.:uiation. in tho 1>nll'. op.,.tlon,
Include sclleduled shul clowns for mainlAinence and any slpdfic:anl periods of \'lrlation.
In process Slum or power ,.nel1llloo - (Eumple:"Ann\Ui shuldown July I, to July IS
Ind only 65 ",runt production during Jan. and Feb.")
B t}; L...R';- :'S bJ' ,Tc. h ed.. 'fk1J 1?1 =Fl'!J... r'J I!. ::fF I pu ~
C~;v-TiNV~" Ihtel.<.- {;;'"n-,;'e ~ Y("'A~.
..a f:J e. 0 IV L 1f'1V..p ,q T ~ --r; n'l e
. 2,
SICNA11JRE of own. 1 or Authorized Ancn' =_ ~_ Dat~ (1,~ 4j
Name or Person 10 Contacl RegudinJ ThJs nil (prinl ollype) I' I4A~ 'Ab l'f'i rl '
Tille DI l?F.CrCJe. l:A:: F\ A l.1T (')PE1l2.A.,.,l'>U S '385 . ~:z.e.O X 7At"
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REMAR KS In .ddillon to &eneralrenu.rks,lnclude eomments on any slcnlfieanl replUr or
cllllng" perrormc~ on the unil(') durin& the pm ye.r, or planned for nexl ye..:
nJf' J:'N:!T,l;('-t 41 MSc.978 1'1 "T'.<:l lu...ui:.R
--A~ '2./3' -ore> AN I'1L.,!;v"",<,Oo:l "F"
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AAA
MASONRY RESTORATION
24215 BRIER ROAD
BRIER. WASHINGTON 98036
(2061 483-6609
e
Name:
STATEMENT
Description
PAYA8LE WITHIN 10 DAYS
In10rest or 1'/) per month will be chorged on
the unpaid balance.
J. ,... "~::~',::-',.V\~"":":""~":o".,
No,
Unit
Price
NET>
TOTAL
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JUN 17 1991
JEFFERSON COUN-
PUBLIC WORKS ,...
AAA
MASONRY RESTORATION
JIM VAUGHN
24215 BRIER ROAD
BRIER. WASHINGTON 98036
(206) 483-6609
June 14,1991
Inspection report on smoke stack at
Jefferson County Hos~ital
We have inspected the interior and exterior of stack and find it to be in very bad condition
from top down twenty five feet both inside and outside. Their are cracks from hairline to
one inch wide all the way thru both thicknesses of brick on all sides of stack. The stack is
constructed of double coarse of six inch square brick and although we could not see any,1 am
sure it is reinforced with rebar steel rod. Even with this construction it is still in very
dangerous condition.
I highly recommend that the stack be taken down thirty feet and relay top six coarses
of brick so as to leave with same appearence as it now has. Their needs to be some tuckpoint-
ing repair work done on remaining portion of stack. I also recommend that it be cleaned on
the exterior and waterproofed to preserve the masonry.If you have any further questions;
please feel free to contact me,
o
,:;"7:/4;~
P.S, IF it is decided to request bid proposals for repairs,I would welcome the oppo-
rtunity to submit some.
o
~, ,. ," ,,!ft'1'.~~i!li'Ulli;r!i!Wil;li'~~
1,10. BOILER SER~ICE. "'INC. .. i":" P.01
I
INDUSTRIAL IlOILE~ SERVICE INC.
23132 EAST ECHp LAKE RD,
SNOHOMISH. W AS~OTON 98290
I
- ---- - --
-
@
JUlj 9, 1990
Jlfffraon Genl~al Hospital
Atts tionl MikB Shaw
Indu~trial Boiler Service would su~ply a new mild stael exhauat
atac~ for the ~oiler room. The stack would be 40' tall and Corns
withj a china,.ca,p" a ,.c.l4IA:l-o~t, doo~ fond... 'bolted flange at the
bottpm for bol:ing the baae to con~ret., Brac.s would be attaohed
to t~. building from the .taok as. 1~8ll. to support th~ stack in
hig~ winde. :
The ~o.t of a 10 gauga mild steel ktRCk, inst.lled, would Ooma to
$619~0.00, pluf orane ooeta and ta~. The coat of . stainle.. .teel
etec~ would ccme to $11,336.00, prua orane coats and tex.
I I
I ,
Apprpximately )no w..k labor woul~ be neoeslary to build the staok
and rnother t~J days to in8tall ii'
Thank you for giving ue chi. oppor/tunity to submit this bid to you,
If Yfu have ar,y questionA. pluse ,fUl frn to givI ua a oall.
Bin+r,slY, '
0~.;~.Q~~~........
Wil~iam J. Ini.reon, ~resid~nt
Ind1.trial Boll.r S.rvica, Inc.
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Masonry Restoration Company, Inc.
PIONEER
Watemfoofillg Con/factors and Consul/ants
PROPOSAL June 5, J.99J.
To Jefferson County Public Works
P,O. Box J.220
Port Townsend, WA 98368
Subject Boiler Chimney
Inspection
BulJding MUltiservice Fa.cility
ATTN: Mr. Frank Hall
Location Port Townsend, WA
GENTLEMEN: We will provide. at the above referenced building, all labor, materials, tools and equipment to complete in thoroughly
workmanlike manner all the work described below:
Furnish labor and equipment to inspect the top 30 feet of chimney, interior
and exterior, including 2 men, man lift, decent gear and other necessary
equipment.
FOR THE; SUM OF:
2,865.00 + W.S.S,T.
There would be a 2 week lead time for this inspection.
TERMS AND CONDITIONS
TERMS: Net 10 days, Billing will be upon corn pie lion, or monthly
during Ute progress of the work, bBdAd on a percentage of com.
plet/on, All prices are eXClusive 01 Washington State Sales Tax,
Past due accounls will be cherged Interest elthe highest legal
(:7.;~-:'~'i rate, The cost or any IltlgElllon or collections proceedings arising
\....;;:J Irom this agreement shall be recoverable by the prevailing party,
Tnls Proposal Is contingent upon strikes, fires, accldonts or other
delays beyond our control and mey be withdrawn by us II not ac.
capladl-l'd\!.'~'!;i. '!MJ unloos otherwise agreed L1pon,
POBox70110 1100NW54lhSlrool Sonllto,WA00107
CC..al.(llONEMn l:mo.)
Respect/ully submit/ed,
PIONEER MASONRY RESTORATION COMPANY, INC.
~(;j&~btLmator
ACCcPfW flY
DATE
TlTLt
FAX/2GB) 703,049)
(208) 702.4331
; ""~' :;;.;t~;:.f.~~~fr'1',;i,,!-t'...:,-~:.:,,:
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PIO'~EER
Masonry Restoration Company, Inc.
Waterproofing Con/ractors and Consultants
PROPOSAL June 5, 1991
To Jefferson County Public Works
P.O. Box 1220
Port Townsend, WA 98368
ATTN: Mr. Frank Hall
Subject Boiler Chimney
Inspection
Building Multiservice Facility
Location Port Townsend, WA
GENTLEMEN: We will provide. at the above referenced huilding, all tabor, materials. tools and equipment to complete in thoroughly
workmanlike manner all the work described below:
Furnish labor and equipment to inspect the top 30 feet of chimney, interior
and exterior, including 2 men, man lift, decent gear and other necessary
equipment.
FOR THE SUM OF:
There would be a 2 week lead time for this inspection.
$ 2,865.00 + W.S.S.T,
Rdspecttully submitted,
PIONEER MASONRY RESTORATION COMPANY,INC.
~<~~btlmator
TERMS AND CONDiTIONS
TEAMS: Net1 0 oeys, Billing will be upon completion, or monthly
during the progress 01 the work. based on e percentage of com.
. pletlon. All prices are exclusive of Washington State Sales Tax,
Past due eccounts will be charged Inlerest atlhe highest legal
rete, The cost 0' eny litigation or collections proceedings erlslng
Irom this egreementehell be recoverable by Ihe prevelllng party,
This Propose I Is contingent upon strikes, IIres, accidents or other
delays beyond our control nnd may be withdrawn by us II nol nc.
ceptedMd~~'!;i,'!fIjI.; unless otherwise agreed upon,
POBo..70110 \100NW5<l1hSlroot Senllle.WAOO107
ACCEPTED BY
TITL.E
DATE
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~Emb~ree-LaLanne Insurance Agency
, 3500 Lake City Way N.E.
"Seattle, Washington 98125
James E. Vaughn
DBA AAA Masonry Restoration
24215 Brier Rd.
Brier, WaShington 98036
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8/29/91
THIS CERTIFIC TE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTlclCATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
COMPANIES AFFORDING C0\1ERAGE
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North Pacific Insurance Company
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JEFFERSONC~6UNTi '
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THIS 15 TO CERTIFY TH,I,"r THE POl.JerES OF INSUf1MlCE usn.D ElEt-ON ..--lAVE BEE"J ISSUED TO THE I:~SURED :'l>\r..~EO >\l:~OVE 1"08 ~'HE'. POLICY PERiOD
IN()ICATEO, NOTVJlrHSTMiD!~K, ANY REOlHREMENT. TERM OR CO"JGIT!O~l OF i\,\J'{ C:ONT~1ACT OR OTHEr;1 DOCU'.~Er-JT ""liTH q[-SPECT TO 'NHICrJ fHIS
CERTIFICATE ,'.IAY BE ISSUED OR MAY PERTAIN, THE INSURM~CE M'F"ORD[rJ BY THE: POLICIES DESC818ED HERE:N IS SU[lJFcr TG ~'U n~e H:A\lS
EXCLUSIONS AND cor,lQITIQW:; OF SUCH POUCIES
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Jefferson County Department of Public
Works
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~t Townsend, WaShington 98368
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REVIEW SHEET
Project # MSC-978
I Have reviewed the enclosed contract documents and find them to acceptable
when the following corrections have been made:
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Reviewed this day: (~/ 19' I c, /
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Jefferson County
Proseculing Aliorney's Office
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JEFFERSON GENERAL HOSPITAL
834 SHERIDAN
PORT TOWNSEND, WA 98368
To:
Jefferson County Department of Public Health
From: -
Richard Warren, Chief Engineer
Re:
Boiler Stack Renovation
Date:
July 12, 1991
ATTN:
Frank Hall
=================================================================
o
Frank, I have some concerns regarding the Summary of Work &
Execution segment of your bid document, In reference to the ability
of the hospital to stay functional and the safety of staff and
service personnel, without hindering the speedy completion of the
project, I have questions regarding the following:
a. downtime scheduling
b. personnel access
c. scheduling of staff & deliveries
d, fuel deliveries
e. cardboard pick-up
f. incineration burning
g, equipment access
h, supply deliveries
The questions regarding safety include:
a. water overspray
b, dust
c, odors
d, noise
e, material storage
f, falling debris
I want to be very clear that in no way do we intend to slow
down the work process, We would like to plan ahead to do whatever
we need to see the job completed.
Please contact either Brett Kinney (Materials Manager) at ext
264 or myself (ext, 246,) at your earliest convenience,
Thank you,
o
RW:plb
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DATE "l'f J"...,,- '11.
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FROJ't'FFERSON COUNTY DEPT. OF PUBUC WORKS
1820 Jefferson 51.
P.O. Box 1220
Port Townsend, WA 98368
(206) 365.9160
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LEITER OF TRANSMITTAL ~
Jefferson County Department of PIAllic Worlcs
P.O. 80. 1220
Port Townsend, W A 98368
Phone: 1206) 385-9160
FAX: 12061385-919S
TO: A A A HMcuE.v
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RE:
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We are sending you _attached
_ under separate cover
the 'items listed below:
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nIESE ARE TRANSMITI'ED as checl:ed below:
, - For approval _ Approved as submitted
'- For your use _ Approved as noted
- As requested _ Returned for Olln'ections
- For review and _ Resubmit _ copies for approval
comment _ Return _ corrected prints
REMARKS:
:PS"f{ '(c.u.~ ~e-~~ OF
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SIGNEDd~ ~
IF Dr.:1.cIEUrlei &.: MOT AI *'T'In ~ toTlP'Y l.B AT CM2
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o Jefferson County Department of Public Works
Daily Inspection Report
Book Poge Contl'"oct Numbel'" M:sc'1'78
Focllity Mu.l.:n -5~~I/Ic.e 8.....II...D,....... ('S""I.E.'" 4YTM..:)
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Daily Inspection Report
Book Page Contract Number MSC- 'Y78
Facility MIA":,, SEtZ.IIIc.e 6m\..DUJc. 'f>D'LF-F '57Ac::.l<.)
Dote i3 Sa\'>T 1991 Day ril..l DAY
Project Manager F'tz.A" "- gAL..\...
Weather RM DvE.rz.r. A<;'1 PM t2l..au'N
Contractors representatiue on site: !J">.36
Contractors and Subcontractors personnelond equipment.
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o Jefferson County Department of Public Works
Daily Inspection Report
lIook Page Contract Number M~r 978
Facility )AlAI'" '3"'P\lII'.k "BuILD'''''''' (Be, <-8" <s'-..CkC)
Date \'2. -GeM 11<'.' Day I HUI?.:S~A'"
Project Manager 'F"l?AI>.\Io<.. I-lAl-'-
Weather 11M l'Ve:-<.'(' PM C.l.E'AIZ..
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o Jefferson County Department of Public Works
Daily Inspection Report
Book Page Contract Number MS c.. <:>1 B
Facility MUI:Tl <:),:; p-v,~ e BO'I...GR- h I.U;;;
Date '5GPr ", 199/ Day WG.Ok)':<;DAY
Project Manager r12AAJK I-lALL
Weather RM Foe. ~ 0l2.'( PM
Contractors representatiue on site:
Contractors and Subcontractors personnel and equipment.
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o Jefferson County Department of Public Works
Daily Inspection Report
Book Page Contract Number M$ (' 97B
Focllity Mi,I,L" SEof'_V\('E: 'Ru" r>iN.. (E,,,u;;e 4rAn,-)
Dote ID SEP'T 1991 Doy 11-<E'SDA,('
Project Manoger F"'?..AOClv 4AI./_
Weother 8M 2.'-@..K. PM ~'-EA~_
Controctors representotive on site: S-u;"';:,."..) t <.-1....'-" - F'oeE'IAAr-.'l
Controctors and Subcontroctors personnel and equipment.
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o Jefferson County Department of Public Works
Daily Inspection Report
Book Poge Controct Number M5c. 978
focllity Mlll:T' SF-pll,r,; 'F.,""'L""2. F; lJ.l::;'
Dote oSa,.,. 9 \991 Day MOlo\DA'<
Project Manoger -&"O'...H<. I-lA L..L
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GERARD CHIMNEY COMPANY
4607 BECK AVENUE - ST. LOUIS. MISSOURI 63116
TELEPHONE: WA TS 1-800-325-9587
IN MO. 1-314-772-9696
January 13, 1988
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JEFFERSON GENERAL HOSPITAL
9th and Sheridan
Port Townsend, Washington 98368
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Attn:
Mr. Mike Shaw
Chief Engineer
Subject:
Hospital Radial Brick Chimney
Mr. Shaw:
Regarding my recent visit with you at your Hospital, I thank you for all
cour tesies extended.
At that time, a ground level binocular inspection of the subject chimney was
performed. The inspection disclosed 10% mortar joint deterioration within the
lower '16' and up to 50% open mortar joints within the top 29'. Structural
cracking from hairline size to 1/2" wide is evident on the East quadrant
starting approximately 10' down from the top and extending 15' in length.
Cracking is alsc evident on the South quadrant starting at the top of the
chimney and extending approximately 12' down, ranging from hairline size to
1" wide. The brickwork within the top six courses appear to be loose and
shifting. There does not appear to be a concrete, steel or cast iron cap
atop the chimney column. The lightning protection system is intact and
appears to be properly functioning.
Based on the inspection report, please find in the following paragraphs, the
recommendations and quotations for the external physical repairs.
Proposal #1 - External Physical Repairs
Proposal #2 - Steel Tension Bands
$5,730.00
$1,700,00
$1,030.00
Proposal #3 - Silicone Waterproofing
Proposal, !tl-.::_External Physical Repairs,
An external b,'ocket type,. insu,'ance-approved scaffold will be installed at
grade level. This scaffold permits continuous operation of the chimney while
the repair work progresses.
CHIMNEY CONSTRUCTION
REPAIR
LIGHTNING PROTECTION ENGINEERS
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With the scaffold in place, allowing access to the areas to be repaired,
horizontal and vertical mortar joints will be thoroughly inspected. The deter-
iorated mortar joints, in percentages as described in our inspection report,
will be raked out to a point where firm mortar is encountered, brushed
clean. and wet down prior to the placement of tuckpointing mortar. The
mortar mix consists of three parts sand, one part Portland cement, and an
approved non-shrink additive.
Cracks opening larger than hairline size will be cut out to a depth sufficient
to obtain a good key for new mortar, the joints will be thoroughly wetted,
then repointed with a Portland cement mortar mix.
Upon reaching a point six courses from the top of the chimney column, the
tuck pointing repairs will end. The top six courses will then be removed by
dropping the debris to the inside, from where it will be cleaned out and
hauled away.
At the new height, a new reinforced concrete cap of monolithic design will
be formed and poured to seal the top of the chimney from moisture and
discharge of chemical gases. The cap will be reinforced with steel bars,
which will be anchored or wired to the upper chimney wall.
The existing lightnin(J protection equipment will be reinstalled at the new
height as well.
The clean out door will be thoroughly wire brushed and scraped clean before
receiving a one-coat application of weather and acid resistant metal paint.
A cost free internal inspection will be performed as part of this project,
providing the chimney is made temporarily idle and cooled for our personnel
to inspect the inside surfaces. A written report, containing photographs
taken during the Inspection and recommendations for any repairs that may be
required, will be submitted to you after the Inspection is completed.
For the external physical repairs as described above, furnishing all labor,
material and equipment, as well as prop~'- insurance coverage, a price of
Five Thousand, Seven Hundred, Thir ty D :Iars ($5,730.00) is submitted.
Proposal #2 - Steel Tension Bands
Due to the structural cracking and spreading which has developed within the
upper 25' area, it is recommended that six steel tension bands. consisting of
two sections each, be Installed on 5' centers from the top down In order to
prevent further spreading.
These bands fabricated of 1/'1" X 3" steel, will be rolled '? conform to the
contour of the chimney and coated with a weather and ac'rJ resistant metal
paint. The upper ed~es of the bands will be caulked to prevent moisture
Infiltration.
In order for each band to maintain Its full tension, a non-slip connector will
be Installed at each connection. thus assuring proper tension on the band at
all times.
,
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,JEFFERSON GENERAL I'----SPITAL
Port Townsend, WashingnSn
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For the steel tension bands as described above, furnishing all labor, material
and equipment, and in conjunction with Proposal #1 only, a price of One
Thousand, Seven Hundred Dollars [$1,700.00) is submitted.
Proposal #3 - Silicone Waterproofing
As an additional protection for the br ickwork, our personnel will apply a
one-coat application of standard grade 5% silicone waterproofing compound to
the external chimney column.
This product is a clear, water repellent coating which resists acid and alkali
and prevents moisture penetration. The method of application will be either
brush or spray.
For the silicone waterproofing as described above, furnishing all labor, material
and equipment, and in conjunction with Proposal #1 only, a price of One
Thousand, Thirty Dollars ($1,030.00) is submitted.
Should you have any questions concerning our recommendations and quotations,
please feel free to contact us,
Sincerely yours,
7
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K. E. Baker
Pro ject Manager
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TOLLS HARK CONSTRUCT ION AND CUSTOM WOODWORK
1132 VAN TROJEN ROAD
CH1MACUM, WA, 98325
(206) 732-4080
January 22, 1989
Jefferson General Hospital
Port Townsend, Wa. 98368
Attn: Mike Shaw
Re: Chimney restoration project
Enclosed please find our proposal for the above project, also
included is brief personnel description, job history and a
company profile,
Personnel to include;
MICHAEL FRANCIS - carpenterl foreman
relRted experience includes (1) The Webster
Building . Ellensberg, Wa. ( three story
brick) : complete scaffolding, pressure waih,
tuck point, restore parapets and reflash.
(2) Ten years Union carpenter with extensive
experience in higher altidtued working
;::::ond.i t,ions.
JONATHAN HAMPTON - carpenterl superintendent
related experience includes (1) Self employed
residential and commercial Mason (2)
extensive commercial and institutional
supe.rvis.ion,
DAN BLOOD - masonry contractor
Owner of Creative Brick and Tile, Port
Townsend and current sub- contractor on our
project at the Jefferson County Courthouse.
In the past two years Tollshark Construction has successfully
completed four Public works contracts for Jefferson Co. and are
currently involved in the fifth , the second phase of the
Courthouse renovation, Our bonding company is Construction
Bonding and Management Service, P,O. Box 757, Seattle 98125,
1-800-742-8815, with a current bond limit of $500,000.00,
We are very interested in this current project and appreciate the
oPPortunity t.o bid, Please c.jntact me if YOU have any questions.
Respect~llY Submi.tted,
L,~ ,)~
~~~;ollefson, Owner
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Tollsllark (ons/rUtli~n 1132 Van Irojen Road
& (us/om Woodwork (1IImacum, WA 98325
206-732-4080 Rel!.*IOLLSU211NO
We w\)l.lld 1 ike t,o i:nt.t'ocll.lcc YO!l t,(1 t.h8 To 1.L:, 1':.3 cl.: (~,~,!':'.:,t.ru.ction and
Custom Woodwork Company.
TolJ.sharl~ Construction is a Wa.e,hington :::~t":1r.~ ll(:t:.!:l::,,~~d gE:nera]
contractor locat.ed in Chimacllm, W3shlngton e,n t.}lP l.llympic
Peninsula. We have been in busin~.e,s at, thp p}:'~s~nt, l.oC'Elt.ion fot'
the past ten years during which time we have utldertaken and
succ~ssfully lJolnpleted a wide rang~ of corl~t.t'l_lctj(:'n pl'njects itl
Was~lin~ton State and Canada.
I.Jlll' size gives us the ability to Ll[ld~rt,ak~ .i(1t)~ t'~'.~lliring llDusllal
at,t,ent,ion to detail and oLlr Job hist.Cll'Y t"3:':CJ.(.c:t,:.'" 1:'Ut' ~.:;ucce.ss in
~:,uch demanding projects as ma,jor l'est,::ll.l~',:'tnt..h, (r' I v,:.. \, rll~d.iC,'91
facilit.ies (t.hree), and hist.ol'ie'::IJ t'.?~:.t,~'..t'.;1t.1('n~.:.;. In ,~-tddltion, we
118ve built mRny fine Cllstom homes,
(Jur most outst.anding credent.ial is out' 1 i~",t (If '"lll.h;'t).lnJet '.Just.omers.
Wl-~ have sevel'al clients for WhOIO we ho'iVP C!Clne !:\i:\IIY n~peat
Jl.t'ojects"..cljents who !lave tile meArlS i.!) S~.J,f:at ~11Y ,.~orlt,ractor in
the state, The fact that W0 keelJ doillg theil' W01'k is an
indicator of the standards of fairness and quality of
constrllct.ion whicll we maintain,
Because of the natltre of our wOl'k ancl Ollr J)~0ximity to both Port
'rownsend 811d Sea't.tle. we represent w}lat we believe tc, be an
exceptiollal1y talented labor force. Our ot'gani~Atio)l inclt!des
specialists 1n cabinet making, Cllstom millwork. HIl phases of
(:onventJon.;ll const..l:'uct..t.on and Pj'O..le(lt mancHJ;~rnt-'_~nt-"
(Jut' bust nee,~ praet,ices refJEtct. a phIlosophy t.hHt. t,he
Ilne"'rt,,~tint,ies and difficlllt,ies "hleh oJ[,ssJ.c<1lly pl,"tglle the
construct.loll business can be minj,mized by the Lln~! /~,f carefll]
t:!(Jg t con t.rol:3. concise comml1n.tcHtions and non.~ nont' t'ont,atinnaJ.
husiness tact.ics, We believe t.hat. OlU' past, CUSt.I)(O"':n:s will
con f .lrm t,h]'".
w€~ welcome t.he OPPOl'.ot,llnit.y t.t) dl~;,CU3f; y()1.1 ,t,' ,'. r(),j'~<..:t.
We .i.nvit,e. YUl1 t.o t,all,,: to our past. c..~\lntC'lnll"r.g,
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111 Yale Avenue North
Seattle, Washington 98109
(206) 622-4615
December 30, 1988
Mike Shaw
Jefferson General Hospital
9th & Sheridan
Port Townsend, WA 98368
RE: Repairs to hospital boiler stack
Dear Mike:
Please find enclosed our estimate for the cost of repairs to the
hospital boiler stack, based on our earlier on-site visit,
In our opinion, as the current conditon of the stack is not safe,
we feel that emergency repairs should be undertaken immediately
to protect against the possibilities of personal and property
damages should a portion of the stack give way anel fal L
Severe cracks have developed in the top twenty-five to thirty
feet of the stack and the crown has deteriorated to a point where
the sl ightest earthquake or an extreme wind may cause a portion
of the stack to become unstable.
Parts of the stack could break loose in such a case and
potentially cause much damage to the building below, as well as
to personnel on the ground.
Also, cold weather has an adverse effect on such maoonry defocts,
as the freezing and thawing of moistu~e in those cracks
aggravates and increases the resident damage, as well as the
attendan~ liaoilities of such conditions. For this reason alone,
it is possible that the stack will not maintain its current
integrity throughout the duration of another winter.
I.
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FOR COMPLETE CHIMNEY CARE
CALL PACIFIC CHIMNEY CLEANING
"The Profosslonels"
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We feel that performing the repairs as outlined in our proposal
would render the stack secure once again and return it to a
condition of being safe against all but acts'of God.
We would be ready to start immediately should you decide to go
ahead with the work as we have proposed.
Please call us if we can be of any further assistance to you.
o;li-~dd$-
Carlton Edwards
Company Manager
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PROPOSAL
AGREEMENT
I 622-461Sl
FAST FRIENDLY SERVICE
FINANCING OAC.
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111 Yale Ave. N. Seattle, WA 98109
STATE CONT. L1C. PACIFCC 141JP
To
MIKE SHAW - JEFFERSON GENERAL HOSPITAL
Date
H/Phone
W/Phone 385-2200
DECEMBER 30, 1988
Street
9th & SHERIDAN
City
RE:
PORT TOWNSEND, WA Zip 98368
REPAIRS TO HOSPITAL BOILER STACK
Pacific Chimney agrees to supply labor and materials to do the following work:
1- TEAR STACK DOWN TO A SECURE AND SAFE LEVEL (approximately 25-30 feet)
2- SPOT-POINT ENTIRE STACK (grind out as necessary and fill all voids)
3- PRESSURE WASH AND CLEAN STACK WITH A LIGHT ACID WASH (to improve the
overall appearance and to ensure a good bond for waterproofing)
BUILD A NEW CEMENT CROWN FOR THE TOP OF THE STACK (drill down from top
of stack at two-foot intervals, install and cement in rebar reinforce-
ments, build support of rebar for crown and fornI-pour new crown)
5- REINSTALL LIGHTNING RODS TO TOP OF STACK
6- WATERPROOF STACK WITH SILICONE-BASED MATERIALS (temperature should be__
at,45 degree constant or above for best results)
The above work is to be completed for the sum of $13,745.50 plus sales tax
Payment is to be made IN FULI, UPON COMPLETION OF STEP #5 AS ABOVE
NOTE: It the bid amount is over $1,000,00, please read notice on back,
I hereby agree to have the above work done RCGording to the above terms, I understand that any changes
in this agreement are to made in writing and signed by both parties,
DATE: ______.__.___.__
BRIAN FAVORITE
LEAD
007-CE
WHITE COPY-CUSTOMER
PINK COPy,RECORDS
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AGENCY
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WASHINGTON STATE
DfPAR'TMEN'T OF 'TRANSPORTATIOII
CITY /COUIITY AGREEMEIIT
December 5 1988 SUPPLEMEIIT foI0. 5 0429
The City/County of Jefferson desires to supplement the agreement entered into
and executed on March 20, 1986 as identified above, All provisions in the basic agreement
remain in effect except as expressly mod\fied by this supplement.
The changes to the agreement are described as follows:
PROJECT DESCRIPTION
Leland Creek Bridge Replacement
M.P. 0.28 to M.P. 0,37
AGEMC'f
Jefferson Count
DArE
Length
475 L.F.
Name
Termini
DescripHon of Work
Replace existing log bridge with new strUcture and approaches
Reason for Supplement Adjustment for final costs that reflect increases in P,E. for bridge
foundation re-design; in c.E. due to shut-dowri of project over winter and documentation
problems with contractor, and actual construction costs.
TYPE OF WORK (I) (2)
Previous Agreementl Supptemenl
Supplement
P.E. a, Agency Work ........' . ... ..' " , " . ~ '1'00' . .' .,.,. ~ 4' l)'0 . . , .
b SlI S . '.: : ',?: :5~~: ::: .." ~6:-'"'' ','.',',', '.',~b\i : : :
c:o~:r er~~%'s~t~;";t:::::::: 10200 ""'..:0':''''''' 10200 ""2',:040:::: ::::a:i.'~,Q:'.'.',
d, Tolal Prelim, Eng, Cost Estimate "'20'000"""" '25'6 ", 20:256'" 4,050 16,200
RIght-of.Way e, Agancy Work.."....,., ,,, ,f/,f\q<,l,.., -0- .,., ;1".1i99,.., ,..5,60""" ?(24,0...,
f, Stata Servicas " " , . " ' " , " " .."" ,7.50, ," "" '..:6.:: ,. ' , , , , ' , , .750, , , ' , , ~50, ' , , , . .60,Q . " ,
g, Other C;:9)1"\l~:t;'P:'t!L....., .. ..2.,.000,... '::: :":q':" ,..,2..000... ," .400, ,.. ,t.60,Q...,
h, Tote' R/W Cost Estimate 5 550 ''':0':'' 5,550 1,110 4,440
Coost,uctloo i, Conlrael , ' " ," . ..,,, " ",88",000"., ,,(1, 10D}..", ".8,6.900", ",l7 ,,380, ..' ",6.9. ,520, .. ,
Enginaering {j, Agenc, FOlce,., ",,8.,,000,.., ,..4,05,0"", ",12..05,0", .",2,.410"., ,.,.9.,p,4,Q,..,
---15--'" k,5t.taForce"" ",).",Q09,." ""'!05~..... ' ,~,950 330 "..~/~,~q"..
I. Audit .",.",....,.,..," -0- ' " '-6.:: ' . , :'0':' ' , , . -o-
m,Olher ,<:QO<>\:,, 9,Q.,,~C;>+IC'!3, :::::: tg~:: :>i:.:~~::::: ::: :4;4~f: ::::: :~~Q::: :: );~~:o::::
:', ~~~:lr c~n's;r~~;i~~ '~~a; 'E~t;~~t~ 7 0 0 .. 8' 050"'" "105' oso'" .. 2i.'':'~[ci'" "84 '-00;,1""
p, ~~b~~8pST ESTIMATE OF THo 122,550 8,300 130,850 26,170 104,680
The locat agency fu"her slipulates that pur.uanl 10 said Tille 23, regulations, and policies and procedure., and .. a condilion to paymeot
at the Federal tunds obligated. it accepts and will comply wifh the applicable provIsions,
AGENC~I AL J
WASHINGTOII STATE
BY:"~ iI D~EPARTMENT OF TRANSPORTATION
~CHAIR:M::IlI'1 commI8I10ne,.,Mlyor
"" _ '(V-'~"~#-"'~ By: ~ m~
.. . ..e ' S,.,. ^'d F,.'n..'
..l/./if ~.00-4-'1J ' {!.../L~~.. DEe 191988
a Oalo Euculed
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STATE OF WASHINGTON
COUNTr OF JEFFERSON
'X
RES01.UTION NO.
116-88
In the matter ofs
~XKX~KX~ I Revising a county X
project designated as X
CR0587 X
IT IS HEREB'l RESOLVED that The Leland Creek 8ri.dge,
Bri.dge NO 28E On Ri.ce Lake Road .
Road Log No.~;'44uu" :.
from M.P.~ to M.l'.~~X~~'&~x\9<~~~XXYvvXX be
improved as followss
Replace exLs-ti.ng Log bri.dge wLth new structure and approaches.
IT IS FURTHER RESOLVED that an appropriation from the
offioially adopted road tund budget and based on the county
engineer'S estimate is hereby made in the amounts and for the
purpose showns
PURPOSE PREVIOUS APPROPRIATION PRESENT APPROPRIATION
Engineering $?O ()On{1h non I'" A ~F""'OS) po ?~n (1F. ?OO F ^ Rros)
Right of Way
Acquisition $~ l:;OOf,j, .a..a.n I'" A r::trns} $~ 0;00(4 440 F A Flras)
Sub-Total $?~ c:"n(?f1 .a..a.o I'" A Rrosl .,?O; 7f;O(?O fi40 F A Bras)
constructions 'j;Q7 O()O(77 I':()() I'" A Rros} '1;114 :>0;0(104 liRO F A. R,-os)
X Contract
:!County Foroes
TOTAL
$122,550(98,040 F.A. Bros)$140,OOO(125,320 F.A. Bras)
~This projeot is inoluded in the offioially adopted annual road
program as Item No. 4
__The project is hereby made a part of the offioially adopted
annual road program in aocordance with R.C.W. 36.81.130.
IT IS fURTHER RES01.VED thatl
~The con~truction is to be accomplished by contraot in acoord-
ance with R.C.W. 36.77.020 et. seq.
~The oonstruotion is to be accomplished by county forces in
aocordance with R.C.W. 36.77.060 and W.A.C. 136.18.
PASSED AND ADOPTED THIS ~5f1- DU OF M,/ . /9'.f.!.
BOARD OF JEFFERSON COUNTr COMMISSIONERS
v~
Chairman
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JEFfERSON COUNTY COURTHOUSE
NATIONAL HISTORIC SITE
PORT TOWNSEND. WASHINGTON
/-
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Jefferson County
Department of Public Works
COURTHOUSE
PORT TOWNSEND. WASHINGTON 98368
TEL, (206)385.3505
GARY A, ROWE, DIRECTOR
July B, 1986
Mr. Alan Carman
T,A.A.S. Survey Associates
2909 Gise Street
Port Townsend, WA 9836B
RE: Consultant Agreement, Leland Creek Bridge
CR0587, BROS. 201b (5)
Dear Alan:
Enclosed is your fully executed original of the Agreement for Consultant
Services for the above referenced project. This letter is your notice
to proceed on the project, Under the terms of the agreement, all work
is to be completed in forty (40) calendar days from the date of this
letter, or August 16, 1986,
If you have any questions, do not hesitate to contact me,
Sincerely,
~
Construction Engineer
CR0587 /
PWA 02
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JOSEPH R, BLUM
Director
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STATE OF WASHINGTON
DEPARTMENT OF FISHERIES
115 General Administration Building _ Olympia, Wdshington 9850-1 . (206) 753..v600 . (SCAN) 234-t;600
October 22, 1987
Mr, Bruce Laurie
Jefferson County Public Works Dept,
P.O. Box 1220
Port Townsend, Washington 98368
Dear Mr. Laurie:
Time Extension - Bridge Replacement - Leland Creek -
Tributary to Little Quilcene River, Northwest 1/4,
Section 12, Township 27 North, Range 2 West,
QQgferson Countv, WDF Loa 00-34802-01, WRIA 17,0077
Your verbal request of October 22, 1987 for a time extension on the above-
referenced Hydraulic Project Approval written on June 8, 1987 and last
eKtended on August 31, 1987 has been reviewed and is approved to read as
follows :
Time Limitations: Imnediately to November 6, 1987
All other provisions of the original approval shall remain in effect.
This revision, as well as any other past reviSions, is to be attached to
the approval and on the job site at all times.
Sincerely,
~e-R!. &&<- ~
J~~Blum
Director
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':iHYDRAULIC PROJE~cr -; E ~ V IE D
APPROVAL ,JU:i 1 0 1987
DEPARTMENT OF FISHERIES
R.C.W. 75.20.100 JFFFERSO;'; CJl~n!rll~"1'n. BI...
June 8. 1987 r:l'~G:r'Jri~,:~t"YEf~~~1~5'o 98504
(Applocallllhould'.'.,tOll'".ctal..nellcounpondenee)
PAGE 1 OF -..-L PAGES
DEPARTMENT OF FISHERIES
r.l
~lASTN"l.4E
Jefferson County Public Works Department
[!!I STREeT OR RURAL ROUTE
P.O. Box 1220
[!!J c385~ 3505(51
UJ [i]
123" [iI
o [!]
00-34802-01
[!] WRf"
STATE ZOP
Port Townsend Washington 98368
Gll WATER TRIButARY TO [;;]
Lel and Creek L i ttl e Quil cene River
[ll] ~~t~b~A SECTION RANGE (E'Wl COUNTY lliI
NW 1/4 12 27N 2~1 Jefferson
..CD C-17.0077
(!i) G!I [!i]
~ F
TYPE OF PROJECT
Bridge Replacement
TIME LIMITATIONS:
[!J THIS PROJECT MAY BEOIN
June IS, 1987
September IS, 1987
[!] ANO BE COMPLETEO 8'1
THIS APPROVAL IS TO BE AVAILABLE ON THE JOB SITE AT ALL TIMES AND ITS PROVISIONS FOLLOWED BY THE PERMIT.
TEE AND OPERATOR PERFORMIM; THE WORK.
The person(s) to whom this approval is iRsued may be held liable for any loss or damage to fish life or habllal whIch results from
tailura to comply with the provisions of thIs approvaL
Failure to comply with the provisIons of this approvol i8 8 gross misdemeanor. possibly punlsheble by fino and/or imprisonment.
The Department reserves the right. subject to the holders opportunIty to a hearing to contest egency actions 8S provided by the Ad.
minlstratlve Procedure Act. chapter 34,04 RCW, to make additional restrictions or condlllona or revoke the approve I when new Informa.
tlon shows 8uch action is necessary by the department lor the protecllon of 'ish life.
This deporlment csnnot be held liable for eny property demage which might occur os a result of thla project, except where damages
are proximately ceused by actIons 01 the department.
This approval pertains only to Ihe provisions 01 Ihe Fisheries end Game Codes. Additional authorization from other public agenCies
may be necessary lor this proJect,
1. Preliminary drawings for the Leland Creek bridge replacement project (County Road
project 587 - Rice Lake Road) are acceptable,
2. The bridge shall be constructed high enough to pass the fifty (50) year flood.
3. Abutments shall be set back at least five (5) feet from the summer wetted perimeter of
the stream.
4. Construction activity in the wetted portion of the stream shall be limited to removal
of the old bridge, placement of bank protection material, and foot travel across the
stream.
5. All fresh concrete lIork shall be well isolated from the stream and cured prior to
stream exposure.
6. Removal of streamside vegetation shall be limited to within the construction right of
way. Excessive removal is discouraged.
7. Exposed banks may be rock armored.
8. Road approaches to the bridge shall be constructed to avoid silty road wash from
directl enteri~ the creek.
DEPARTMENT OF FISHERIES
DIRECTOR
"8 HAe ",aMT ,ooHn.~ 2/141
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ADDITIONAL PROVISIONS
....., .~~!'!'!. .~~. .~~~?...,...
Date
Approval given to .. .~\!f;f.Elr:~?11 .l!p,u,I1W. ?Il!? J.iS. ~P.r:~~. J!~p~r.~I\l~!'.t,......,........,...,........ ..
Stream or Lake.... ,I,.~J.a,ij<!. ~.r:ll\l1<..~ .~:i.1;~1!!. .Q~jJ,c;~Q!!..~i y!!.r:.....,.......,......:,..,....."...
Type 01 Project.... .6r:i.clge. R~pla.c;~l!1en1;.............................'" ........' ................
PROVISIONS:
9. Suitable measures shall be available and used when needed to control soil erosion
during construction.
SEPA: DNS by Jefferson County, 1987.
Locati on: North of Qui1 cene about three mil es. Access on east si de of SR 101 opposite
Lords Lake LOop Road.
Regional Habitat Manager - Grant Fiscus - Telephone - 753-3970.
cc: Fi scus
Johnson-Patrol
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JOSEPH R, BLUM
Director
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115 General Adminis"alion Building 0 Olympia, Washington 9B504 0 (206) 753-6600 . (SCAN) 234-6600
STATE Of WASHINGTON
DEPARTMENT OF FISHERIES
August 31, 1987
Mr, 8ruce Lauri e
Jefferson county public Works Department
Post Office 80x 1220
port Townsend, Washington 98368
Dear Mr. Laurie:
Time Extension _ Bridge Replacement - Leland Creek,
Tributary to Little Quilcene River, Northwest 1/4
of Section 12, Township 27 North, Range 2 West,
Jefferson County, 00_34802-02, WRIA 17.0277
Your verbal request of August 27, 1987 for a time extension on the above-
referenced HYdraulic Approval written on June 8, 1987 has been reviewed and
is approved to read as follows:
Time Limitations: June 15, 1987 to october 15, 1987
Provision 4 shall be changed to read as follows:
construction activity in the wetted portion of the stream shall
be limited to removal of old bridge, placement of bank protection
material, and placement and removal of a temporary culvert/road
crossing. This crossing sha,,-c0n5ist of a three-foot diameter
elliptical pipe area approximately 30 feet long 1ayed on the stream
bed and backfilled with a uniform grade 1 1/2 inch minus beach
gravels. The temporary crossing shall be in the same alignment
as the existing road. Fill slopes for the temporary road crossing
shall be suitably rock armored to prevent washout, Backfill shall
come from an authorized source,
All other provisions of the original shall remain in effect. This revision, as
well as any other past revisions is to be attached to the approval and on the
job site at all times,
Sincerely,
~'=.~ Iu
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Oi rector
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r,,,:? 1 1987
Jr::r-F:::;~::C/tJ COUNTY
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CHbCJ<LIST
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ENV IRON~.1ENT/\L CIIECKL I ST
JEFFERSON COUNTY
TIo. S'd" Envlronn,on'aL poLlcy Ac' (~;EPI'.l. ReI" 43.21C, requlre. aLL govarn..en,at agencle. '0
con.lder ll.. envtro"",on'aL lmpach of 0 propo.at before maklng d.ct.ton.. An .nvlro","on'at ,,,,,,ac'
,'.l.men' ~., ~. prepar.d for aLL propo.at. ."h probobL. .lgn"ic",,' adver.e impact. on 'he
",,,,,it. of '''0 onvlro","en'. Th. p...rpOce of ,,,l. ch.ckLl" is '0 provtde lnformaHon '0 h.Lp yo...
and 'he agoncy ldenHf, lmpact. from yo...r propo.at, red...ce or avold lmpact. from ,he propo.al, if
" can be done; and h.lp the agency decld. wh.'h.r an CIS ls r.q...lr.d,
pnCPQSEN1 :
Jefferson County PublLc Works
courthouse, Port Townsend, W~ 96366
,'.:)DrESS:
("",.tn..') (206) 365-3505
TCLEPHm:E: (hOffle)
Srtan L. Shelton. P.E.. DLrector
'\UJIlO!"?12ED P.EPRESENT^TIVE (co,.,tnct):
same as above
(busi.ne!i5 )
same
,\!>or.fSS:
, TELEPtlO.....E: t home)
DIRECTIONS
'hl. checkll., ask. yCU '0 d.scrlbe .om. b..lc tnformatl.n .bou' your propo..L The q....stton.
.,pply to the enHr. prOpo.at, lnct...dlng ,hose phased ov.r . p.riod of Hm. or on .epar.'e parcel.
of ldnd,
An...r ..ch que.Hon .ccura'ety .nd comptetet Y to .votd ...nnece...ry d.t.,. In prOce..lng ,hls
checkll.!. If yOU do no' know an .n.w.r, wrlte "...nknO.n", or If . qu..tlon do.. no' eppLy, wrLt.
"not dpplLcoble."
,'n...r. '0 .om. q.....tton. mey requlr. speclat edpertt.. or technlc.t ...l.,.nce from q...."fl.d
p.rOO..... Th. ce.' of ob,.lnlng ....ch lnform.tton l. ,h. respon.lbLLlty of 'h. proponen'.
AttdCh .ny addlHon.t tnformatton (ropor'.. .'udl.., mapS, illus'rolLon., L.ase., permll.,
,,'c, I 'ha' ma" fur'her de.erlb. ,h. propo.at or be .."ulrad by Jerreroon CO"""y.
Con'"c' ,he Jeffer.on Coun'y Pl.nnln. .nd Bultdln. o."artm.n' For .ssl.tanc. In compL.Hng ,he
checkLl., .n<! for lnFormatton On the admlnL.'rotlvo procedure. roquLrod for Lt'. procas.Lng,
PLEASE PRl'" IN BLACK OR BLUE INK on TYPE EI'.CH f,NSI'IEn. co NOT ",r.lT~ IN TilE Ar.~^ DESIGNATED
"E\'~LU,\T JON,"
PROPOS~L AND
PROPERTY DESCRIPTION
PRBPOSED PI!OJECT OESCFlIPTIClN (d..c,-Lbe ,.... p,opooad d.valopman,_Lnctud. all fac'ors ,h.' wLll
gL.a an .cc....ote ...nd.rstnndLng of Lt'. .cop. .nd purpo..l' Leland Creek Srldge Replace-
ment- Thts project wlll replace the extstln~ log brldge on RLce's Lake
Road where tt crosses Leland Creek. The extsttng structure has been
closed to vehLcular traffLc because of the fallure of one of tts beams
and the questtonable strength of the remaLnLng structural members, A
~brL~e and approaches wtll be constructed to re ~ace the extsttn
s'tructure and a roachAs at the st te. The new brtd e wLl l sean the
creek wLth nO art of the structure betn laced on the creek channe~.
The only work antLctpated In the creek channel ts the removal of that
'part of the old structure that Ls tn thn c:,~nnel,
WASHINGTON INIEkGOVERN~thIAl REVIEW
..f.t..' NIFORK NOTIFICATION FORM
U (WIRP)
1. PROJECT IDENTIFICATION NUMBER:
3/ - (( {jI
o
2. APPLICANT:
JEFFERSON COUNTY
3. PROPOSED DATE OF SUBMITTAL:
PROJECT TITlE:
CONTACT PERSON: 6. FUNDING:
Name: AMOUNT SOURCE (Agency)
Robert G. Nesbi..tt,P,E.
Phone: ( 206) 385-3505 Federal $ 32,000 FHWA
Address: County Engi..neer State
Jefferson County Courthouse Local 8,000 County Road F~Jnd
Por-t Townsend, iliA 98368
Other
TOTAL $ 40,000
7. DESCRIPTION: RepLace exi..sti..ng Log bri..dge acr-oss LeLand Creek an County Road
3440 wi..th a permanent str-ucture.
8. GEOGRAPHICAL AREA AFFECTED: (City, County, State, etc.)
Ri..ce Lake ar-ea of Jefferson County
9. DURATIDN OF PROJECT:
1 year
10. DATE C0I11.1ENTS ARE DUE:
CERTIFYING OFFICIAL:
Name
Signature
Title
Date
Department of Community Development
Ninth and Columbia Building, MS GH/51
Olympia, WA 98504 (206) 753-2200
"01 !
, ~
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. 114115/86
DISTRICT 3
AGENCY: JEFFERSON CO.
..*.*....***..*.*.**.*..*.*...**.*.**....**
* *
* FEDERAL AID PROJECT STATUS REPORT *
* *
*.......................*...*..............
FED. AID NO: BROS-2016(5)
AGREEMENT NO: LA0429 SUPPLEMENT NO: 00
TITLE: LELAND BRIDGE
DATE EXECUTED:03/20/B6
PROJECT FUNDING STATUS ..........*..*...**.*.*.....*.......*.***.***.*..
PRELIM.ENGR. RIW CONS TRUC TI ON
WORK ORDER NO: SL0423
ESTIMATED COST
TOTAL $: 1,740 27,000
-'-'- -.-,- _1_'-
FED. $: 6,2"0 21.600
-'--'- -'-'- _,_9-
OBLIGATION OATE: 03/86 ~ 09/86
_1- _1-
OBLIGATED COST 7/S~
TOTAL $: 5.200
OBLIGATED FED $: 4,160
TOT AL EXPEND $: . . .
PROJECT DEVELOPEMENT STATUS .*.*.........*.*.*.....**..........*........
PROJECT AD AND AWARD:
SJt;"vAAD AN~ a~~ARD
J. ~-~--
ENVIRONMENTAL CATEGORY: 2 CA STATUS:
~
:l: COMPLETE
ESTIMATED
COMPLETION DATE:
ENVIRON.
lc10
-25"%
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CONTRACT STATUS .........................................................
AD DATE: EL~~~~~b
WORKING DAYS
REMAINING:
OIlE GOAL:
CONSULTANT AGREEMENT:
DES IGN:
AWARD DATE:
_1_1_-
PRIME CONTRACTOR:
AMOUNT:
$-,--,-
W BE GOAL:
........*...............................*......
AMOUNT:
AMOUNT:
$-,-,--.-
P./W:
AMOUNT:
AMOUNT:
'-'-'--'-
GONSTR:
AMOUNT:
AMOUNT:
$-,--.-.--
I ~)U~~};~~J~JONS NOTED ON nus DOCUMENT I
~'iftGmlTtJREr-- .I.ft~ ~PR'A'. B 1600000 31
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::J:: Washington State
./1 Department of Transportation
Transportation BUilding KF.01
Olympia, Washington 98504.5201
206 753- 6005
Du..ne Berentson
Secretary of Transportation
April 1, 1986
RECEIVED
~Ir. Ga ry Rowe
Public Works Director
1820 Jefferson Street
Port Townsend. WA 98368
APR 4 1986
Jefferson Coun~FFERSON COUNTY
Laland Brid~e ENGINEERS OFFICE
BROS-2016(5)
FUND AUTHORIZATION
Dear Mr. RO~le:
We have received FHWA fund authorization, effective March 24. 1986.
for this project as follows:
PHASE
Preliminary Engineering
TOTAL
$5,200
FEDERAL SHARE
$4,160
In addition. categorical exclusion determination has been approved.
Attached for your information and file is a fully executed copy of City/-
County Agreement LA-0429 between the state and your agency.
Your City/County Agreement must be supplemented and the supplement executed
by the WSDOT if the PE amount is higher than shown on the latest executed
agreement. All costs beyond those in the latest executed agreement
are the sole responsibility of your agency.
If Right of Way is to be acquired, please submit your relocation plan.
WSDOT approval of this plan is required before proceeding with acqui-
sition. even if federal funds are not involved. If federal funds are
to be used for acquisition. you must complY with additional requirements
as per Chapter II Division 5 of the Local Agency Guidelines,
Upon receipt of your certification of Right of Way, notification that
the project is ready for advertisement and a supplement to the City/county
Agreement which includes construction funds, the construction phase
of this project will be considered for funding,
You may proceed with the administration of this project in accordance
with your WSDOT approved Certification Acceptance agreement,
Sln~erey.Y.-'
-}! '--
,,{~~ "l.~
BARRY ORAtGE:R .
Assistant State Aid Engineer
BD:cej
LCR: 1D
Attachment
cc: B. George. District 3
(Limited CA Agency)
f
~_"-_I"T-.JIIIIIL..
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AGENCY NAME & BILUNG ADDRESS
W.S.D.O.T. USE ONLY
FEDERAL AID PROJECT NUMBER
Jefferson County
Courthouse
Port Townsend. WA
98368
WASHINGTON STATE
DEPARTMENT OF TRANSPORTATION
CITY/COUNTY AGREEMENT
The Local Agency having complied. or hereby agreeing to comply, with the terms and condi~ions set forth in (1) Title 23.
U.S. Code Highways. (2) the regulations issued pursuant thereto, (3) Office of Management and Budget Circular A.102. (4)
the policies and procedures promulgated by the Washington State Department of Transportation and, (5) the Federal-aid
Project Agreement entered into between the State and Federal Government. relative to the above project, the Washington
State Department of Transportation will authorize the Local Agency to proceed on the project by a separate notification.
Federal funds which are to be obligated for the project may not exceed the amount shown herein on line p., column (3)
without written authority by the State, subject to the approval of the Federal Highway Administrator. All project costs not
reimbursed by the Federal Government shall be the respansibili1y of the Local Agency.
PROJECT DESCRIPTION
Name
Leland BrLdge Replacement
Length
Termini
Description of Work
Replace eXLstLng Log brLdge wLth a
permanent structure.
W,S,D,D,T. USE ONLY
Work Order Accounting Plan
P'OQ OJI' OR
HWA
A r 0.1"
'tIoOAP
"\111'1
D
TYPE OF WORK
ESTIMATE OF FUNDING
(1) (2) (3)
Eslim8led Total Estimated Estimated
Pralset Funds Agency Funds Federal Funds
WOAP AMOUNT
AUTH, CODE
,1.5,00,.,. '"
"";1,00,,,. '"
,;3..,5,00""" ,
5
4,500
:: ::~:qp:::::::
,3,.0.OD,.., ..,
.. ..;3,00,..
"", .40",
.. ..7,00...
P.E. a, Agency Work ,..., . . . . . . . . . . , .
b. Stale ServIces ..', , , . , , . . . , . . .
c, Olher . ,Cp,r;1SoI.11"b;>,r.J;!:; , , . , .
d, Total Prelim, Eng, Cosl Esllmate
Rlght-ot-Way e, Agency Work, . , , , . , , . . ,
I. State ServIces . , , . , , , , , , . . . . , .
g, Other . ,C~mSovL,hJ,r;1:I:"",
h, Total R/W Cost EstImate
Construction I. Contract. , . , . . , . . . . , , , ,
Engineering (I. Agency Force, , .
~% k, Slele Force, ".
I. Audit.... .""..."..",'
m, OtherCq\.W\~y, .F:9r.9!'."\ , , . ' , , , . .. , , ,
n, Other ,.,.,.....,.,....., ",...,..,."
0, Totnl Constru.::tlon Cost Estlmot&1--
~'~ab~~~pST ESTIMATE OF T:''''~'13, 000 ~
The Federal.ald partlclpollon rale In this projoot will bo dotormlnod by tho Fodoral Govornment. The portles oxpect that It will bo ~%,
however, 1114 understood thnl the rale mny vary, rho Locnl AgonCY 80r088 Ihn\ \hln aafcemen' 18 entornd withOut rolylna upon nnv roprellontnUon by lhe
Slllt" made outllldn of Ihlll contract, or contained herein, ae 10 whnt Iho Fndorol particIpation rolo will be, II lurlhor 8grool thalli will not oondlllon ony
luIurf) actions with rospecllo tho projoot COVBrod py thlsllgroomont upon pllSt, ourront, or futuro roproaontotlone pato tho Fedornl participation rote, Tho
dollar omount 01 Federol porllclpntlon connol nllcnnd Ihe nmount 8hown In linn p.. column (3). All ooste not rolmbursed by tho Fodorol Governmont "hAll be
tho rosponslblllty of tho Locnl Agoncy,
~
DOT
,,"onM '''0,0:10
Rl!VI6E!D nlll:1
Oll' A'U<4
STATE AD & AWARD
METHOD A
METHOD B
CONSTRUCTION METHOD OF FINANCING
,,(
(Check Method Selected)
Advance Payment. Agency Sl1are of Total Construction Cost (Based on Contract Award) . .
Withhold From Gas Tax the Agency's Share of Total Construction Cost (line 0" col. 2)
in the amount 01 $ at $ per month for _ months ..
LOCAL FORCE OR LOCAL AD & AWARD
METHOD C _ Agency Cost Incurred wilh Partial Reimbursement , .
,,(
,(
The Local Agency further stipulates that pursuant to said Title 23, regulations and policie, and procedures, and as a
condition to payment of the Federal funds obligated, it accepts and will comply with the applicable provisions set forth
below. Adopted by official action on PtZ.h --;' , 19~, Resolution~ No. /-r--~tC .
I SCOPE OF WORK
The Agoncy shall provide aU the work, Jabor, materials and services
necessary 10 perform Ihe project which Is described and set forth in detail
In tho "Project Description" and "Type 01 Work,"
When the State acts for and on behalf of Ihe Agency, the StElte shall
be deemed an agent 01 the Agency and shall perlorm the sorvicos
dn!l;crlbed snd Indicated in "Type or Work" on the face 01 Ihis ogrooment, in
accordance wilh plans and specifications as proposod by the Agonr.:y and
approved by the State and Federal Highway Adminislration.
When the Stnhl (lcts lor the Agency but not subjecl 10 the right 01
control by rhe Agency, tho Slala shnll havn tho riohl 10 perform tho work
subject to the ordinary procedures 0' Ihe State and Foderal Highwny
Admlnlslratlon,
II DELEGATION OF AUTHORITY
The State i9 acling 10 fuUill tho rosponsibllltios 10 the Fllderal
Government by the adminlslrallon of Ihia projoct. Tho Agoncy f1'lrees that
Ihe Slalo sholl have Ihe lull nuthorily to carry out this ndministralion, The
Slalo shall review, process lInd Approve documents requirod lor Federal.
aid relmbursemonl In accordElnce with FoderAl requlrorrlonls, II tho Slntll
advertises and aWArds Ihe contracl, the Slnte will ItHlhnr tlcl lor thll
Agency In 011 mlltters concerning Ihe projact, /IS roquostod by tho AUoncy, It
Iho Local Agoncy advertlsBs Rnd nwnrds Iho projocl tha Stnto tlhnll rev low
Iho work to inaure conlormlty with the approved plans /lnd nper:ifiClllions
III PROJECT ADMINISTRATION
Certoln Iypes of work nod services shnll be providod hy tho Stlttn on
this project as requested by the Agoncy nnd doncrlbad in Ihe "rypo of
Work" above, In nddlllon. Iho Slolo will furnlllh quolUlod personnel lor Iho
auplJrvlslon and Inspection 01 the work In progroas, On lOCAl Iltloncy
ndvorllsod and awarded projocls, Iho auporviolon anN lnapoctlon sholl bn
limltod 10 6nourlng all work 11'1 In conformance with npprovod plnns,
speclflcallons nnd Foderal.old rO(1UirOmflnlo. The anlary 0' Buch onginonr
or oll1l)r IUlporvloor nnd /III olhor Itntnrif)8 llnd caRIB Incurrod by SlololorcoB
upon Ihe proJect will bo considered 0 cosllhornol. All coots rolntod to Ihlll
proloct Incurrod by omployeos 0' tho Slolo In Iho cuolomnry mnnnnr on
hll)l,way pllyrollll and YOUChll18 llhall be Chllrgfld III!! COlli" 01 tho prolocl,
IV AVAILABILITY OF RECORDS
All projflcl rflcord8 In supporl 01 nil CORto Incurrod nnd nctunt
oxpondllur06 kept by tho Agllnoy, MO 10 bo malntnlnod in nc:cortlnnr.n wHh
procedurell prDoerlbod by IhB Olvlnlon 01 Munlr:lpnl Corpora lion" of tlln
Slnlo Auditor's Ofllon, Iho V,S, Onporlmnnl of Trllnaporlntlon nnd
Wnohlnglon Onpnrtmonl 01 Tronltportnllon, Tho moorrlll !thnll hn cpnn to
Ir~Rpoolion by Iho Stnlo and Fodornl Oovllrnmnnt nl 1111 rOflsonnhlo IlmoR
nnd IIh"lI bn rotnlnod nnd mndo nvnUnhlo lor ,wch IMpnclion lor It porioN 01
1I0t Imllllhnn Ihron ynnrn Irom lhllllnnl pElymnnt 01 nnv FfldfHlll.nld ILlnch, In
tho ^lJflMY, Coploll 01 nnlfl ror.:ordn Ilhnll hn lurnlllhod 10 tho Slnlollnd/or
Fndurf.I On...ml1lllnnl upnn rnf1l1lJllt
"I.; . oor,.uo.o~1t tnllllll:i)
.
By:
WASHINGTON STATE
DEPARTMENT OF TRANSPORTATION
/i.r /#z-:fl:L<"
so.,. Aid ',olo'M A R 2 0 1986
Date executed
PROVISIONS
V COMPLIANCE WITH PROVISIONS
The Agency ohall not incur any Federal-aid perticipetion costs on any
classification of work on this project until authorized In wrlllng by the State
for each classilicstloll, The classllications 01 work lor projecls arft:
1. Proliminary Engineering up 10 and including approvsl
2. Preparation 01 Plans, Spocificalions, and Estimates
3. Rlghl-ol.WIW Acquisition
4. Project Construction
In the event Ihat Righl.ol-Way acquislllon lor, or actual conslrucl\on 01
the road lor which Pr91lmlnary Engineering is underlalo'en Is not slorted by
the Closing 01 the flflh liscal year following Ihe Ilscal year In which the
ngrEh)ment Is executed, Ihe Agnncy will repay 10 the Stalf! Iho Rum or oume
01 Fedoral lunds paid to the Agency under the lorms of Ihls agreDment,
(Soe SfJctlon VIII,)
The Atp:mcy agreoB that all stages 01 conRtructlon necessary to
provide the initially planned complele lacUlty, wllhln Ihe IimltR 01 this
project, will conform to al leasl the minimum values sol by approved
AASHTO doslgn slsndsrdR applh:::Bble to this Cl88S 01 highways, even
though such additlonsl work is llnanced wlthoul FoderRl-ald parllclpatlon,
Tho Agtlncy agroos Ihal on Federal.ald highway conslruction projocls
tho curren I Fednrnl.nld r8Qulations which apply 10 liquidated dnmnoes
rolativo to tho baAls 01 Foderal partlcipallon In the proJElct cosl shnll bl)
npplicoblo In tho oven I Ihe controotor IAila 10 completo thn conlract within
the conlrllcl lima,
VI PAYMENT AND PARTIAL REIMBURSEMENT
ThA total cosl of lho project, Including BII revlflw and engineering costs
and other oxponaoR 01 Iho Stolo, Is 10 be paid by the Agency nnd by Ihe
Fndmol Govornmonl. Fodornl lundlng sholl be In accord wflh Iho Surlace
Trnntlporlollon Aseltltnnco Act 1978, Tlllo '3, United SIBle8 Code, OR
nmondlld, and Qlfice 01 Manngemenl nnd Budget Clrculnr A. t02, Tho Slolo
ahnll not be ultlmaloly ronpontllblo for any ot lho coot a ollho project. 'Tho
Agency I\hnlt be ultimAtely roapontllblO '01' all COllis ollsoclnlod wllh tho
proloot which are nol ralmburaod by Ihe Fodornl Governmonl, Nothing In
Ihls agrnomont ohnll be conslrund no n promillo by lho Slalo ns to tho
nmounl or nr.furo 01 Fedoral pnrllclpatlon In Ihlll projocl,
1. Prollmlnury Englnoerlng, RIght 0' Way Acqulllllon and Audit
Cootl,
Tho ^anncy will pay for Agoney Incurrod CCllt8 on Iho prolect.
Following ftlJoh paymonts, vot/ohers shnll bo II11bmlltnd to Iho Sloln In tho
lormat protlcrlbod by thn Sloln, In qundrupllcelo, not moro Ihnn ono pm
monlh, Tho Stnto will r[llmbllrtlo tho Agnnoy up to the nmount ahown on Ihll
Inco 01 Ihlo IIgronOlanl lor thollO OOtltft ollalbln lor Fodornl pnrllclpnllon 10
tho f1xlonlthnllUlch coats nro dlrnctly allribulnblo nnel property nflocnhlu 10
thlft projacl, ExpnnrJllurnl'l by Ihd Locnl Agnncy for tho etllahHohmonl,
mnlnton/lnCfl, gnnmal ndmlnlnlrnllon, t1llpnrvllllon, nnd othm ovnrhnnli al1nH
nol tln ollolblo lor Fndnrnl pnrlfclpnllon.
Thll Slntn wlll pny lor Blnln Inourrod conlll nn Ihn projnr:!. Followlno
pllymllnl. tho ~Hlltn Qhnll hUl Ihn Fndmnl Oovtlrnmnnl lor rnJmhurBomnnt 01
.
-. -~"'---"-rr"'---------~'."'" -- ...--,_..~...-...__..,
/fl;I:'1"'t~:t':."""Ii~' " ,.',,' "
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Ala.
.."
Duane B.rent.on
Secretary 01 Transportation
Washington State
Department of Transportation
Transportation Building KF.01
Olympia, Washington 98504.5201
(206) 7S3,6005
september 30, 1987
Mr. Gary Rowe
pUblic Works Director
1820 Jefferson street
port Townsend, WA 98368
Jefferson County
Leland Creek Bridge
BROS-20l6(00SI
Dear Mr, Rowe:
Attached for your information and file is a copy of supplement
Number 4 to City/County Agreement LA-0429 for the subject
project between the state and your local agency,
This supplement increases your construction funds to a total
of $ 97,000 ($77,600 federal share).
Sincerely,
--r-Cj]fcJi~ Jl~
TOM PLAKINGER c1'
Fund Allocation Engineer
State Aid Organization
TP:ds
LCR/Pll
Attachment
cc: Bill Garing, Dist, 1
,,-
:.., \'.:!'/
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L.
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, " '
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AGENCY
~GfNCY ------wASHINGTON STATE FEDI!~~fa
efferson County DEPARTMENT OF TRANSPORTATJON BRDS 1!J1E,~______
i.u'! CITY ICOUNTY AGREEMENT AQfU!I!WeHT HUMB!.R
_Auqu~t 17. 1987 ~~~~.:._~,-===--_ ~ L,::J-OQ2.)?
The (!;;(.1./County of ~efferson ___ desires to supplement the agreement entered into
and executed on Ma rch 2_0. 1986 B8 identified aboV'8. All provisiollS in the basic agreement
remain in eNact except as expressly modified by this supplement.
The ~~,~es to the agreement are described 8S follows:
PROJECT DESCRIPTION
Namo~eland Creek Bridqe Replacement
Tormini _ M.P. 0,28 to M.P. 0,37
Longth _.475 L. F
Description of Work
Replace existing log bridge with a permanent structure.
Roason for Supplement-
Construction Fundinq
TYPE OF WORK
ESTIMATE OF FUNOING
(3)
estimatod Tolal
ProJttCI Fund"
(5)
Eslimaled
Foderal Funds
(I)
Prelliouti AurOemOl'll'
Supplumtlflt
P.E. a. Agancy Work , ,9 ,~P:O , --=ii-
b, Stale ServIces.. . .. . . .. 500 ...0'-' .
e,O'her ,~,q~~ ~.1,1;~r,t, , i 0; 5ciri ' , , , '~iJ'-'
d. Totsl Prehm. Eng, Cosl Estimale 2.1L..obri . .. , . ~b'-"
Rlght-ol-Way a, Agency Work. 2,800 -a-
I, S'.,. Servoe.. ' " 750' ~o-'
~ ~~:'.:r AI'';'' ~~~,' E~;i~~,e : ~: ;~~g : : : : : : : ~O.:
Con.,rucllon j, Conlracl" , , . (l,5..0P,Q " , , , , ,~,(10,0, ,1'( .6.00, " "
(!nllineerlOg {j, Agency Force... . ~,OO.Q...... ,. .70......... .. .1.p.QQ.....
-'" k,SlaleForce"" ,.1..0PQ....., ,.."cO,.",., ..."?OO,..,,
I. Audil .....,........,..,.. . .70C;..,.., ... ,70C...., .., cO,-......
m, Other ......"",......" .. 70C.. , "" .... 70C.. , .. " ,70C.. .. ..
n.Olher ....,....,"..'".. ..70C,,,..,, '.. ,70C...., ,..cOc......
o. Total Construction Cost ES!imate 9.4.......000 3.000 -'l2......4.QO
p. ~~b~~cfTOST ESTI~~ THE 1.~~.~_~O 3. 000_______ .l~_5_1E_ .__,__
The lo(:alogtincy further stipulates thai pureuanllo said Title 23, regulo!ionB, and pOlicies and procud~(f)3, and as to condilion to payment
(If the Fedor:!! tunds obligated, it accepls snd will comply with the applicable provIsions.
AGENCY OF ICtAL -. ._-.....
(2)
Supploment
(4)
Esllmated
Agency Funds
,7,.4~0..,.. .
, :400,
,. S.ltiO....
l.6..JlQ
.. ?,.Z~O......
.... ,liOQ,
, , 1.,(;00. ,
WASHINGTON STATE
DEPARTMENT OF TRANSPORTATION
/ -,(,,-/ /h' ?
Bv:~ . 11[//;:',_, _ ___
."'. ... ''SEt' 0 3 1987
L<;t.~t, 7 "
(,
/..~~~,........
c:.A-_-,..l.--___
0.1. ElI.cuUu1
----~--"'_._..~--+------_._---_._~--_._+.._..~._--._.-~-""--'----~-_._-.._---_.---,,--
W,S,D,O,T, USE ONLY/WOHK ORDEH ACCOUNTING PLAN
::"[p.---~~'---~------------'.''''--F~~~==:==~T~~===~=~=~=:.~~~=-~~.
..---'.--.---.-,----..-- --------. f'ljWA
-'1J1H "P~' 0.1/1
fJ~ ______.____,_._... .____.,._...__._.___ _"__"___'___._"
AUTIl,
CODE
,----...-.--,--.
f)ME
. _.'"_.._'--_._,,-~~--_._-----
._.!'.F!.~~I,?.t!~_ ._!!!iSl!.I!.~TEO __ ____~!_A.L_...._..
P.I:. Ll Arlene.,. Work
b, SUllo Work
c Oltl&r
d l'Oli'11 Pff.llunmw)' EnUlflOtlflllU C{)~t
Right.o'.WnW' II AIJuncy WOfk
I 51,IIU WorM,
g O\htU
h, TOldl A.\)hl,nPNEIY ensl
Conltrucllon I COnlmel
EnUlRllOflll\l {I' ~uanCV_Forru,
____.___.'ll k LJIDltl f.o(cc,
I, Audit, . .. '" ,. , , , . .,
m Othet ."".,..,.'
n,Othor ....,..."..".
() rollil CL')f\~lrUCllCJn COlli
_...__."--~--_.._- --,~--~--" .-- -_....__._....._.~._-- ...__._.~--
DOT ~~;: I.hr~j: '" 'N'I
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AGENCY WASHINGTON STATE
Jefferson Count DEPARTMENT OF TRANSPORTATION
DATE CITY ICOUNTY AGREEMENT
6-11-87 SUPPLEMENT NO. 1
The m/County ot Jefferson desires to supplement the agreement entered into
and executed on March 20., 1986 as identified above. All provisions in the basic agreement
remain in effect except as expressly modified by this supplement.
The changes to the agreement are described as follows:
PROJECT DESCRIPTION
Leland Creek 8ridoe Replacement
M.P. 0.28 to M.P. 0.37
Length 475 L.F.
Name
Termini
Description of Work
Replace existing log bridge with a permanent structure
Reason for Supplement
Construction funding, Revise P.t. and Right-of-way funding
ESTIMATE OF FUNOING
(1) (2) (3) (4)
Previous AgreementJ Supplement Estimated Tala.1 Eslimaled
Supplement Project Funds Agency Funds
P,E. a, Agancy Work....,............ ... ..'......... 9.300 1,860 ,
b,Slala Services............ .... .... ..son.... ::: ::: s:ri6:::: :::::: :i:ti6::: :::::: :460::::
o,Olh.r .tCon,suJ :t,<lnt.). .. .." .. U.5on .. .. .. .LO .29,0.... .... ,2 ,04,0... .... fl"HiO....
d. Total Prelim. Eng. Cost Estimate 6 000
Rlght.ot.Way., Agency Work.....,.".. .., .2,fl.QO.... ,.,. ?,,~~O....
,. Sial. Service. , .. . .. .. .. .. .. . . . .. .. ' 7,5.0.. .. 600
g,Olh.r C.ootr.1\ct. ,Neg...&P..pp.r. ' .' ,~,P,QQ".. ::: : r;64: 04: 0:0::::
h, Tolal R/W Cost Estimala 5 550 ..
Construction i, Contract", ",...,. .., . ' . ,8q ,000 . 68.000
Enginaaring {j, Ag.nCy Foroa,.. . .. :a, b:dQ : : , : : : : : ~:; 499: : : :
_'" k, Sial. Force.... ....1 ,P,QO.... 800
I, Audit ......,.,........... . . . .707. . , . . ' . , . , '~O~' . , , .
m,OIMr .....,............. . . . .70,-. . , . . . , . , '~6~ . . . .
n,Olher .....,.,........... . . . ,70,-. . , . . . . . , '~<i~ . . . .
o. Total Conatruotion Cost Eatimate . . . '5' ':i06' . .
p'~Rb~~CpSTESTlMATEOFTHE 21,500 98.050 119,550 23.910 95.640
The looal agency further stipulates thai pursuant to said Title 23. regulations, and policies and procedures, and as a condilion to payment
of the Federal lund5 obligated. (t accepts and will comply with the applicable provisions,
AGENCY IAL
,
TYPE OF WORK
WASHINGTON STATE
DEPARTMENT OF TRANSPORTATION
By;
SllIlo Aid EngIne.,
~
0118 EJlGculed
WOA
NO,
AUTH.
ay
DATE
W.S,D,O,T, USE ONLY/WORK ORDER ACCOUNTING PLAN
Prall, DIal. CoSo
FHWA
Appr, Dille
AUTH,
CODE
PREVIOUS
REOUESTEO
TOTAL
f.E. s, Agency Work ""."..."..,..
b. Stale Work, . . . . . . , , , . , . , . . . . .
c. Other ,."..."..,.",.,.,.,
d. Telal PrelimInary Enginoering CoSI -
Rlght-ol.Way e. Agency Work, . , , , . , , , , ,
t Stale Work. , . , , , , . , . , , , , , . , , ,
g, Other ,....,."""",.,.,..
h. Telal Righl.of.Way Cost
Construction i. COnlracl , . , . , . , , ' , , . , , ,
Enaineerlng {j, Agency Force, . .
_"Ill k. Slate Forco. ,. .
I, Audit ..."."..,..,",...
m.Orhet .,.""..,.."".,'
n, Other ,..""",.".".,.
o. Tolal Construction COSI
o OT ~~;I: 1"1l8~ '''':1:10
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DEPARTMENT b1: PUBLIC WORKS
1820 Jefferson Street
P.O, Box 1220
Port Townsend, WA 98368
(206) 385.3505
Gary A. Rowe. Director
Robert G. Nesbitt, P.E" County Engineer
February 17, 1987
Oscar R. (Bob) George, P.E.
District State Aid Engineer
Department of Transportation
P.O. Box 9327
Olympia, Wa. 98368
Re: Leland Creek Bridge Replacement, CR0587, Federal-aid Project No.
BROS 2016(5), City/County Agreement No. LA 0429
Dear Bob:
Jefferson County is requesting funding and authorization to proceed
with right ,of way on the above referenced project.
Enclosed is the original and one copy of Supplement No. 2 for
execution, authorizing Jefferson County to proceed with right of way
acquisition. The Supplement includes a change in length of the project
from 600 feet to,475 feet, concurring with the Right of Way Plan. Also
enclosed are the Right of Way Plan, the True Cost Estimate for right of
way, and the Negative Relocation Plan.
If you have questions, do not hesitate to contact me.
Sincerely,
~~~.
County Engineer
Encl.
xc: CR05B7 Right of \<layV'
PWA 02
100% Recyclod Poper
"'1'\ \'
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DEPARTMENT 1tF PUBLIC WORKS
\ ~.
JEFFERSON COUNTY .
1'\
"'"
1820 Jefferson Street
P.O, Box 1220
Port Townsend, WA 98368
(206) 385.3505
'ro-
~
Gary A. Rowe. Director
Robert G. Nesbitt, RE, County Engineer
ENDORSEMENT
I,:
THRU:
Oscar R. (Bob) George
District State Aid
Engineer
Dept. of Transportation
P.O. Box 9327
Olympia. Wa. 9B50q
TO: Robert Barnard, Chief R/W Agent
1 have reviewed and concur in this
relocation plan
:,
DATE:
TO:
Mr. William 1. Hordan
State Aid Engineer
Highway Admin. Bldg.
Olympia. Wa. 9B50Q
R/W Supervisor. District 3
Federal-aid Project No.BROS 2016(5)
Leland Creek Bridge, CR05B7
Jefferson County
Gentlemen I
STATEMENT I Acquisition of right of way will be required for this
project.
There are no persons or personal property to be displaced by the
project. Therefore. the provisions of current regulations oovering the
relooation of displacees to DS&S housing and availability of adequate
replacement housing are not applicable to this projeot.
Should there be subsequent displacees, relooation assistance services
and payments will be appropriatelY programmed and provided.
> '
i
<
k-
::
,
Dated at Port Townsend. Washington this
Sincerely,
.,'"
/ J1? ;...- day of ~4- h
, 1987.
~~
Robert G. Nesbitt, P.E.
County Engineer
xc:CR0587 R/W
PWA 02
100% RecyCled Papar
,:-,..,,~ \
! !
:)
.p
oJ'
o
o
TRUE COST ESTIMATE FOR R/W
PROJECT: Leland Creek Bridge, CRO 587, Federal Aid Project No, BROS
2016(5)
PARCEL AREA TO VALUE TOTAL IMPROVEMENT TOTAL
NO. BE ACQUIRED LAND VALUE VALUE VALUE
702122024 0.17 Ac. 4,000.00 Ae. 680.00 -0- $ 680,00
702122019 0.20 Ae, 4,000.00 Ac, 800,00 -0- $ 800.00
702122001 0,44 Ac, 3,000,00 Ac, 1320.00 -0- $1320.00
TOTAL COST OF R/W TO BE ACQUIRED $2800.00
R/W APPRAISAL COST:
Contract Appraiser
Agency Work
State Work
$1500.00
$ 500.00
$ 500.00
$2500.00
TOTAL FOR APPRAISAL
R/W NEGOTIATION COST
Contract Negotiator
Agency Work
$1000.00
$ 500.00
$ 500.00
$2000,00
State Work
TOTAL NEGOTIATION COST
MISCELLANEOUS (FILING FEES, ETC.)
200.00
7500.00
""" \j 1
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AGENCY WASHINGTON STATE FI!OERAL AJD PROJECT NUMBER
Jefferson County DEPARTMENT OF TRANSPORTATION BROS - 2016(5)
DATE CITY /COUNTY AGREEMENT AGREEMENT NUMBER
February 17, 1987 SUPPLEMENT NO. 2 LA 0429
Thexa!i(~County of .Jpffprsnn desires to supplement the agreement entered into
and executed on Ma rch 20, 1986 as identified above. All provisions in the basic agreement
remain in effect except as expressly modified by this supplement.
The changes to the agreement are described as follows:
PROJECT DESCRIPTION
Name Leland Creek Bridge Replacement Length 415 L. F.
Termini M.P. 0.28 to M.P. 6.37
Description of Work Replace existing log bridge with a peT111anent structure,
P.E. 8. Agency Work ,................
b. State Services. . . . . . . . , .. . .. . .
c. Other ......................
d. Total Prelim, Eng. Cost Estimate
Rlght.o'.Way e. Agency Work. , . , . . . . . . .
t. Slate Services. . . ,. . , . . .. . . . . .
g. Other Cpntril,c;t, MPr. ,& ,Ne
h. Total R/W Cost Estimate
ConltrucUon I. Contract........"'.... .............. ..,........... ....,...,..... .....,........ .......,...,.,
Engineering {j. Agency Forco... ,............. ...,...,...... .............. ......,.,.,.,. ...,......,..,
_% k. State Force. . .. ....,.......,. ,......,...... .............. ,.....,.".... ....',..,.".,
I. Audit .....,.......,...,.. ............ ..,......... ............ ............ ,..........'
m. Other ,...,.............. ............ ............ ............ ............ ..,...,.....
n. Other ,...,..,........... ............ ............ ............ ............ ...........,
o. Total Construction Cost Estimate
p. ~2M~<fTOST eSTIMATE OF THE 14,000 7,500 21,500 4,300 17 ,200
The local agency further stipulates that pursuant to said Title 23. regulations, Bnd policies and procedures, and as a condition to payment
of the Fede~!'I1 '.!!.!!E!..s obligated, it accepts Bnd will comply with the applicable provisions.
AGE Y IAL
Reason for Supplement Right of Way acquistion and revise length of project from
600 L.F. to 475 L.F.
TYPE OF WORK
(1)
Previous Agreementl
Supplement
(2)
Supplement
ESTIMATE OF FUNDING
(3)
Estimated Total
Prolect Funda
(4)
Estimated
Agency Funds
.. .2.000.....
",.,,5.QO... ..
..1l..5.QQ... ..
......u......
o
::::::g::::::
4 000
:: :i:biJ:cj:::::
. ..~ ,SAQ..,..
.." 2.00.0...
500
::j:~;$p:(C
14 000
.....4.99.Q...
1 000
:::: :~:$P:cj:::
7 500
... .,il,QQ,..,.
100
:: :?~:~(i9:::::
2 800
800
... "'200"'"
,., "'500'....
.. . i"500' .. ..
...,...Q.......
......Q..... ..
.....,Q.......
WASHINGTON STATIO
DEPARTMENT OF TRANSPORTATION
By:
Stal. ,lid Engltl..r
(/.-' t!3..-, ---- .-....-
Oat. E..cul.d
WOA
NO,
AUTH.
BV
DATE
W.S.D.O,T. USE ONLY/WORK ORDER ACCOUNTING PLAN
Prog. Dill. C.5
FHWA
Appr, Dalf
PREVIOUS
REQUESTEO
TOTAL
p.e. a, Agency Work ",.........",., . . , . , . , , , , , , , .
b. Slale Work. , , , , , , , , . . , , , . . . ., ., , . , . , . . , , , . ,
c, Olhor .......,.,....""..,. .".,..,.",.,
d, Total Preliminary Engineering COSI _
Rlghl-ot.Way e, Agency Work, , . . , , , , , ,. ",.,.".."..
I. Slale Work, , , . , , , , . . . . .. . . '," .'. -. . " . . , . . .
g. Olhor ""","'" ~:-~~ -;~~:'~.:7~
h, Tolal Right.ot.Way C051
Construction j, ConltaCI , , . , . , , , . . . . , " ."..."",..,
Englnoering {j, Agoncy Force. ,. " , . , , , , , , , , , ,
.._% k. Stale Force. .., ....,.',.".,.
I, Audil ,..."."...,.,..", ",..".".,
m,Othor "".'"..,...",., ......,.....
n, Other .""",.".,."... .....,..'..,
0, Total ConSlruclion COBt
"''''''''''r-"
......".""
DOT ~~: 140g:IA'il:ll.
(6)
Estimated
Federal Funds
.. "l.!5.QQ.. "
400
.. "9~2'OO''''
.. .ii'.2'00....
3,
......SOO'...
"",1'.000.. "
""6.,000... .
AUTH,
CODE
o
o
-~
::7: Washington State
'ff/I Department of Transportation
Transportation Building KF.01
Olympia, Washington 98504'5201
206 7S3'600S
Duane Berentson
Secretary of Transportation
~larch 26. 1987
r,lr. Ga ry Rowe
Public Works Director
1820 Jefferson St.
Port Townsend. WA 98368
Jefferson County
Le 1 and 8ri d~e
BROS-2016(S)
FUND AUTHORIZATION
Dear Mr. Rowe:
We have received FHWA fund authorization, effective March 23. 1987, for
this project as follows:
PHASE
Right of Way
Attached for your information and file
ment Number 2 to City/County Agreement
agency.
TOTAL
$7.500,
is a fully executed
LA-0429 between the
FEDERAL SHARE
$6.000.
copy of Supple-
state and your
If costs for any phase
this Agreement (e.g.
supplemental agreement
executed agreement are
of work are expected to exceed those shown on
lines "d", "h". or "0"). you should submit a
to WSDDT, All costs exceeding those in the latest
the sole responsibility of your agency.
Upon receipt of your certification of Right of Way, notification that
the project is ready for advertisement and a supplement to the City/County
Agreement which includes construction funds. the construction phase
of this project will be considered for funding,
You may proceed with the administration of this project in accordance
with your WSDOT approved Certification Acceptance agreement.
SincerelY.
-rq,Jul~
t:..1 BARRY DRAEGER
7v Assistant State Aid Engineer
BD:jr
LCR:10
Attachment
cc: Bob George, District 3
AGENCY
AGLMCV WASH'NG~ON S~ATE FEDEAAL A'D pAOJEC~ HUMBER
Jefferson County DEPARTMENT OF TRANSPORTATION BROS - 2016(5)
DATE CITY ICOUNTY AGREEMENT AGAEEMENT HUMBEA
Februa ry 17, 1987 SUPPLEMENT NO. _ 2 LA 0429
TheX!.ll'(-!<tCounty Df .Jpffer<on desires to supplement the agreement entered into
and executed on March 20, 1986 as identified above, All provisions in the basic agreement
remain in effect except as expressly modified by this supplement.
The changes to the agreement are described as follOws:
PROJECT DESCRIPTION
Name Leland Creek Brid(Je Replacement
Termini M.P. 0.28 to M.P. 6.37
.----------.....--.-..
Description of Work Replace existing log bridge with a pemlanent structure.
Reason for Supplement Right of Way acquistion and revise len(Jth of project from
600 L.t. to 475 L.F,
P.E. B. Agency Work .. .
b. Slate Services . . , . . . . . . . . . . . . .
c.Othef ......
d. Total Prelim. Eng. Cost Estimate
Rlght.ot.Way e. Agency Work. . . . . . . . . . .
f. Stale Services . . , . . . . . . . . . . . . .
g. Olhe' contract, IIp-pr, ,&, ~e,
h. Tolal R/W Cost Estimate
Construction i. Contract. . . ,
Engioe(:ring {j. Agency Force.. .
_% k. State Force....
I. Audit.............,...... ....,....... .......,.... ............ ....,....... .....,......
m. Other ...,...,......,.... .. . . . . . . . . ,. . . . . . . . , . . .. . . . . . , . . . . .. .., . . . . . . . ., .......,....
n.O\her .................,. ............ ............ ............ ...,........ .....,.,....
Q. 10tal construction Cost Estimate
p. ~~b~~tpST eSTIMATE OF THE
The locsl agency further stipulales .hat pursuanlto said TiUe 23. regulations. and policie. and procedurB.. and as a condition to p.ymen~
at the federol tunds obligated, it accepts and will comply with the applicable provisions,
AGE y IAL
TYPE OF WORK
(1)
Previous Agreementl
Supplement
(2)
Supplement
ESTIMATE OF FUNDING
(3)
Estimated iotal
Project Funds
.. ,2.0.00.....
"", ;;,Qo.., ,"
..11.,5,Qo.,
0.0
o
':::0: :
,0. .
.. , .. ,0... .. ..
0.
......0......
...... 0"''''
4 000
:::i:bQ(C'
2 50.0
.. '1'SOO'
.. .. 2 .0o.,Q.. .
500.
'.~\.;WO,:::
14 000
..~ .9P.11 , ..
,'\,9P.I1...
",.,~ .?P.I1.,.
7 50.0
14,000
7.500
2l.500
(0)
estimated
Agency Funds
..... !l,QO..,..
100
:::~~:~QQ:::::
2.800
Baa
'.....z60..'..
.' ", 'soo"'"
,. T 'sob"'"
4,300
Length
475 L F.
(5)
Estimated
Federal t=undlll
.. ..\ ,~gg....
.. ..g.,ioo....
.. 'ii'.ioo....
3,
......8'00....
,.. '2.,000....
.. "r,',lido""
17 ,20.0.
WASHINGTON STATE
~TMENT OF TRANSPOATATION
BY:~ ~
MAR .1'"1"1981"'"
Del. EIl.outed
,_~ /J
V--r'~'7'" ...(/.._.,,(I.:J-, .,.........~ " -
W,S,D,O,T, USE ONLY,WORK ORDER ACCOUNTING PLAN
Prog. C.5,
FHW^--
Ap~~__ ._
WOA
NO
AUTlI
8V
DATE
P.E. 8. Agency Work
b, Slate Work, . . .
c. Other ".,........,.
d. Tolal Preliminary Engineering Cosl -
Rlght.ot.Way e. Aoency Work. , , ,
f, SlaW WOlk , ' , . ,
g.O\nef
h. Total AitJhl-ol,WDY Cosl
Constructloll I. Contract, , , . , . , . . . , .
EngIneering (J. Agoncy Forco, , ,
_% k. Slale Ferreo ,.,
Audit ,.",.,."....."...
m.Olhor "".",.,....,.,.,
n Olhor ..",
o TOlpl Conalrucllon COlli
_ _~I~':l~ ..J1.~_QUES~E?
,.""..".,.. .....",.,...,
..'"...,',. ,..""....,
DOT ~~~~ '~08:'A,~~"
TOT AL
AUTH,
CODE
..
~
:J': Washington State
"/I Department of Transportation
"ransportation Building K~'01
Olympia, Washington 98504-5201
206 753- 6005
Mr, Gary Rowe
Public works Director
1820 Jefferson st.
port Townsend, WA 98368
Dear Mr. Rowe:
.
Duane Berentson
Secretary of Transportation
August 14, 1987
Jefferson County
Leland Bridge
BROS-2016 (005)
FUND AUTHORIZATION
We have received F~~A fund authorization. effective July 30,
1987 for this project as follows:
FEDERAL SIIARE
$75,200
PHASE
TOTAL
construction
94,000
In addition, your PE has been increased to a total of $20,000
($16,000 federal share) and your RW has been decreased to a
total of $5,550 ($4,440 federal share),
Attached for your information and file is a fullY executed
copy of supplement Nu~ber 03 to city/county Agreement LA-0429
between the state and your agency.
If costs for any phase of work are expected to exceed those
shown on this supple~ent (lines "d", "h", or "0"), you should
submit another supplemental agreement to WSDOT. All costs
exceeding those in the latest executed agreement are the sole
responsibility of your agency.
You may proceed with the administration of this
accordance with your WSDOT approved certification
agreement.
proj ect in
Acceptance
BD:jr
Attachment
PlO
cc: Bill Garing, D-1
Si~ceret,...,
~~ i~"
BARRY DRAEGE~
Asst. state Aid Engineer
~.. ",:~ [':~~'. ,(~:.
J '\1 r~, [D
I,i W!i
,I .,^::,,>,Ji'n".'
;; :;';.~, ..:.;j \.)F;~';:\C:C,
c
AGENCY
o
....
AGENCY WASHINGTON STATE
D~;:ferson Count DEP~~}'~Ju~~/~~~~~g~1~TION
6-11-87 SUPPLEMENT NO. ~
The ~/County of Jefferson desires to supplement the agreement entered into
and executed on Ma rch 20, 1986 as identified above, All provisions in the basic agreement
remain in effect except as expressly modified by this supplement.
The changes to the agreement are described as follows:
PROJECT DESCRIPTION
Name Leland Creek Bridge Repl acement Length 475 L. F.
Termini M.P. 0.28 to M.P. 0.37
Description of Work
Replace existing log bridge with a permanent structure
Reason for Supplement
Construction funding. Revise P.E. and Right-of-way funding
TYPE OF WORK
(1)
Previous Agreement I
Supplement
.' ,...99......
".., .500"",
..11.500.... .
(2)
Supplement
ESTIMATE OF FUNOING
(3)
Estimated Total
Project Funds
....~ ,~,q(!....
...... 5QQ....
, . .lQ . ~,QO . . . ,
,
:::::: :4ob::::
8 160
...' i;''tioej'"
"" ~.,4~P, ...
600
:::: ~:;~~g:::
68,000
::::~;49jf::
800
."" ';6~"'"
.", .-'0;....
.", ';6;""
". '5' 'ioo'"
95,640
P.E. a. Agency Work ......,.,........
b. Stale Services ................
c, Other .(COn.SU] t,<ll)t.l....."
d. Total Prelim. Eng. Cosl Estimate
Rlght-or.Way e. Agency Work, . . . . . . . . . ,
I. Stale Services . . . . . . . . . . . . . . . .
g, Olher C.Ql)tr.<lct. ,Neg..,&J).pp,r,
h. Tolal R/W Cost Estimate
Construction i. Contract. . . . . . . . . . . . . . .
Engineering {j. Agency Force. . .
_C/o k, State Force. . , ,
I. Audit _...................
m. Other .,.,..............,
n. Other ......,..,........,
o. Total Construction Cosl Estimate
p, ~'r.b~~8pST ESTIMATE OF THE
The local agency further stipulates that pursuant to said Title 23. regulations, and policies and procedures, and as a condition to payment
of the Fodersl funds obligated, it accepts and will comply wllh the applicable provisions.
AGENC 0 '7'0 <
21.500
560
::::::: i:5.Q:::
400
""'i' i'io'"
17 000
:: :::i :~:QQ: ::
""., .?.o.Q".
...... 79~...
.. .. .. ':9~. . ,
. . , . . . 7(l~. , .
B
23,910
By:
WASHINGTON STATE
DEPARTMENT OF TRANSPORTATION
--r~~
fala Aid En 8t
JUL 2 It 1981
Oall E.Il8culed
WOA
NO,
AUTH.
ev
DATE
W,S,O,O,T, USE ONLY/WORK ORDER ACCOUNTING PLAN
Prog. 0111. C,S,
FHWA
Appr, 0010
AUTH,
CODE
PREVIOUS
REQUESTED
TOTAL
P.E. s. Agency Work ,,"" . . . . . . . . . . .
b. SIBle Work. . . . . . , . , , , , , . . . , . .
c,Olher """"......".,.,"
d, TOlal PrelimInary EngIneering Cost -
Right-aI-Way o. Agency Work, , , , , ' . . , , .
I, Slale Work. , . , , , , , , . , . . . . . , . .
g,Olher ,.,.."."",."."".
h, Total Righl.ol.Wav Cost
Construction I, Conlract . ' , . , , , , , , , , , , ,
EnOineering {I. Agency Forco, . ,
_% k. Slale Force. , . .
I, Audit.,.,.,.." ",......,
m, Other ,.",..,....,.",.,
n, Other .,.".".....,'"..
0, Totnl Construe lion C09t
""",."".. ..,.,.,.,..,.,
,..".""".. ......,...".,
",.....""" ".""..,.."
."",..",.., ",.,,'...,...
.."",.",." ....."....."
,....,..",.,' ,.',.",.,.."
"""".".,. "",.,.."",
"",.",..", ",."...."..
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Jefferson County
Department of Public Works
NATIONAL HISTORIC SITE
POAT TOWNSEND, WASHINGTON
COURTHOUSE
PORT TOWNSEND. WASHINGTON 98368
TEL, (206)385.3505
GARY A, ROWE. DIRECTOR
AUGUST 5, 1986
CHERYL BAUER
CITY/COUNTY LIASON
WASHINGTON STATE DEPARTMENT OF TRANSPORTATION
DISTRICT 3 STATE AID
P.O. BOX 9327
OLYMPIA, WA 98504
RE: SUPPLEMENTAL AGREEMENT NO.1, LELAND CREEK BRIDGE
REPLACEMENT, BROS 1016(5), CRO 587
DEAR CHERYL:
ENCLOSED ARE TWO "ORIGINALS'" OF SUPPLEMENT NUMBER ONE FOR
THE ABOVE REFERENCED PROJECT FOR APPROVAL, PLEASE RETURN
THE SECOND ORIGINAL, AFTER EXECUTION FOR OUR FILE,
THE SUPPLEMENT IS REQUIRED TO COVER THE COST OF PREPARING
DETAILED SITE PLANS REQU1RED TO DESIGN THE BRIDGE AND
APPROACHES TO MEET STANDARDS OF FEDERAL FUNDING.
IF YOU HAVE ANY QUESTIONS, DO NOT HESITATE TO CONTACT ME.
SINCERELY,
~~
ROBERT G, NESBITT, P,E,
COUNTY ENGINEER
ENCLOSURE
CRO 587 ~
PWA 02
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WASHINGTON STATE FEDERAL "10 PROJECT NUMBER
DEPARTMENT OF TRANSPORTATION BROS 1016 (5)
CITY /COUHTY AGREEMENT AGREEMENT NUMSER
July 3, 1986 SUPPLEMENT NO. I LA 0429
"RHKXXtS' I County of JEfFERSON desires to supplement the agreement entered into
and executed on March 20 1986 as identified above. All provisions in the basic agreement
remain in eHect except as expressly modified by this supplement.
The changes to the agreement are described as follows:
AGENCY
JEFFERSON COUNTY
DATE
PROJECT DESCRIPTION
Leland Creek Bridge Replacement
Lenglh
600 f t
Name
Termini
Description of Work Replace existing log bridge with a permanent structure.
Reason for Supplement Increase in P. E. to meet design requirements.
TYPE OF WORK
(1)
Previous Agreemenl'
Su plement
"~,.5,00,,.. ..
,..,;!,QO......
..:),,5.00.... .'
2 0
(2)
Supplement.
ESTIMATE OF FUNOING
(3)
Estimaled Totel
Project Funds
2 000
.. ..'SOC>.....
: i:C~9P:: : : : :
14 000
1 600
...' , ,,'ci6 .....
, .. 9' 2'ci6 .. .. .
"i i '2'ci6" ..,
(5)
Estimaled
Federal Funds
('1
Estimated
Agency Funds
....,.'109.. ."
. .... .~09.....
2 300
,..:('800'....
..... ;;.00,....
.. ,.. :3.QO.. ...
.. .8.P.00,....
8 8 0
P.E. a. Agency Work .................
b.Slate Services ................
c. Ot~er .G9p.~4-J..t.B:t:l~.........
d. Toiiii Piolim. Eng. Cost Estimate
Rlght~of.Way e. Agency Work........... ,...,.....,... .......,...... .............. .............. ..............
f.SlateServices ................ ...,........,. .......,...... .............. ....,......... ..............
g. Other ...................... ...,....,...,. .............. .,............ .............. ...,..........
h. Total R/W Cost ESlimate
Con.tructJon i. Contract.. , . , .. . , . .. , ., .............. ...,.......... .....,......., ...,....,...,. ..,.,.....,.,.
Engineering {j. Agency Force... .............. .......,.,.... .....,..,..... ...",........ ..............
_~b k. Slale Force.. ., .............. .............. .............. .............. ..............
I.Audit .................... ............ ......,..... ............ ............ ............
m. Other .......,..,........ ..,..,..,... ............ ............ ............ ............
n. Other ..........,..,..... ..,......... ............ .......,.... ,..........' ............
o. Total Construction Cost Estimate
p, ~~b~~8pST ESTIMATE OF THE 5,200 8.800 14.000 2,800 11,200
The local agency further stipulates that pursuant to said Title 23. regulations. and policies and procedures. and 8S a condition to payment
of the Federal funds obligated. it accepts and will comply with the applicable provisions.
A~ENCY OF~~ . ld '
~l LC[rZL OEPART~~~~'~~T~~A~~~RTAT'ON
~..a:':JC::i'on".'..."., BV:
BI.18 Aid Engine.'
Oal. e..culed
W,S,D.O,T, USE ONLY/WORK ORDeR ACCOUNTING PLAN
Prog, Dial. C.S.
FHWA
Appr. Olllft
WOA
NO,
AUTH.
BV
CATe
P.E. a, Agoncy Work ". . , . , . . , ,
b. 51010 Work. . . . . . , . . , . , . ,
c,Olher ".......,..,...
d, Tolal Preliminary Engineering COSI -.
Rlghl,ol.Way e, AgaOey Work, . , , , , , , , , .
" Slale Work, " , , . . . , . , . . . . . . . .
g.Olher ..,.",..,.""...,..,
h. Tolal Righl'ol.Way COSI
Construe lion I, Coni roc I , . , , , . . . , . . , , , ,
Enginoering f j. Agoncy Force. . .
_% \ k, 51al0 Forco,., .
I, Audit.".."..,."""...
m, Other ,." .""..."""
n,Olher ,.",..,..,.".",'
o. Total Construction CoSI
AUTH.
CODE
PREVIOUS
REOUESTED
TOTAL
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::J:i Washington State
"II Department of Transportation
Transportation BUilding KF.Q1
Olympia, Washington 98504.5201
206 753,6005
~
Duarte Berentson
Secretary of Transportation
October 30, 1986
Mr. Gary Rowe
Public Works Oirector
1820 Jefferson Street
Port Townsend, WA 98368
Jefferson County
Leland Creek Bridge Replacement
BROS-2016(S)
Dear Mr. Rowe:
Attached for your information and file is a copy of Supplement Number
One to Ci ty/County Agreement LA-0429 for the subject project between
the state and your local agency.
This supplement increases your PE funds to a total of $14,000 ($11,200
federa 1 sha re) .
Sincerely,
---r- c::;J!~f"~
TOM PLAKINGER tl
Fund Allocation Engineer
State Aid Organization
TP:cej
LCR:ll
Attachment
cc: B, George, District 3
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WASHINGTON STAlE fEDERAl. AID PROJECT HUMBER
DEPARTMENT OF TRANSPORTATION BRaS ':1016(5)
CITY (COUNTY AGREEMENT A""".IIENT .u......
July 3. 1986 SUPPLEMENT NO. 1 LA 0429
1lleClCliI'R/County of ,JEFFERSON desires to supplement the egreement entered into
and executed on March 20. 1986 as identified above. All provisions in the basic agreement
remain in effect except 8S expressly modified by this supplement.
The changes to the agreement are described 8S follows:
PROJECT DESCRIPTION
Leland Creek Bridge Replacement
AGeNCY
JEFFERSON COUNTY
DATI!
I
Length
600 ft
Name
,
Termini
Description of Work Replace exiscing log bridge wiCh a permanenC structure.
Reaaon 'or Supplament Increase in P.E. to meet design requirements.
TYPE OF WORK
(11
Previous Agreementl
Supolement
(2)
Supplement
ESTIMATE OF FUNDING
(3)
Estimated Total
Project Funds
2 000
: :::~~9P::: :::
.l.l..~9P..... .
14 000
(4)
EstImated
Agency Funds
400
.... ..ioo.....
:: :~:.:~gg: ::::
(5)
Eatimated
Federal Funds
1 600
.... 'i..06.....
:::~;7:qQ:::::
11 200
P.E. a. Agency Work .................
b.Stale Services ................
c. Other .G9Jl.~4:J.~.ilI!1:.........
d. Total Prelim. fng. Cost Estimate
Rlght..gf-Way e. Agency Work. . . . , , . . . . . ., . . . . . . . . . . .' , . . . . . . . . . . . .. .. . . , , . . . . , , ,. .........,.... ...........,..
..Stale Services ....,.....,..,.. .,.,.......... ......,....... ....,.....,.., ,..,.,........ ,.............
g. Other ................,..... .......,...... .............. .............. ...,.......,.. ..........,...
h. Total R/W Cost Estimate
Construction i. Contract. .. . . . . . ,. . . ,., .....,...,.... .............. .............. .......,...... .............,
Engineerir'lg {j. Agency Force,.. .,...,......., .............. ..........',.. ,..,.....,.... ..............
_% k. State Force.,.. .,......,.,.., ,............. ....".,...,.. ..,.."....,.. .....,........
I.Audlt .......,............ ............ ............ ............ ............ ............
m.O'her ................... ............ ............ ............ ............ ............
n. Other .................., ............ .....,...... ....,....... ..........,. ............
o. Total Conatruction Cost Estimate
p. ~~M~~pST ESTIMATE OF THE 5,200 8,800 14,000 2,800 11,200
The local agency further stipulates that pursuant to said Title 23, regulations. and policies and procedures. and as a condition to paymont
of the Federal funds obligated. It accepts snd will comply with the applicable provisions.
AB~2~OFFIC~ / ':")'/.L- WASHINGTON STATE
~ ~~~~I""or !.- %tRT~EN; OF ,TRANSPORTATION
BY:/V ~-'-t._
, Stll. AId englnflf'
AUS 1 1 IQRR
. J..5M......
.., ..2M..,...
. ,~..;g~..,...
..... ,5,QQ.....
..... ~.QQ.....
8 000
.. .8'8"0.....
-~(/A\-;;;YZ .
'P'
alt. executed
wo'
NO,
AUTH.
a.
DATE
P.E. 8. Agency Work .,.,."",.,..".
b, SI.le Work. 'N , ," . , . , , , , , , , , , .
c. Other .."",.,....".,..,"
d, Tolal proliminary Enolneerlng Cost -
RI9ht-o'.Way e. Agency Work. , , , , , . . , , .
f, SI.le Work, , . , , , . . , , . , , , , , , , .
g. Other ...""".,."",.,',.
h, Tolal Righl-ol.Way Coal
Conatructlon I. Conlract , , . . . , . , . , . , . , .
Engineorina {I, Agency Force, , ,
_llIo k, State Forco, . , ,
I, Audll "....".,...",....
[o.Othur .....,.".....",,'
n, Other ""."..,....,""
0, Tolal Construcflon C081
W,S,D.O,T, use ONLY/WORK ORDeR ACCOUNTING PLAN
Ptog, I Dial, C.8.
FHWA
Appr, Dale
PREVIOUS
REQUESTED
TOTAL
AUTH,
CODe
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A:~t. NC. Y: JEFF [R SJ~ (n.
0i:;TR leT
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* *
* FEdeR.H. .\I'~" i"H,uJr:cr STf:.rUs. i<F:P[Ji-tT i,.
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**~,.*****~*~*.(_**.~***q~$t~***~****7*Q*~*~~
r- F. D. t\ ill I'.H i: ['. RO S - 2~) 16 ( :> I
T1TlE' lELA~0 BRljGE
Ar:;.,[-:l :-1EI-. T NO: L.\'j4/'",
SUD;JLf::v.Ei-.f ~;\;: C;'\
o~. T 1: f--;< ~CU r Uj:;) 3/ 20/ B 6
p" aJECT
fU~-ID HH~ S r '\ rus ';:lfl{ :';';"~n'/ *~, *"*.): 1l< *' >:. (! (- .:.<* *,., I,P:: *-.;, r. ,...~~... (. *.0:' ,*'* ~ ':'< 'i<* ,,,.,,;. ** * t,l,< *~ *~ '*
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rONS TRdC T I;;I'J
'.-In;{K r:,./.[)E:i';', I\:~,:
SL <) It? J
t:S T 1'~AT ~8TfeS l,
27,000
7,740
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PRCIJEcr AD A~U A~^~;):
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Fr~V1PUN"'EfirAL CA ff. ,PRY 2
CA :,TMU5: yr.s
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c.STli"'d~T~~O .;.:,3::... ~ "z$"..., ___If,
CD/WLF 11 DN ,) ,\ 1 E' I 07/;>,6 oa/d" 0'1/ ill> ll/86
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C(iNTRA(,."r STA TIJS *ot'''/:('1/"~I.' .;:-:,**1..<01.'':(>:' ~'*'iJ **''- Q* ';"'>:'o<<>:l?I..i/.';"J:f*1\C~'*o>,c*',,*.*********I',c:1(>.~**
AD liAlE: O~/X,X/Ilf, A,l/dHJ lJ,~ fi:: I,:~CUNT:
...:J..IXX/:?,7 __1_.--1_- $-,--.---'---
WORKING DAYS PR[~E CUNTKALTOK:
RE,'\A IN IfIG'
.---- -~-_.- --.....-----. -- -,---- .----.----
ooe GnAL:
,I [j I, GOAL:
C'Jf'lS ~~J 1~~: ^G R (: ~ ~X~~T ~ttJ ~~~ ~~~*"~ S ~0tl~ ~** 1,1....*' >:.* **** <I (I A,~;ju~~t! * * ~.** III ~ll',r ~I ~ ti': t~~:'r
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I CO/'JOlft \oj lTiI THE HEV 1$ [[INS 'luTr:rJ DN T'I15 DOClJMfN r:
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AGENCY NAME a BILUNO ADDRESS
W.$.D.D.T. USE ONLY
FEDERAL AID PROJECT NUMSER
j;
'.
Jerrerson County
Courthouse
Port Townsend, WA
98368
WASHINGTON STATE
DEPARTMENT OF TRANSPORTATION
CITY /COUNTY AGREEMENT
AGREEMENT HUMSER
j
;,
The Local Agency having complied, or hereby agreeing to comply, with the terms and conditions set forth in (1) Title 23,
U.S. Code Highways, (2) the regulations issued pursuantthareto. (3) Office of Management and Budget Circular A.l02, (4)
the policies and procedures promulgated by the Washington State Department of Transportation and, (5) the Federal-aid
Project Agreement entered into between the State and Federal Government, relative to the above project, the Washington
State Department of Transportation will authorize the Local Agency to proceed on the project by a separate notification.
Federal funds which are to be obligated for the project may not exceed the amount shown herein on line p.. column (3)
without written authority by the State, subject to the approval of the Federal Highway Administrator. All project costs not
reimbursed by the Federal Government shall be the responsibility of the Local Agency.
PROJECT DESCRIPTION
Name
Leland BrLdge Replacement
Length
40 ft.
I;
I ,~
Termini
Description of Work
Replace exLstLng log brLdge wLth a
permanent structure.
"
\
,....
~ \
TYPE OF WORK
ESTIMATE OF FUNDING
(1) (.) (3)
Estlmeted Totel Estimated Esllmaled
Project Funds Agency Funda Federal Funds
W,S,D,O,T, USE ONLY
Work Order Accounting Plan
P,oo. 101'1. ' I C.s,
A~:~D.l.
'fIo~AP
~~Ih.
Oil.
;i
;<~
P.E. a, Agoncy Work .....,.........., . 1.5,00. . .. . . .
b, Stat. Servicas ..........,..... .... 2.00.. .. . ..
c, Oth.r . .Cp.m.vJ..,tll.r,l:l;., ,.. '~'..~~""'"
d, Total Prelim, Eng. Coat Eatlmate -
Rlghl-o'.Way ., Ag.ncy Work. . , . , , . . . .. .'~. ','.' ~. ..g.. g.... '. " .... ....
f. State Servlce3 ..,..".....,...
9.Olh.r . ,Cp,m,vL.tar,l:l; . . . ,. . ;,. ~,~~, , . . . . .
h. Total R/W Cost estimate
ConllrucUon I, Conlract .. . '" .. ..... ... 1 a,; 500.. . .. . ,
Engino.rlng {J, Agoncy Fore.... ,3,.0.00,......
~q; k, SIOlo Fo'c...,. ,...<1.09,..,..,
I.Audit .................... .............
m, Otho'CQ....nty, .F:'9r,Qfl.5\... .f?, .3.09......
n, Other ......".,........, ..........,..
o. TOlal Conslrucllon CO'I Eallmale 27 ana
p, ~l!1b1~c'tOST EGTIMATE OF THE 40 000
.. .. 3.00.. .
......40...
':''' ~~~..,
900
::::::~9:::
':''' ~,~~.. .
.3..7.00, , ,
. .. . pM.. .
......49...
WOAP AMOUNT AUTH CODE
;t~'
"
" 'J.2.QO...
.... . HiO.. ,
..~"'~~~...
3 600
::: :':?fW::
..~.,.~~~...
.14.,,6.00., .
..2",4.00,..
...., 1 ,fi 9.. .
:
: \,: Q~:Q:: :: ~:,:~~:q : :
"5' 400" ':2 i..~o.<i ..
8 000 32 000
-.-
The Federal'Bld participation ra'e In Ihls project will be' delermlnod by 'he Foder.' Governmenl, ntl parties expeot th., It will be _I\b,
howDver, ilia undaflltood that the r81e may vary, The Local Agoncy .gratlS that this sarumenlls entered without relying upon Bny repr..entsUon by the
Stllto made oul.lde of Ihls contract, or oontalnod herein, .8 10 what the Fedoral p8rUclpaUon rate will be, It 'urther _gree. thllt will not condition eny
tulure letlons with raspeo, 10 the proJecl coverod by thla agreemont upon Pllllt, current, or futuro repre8llnlallon. .. 10 tho Fed',al partlolpallon rate. The
dollor amount or Foderal participation cannot elCceed tho amount ahown In IIn8 p., column (3). All cOl18 nol rolmburaed by the Fedor.' Government ahlll b.
tho re.ponBlblllly 0' the Local Agenov,
DOT ~~I~b4~~
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AGlENCY NAMIE . BIWHG ADDRESS
W.8.D.O.T. USE ONLY
FEDERAL AJD PRO.JECT HU"SER
Jefferson Coun~y
Cour~house
Port Townsend, WA
98368
WASHINGTON STATE
DEPARTMENT OF TRANSPORTATION
CITY /COUNTY AGREEMENT
AQREEMENT NUMBER
The Local Agency having complied, or hereby agreeing to comply, with the terms and conditions set forth in (1) Title 23,
U.S, Code Highways, (2) the regulations issued pursuant thereto, (3) Office of Management and Budget Circuler A-l02, (4)
the policies and procedures promulgated by the Washington State Departmant of Transportation and, (5) the Federal-aid
Project Agreement entered into between the State and Federal Government, relative to the above project, the Washington
State Department of Transportation will authorize the Local Agency to proceed on the project by a separate notification,
Federal funds which are to be obligated for the project may not exceed the amount shown herain on line p" column (3)
without written authority by the Stata, subject to the approval of the Fedaral Highway Administrator. All project costs not
reimbursed by the Federal Government shall be the responsibility ot the Local Agency.
PROJECT DESCRIPTION
Name
Leland Brtdge Replacement
40 ft.
Termini
Length
Description of Work
Replace exts~ing log bridge wt~h a
permanent structure.
TYPE OF WORK
ESTIMATE OF FUNDING
(I) (2) (3)
Eatlmated Tolal eatlmaled Estimated
Project Fund. Agency Funds Feder., Fundi
PrOQ.
-,
.... ,,0..1
WOAP
N,
AUltl,
S
01..
P.E. e. Agency Work ...,....,.,.,....
b. Slale Services ,.,..... . , . . . , . .
c, Other . .Cp't;lauJ.,tll.r.d: ,. . . .
d. Total Prelim. Eng, Cosf estimate
R'ght--of.Way 8. Agency Work. , . . . . . . , . ,
f, Stale Services ........"",."
g, Other . .Cp't;lauJ.,tll.t;l:l:; ,. ,..
h. Total R/W Cost Eel/mate
ConltrucUon I. Conlracl , . , . . , , . . . , , . , ,
Engineering {J. Agency Force, . .
~'lb k, Slat. Fo,ce. . , .
I, Audll ',..,......."...,..
m, OthsrCQvnty. .F:'9r.C;:fl.Ei..,
n. Other ."...,......."...
0, Total Construction Cost Estimate
P)Sb1~c10ST~ATE OF THE 13, 000 fJJ'7l
WOAP AMOUNT
, l. 5,00.... ... ....3.00... .. L,~.QO...
....2,00.....,. ."...40.,. .....HiO,..
,3,.5.00. " , , " ..,.7,00". ,.~...6.QO".
AUTH, CODE
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Tho Federel.eld parl:"'peUon rain in thle pro/ect will bo dotermin.d by tho Fedorol Govornrnenl, The partl.. oxpocl Ihal II will be _"",
howevor, II Ie underelood thellho ,elo mey vory, Tho Locol Agsncy ogroo, Ihot Ihi, agroemenl I' antorod withoUI ro"lng upon any ropruontaUon by Iho
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the re.ponalblllly or the Loc,.1 Agenoy,
DOT
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In the matter otl
;:) STATE OF WASHINGTON Q.
COUNT~ OF JEFFERSON
'x
RESOLUTION NO.
70-B7
county X
X
X
X~~.~ / Revising a
project aesignatea as
CR0587
IT IS. HEREBY RESOLVED that the Leland Creek 8ridqe on the Rice
La ke Road
Roaa Log No. 344UUY ,
trom M.P.~ to H.P....!.hli.. -anG-.f-roal-th-P-.=--t.o--H..jL..--n_n- be
improvea as t0110wsI
Replace existing log bridge with new structure and approaches.
IT IS FURTHER RESOLVED that an appropriation trom the
otficially aaoptea roaa tuna budget and basea on the county
engineer's estimate is hereby maae in the amounts ana tor the
purpose shownl
PURPOSE PREVIOUS APPROPRIATION PRESENT APPROPRIATION
Engineering $20.000.00 116.000.00 F.A.BROS} $20,000.00 1$16.000.00 F.A.BROS)
Right of Way
Acquisition
Sub-Total
5,550.00 ( 4.440.00 F.A.BROS)
25,550.00 (20.440.00 F.A.BROS)
94,000.00 (75,200,00 F.A.BROS)
5,550.00 ( 4.440.00 F.A.BROS)
25.550.00 (20.44D.OD F.A.BROS)
97,000.00 (77,600.00 F.A.BROS)
Constructionl
Contract
=County Foroes
TOTAL
119.550.00 195.640.00 F.A,BROS) 122.550.00 198.040.00 F.A.BROS}
jLThis project is incluaea in the offioially aaoptea annual road
program as Item No.4
__The project is hereby made a part of the officially adopted
annual road program in aooordance with R.C.W. 36.81.130.
IT IS FURTHER RESOLVED thatl
~The construction is to be accomplished by contraot in acoord-
anoe with R.C.W. 36.77.020 et. seq.
~The construotion is to be aooomplished by oounty forces in
aoooraanoe with R.C.W. 36.77.060 ana W.A.C. 136.18.
PASSED AND ADOPTED THIS 24 t:fJ DAY OF 41bU"'7 r . /7B7.
.
BOARD OF JEFFERSON COUNTY COMMISSIONERS
. d40//;?;q)e~~Y?L~7-->
ChalrmaD7"
" ~___.-.J
Hember
~~~'w L &.-:JL."'-~
Hember ()
SEALI
ATTEST I
Q
/f/'~:";">}i...J-r-I()~JC .
In the matter of.
STATE OF WASHINGTON
COUNTY OF JEFFERSON
X
RESOLUTION NO, 57f86
~t~ / Revising a county X
project designated as X
CR 0587 X
IT IS HEREBY RESOLVED that the Leland Creek Brid~e on the Rice
Lake Road
Road Log No. 344009 '
from M.P.0.28 to M.P. 0.38 al~lIlmottXRl\XXXJ{xxxxxtIllJGMtl<RXXXXJ{J{J{XXX be
improved as-fOllows. ----- ------
Replace existing log bridge with new structure and
approaches.
IT IS FURTHER RESOLVED that an appropriation from the
officially adopted road fund budget and based on the county
engineer's estimate is hereby made in the amounts and for the
purpose shown.
PURPOSE PREVIOUS APPROPRIATION PRESENT APPROPRIATION
Engineering $5,200.00 (4,160,00 F.A. BROS) $14,000.00 (11,200.00 LA. BROS)
Right of Way
Acquisition $7,800.00 (6,240,00 F.A. BROS) $7,800.00 (6,240.00 F.A. BROS)
Sub-Total $13,000.00 (10,400.00 F.A. BROS) $21,800.00 (17,440.00 LA. BROS)
Construction. $21,000.00 (17,360,00 F,A. BROS) $30,000.00 (24,000.00 LA. BROS)
x....Contract
x....County Forces
TOTAL $40,000,00 (32,000.00 F.A.BROS) $51,800.00 (41,440.00 F,A. BROS)
x....This project is included in the officially adopted annual road
program as Item No.
__The project is hereby made a part of the officially adopted
annual road program in accordance with R.C.W. 36.81,130.
IT IS FURTHER RESOLVED that:
x-The construction is to be accomplished by contract in accord-
ance with R.C.W. 36.77.020 et. seq.
x-The construction is to be accomplished by county forces in
accordance with R.C.W. 36.77.060 and W.A.C. 136.18.
PASSED AND ADOPTED THIS 9 DAY O~ .11&
BOARD OF JEFFERSON COUNTY COMMISSIONERS
~~4,? L ~.J~
Chairman
SEAL:
~
Member
OJitp~nM7~/r-J
Member
ATTEST:
fJ~' (?J~7
e ,"II -' ,~ . A
/ rk of the Board ~
()
o
In the matter of:
STATE OF WASHINGTON
COUNTY OF JEFFERSON
X
RESOr..UTION NO.
~t~ I Revising a county X
project designated as X
CR 0587 X
IT IS HEREBY RESOr..VED that the Leland Creek Bridge on the Rice
Lake Road
Road r..og No, 344009 ,
from M.P.0.28 to M.P. 0.38 a:~lIlllKJltxl'l\XXXXXXXXxXlilJCM:.l<Rxxxxxxxxxx be
improved as follows:
Replace existing log bridge with new structure and
approaches.
IT IS FURTHER RESOr..VED that an appropriation from the
officially adopted road fund budget and based on the county
engineer's estimate is hereby made in the amounts and for the
purpose shown:
PURPOSE PREVIOUS APPROPRIATION PRESENT APPROPRIATION
Engineering $5,200.00 (4,160,00 F.A. BROS) $14,000.00 (11,200.00 F.A. BROS)
Right of Way
Acquisition $7,800.00 (6,240.00 F.A. BROS) $7,800.00 (6,240.00 F.A, BROS)
Sub-Total $13,000.00 (10,400.00 F.A. BROS) $21,800.00 (17,440,00 F.A. BROS)
Construction: $21,000.00 (17,360.00 F.A. BROS) $30,000.00 (24,000.00 F.A. BROS)
x..Contract
x..County Forces
TOTAL $40,000,00 (32,000.00 F.A.BROS) $51,800.00 (41,440.00 F.A. BROS)
x..This project is included in the officially adopted annual road
program as Item No.
__The project is hereby made a part of the officially adopted
annual road program in accordance with R.C.W. 36.81.130,
IT IS FURTHER RESOLVED that:
x-The construction is to be accomplished by contract in accord-
ance with R,C.W, 36.77.020 et. seq.
x-The construction is to be accomplished by county forces in
aocordance with R.C.W. 36.77.060 and W.A,C. 136.18.
PASSED AND ADOPTED THIS
DAY OF
BOARD OF JEFFERSON COUNTY COMMISSIONERS
Chairman
SEAL:
Member
Member
ATTEST:
Clerk of the Board
In the matter ofl
o STATE OF WASHINGTON 0
COUNTY OF JEFFERSON
'X
RESOLUTION NO. 52-87
~H~eaWl / Revising a county X
project designated as X
CR0587 X
IT IS HEREBY RESOLVED that the Lel and Creek Bridge on the Rice
Lake Road
Road Log No. 344009 .
from M.P .0. 28 to H.P. O. 37 IIlDlllldallle_JdIIaI~lIlilllmIlldlJllilllllll"IIl"","IIl,"1Il be
improved as fo~~owsl -----
Replace existing log bridge with new structure and approaches.
IT IS FURTHER RESOLVED that an appropriation from the
officially adopted road fund budget and based on the county
engineer's estimate is hereby made in the amounts and for the
purpose shown I
PURPOSE
PREVIOUS APPROPRIATION
PRESENT APPROPRIATION
Engineering $14,000.00 ($11.200.00 F.A. flROS) $20,000.00 ($16,000.00 F.A. BROS)
Right of Way
Acquisition 7,800.00 ( 6,240.00 F.A, BROS)
Sub-Total
21,800.00 (17,440.00 F,A. RROS)
5,550.00 ( 4,440.00 F.A. BROS)
25,550.00 (20.440.00 F.A. BROS)
94,000,00 (75,200,00 F,A. BROS)
ConstructionI30,000.00 (24,000.00 F.A. BROS)
X Con trao t
ICounty Forces
TOTAL $51,800.00 (~41.440 00 F A, BRaS) $119 55000 ($95 64000 F,A, BROS)
jLThiS project is included in the offioially adopted annual road
program as Item No. 4
__The project is hereby made a part of the officially adopted
annual road program in accordance with R.C.W. 36.81.130.
IT IS FURTHER RESOLVED thatl
X The construction is to be accomplished by contract in accord-
ance with R.C.W. 36.77.020 et. seq.
LThe construction is to be accomplished by county forceS in
acoordanoe with R.C.W. 36.77.060 and W.A.C. 136.18.
PASSED AND ADOPTED THIS
0?:2 DAY OF 9'N-''-' 1'715'7 .
BOARD OF JEFFERSON COUNTY COMMISSIONERS
sEALI
~~."""~ -
)( 0 .".. ~;::;fI ~ d-;vn.t.4".,..
Chairm . .
~~
Member
~~ I!~~J-..""'.Y"
Member (/
ATTESTI
"l~. ~~
} A"-( , P
~lerk Of the" Oa d&
~ r r"~ d>(.. .;2.~?,
o
o
...........
In the matter of:
STATE OF WASHINGTON
COUNTY OF JEFFERSON
'X
RESOLUTION NO. 15-86
Initiating / ~~~ a oounty X
projeot designated as X
CROS87 X
that the LeLand Creek Brtdge on the
=:
be
IT IS HEREBY RESOLVED
Rtce Lake Road
Road Log No.~44009
from M.P. 0.28 to M.P. 0.38 ~~~~XXXxxxxX~~~XXXXXXXX
improved as follows: ----- ------
RepLace extsttng Log brtdge wLth neW structure
approaches.
IT IS FURTHER RESOLVED that an appropriation from the
officially adopted road fund budget and based on the county
engineer's estimate is hereby made in the amounts and for the
purpose shown:
PURPOSE PREVIOUS APPROPRIATION RRgSgN~ APPROPRIATION
Engineering -0- $ 5,200.00 (4,160.00 F.A. BROS)
Right of Way
Aoquisition -0- $ 7,800.00 (6,240.00 F.A. BROS)
Sub-Total -0- $13,000.00 (10.400.00 F.A. BROS)
Construction: -0- $21,000.00 (17.360,00 F.A, BROS)
XContract
::!County Forces
TO'!AL -0- $40,000,00 (32.000.00 F.A. BROS)
~This project is included in the officially adopted annual road
program as Item No. 4
__The project is hereby made a part of the officially adopted
annual road program in aooordanoe with R.C.W. 36.81.130.
IT IS FURTHER RESOLVED that:
xThe oonstruction is to be aocomplished by contract in aocord-
ance with R.C.W. 36.77.020 et. seq.
~The construotion is to be acoomplished by oounty forces in
aocordanoe with R.C.W. 36.77.060 and V.A.C. 136.18.
"3 DAY OF ~~.~ ' Jig;, .
BOARD OF JEFFERSON cou~T1 COMMISSIONERS
- .k~L~
~
PASSED AND ADOPTED THIS
SEAL:
.- "'~z;&"<<"1t)
Member .
!((ii2'~
~' ..1',;V? '..oI'//.'/I./M-
I t1ber
ATTEST:
I 1 I' (jJ ;t,a'
\. t?h 1'",-'.// r ":'1/"'1
;l'erk ot the Board , (;::?
..~~j i' ;, " , '
"'I'~ 1
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04/16/81
DISTRICT 3
AGENCY: JEFFERSON CO.
.........*...*..**..**.*..*.*..........*...
* .
. FEDERAL AID PROJECT STATUS REPORT ·
. .
......**.....*.............................
FED. AID NO: BROS-2016151
AGREEMENT NU: LA0429 SUPPLEMENT NU: 02
TITLE: LELAND BRIDGE
DATE EXECUTED:03/11181
PROJECT FUNDING STATUS ...*...*...................................*.....
PRELlM.ENGR. R/W CONSTRUCTJON
WORK ORDER NO: SL0423 RW3126
ESTIMATED CUST
TUTAL $: 21,000
-'-'-- __,_t'_ -'-'-
FED. $: 21,600
-'-'- --'-'- -'-'-
OBLIGATION DATE: 03/86 03/81 2~1h
_1- _1-
OBLlGA TED CUST
TOTAL $: 14,000 1.500
OIlLIGATED FED $: 11 ,200 6.000
TOTAL EXPEND $: 10.454 . .
PROJECT DEVELUPEMENT STATUS **..........................................
PROJECT AD AND AWARD: LOCAL AD AND AWARO
ENVIRONMENTAL CATEGORY: 2
CA STATUS: YES
:c COMPLETE
ESTIMATED
CUMPLETION DATE:
ENVIRON.
loa:!;
__:c
-~-
DESIGN
~~
!1~Yl1
PSCE
~i
alle1
ANi:J
RIW
~I
~~~
CONS TRUC HON
:c
_:c
~~aI
CONTRACT STATUS ................................................*..*.....
AD DA TE: fJ) IXX/82? AWARD DATE: MOUNT:
-I_/XXI-lj. _1_1_ $-,--,--
PRIME CONTRACTOR:
OBE GOAL: WilE GOAL:
CONSULTANT AGREEMENT: ...............................................
OESIGN: TAAS SURVEY ASSOC. AMCUNTS 11,661
AMOUN!:
$_.__,_,__
R/WS
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CONSTfU
AMOUNT:
AMOUNTS
$-.- .-.-
I C~)I~)I~ ~ONS NOTED ON THIS DOCUMENT;
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l!E510N: TAAS SU~VE~ 4tSCC. A~CU~T: Il,b67
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APPENOIX .,."
(
WASHINGTON STATE DEPARTMENT OF TRANSPORTATION
FEDERAL - AID PROJECT PROSPECTUS
AGENCY Jefferson County
FEDERAL - AID PROJECT NUMBER RBn~
Prellx
FEDERAL PROGRAM Tm.E: 20.205
Bri dge
DATE F"hrlJilrV 25. 1987
- ..1u~~ F. L5...1.
PROJECT TITLE: Leland Creek
PROJECT TERMINI FROM M.P. 0.28 TO M.P. 0,37
Lenglll 01 Project 47~ I F MilOS( AWM'lf) TYPE
1XI t.oc:aI [:J Slate
Federal Agency: CI FHWA [:J Other [:J Local Fo"",s [:J RaJlroad
Chy Number County Number 16 EIS CE EA
DOT District 3 eongnosaionoi DiItrIcl 2 n d Envlronm.maJ Class I [:J II lXI III [:J
Leglslatlvo Dlatricts-l! Urban Ar.a Number ~ Araa CI.arlngl1ouoa _ MPO_
. .R,<I :"~:1.19~1\qtt,,
'!.liD.' S '~. ~"':DA'T. .11.:#"...,.....
-Vi ',:MCJMth.':~lY..r,'
P,E, III nnn ? .Rnn 11.200 80 3 86
ANI 7 ~nn 1 .~OO 6.000 80 2 87
CONS 27 .nnn 5.400 21.600 80 5 87
,"
TOTAL 4R.Snn 9.700 38,800
(
DESCRIPTION OF EXISTING FACILrrY (E,dating Dasign and Pras.nt Condhion)
Roadway Width: 14ft Number of lan..: one
Existing road is a single lane 14 foot wide gravel,
DESCRIPTION OF PROPOSED WORK [21 Now ConslnJdI:in [:J 3ft
Roadway Widlh: 111 1't Numb.rofLanes: nrl~
Replace existing log bridge with pennanent 20 foot wide, single
lane, concrete bridge and 16 foot wide single lane approaches,
"l
"H
\
1,'"
Locel Agency Contact Perlon 0 e r
MaiUna Add,e..
CIIY P"..
esol
Till. ~oun.nHlneer
hone - -::SbUb
Wash natan ~p ~e
r='./ -;pi- ..1/ ~.L.:ltY ' .
A ,; ~~pp'ov'ng "utnonIY~ATE: ~If &'.1. /'1J' ~
l
LOCATION ....ND DESIGN APPROVAL
(Opllonal 'or C.... Ag.nclos Only)
BY:
TITLE:
DOT Form 140.009A Revised 6/86 Pag.l 013
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AGENCY PROJECT TITLE
Jefferson Co. Leland Creek Bridge
~~f*l<1~M~t.('s+**H%~~~1(~Bi*:;n~'<"i~~'4~;:;.t'fW't,.),,>> 0
DESCRIPTION
FEDERAL
FUNCTIONAL CLASSIFICATION
THROUGH ROUTE
CI Principal Arterial
CI Minor Arterial
CI Major Collector
CI Minor Collector
CO Access SlreeURoad
FLAT ROLL MOUNTAIN
APPENDIX ,,. '.3
DATE
2/25/B7
A~""s,i,'f.:~W~'}:~~:t",~:<.:i~~~~'::;\~"'i~<:~:='1'#1:~"';<-:'~<~~-':,/., .
CROSSROAD
CI Principal Arterial
CI Minor Arterial
CI Major Collector
CI Minor Collector
CI Access SlreeURoad
FLAT ROLL MOUNTAIN
PROPERTY
DAMAGE
ACCIDENTS
NUMBER OF
ACCI ENTS
; :.:~ ACCIDENT ':'!"";..3 ',YEAR '; eXPERI ENCE ;,',::V-~,=,!'/!;,',..Cl,'~:~~<<~::].::~,~:':~';Wi~'{<*':;~~' ~~"""~;':';":'" :)Vw.-
INJURY ACCIDENTS FATAL ACCIDENTS
TOTAL
NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF
ACCIDENTS ACCIDENTS ACCIDENTS ACCIDENTS ACCIDENTS
~'.,W;,.*,::;'.;, ". ~~:;.':~
B R,O.A CIO NTS A .TRIBU A L 0 AC OF VING, HE ROPOS
E RM HC 0
Preliminary Engineering Will Be Performed By:
Construction Will Be Performed By:
MPROV MENT
ENVIRONMENTAL CONSIDERATIONS
This project is classified as insignificant, It does not impact any histo c
or archaeological sites,
RIGHT OF WAY AND RELOCATION
Some right of way will have to be obtained for approaches. No persons
will be dislocated.
WATER AREA INVOLVEMENT
No shoreline or wetlands will be involved or affected by this project.
DOT Form 140.000 A R..lud 6186 Page 2 013
o
o
APPENDIX .'4
AGENCY
Jefferson Co.
PROJECT TITLE
Leland Creek Bridge
~ 5/87
OESCRIPTION OF VTlLrTY RELOCATION OR ADJUSTMENTS AND EXISTING f.V.JOR STRUCTURES INVOLVED IN THE
PROJECT:
No utility relocation or adjustments are required for this project.
FAA INVOLVEMENT
.s any airport located w~hln 2 mil.. of the _ed pro/act? CI V..
CINe
REMARKS:
'"
THIS PROJECT HAS BEEN REVIEWED BY THE lEGISL'lT1VE BODY OF THE ADMINISTRATION AGENCY OR AGENCIES,
OR ITS' DESIGNEE, AND IS NOT INCONSISTENT WITH THE AGENCY'S COMPREHENSIVE P!.AN FOR COMMUNITY
DEVELOPMENT.
AGENCY:
DATE: .?? ;"'-'<7 P 1'I;;r /' BY:
DOT Form 140.009 A As.lsed 6196 Page 3 of 3
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AG~NCY JF:FFF'RSON
wt:QmTON STATE DEPARTMENT of TRANSPORTO
FEDERAL.-AID PROGRAM FORM
(PROJECT PROSPECTUS Page I)
~X~Xil(l)( COUNTY OAT~ ::10 I",~ 'IQ86
., .._._~
I ~ !~: i PROJECT T'TL~ '.
r TIICIJ.:::o:I:CII:: - -,
2 L E' LAN~R,I ,D,G/".. , . , , .
;4~.~, ~%.
CITY
NUMBER
SEQ.
I I I ,I
A A B 6 00 0 0
f'T'l
~
);
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8
w
5
~I
FEDE.RAL AID PROJECT NUMBER
PREFIX RouTE ~:PREN
k
PROJECT TERMINI PROJECT HD1S Ie R/U. 1.1.AREA
__~ ____ I N. ;. 1 ~ JAREA P CLR
FROM TO MILES c ..1 ~ LEGIS. NO O. HOUSE:
. I' ~TITITIt='ll I I .'.'n:
2L~]~_1~~L.....L f,o..c.:+:P ,Ou. LLO.lJ. . .3L ... ,2b.6, L
,._.,-~.._-- r==.,-- ~.--
W ~E~:~T SAFETY . T AppRN, PROJ. FfT~~CT ~O. PROJ. ~~
: ~ NUMBEA SECTION .~. CODE CLA-i~ 'NUMBER (COOED BY MP.Q)
. 'I ~IT- -,-rl -.. . II' I II
_LLL-L ...l......l-1 _I..
.J...1. -01-9 _L_
A H
BRQ!,I
i
!I
. :,~:~..;~~~~~~~~T : ~ '. .'. , APPROVED
t 'AMOUNT '. FUNDS
"II TIT
--'--1--~L..L. -'--'-'-
REMARKS: _.______________ ______
.----,--_.
FEDERAL PERCENT OBLJ2~IION 'I
FUNDS F~8~~~L MO. YR.
I I I I .:rr: :.II]..II:.CL .... I..L .
,., 15 2~~-'-4-'- 1040 ~~ ,8 0 13 86 I
_'w 7 8 0 ( 1.~ 6 0 6 24 0 ,8 0 5 Rn I
::;;;,~_~ 0 r 'LA-&.LOi.--J_.....iZ..Ll.l-6Jl.JJ) -L18' n "Q "" I
LL...\.-dlLJ,O 0 r iii n 0 0 1--13 12.\OL1lQ
DESCRIPT'ON OF PROPOSED WORK, ....-Replaae...L,og...,b",L dge..wL.th..a_pe"manent...sLng L6--____
I......Q~L$j:J::l.l.C.t.ur::e..__.. ._____._...... ,---
m7
TOTAL
ESTIMATED COST
LOCAL AGENCY
FUNDS
A C
A 0
A E
dENV'RONM~NTAL 'MPACT.-Ib1.fLpr::9-Jec.LL.s ._c.L ass.Lf.L ed_as __ Lns Lgn Lf..l.cant.._,_.Lt_
Oes not Lmpact any- hLstorLc or arc.h~,e.Q..LogLcaL...sLtEls,
=~-;-;; 8 RELOCATION. Som~, r Lg!l.t.~_,!y'_~.LLllav.q~j.2 _b.El__oJ:>..t,,, Lr:>.ed..LClr._,____
a,eproaches. No r:>.ersons wLLL bo dLsL,()E-'!.:to~___..._._,_...._
WAT~R AREA INVOLVEM~NT' No shoroL Lno or woJJ..!!nd_s_~.~,LJ,_J~9.j..nY.oL~c:Lor_,.
"f.foct",d by. thLs-P!:p.Joct. ,.._._,_..___,__________..___....__
.L
F~D~RAL PROGRAM T'TLE,.__20,205 ___..___.__..,____...._
FEDERAL AGENCY' _--1h.$..-.QQl2!'rt'llilJ:l.t-9.LTJ:5l!1.!i!P9J.:.tptL-o=EHW'/\ ---.-..-..-....,.
LOCAL AG~NCY CONTACT PERSON, _RQQ.OJ:..t.....Q.....N,Ql).b.l:t::!;"J....E..~._,_ T'TLE ,_CounJ;.y..El:1g L r1o,or_....._.
MAILING AOORESS,Joffor90n COunty~_Clurtb.o.y.'!.~_____ PHoNi.l,06-;3Jl.Q.::.;!f,i.9J?_
CITY: P?~~t...~ownsond ,WASHINOTON ZIP COOE:_~8368
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AGENCY
Jefferson County
PRQ.lECT TITLE
Leland BrLdge
GEOMETRIC DESIGN DATA
DESeR.poTION
FUNCTIONAL CLASSIFICATION
TER RAIN
DESIGN SPEED
EXISTING ADT
ESTIMATED ADT
DESIGN YEAR
DESIGN HOURLY VOLUME CDHVI
ACCIDENTS - 3 YEAR EXPERIENCE
...,U"" ACCU:U:Nn
1984
1985
o
o
o
o
o
o
f""
.....>..;y'
THftOUGH "OUTt:
Local
Roll Lng
25
10
15
2036
HUM."" O.
ACCIDeNTII
" r:f'o~ ....-a
,DATE
30 Jan 1986
CAOSSROA D
""TAI.. .CCIOINTII
T01'A~
flUM.IN 0,.
ACCIDINTS
HUM.." 0'-
""'I'"I,.ITI..
o
o
o
o
o
o
TOT.4L
0
""CNe"
75 '"
AOIIHC'f
100 "
PRELIMINARY ENGINEERING FOR THIS PROJECT WILL BE PERFORMED BY:
CONSTRUCTION OF THIS PROJECT WILL BE PERFORMED BY:
OESCRIPTION OF EXISTING FACILITY
1. EXISTING DESIGN Log strLnger brLdge
2. PRESENT CONDITION The exLstLng structure Ls unsafe for vehLcle
traffLc and has been closed.
DOT :::~~~o.:,o"J'" DOT rom 140-412 (UO) '.2
all4
'AAINVOLVEM"NT
IS ANY AIRPORT LOCATED WITHIN 2MILESOF THE PROPOSED PROJECT?
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AGENCY Jefferson County
PROJECT TITLE Leland Brldge
DATE 30 Jan 1986
COAST QUARD. CORPS OF ENGINEERS INVOL.VEMEHT ,ITC. COORDINATION.
No Coast Guard of Corps OT Engtneers Lnvolvement, coordination, etc.
LS required or necessary in conjunction with thLs project.
DESCRIPTION OF UTILITY RELOCATIONS OR ADJUSTMENTS AND EXISTING MAJOR STRUCTURES INV01..VED IN THE PROJECT.
USE ADDITIONAL SHEEts IF NECESSARY
No utlllty or structures lnvolved In thls project.
RAILROAD DATA
RAILROAD NAME
MAINLINE: NO. TRACKS
SPUR: NO. TRACKS
"DAD OR STREET NAME
NOTE: AnKh r "Iud tot tot ,.UraMl
NO. TR....'NS/t)AY
NO. TAAINS/DAY
CROSSING NO.
OPERATING SPEED
orERATING spEED
NO, LANES _ POSTED PEED _
."pLANATION 0' TYPIS AND AMOUNTS 0' PUNDS OTH'R THAN PA 'UNDS AND MATCHING 'UND' ASSOCIATED WITH THE 'ftOJlCTI
No funds other than federal ald funds and county matchlng funds wlll
be assoclated wlth thls project.
ESTABLISHED SQUACII 0' MATeKlNG 'UNDS AISOCIATID WITH THI ,.RCWOSID '''OJl!CT.
County matchlng funds wlll come from General Road Fund.
caRT.,ICATION II HE"elV GIVIN THAT "ATCHINO PUNOS AND OTMIR PUND' ASSOCIATID WITH THI ,,,OJECT AI flI.PUCTID A.oV'
Aftl AVAILAILI TO COOROINATI WITH THI ,ROPOSIO ,JIIOJICT DIVCLOf'MI!NT.
THIS PROJecT HAl IUN "IVleweD IV THI LlGISLATIVI .OOY 011 THI ADMINISTERINO AOINCY 0" MiNelli, 0" ITS DIIIONEI. AND
. NOT eNCONllnlNTWITH THI MINCV" CQMPIIIIHINIIVI'LAH '0" COMMUNITY DIV'LOf'MINT,
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>t>WOoeC<_
COUNTY
D'TE30 Jan 1986
AGENCY
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AGENCY PROJECT TITLE
JeFferson County Leland BrLdge
,DATE
I 30 Jan 1986
GEOMETRIC DESIGN DATA
DESCN'''TION
THROUGH NOUTE
Local
Roll Lng
25
10
15
2036
CROSSROA 0
FUNCTIONAL CLASSI FICA TION
TERRAIN
DESIGN SPEED
EXISTING ADT
ESTIMATED ADT
DESIGN YEAR
DESIGN HOURLY VOLUME (OHVI
ACCIDENTS - 3 YEAR EXPERIENCE
....O'"CftTY
..~~~~~~.
HUM.IUII CU'
AceIO.NT.
PATAL ACCIDCNT.
IN"'UIt'" ACCIDeNTS
TOTA'"
HU"'.I:N 0,"
ACetO..N".
"U"'.." or
ACCIDeNTS
MUMac" or
INJUIt.C.
HU...... 0"
AC::CIOI:HTa
HU...I:" 0"
,.ATALITII:.
10""1
1984
1985
n
o
o
n
o
o
n
o
o
n
o
o
(\
o
o
n
o
o
(
TOTAL
TOTAL. HUMIII:" 01" ACCIDENTS ATTR..UTAea.E TO LACK 01" HAVING THE ~RO"OSED tM~"OVEMENT
I 0 I 0 .J 0 I _0 .J 0 I 0
PERFORMANCE OF WORK
PRELIMINARY ENGINEERING FOR THIS PAOJECT WILL BE PERFORMED BY:
AOCNCY
CDN'ULT""T
25
CONTRACT
"
75
AaeNCY
100
CONSTRUCTION OF THIS PROJECT WILL BE PERFORMED BY:
DESCRIPTION OF EXISTING FACILITY
1. EXISTING DESIGN Log str Lnger br Ldge
2, PRESENT CONDITION The eXLstLng struc'~ure LS unsaFe for vehLcle
traFFLc and has been closed,
"
PAAINVOLVEMENT
IS ANY AIRPORT LOCATEO WITHIN 2 MILES OF THE PROPOSED PROJECTl 1 ... I NO
l
DOT ::::;:0':,',',. DOT Form J4O-4J2 (UC)
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PROJECT TITLE
)..,/.'.~~.'r'/ /j)f'~I"""",
DATE ..:-:'.". ,j (l .
COAST GUARD, CORPS OF ENGINEERS INVOLVEMENT. ETC. COORDINATION.
;v:, ti",Po:::..J- aM~~'~( c:t r '''''r~-'-; /'~ ( (--,'J '/
<t'1C!. /6 "~:J'P i rr?r( or"" rJd("L5'--:'-;"7 ;n ,~,!f~: ," ~,'n..-I.'p '.,'
;,,-~, vr/~>/,.~"",'1 ~t:I..,.~~..-,... j,-I'" q I
f-(f" _ j, /N'., ,./-'/c,'.r.-:~,,,,,
DESCRIPTION OF UTILITY RELOCATIONS OR ADJUSTMENTS AND EXISTING MAJOR STRUCTURES INVOLVED IN THE PROJECT.
use ADDITIONAL SHEETS IF NECESSARY
/Y'C &I-J..I..I,/ <!'Ir" :::,fr/Jt'I,/r.r<!.. "~-)1/c"/_.rr" ,;n :1/,;:: ,p,.-,
RAILROAD DATA
RAILROAD NAME
MAINLINE: NO. TRACKS
SPUR: NO. TRACKS
ROAD OR STREET NAME
NOTE: Att.chr ulrtdpholotforullroad
NO. TRAINS/CAY
NO. TRAINS/DAY
CROSSING NO,
OPERATING SPEED
OPERATING SPEED
NO. LANES _ POSTED SPEED _
EXPLANATION OF TYPES AND AMOUNTS OF FUNDS OTHER THAN FA FUNDS AND MATCHING FUNDS ASSOCIATED WITH THE PROJECT:.
Nt:' -f7tJlI/< tP/h/Y' .I/'/I"'I~ ~,i::'r4/a,'c/,q.n""""'~ t'I.",..( d.:rv,/:ly ....u.-:,""~.,I/t.,,:J ,f:,u,....'S
/(.1/' / / ,b.t' ,,1 S:Sd(! /('1./.;".,/ uu ..//, ,yj."..~ /,r~~/~"'.'
ESTABLISHED SOURCES OF MATCHING FUNDS ASSOCIATED WITH THE PROPOSED PROJECT.
CtJ~#j.';"Y 1""'1"'((1;;"",,7 I'~'f"'~ "4/;/1""*"'/<7 .;:;.~.., G',~,,,,,,,/ /;.,,.," ,,;r;jNtf'"
CERTIPICATION IS HEREBV GIVEN THAT MArCHING PUNPS AND OTHER FUNDS ASSOCIATED WITH rHE PROJECT AS REFLECTED ABOVE
ARE AVAILABLE TO COORDINATe: WITH THE pROPOSED PROJECT DeVELOPMENT.
aU.MITTIHO CITI.. ANO/O" COUNT'..
THIS pROJECT HAS pEEN REVIEWED BV THE LEGISLATIVE! BODY OF THE ADMINISTERING AGENCY OR AGENCII!S. OR ITS OESIONEE. AND
15 NOT INCONSISTENT WITH THE AGENCV'S COMPREHENSIVE PLAN FOR COMMUNITY DEvELOPMENT,
PRIMARY INTEREST ,.,::::::NCVI
DATE I
JOlNT AGENCV,
DATE: ..
JOINT AGENCV,
DAT!I
ATTACHMENTSI
A. Art.'" addlllorwl comm'ntl.1f '*.....I'Y.
8, AttKh I ,rc..dt 0' th. tVpltlll ,oectwlV ,",10". RfW to AfW.
C. AllIeIt. typ...1 b,ld" leetlon. If I'IlIC"""
0, Attlch , vicinity m.."
I, Anuh pholo, of uUro.t c,oulno, If MC""V,
J'. Auach lhe ~Im ....ppa,'h" d". chedlUn.
DOT r"~/UO"'14 (LAG)
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
PROJECT/WORK AUTHOR1ZATION
AREA
63I(NC6'A11~
AREA CODE:
PROJECT NAME ,u;.LJ1;)1) C~6e"".i3.e1"6e ~~ PROJECT NO:~ M058?
TYPE OF WORK
BREAKDOWN OF WORK ITEMS:
,f~nl/Jt/A~ ~ ~fi 59'1. :327
~. t::4/ ~n?'!b" 5/~US - .l'kAC~ ev"'AW/.JI6
...2/;frv6 AAlI) tyAMILADI'S
.91/, t,41f Ah'AA!.7)RA;{_ - lA/gALL /-'.U//I<l>
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COST ESTI MATE:
15<10 00
-J.zso, 00
",?~,oo
TOTAL: ~ r/dOO,CO
SUBMITTED ~~
BY: ~ ~
198 <1
APPROVED: I~
~'
BY:
I' ECTOR OF PUBLI C WORKS
198 5"'
RQUTt: TO: INITIAL INITIAI_
0 ASS I STJlNT DIRECTOR -~ 0 ACCOUNTWG
0 ROAD SUPERINTENDENT 0 BOARD OF COUNTY
/}f COMMISS lONERS
[J CONSTRUCTION ENGINEER 0 peete
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, - RESOLUTIONS AND AGRI'''M''NT<;
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~@'~~4i';l,'!i~~~i:;!~,;i~!~,~,,~~~%r~~%$i)~il'#flf~~;':/,l'*i\'~'lZ,_..,_..._,.~:_",
RIGHT OF HAY
~
.,
lAX 19
TRACT 25
JOHNSON
A parcel of road Right of Way for County RClad Project 587 as
shown on Jefferson Cour,ty RIght of Way Map, approved Februar-y 17.
1987 said parcel of land beir,g a par-ticn af the Northwest 1/4 of
Section 12, 1o\tJnshl.p 27 f'olorth, Range 2 West, WJ.llamette t"lerloian,
County of Jefferson, State of Washington.
Said parcel of land being ",ore pnrticularly described as follows:
BegInning at the West 1/4 corner of said Section 1~ beIng a 4" t:
4" concrete monument, from which the Northwest section corner
being a 211 iran pipe with brass cap bears N 02'" 54' 51" E a
di!5tance of 2730.79 feet., thence t-l 02" 54' ~d." E along the West
line of said Se~tion 12, a d1stance of 682.70 feet to the
Southwes.t corner 0+ West 1/2 I\lor th\o'JESt 1 /4 SouthWE~st 1/-4
Northwest 1/4 of sai d Sect i on 12 thence (".( 890 37' :31" E along the
Southline of said West 1/2 Northwec;:t 1/4 5outhJ,oH?st 1/4 Northwest
1/4 a distance of 206.81 feet, to the Northerly Rlght of Way of
said County Road Project D.S Sh(H"" on the Leland Creek Br-idgE'
Right of Way Map on file in the office of the Jef~erson County
Engi neer; sal d poi nt bei ng =10' 1 e'f.t af Engi neers S.tat i on 16+61.. 95
and true point of beginni"g, thence Northeasterly along said
Northerly Right of Way along the arc of a curve concave to the
Northwest having a radius o.F 90.00 feet, a distance of 29..0~
feet, thence N 50" :!.1' 2;,211 E ~\ distance of 42~49 fef..t, thenc[~
along the arc of a curve concave to the I~ot-tnwegt having a r-adills
of 65..00 fe~t a distar~ce of 46.0S feet, thence ~I 09~ 56' (lb" E a
distanr.:fi' of 60.04 feet, thence N 371J 21' 1611 E ct distance of
70.55 feet to the Easterly line of said West 1/2 Nor'thwest 1/4
Southwest 1/4 Northwest 1/4 said p01nt being 30 te&t left of
E.ngineers Station 19+7~L74, thence S t)2~ 50' 5\)" v.l along sai.d
Ea~terly line a distance of 195.19 feet to t.he Southeast corner
of said West 1/2 I~ort.llwest 1/4 Southwest 1/4 Northwest 1/4,
tll~nce S 896 37' 3111 W along the Southerly line 0+ said West 1/2
Northwest 1/4 Southwes't 1/~ Northwest 1/4 a distar\ce of 123~99
feet to the true pOInt of begirlning.
The parcel of land being corlveyed herein contaIns an area of
0..222 ac~es~ more or less.
L,
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~
S 1/2, SW 1/4, NW 1/4
JOSEPH A. MOSCHETTO
A parcel 0+ road Right D~ Way for Coun'ty Road P~oject 587 as
shown on Jefferson County Rl ght of Way l'1ap., appr-oved r=ebura~
1987.. sa.i d par-cel of 1 and be>i ng a porti on 0"': t.:.he North""E?st 1 /i~ of
Section 12, Township 27 North, Range 2 West., Willamette Mer1dian,
Coun-ty of Jef+er"son., State nf Washington.
Said parcel 0+ land being more particularly described as follows:
Beginning a.t the West 1/4 corner of said SecticJr', 12 being a 411 x
4" concrete monument, from whicn the Northwest section corner
being a 211 iron pipe with brass cap bears N 020 54' 51" E a
distance of 2730.79 +eet, thence N 020 54" 51'1 E along the West
line of said Section 12, a distance of 682.70 feet to the
Northwest carner of the South 1/2 Southwest 1/4 Northwest 1/4 of
said Section 12, thence N 890 37' .31" E: along the northline of
said South 1/2 SOLlth.,est 1/4 North..est 1'4 a distance of 27.46
feet to the Westerly Right of W~y of said County Road PrDject 587
as shown on the Leland Creek Br-idge Right oi. Way I~lap on file in
the office of the Jefferson County Engineer said point being
30.00 feet right of Engineers Station 14+48.13 and true pOln-t of
beginning, thence N 890 37' 31" E along said north lirle of South
1/2 Southwest 1/4 Northwest 1/4 of saio Section 12 a distance oT
321.42 feet to the Sout.herly Right of Way of said County Road
Projec.:t 587 as shown on said Leland Creek Bridge Right of Way
Map, sBid point being 40 feet right of Engineers Station
17+62.91, thence Southwesterly along the arc of a curve concave
to the Nar-thwest having a radius l:Jf 155.00 feet a distance o-f
39.65 feet, thence S 5011' :31' 32" W a distance Q-f 4'2.49 feet,
.thence S 39028~28" E a distance o'f 10.00 feet., thence
Southwesterly and Northwesterly along the arc of a curve concave
to the Northeast having a radius of lQO~OO teet a dist~nce of
259.22 -Feet., thencE' N 24Q 10' 51" W a di.stanct? of 6'~.l6 feet to
the true point of beginnIng.
The parcel of land being conveyed herein contains an area of
0.561 acres, morE or less.
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DONALD O. OLIN
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A parcel of road Right of Way for County Road Projer-t 587 as
shown on Jefferson County Ri ght of ~la.y i'lap, approved Febr-.!d.arv 17 L
1987, sa,d pa.rcel of land be'ng a portion of the Northwest 1/4 of
Section 12, Township 27 North, Range ry West, Willamette Mer.dian,
County of Jeffe~san, State of Wasblngton.
Said parcel of land being more particularlY descr,bed as follows:
Beg.nn.ng at the West 1/4 corner of sald Section 12, being a 4" >:
4" concrete monument, from which the Northwest section corner,
being a 2" iron pipe w,th brass cap bears N 02" 54' 51" E a
distance of 2730.79 feet, thence N 02' 54' 51" E along the West
line of said Section 12, a distance of 682.70 feet to the
Southwest corner of the Nortnwest 1/4 Sou.thWE!st 1/4 Northwest 1/4
of said Section 12, thence N 89' 37' 31" E along the south line
of said Northwest 1/4 Southwest 1/4 Northwest 1/4 a d,stance of
330.78 feet to the Southwest corner 0+ the Ea$t 1/2 Northwest 1/4
Southwest 1/4 Northwe$t 1/4 and true point of beginnlng, thence N
02" 50' 50" E along the West l,ne of said East 1/2 No~thHest 1/4
southwest 1/4 Northwest 1/4 a distance of 195.19 feet to the
Northerly Rigtlt of Way of $aid County Road Project 587 as shown
on the Leland C~eek B~idge Right of Way Map on file in the office
of the Jeffe~son County Englneer; sa.d paint being 30 feet left
of Engineers Station 19+75.74, thence Northeasterly along said
No~therly Right of Way along the arc of a curve concave to the
Southea$t having a radiuS of 120.00 feet a distance of 61,41
'feet, thence S 24" 22'::3" E ill distance of 60.00 feet to the
southerly Right of Way as shown on said Leland Creek Bridge Right
of Way Map, thence southwesterly along sa.id Southerly Right of
Way along the arC of a curve concave to the Southeast having a
radius of 60.00 'feet, a distance of ::,8.32 feet, .thence S 09" 56'
06" Wadi stance of 9.32 feet, thence 8 80' O':~' 54" E ill dj stan,:e
of 10.00 feet, thence S 09" 56' 06" ~l a di<;tance of 61).04 'feet,
thence along the arc of a curve concave to the Northwest having a
rad.us of 155.00 feet a di$tance of 70.16 feet to the southerly
l,ne of said East 1/2 Northwest 1/4 Southwest 1/4 No~thwest 1/4
said point being 40 feet rlght of EngineerS Station 17.62.91,
thence S 89' 37' 31" W along sairJ Southerly line of East 1/2
Northwest 1/4 Bauthwetit 1/4 Northwest 1/4 ill distance of 18.11
feet to the Southwest corner of sald East 1/2 Northwest 1/4
Southwest 1/4 North.,est 1/4 and tr'u" point of beginnincJ.
The parcel
0..230 acr-es,
of land being
more or less.
conveyed hereln t:ontaJ.ns an a.rE!i~ c.lf
;..
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o
DESIGN TRAVERSE "MOSCHEXIST"
2/ Uti7
RICES LAKE ROAD - *BRIDGE*
JE:FFERSON COUNTY
o
PAGE 1
JOB il eftp 507
PROJ. ENGR.: BOB NESBITT-BRUCE LAURIE
PREPARED BY: A.PALMER
--------------------------------------------------------------------------------
From 620 (315898,144,1496479.618) To 620 (315898.144,1496479.618)
DISTANCE:
FEET
DIRECTION
NORTHING
EASTING
620
664
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
FROM
664 661
BEARING = S
661 660
660 657
BEARING = N
657
655 651
BEARING = N
651
650 627
BEARING = N
627 628
62B 649
BEARHIG = S
649 652
652 654
BEARING = S
654
TO
23.6tHl
CENTER = 663
7B 33 21.7
43 53 27,0 E
7,078 S
CENTER = 658
29 47 20,7
81 56 11.8 E
S
4 36 46,2 E
315874.534
ew 315803.361
78,003 CHORD
106.947 TANGENT
83 10 07,9 E 315002.519
ROTATION CW 315811.388
RADIUS = 123.005 CHORD
ARC 63,953 TANGENT
655
37,008
ROTATION
RADIUS =
ARC
N 67 02 31.4 E
ROTATION
RADIUS =
ARC
N 47 45 24.1 B
ROTATION CW
RADIUS =
ARC
B9 37 31.3 W
ROTATION CW
RADIUS =
ARC
47 45 24.1 W
ROTATION = CW
RADIUS =
ARC
S 67 02 31.4 W
315825,B23
CW 315846.219
113.005 CHORD
38.037 T MlGENT
315869.099
315899.804
98.004 CHORD
38,1154 TANGENT
315899.685
315080.943
B2,004 CHORD
24,299 TANGENT
315858,063
315040,555
97,005 CHORD
32,651 TANGENT
315826,120
1496481.523
1496549.993
9lL 765
63.795
1496557.020
1496619.627
63.235
32.71"
1496653,703
1496685.594
37,857
19.200
1496710.788
1496733,523
38,208
19.478
1496715.356
1496700,032
24.210
12.239
1496674.038
1496647.462
32.497
16,481
1496613.387
--------------------------------------------------------------------------------
""1-
)
)
CBNTER = 653
19 17 07.3
57 23 57.8 E
650
34.035
=
CENTER = 623
22 28 52,2
36 30 58,0 E
18.168 S
CENTER = 623
16 58 39,B
39 16 04,2 w
34.035 S
CBNTr::R = 653
19 17 07.3
57 23 57.8 W
656
37,008
DEPT. O~ PUBLIC WORKS
Townsend, Wa, 98368
. ",,,~_o"""" '.,," .,'~_.~^..".....",..,,--~--'~....-"-'" ~,~
o
o
PAGE 2
DESIGN TRAVERSE "MOSCHEXIST"
2/ 2/87
RICES LAKE ROAD - *BRIDGE*
JEFFERSON COUNTY
JOB Ii CRP 587
PROJ. ENGR" BOB NESBITT-BRUCE LAURIE
PREPARED BY, A,PALMER
FROM
From 620 (315898.144,1496479.618) To 620 (315898.144,1496479.61d)
DISTANCE
FEET
TO
DIRECTION
NORTHING
EASTING
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
656 659 CENTER = 658 ROTATION CW 315818.404 1496558.923
29 47 20,7 RADIUS = 107,005 CHORD 55,009
BEARING = S 81 56 11.8 w ARC 55.634 TANGENT 28,461
659 662 7,078 N 83 10 07.9 W 315819,246 1496551,896
662 665 CENTER = 663 ROTATION CW 315875,820 1496497.471
78 33 21.7 RADIUS = 62.003 CHORD 78.507
BEARING = N 43 53 27.0 w ARC d5,010 TANGENT 50.709
665 621 22.502 N 4 36 46.2 w 315l:l98.249 1496495,661
621 620 16.044 S 89 37 31.3 W 315l:l9l:l, 144 1496479.618
CLOSURE ERROR
5179.944 SQUARE FEET,
,000
O. 1 HJ9 ACRE:S
DEPT. OF PUBLIC WORKS
Townsend, We. 98368
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, -J9'79 ']?_"::"I
PAGE 1
o
DESIGN TRAVERSE "MOSCHPRO"
2/17/87
RICES LAKE ROAD - *BRIDGE*
JEFFERSON COUNTY
JOB II CRP 587
PROJ. ENGR.: Boa NESBITT-BRUCE LAURIE
PREPARED BY: AUBREY PALMER
--------------------------------------------------------------------------------
From 47 (315b97.b35,1496432.330) To 47 (315897,b35,1496432.330)
DISTANCE
FROM TO FEET DIRECTION NORTHING EASTING
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
47 38 321.1121 N 89 37 31.3 E 315899,936 1496753.729
38 39 CENTER = 21 ROTATION CW 315871.113 1496726.664
14 39 20.5 RADIUS = 155.005 CHORD 39.541
BEARING = S 43 11 51.5 W ARC 39.649 TANGENT 19.933
3 39 40 42.493 S 50 31 31.7 W 315844.099 1496693.865
4 40 Ll2 10.000 S 39 28 28,3 E 315836.381 1496700.222
42 45 CENTER = 13 ROTATION CW 315834.746 1496460,658
78 10 01.8 RADIUS = 190,007 CHORD 239,580
BEARING = S 89 36 32.6 w ARC 259.221 TANGENT 154.324
6 45 47 69.160 N 24 10 50.7 w 315897,835 1496432.330
CLOSURE ERROR = .000
24430.061 SQUARE FEET,
0.5608 ACRES
--------------------------------------------------------------------------------
DEPT. OF PUBLIC WORKS
Townsend, Wa. 98368
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:)
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') (}/,JGe."D~P
o
PAGE 1
DESIGN TRAVERSE "MOSCHPRO"
2/17/I:J7
RICES LAKE ROAD - *BRIDGE*
JEFFERSON COUNTY
JOB Ii CRP 587
PROJ, ENGR.: BOB NESBITT-BRUCE LAURIE
PREPARED BY: AUBREY PALMER
--------------------------------------------------------------------------------
From 47 (315897.835,1496432.330) To 47 (315897.835,1496432.330)
DISTANCE
FROM 1'0 FEET DIRECTION NORTHING EASTING
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
47 38 321.406 N 89 37 31. 3 E 315899.936 1496753,729
38 39 GENTErl = 21 ROTATION CW 315871.113 1496726.664
14 39 20.5 RADIUS = 154.99B CHORD 39,539
BEARING = S 43 11 51.5 W ARC 39.647 TANGENT 19,932
3 39 40 42.491 oS 50 31 31.7 W 3158411.099 1496693.865
4 40 42 10,000 S 39 28 28.3 E 315836.381 1496700,222
42 45 GENTER = 13 ROTATION CW 315834.746 1496460.658
78 10 01.8 RADIUS = 189.998 CHORD 239.569
BEARING = S 89 36 32,6 w ARC 259,209 TANGENT 154,317
6 45 47 69,157 N 24 10 50.7 VI 315897,835 1496432.330
CLOSURE ERROR = .000
24427,791 SQUARE FEET,
0.5608 ACRES
--------------------------------------------------------------------------------
DEPT. OF PUBLIC WORKS
Townsend, Via. 98368
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2531 ;')c,Ul Juan .:"'VG.
City Bremerton
State -..la
Zip ')8310
City Port Townsond
Stale \..:U
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NEW OWNER'S
PERMANENT ADDRESS
FOR ALL PROPERTY
TAX RELATED
CORRESPONDENce
Namo
.lo)n.nl.l I ,".nn ff"r!'lntr"1in '.11",
Address
2')"i 1 'inn .Julln ;~vP..
Po Zip
Cily/State
LEGAL DeSCRIPTION OF PROPERTY SITUATED IN UNfNCqRPORATED
.~~;:~ f:';~~;~'j?; ?::f~::~ .~: ': .'~': ~,::-....
S.dl. 01 W..hII1lIOll; IncJudln. dn, In,.,ui mor.in which ,'.11101 ...y her._II.r _cqulnll' '\. ",<;?: I\l uJ
The East Ha1f of the Northwest Quarter of the Southwest Quarter of the .Jlcrth4&S't
Quarter of Section:12, Township :?:7 North, Range 2 Wes't, W.H.; Together with aD IIIl-
divided 1/40th interest in and to 'the Wes't Ha1f of the Northeas't QIlar'ter),ot1ihe
Quart.er of the Northwest Quarter of said Section 12; Situat.e in Je~terson. Colm1;y, '
Washington.
.~t
Subjec't 1;0 and Together With EalIemen't in favor of Frank D. Proffer and 1reJll!:
his wife, their heirs and assigns, a1so to John H. QIGorman and his heirs
30 foo't easement for 1rigress and egress over the ex:l.s't1ng roed exteud:1Dg SoqUasrly
an existing Coun'ty Roed located in the North Ha1f of the South Half' of ths .~v
Quarter of said Section 12 to the South line of the above describGd prope~t'"
by Rea1 Estate Con'tract recorded under Audi'tor I s file No. I s 185209 aDd 191003/
Subject 1;0 and together with tha't cer'tain easement created under instruaen't 4&~
Hay 22, 1973 and recorded under Aud1'tor's File No. 218030. '1..
NOTICE U~ c..:UN I INUIo\N,,",C
If Ihe new owner(l) of land thot II classified or doalgnated as current uso or
forosl land wlsh(oll) to conllnue the clalalflcallon or designation of luch land,
the new owner(l) mustlllgn below. If tho now owner(o) doles) notdeslro 10 conllnuo
luch clallllflcat!on or dOllgnatlon, all compensGUng or addUlonal lalC
calculated pursuant to ACW 84.33.120 and 140 or ACW 84,34,108shnll be due and
payablo by lho seiter or transferor at tho tlmo of 181a, To dotermlne If tho Innd
Iranllforred ~ualllles 10 conlinue clallllUlcallon or designation. I!:HI county BS)OIlSOr
must be consulted. All new ownarl mUll sIgn.
Dollnquonl Ponally 4/
Tolal Tax Due
- - $ .
:1-0:2. $';;0 .~j~
(SEE ,.4 ON THE REVERSE SIDE)
AFFIDAVIT
SlgnnlurO(I)
Thll I.nd 0 doel 0 dotl not quallly tor contlnulno..
'rla'_'
. ',' .
Tho 'rollowlnO'optlonal que,"ona a,. reque.lld by new 82;045,120.
II property 11th. 11,:"0 :'~':"~I':' .' .
. ~ ..... ,....",.~_.........-.LJ__...
YES
NO
e. 00" conyoyanaG' 'i~'vo'v. i Hade.. pull.1
Inler,cul ,~orpor.tlt ."III~l... '. "'lat'lf plnlel, tru."
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PAGE 1
DESIGN TRAVERSE "OLINEXIST"
1/30/81
RICES LAKE ROAD - *ERIDGE*
JEFFERSON COUNTY
JOB II CRP 587
PROJ. ENGR.: BOB NESBITT-BRUCE LAURIE
PREPARED BY: AUBREY PALMER
--------------------------------------------------------------------------------
From 624 (315905,239,1496735.891) To 624 (315905,239,1496735.891)
DISTANCE
FROM TO FEET DIRECTION NORTHING EASTING
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
624 648 CENTER = 623 ROTATION CCW 315924.739 1496141. 435
11 52 27.6 RADIUS = 98,004 CHORD 20.215
BEARING = N 15 52 19.8 E ARC 20.311 TANGENT 10,192
2 648 646 114,844 N 9 56 06.0 E 316037.856 1496761. 249
646 641 CENTER = 643 ROTATION CCW 316098.399 1496808.176
55 41 20.6 RADIUS = 82.004 CHORD 76.604
BEARING = N 37 46 46.3 E ARC 79.705 TANGENT 43.317
4 641 642 16.000 N 24 22 33.4 W 316112.972 1496801.573
642 647 CENTER = 643 ROTATION CCW 316040,617 1496745.489
55 41 20,6 RADIUS = 98,004 CHORD 91.550
BEARING = S 37 46 46.3 w ARC 95,256 TANGENT 51. 769
6 641 630 23,196 S 9 56 06.0 w 316017.769 1496741. 487
7 630 624 112.675 S 2 50 50,2 Vi 315905,239 1496735,891
CLOSURE ERROR = ,000
2768,545 SQUARE FEET,
0.0636 ACRES
DEPT, OF PUBLIC WORKS
Townsend, Wa. 98368
.'
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t.U ,.rJl ~,l(""'b ~c:rolL ,c~ O~
DESIGN TRAVERSE "OLINPRO"
2/ 5/87
RICES LAKE ROAD - *BRIDGE*
JEFFERSON COUNTY
PAGE 1
JOB II CRP 587
PROJ. ENGR.: BOB NESBITT-BRUCE LAURIE
PREPARED BY: AUBREY PALMER
--------------------------------------------------------------------------------
from 542 (315899,818,1496735.621) To 542 (315899.818,1496735,621)
DISTANCE
FEET
FROM
TO
DIRECTION
NORTHING
EASTING
542
26
195.192
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
26 25
BEARING = N
CENTER = 643
29 19 04.8
50 57 54.2 E
25
36
60.000
36 35
BEARING = S
CENTER = 643
55 41 20.6
37 46 46.3 W
5
6
7
35
33
34
33
34
37
9.320
10.000
60.044
9
37 38
BEARING = S
38 542
Cli:NTER = 21
25 56 05,2
22 54 08.6 W
H1.110 S
CLOSURE ERROR
10024.099 SQUARE FEET,
N
2 50 50,2 E
316094.760
CW 316133.010
120.004 CHORD
61.406 TANGENT
316078,361
CW 316034,061
60.004 CHORD
58.322 TANGENT
316024,881
316023.155
315964.015
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155.005 CHORD
70.163 TANGENT
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1496'(45.317
1496792.493
60,738
31. 391
1496817 .255
1496782.918
56.053
31,696
1496781.310
1496791.159
1496780,800
1496753.729
69,565
35.693
1496'(35,621
DEPT. OF PUBLIC WORKS
Townsend, Wa, 98368
--------------------------------------------------------------------------------
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The West Half of the Northwest Quarter of the Southwest Quarter of
the Northwest Quarter of Section 12, Township 27 North, Range 2 W.
W. M.;
SUBJECT TO and TOGETHER WITH Easement in favor of Fl:ank 0, Proffer
and Irene L, Proffer, his wife, their heirs and assigns, also to
John M. O'Gorman and his heirs and assigns, a 30 foot easement for
ingress and egress over the existing road extending Southerly from
an existing county road located in tne No=th Half of the South Half
of the Northwest Quarter of said Section 12 to the South line of ~ j~
the above described property, as disclosed by the real estate con-
tract recorded under Auditor's File No. 185209,
SUBJECT TO and TOGETHER WITH that certain easement created under
instrument dated May 22. 1973 and recorded under Auditor's File No.
218030;
AND TOGETHER WITH an undivided 1/40 interest in and to the West
Half of the Northeast Quarter of the Southeast Quarter of the North-
west Quarter of Section 12, also easement over existing road to said
property;
All situate in the county of Jefferson, State of Washington,
C)
o
PAGE 1
DESIGN TRAVERSE "JOHNEXIST"
1130/87
RICES LAKE ROAD - *BRIDGE*
JEFFERSON COUNTY
JOB Ii CRP 5!J7
PROJ. ENGR.: BOB NESBITT-BRUCE LAURIE
PREPARED BY: AUBREY PALMER
--------------------------------------------------------------------------------
From 627 (315899.!J04,1496733,523) To 627 (315!J99.!J04,1496733,523)
DISTANCE
FROM TO FEET DI RECTION NORTHING EASTING
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
627 624 CENTER 623 ROTATION =CCW 315905,239 1496135.891
3 27 58.3 RADIUS = 98.004 CHORD 5.928
BEARING = N 23 32 32.8 E ARC 5,929 TANGENT 2.965
2 624 630 112.675 N 2 50 50,2 E 316017,769 1496741. 487
3 630 622 91.648 S 9 56 06,0 w 315927.500 1496725.676
622 628 CENTER 623 ROTATION CW 315899.685 1496715.356
20 50 38.3 RADIUS = 82,004 CHORD 29.669
BEARING = S 20 21 25.2 W ARC 29,833 TANGENT 15,083
5 628 627 18.168 N 89 37 31.3 E 315899.804 1496133.523
CLOSURE ERROR = .000
916.637 SQUARE FEET,
0.0210 ACRES
--------------------------------------------------------------------------------
DiPT, OF PUBLIC WO~KS
Townsend, Wa. 98368
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[,oJ"~ (,.t-ID FA ",'roe.. ''1Cjq() 35"1
PAGE 1
DESIGN TRAVERSE "JOHNPRO"
2/ 5/87
RICES LAKE ROAD - *BRIDGE*
JEFFERSON COUNTY
JOB IF CRP 587
PROJ, ENGR.: BOB NESBITT-BRUCE LAURIE
PREPARED BY: AUBREY PALMER
--------------------------------------------------------------------------------
From 30 (315e99,o07,1496611.663) To 30 (315899.007,1496611.663)
DISTANCE
FROM TO FEET DIRECTION NORTHING EASTING
==========~===~===~============================~================================
30 29 CENTER = 13 ROTATION CCW 315913,568 1496636.651
18 29 27.8 RADIUS = 90.007 CHORD 28,922
BEARING = N 59 46 15.6 E ARC 29.048 TANGENT 14.651
2 29 28 42.493 N 50 31 31.7 E 315940.581 1496669.451
28 27 CENTER = 21 ROTATION CCW 315979.542 1496692,154
40 35 25.7 RADIUS = 65.005 CHORD 45,095
BEARING = N 30 13 48.9 E ARC 46.052 TANGENT 24.040
4 27 32 60.044 N 9 56 06.0 E 316038.683 1496702,513
5 32 26 70.550 N 37 21 15.7 E 316094,760 1496745.317
6 26 542 195.192 S 2 50 50.2 W 315899,818 1496735.621
7 542 30 123.966 S 89 37 31.3 W 315899.007 1496611.663
CLOSURE ERROR = .000
9661.030 SQUARE FEET,
0,2218 ACHES
--------------------------------------------------------------------------------
DEPT. OF PUBLIC WORKS
Townsend, Wa. 98368
WASHINGTON LAND TITLE ASSOCIATION
PRELIMINARY COMMITMENT FORM
PHONE 385-1322
Authorized Agent of
near Title Insurance Company
PRELIMINARY COMMITMENT FOR TITLE INSURANCE
No, 2559"
To: JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS CATTN: AUBREY PALMER)
1220 JEFFERSON STREET
PORT TOWNSENO, WA 98368
Da te: Amoun t Premi um
JANUARY 27, 1987 AT 8:00 A.M.
$150.00
x) Owner's standard coverage
) Purchaser' 5 standard coverage
) Mortgagee I s standard coverage
) Mortgagee's ALTA coverage
$800.00
In the event the transactIon fails to close and this commitment is cancelled, a fee will be charged
to comply with the state Insurance code and the CIled schedule of this company,
TICOR Title Insurance Company agrees to Issue on request and on recording of any appropriate documents. Its
policy or policies as applied for. with coverage as indicated. based on this prelfmlnary conrnitment that title
to the property descrfbed herefn Is vested on the date shown above fn
WILLIAM A. JOHNSON, JR., AND SUSAN J, JOHNSON, HUSBAND AND WIFE
subject only to the exceptions shown herefn and to the tenns. conditions and exceptions contafned tn the pol Icy
fonn.
This report and conmftment shall
DESCRIPTION,
have no force or effect elCcept as a bash for the coverage specified herein.
~1
I) J I ;,) / ) / /.f"
by (L~/(-f.'/( 1''- t1.,/j,t't.t. ~Cl.'
Authorized slgnatbry
SITUATED IN JEFFERSON COUNTY, WASHINGTON
THE WEST HALF OF THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER OF
THE NORTHWEST QUARTER OF SECTION 12, TOWNSHIP 27 NORTH, RANGE 2 WEST,
W,M. TOGETHER WIT!I AN UNDIVIDED 11LfO I~:TEREST IN AND TO THE WEST
HALF OF THE NORTHEAST QUARTER OF THE L0Jfii'AST QUARTER OF THE NORTHWEST
QUARTER OF SECTION 12.
SPECIAL EXCEPTIONS
1 ,
GENERAL TAXES, AS
FOR YEAR
1987
1986
BEING COUNTY TREASURER'S
DELINQUENCY:
AMOUNT PAID
NIL
NIL
FOLLOWS, PLUS INTEREST APTER
AMOUNT BILLED
162,39
15'+.77
PARCEL NO, 702122019.
',"" \' I
J !
,I i
',,(
D
25594
FOR FURTHER EXCEPTIONS, SEE EXHIBIT 'A' AS HERETO ATTACHED.
THE OWNERS POLICY APPLIED FOR WILL NOT INSURE AGAINST THE MATTERS
CONTAINED IN GENERAL EXCEPTIONS AS HERETO ATTACHED.
END OF REPORT
25594
EXHIBIT 'A'
A.
EASEMENT FOR ELECTRIC TRANSMISSION LINE; TOGETHER WITH THE RIGHT TO
CLEAR BRUSH, TIMBER, STRUCTURES AND FIRE HAZARDS, AS GRANTED TO UNITED
STATES OF AMERICA BY INSTRUMENT RECORDED APRIL 22, 1949, IN VOLUME 126
OF DEEDS, PAGE 386, UNDER AUDITOR'S FILE NO. 117373.
B.
R1GHT TO INSTALL, MAINTAIN, REPLACE, REMOVE AND USE AN ELECTRIC LINE,
INCLUDING ALL NECESSARY POLES, ANCHOR5, WIRES AND FIXTURES AND TO KEEP
SAID LINE FREE OF INTERFERENCE FROM TREES OR OTHER GROWTH ON SAID
PREMISES; TOGETHER WITH THE RIGHT TO EXTEND THEREFROM TO SERVE DTHER
CUSTOMERS; BUT ONLY ONE POLE LINE ACROSS 5UBJECT PROPERTY, GRANTED TO
PUGET SOUND POWER AND LIGHT COMPANY, A CORPORATION, BY INSTRUMENT
RECORDED AUGUST 28, 1963, UNDER AUDITOR'S FILE NO. 176834.
C,
AN EASEMENT AFFECTING THE PORTION OF SAID PREMISES AND FOR THE PURPOSES
STATED HEREIN, AND INCIDENTAL PURPOSES.
FOR ELECTRIC POWER TRANSMISSION STRUCTURES AND APPURTENANCES
TOGETHER WITH THE RIGHT TO ERECT AND MAINTAIN SAME
THE UNITED STATES OF AMERICA
JUNE 27, 1968
196512
IN FAVOR OF
RECORDED
AUD ITOR 's NO.
D,
AN EASEMENT AFFECTING THE PORTION OF SAID PREMISES AND FOR THE PURPOSES
STATED HEREIN, AND INCIDENTAL PURPOSES.
FOR ROADWAY, INGRESS, EGRESS AND UTILITIES
IN FAVOR OF RICHARD E. FINNEGAN AND ELEANOR FINNEGAN, HIS WIFE
RECORDED MAY 24, 1973
AUDITOR'S NO, 218030
EXHIBIT 'A'
~:-;-:"':-:::"j7~-,~,_.""",--
II
:)
J',
GENERAL EXCEPTIONS
1, ENCROACHMENTS OR QUESTIONS OF LOCATION, BOUNDARY AND AREA,
WHICH AN ACCURATE SURVEY MAY DISCLOSE; PUBLIC OR PRIVATE
EASEMENTS, STREETS, ROADS, ALLEYS OR HIGHWAYS, UNLES5 DIS-
CLOSED OF RECORD BY RECORDED PLAT OR CONVEYANCE, OR DECREE
OF A COURT OF RECORD; RIGHTS OR CLAIMS OF PERSONS IN POSSESSION,
OR CLAIMING TO BE IN POSSESSION, NOT DISCLOSED BY THE PUBLIC
RECORDS; MATERIAL OR LABOR LIENS, OR LIENS UNDER THE WORKMAN'S
COMPENSATION ACT NOT DISCLOSED BY THE PUBLIC RECORDS; WATER
RIGHTS OR MATTERS RELATING THERETO; ANY SERVICE, INSTALLATION
OR CONSTRUCTION CHARGES FOR SEWER, WATER, ELECTRICITY, OR
GARBAGE REMOVAL.
2, EXCEPTIONS AND RESERVATIONS IN UNITED STATES PATENTS; RIGHT
OF USE, CONTROL OR REGULAT10N BY THE UNITED STATES OF AMERICA
IN THE EXERCISE OF POWERS OVER NAVIGATION; LIMITATION BY LAW
OR GOVERNMENTAL REGULATION W1TH RESPECT TO SUBDIVISION, USE,
ENJOYMENT OR OCCUPANCY; ANY PROHIBITION OR LIMITATION ON THE
USE, OCCUPANCY OR IMPROVEMENT OF THE LAND RESULTING FROM THE
RIGHTS OF THE PUBLIC OR RIPARIAN OWNERS TO USE ANY WATERS
WHICH MAY COVER THE LAND; DEFECTS, LIENS,' ENCUMBRANCES, OR
OTHER MATTERS CREATED OR SUFFERED BY THE INSURED; RIGHTS OR
CLAIMS BASED UPON INSTRUMENTS OR UPON FACTS NOT DISCLOSED BY
THE PUBLIC RECORDS BUT OF WHICH RIGHTS, CLAIMS, INSTRUMENTS
OR FACTS THE INSURED HAS KNOWLEDGE.
3. GENERAL TAXES NOT NOW PAYABLE; MATTERS RELATING TO SPECIAL
ASSESSMENTS AND SPECIAL LEVIES, IF ANY, PRECEDING THE SAME
BECOMING A LIEN.
If, "CONSUMER CREDIT PROTECTION," "TRUTH-IN-LENDING," OR SIMILAR
LAW, OR THE FAILURE TO COMPLY WITH SAID LAW OR LAWS.
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FEBRUARY 20, 1987
DEPARTMENT OF PUBLIC WORKS OF JEFFERSON COUNTY
ATTN: AUBREY PALMER
1220 JEFFERSON STREET
PORT TOWNSEND, WA 98368
RE: LIMITED LIABILITY/25595
DONALD 0, OLIN
DEAR MR. PALMER:
TH1S lS A REPORT AS OF THE 27TH DAY OF JANUARY, 1987 AT 8:00 A.M.
COVERING THE FOLLOWING DESCRIBED PROPERTY:
SITUATED IN JEFFERSON COUNTY, WASHINGTON
THE EAST HALF OF THE NORTHWEST QUARTER OF THE SOUTHWEST
QUARTER OF THE NORTHWEST QUARTER OF SECTION 12, TOWNSHIP 27
NORTH, RANGE 2 WEST, W,M.; TOGETHER WITH AN UNDIVIDED 1/40TH
INTEREST IN AND TO THE WEST HALF OF THE NORTHEAST QUARTER
OF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER OF SAID
SECTION 12.
SAID PROPERTY IS VESTED IN RICHARD J. RASOR AND MARY J, RASOR,
HUSBAND AND WIFE, AND IS SUBJECT TO THE FOLLOWING EXCEPTIONS:
L
CONTRACT OF SALE CONTAINING NUMEROUS TERMS, PROVISIONS, CONDITIONS
AND STIPULATIONS.
VENDOR RICHARD J, RASOR AND MARY J. RASOR, HUSBAND AND WIFE
VENDEE LOREN SCOTT GOAKEY, A SINGLE MAN
DATED AUGUST 1, 1980
RECORDED SEPTEMBER 5, 1980
AUDITOR'S NO. 267575
RECEIPT NO. 42355
THE VENDEE'S
DATED
RECORDED
AUDITOR'S NO.
RECEIPT NO,
ASSIGNEE
INTEREST THEREUNDER ASSIGNED BY INSTRUMENT.
NOT DATED
MAY 24, 1982
278404
45756
DONALD L, OLIN AND FRANKIE C, OLIN, HUSBAND AND WIFE
AND AS RE-RECORDED JUNE 3, 1982 UNDER AUDITOR'S NO. 278557.
FOR FURTHER EXCEPTIONS, SEE EXHIBIT 'A' AS HERETO ATTACHED.
1037 EAST SIMS WAY P,O.DOK 188 PORT TOWNsEND. WASHINOTON 88388 108/381-1311 108/38B-1313
,;,-;..,,:,-\,. .,. .
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o
FEBRUARY 20, 1987
LIMITED LIABILITY
25595
PAGE TWO
THIS REPORT IS RESTRICTED TO THE USE OF THE ADDRESSEE, AND IS
NOT TO BE USED AS A BASIS FOR CLOSING ANY TRANSACTION AFFECTING
TITLE TO SA1D PROPERTY. LIABILITY OF THE COMPANY IS LIMITED
TO THE COMPENSATION RECEIVED THEREFOR.
CHARGE:
$100.00
R04!:r !1~~
:)
o
25595
EXHIBIT 'A'
A,
EASEMENT FOR ELECTRIC TRANSMISSION LINE; TOGETHER WITH THE RIGHT TO
CLEAR BRUSH, TIMBER, STRUCTURES AND FIRE HAZARDS, AS GRANTED TO
UNITED STATES OF AMERICA BY INSTRUMENT RECORDED APRIL 22, 1949, IN
VOLUME 125 OF DEEDS, PAGE 385, UNDER AUDITOR'S FILE NO. 117373.
B.
RIGHT TO INSTALL, MAINTAIN, REPLACE, REMOVE AND USE AN ELECTRIC
LINE, INCLUD1NG ALL NECESSARY POLES, ANCHORS, WIRES AND FIXTURES
AND TO KEEP SAID LINE FREE OF INTERFERENCE FROM TREES OR OTHER
GROWTH ON SAID PREMISES; TOGETHER WITH THE RIGHT TO EXTEND THEREFROM
TO SERVE OTHER CUSTOMERS; BUT ONLY ONE POLE LINE ACROSS SUBJECT
PROPERTY, GRANTED TO PUGET SOUND POWER AND LIGHT COMPANY, A CORPORA-
TION, BY INSTRUMENT RECORDED AUGUST 28, 1953, UNDER AUDITOR'S FILE
NO, 175834.
C,
AN EASEMENT AFFECTING THE PORTION OF SAID PREMISES AND FOR THE
PURPOSES STATED HEREIN, AND INCIDENTAL PURPOSES.
FOR ELECTRIC POWER TRANSMISSION STRUCTURES AND
APPURTENANCES TOGETHER WITH THE RIGHT TO ERECT AND
MAINTAIN SAME
IN FAVOR OF THE UNITED STATES OF AMER1CA
RECORDED JUNE 27, 1958
AUDITOR'S NO. 195512
D.
AN EASEMENT AFFECTING THE PORTION OF SAID PREMISES AND FOR THE
PURPOSES STATED HEREIN, AND INCIDENTAL PURPOSES,
FOR ROADWAY, INGRESS, EGRESS AND UTILITIES
IN FAVOR OF RICHARD E. FINNEGAN AND ELEANOR FINNEGAN, HIS WIFE
RECORDED MAY 24, 1973
AUDITOR'S NO. 218030
EXHIBIT 'A'
"."; !
!)
"'"
E!!'!1l
FEBRUARY 19, 1987
JEFFERSON COUNTY DEPARTMENT OF PUBL1C WORKS
ATTN: AUBREY PALMER
1220 JEFFERSON STREET
PORT TOWNSEND, WA 983&8
RE: LIMITED LIABILITY/2559&
LELAND CREEK BRIDGE REPLACEMENT
DEAR MR. PALMER:
THIS IS A REPORT AS Or- THE 27TH DAY OF JANUARY, 1987, AT 8:00
A.M., COVER1NG THE FOLLOWING DESCRIBED PROPERTY:
SITUATED IN JEFFERSON COUNTY, WASHINGTON
THE SOUTH HALF OF THE SOUTHWEST QUARTER OF THE NORTHWEST
QUARTER OF SECTION 12, TOWNSHIP 27 NORTH, RANGE 2 WEST,
W.M.; EXCEPT THE RIGHT OF WAY OF ANY PUBLIC ROAD.
SA1D PROPERTY IS VESTED IN ROCCO N. MOSCHETTO AND RUTH MOSCHETTO,
HUSBAND AND WIFE; JOSEPH A, MOSCHETTO AND EL1NOR A. MOSCHETTO,
HUSBAND AND WIFE; AND ROBERT G. SACCO, A SINGLE PERSON, AND IS
SUBJECT TO THE FOLLOWING EXCEPTIONS:
1.
GENERAL TAXES, AS FOLLOWS, PLUS INTEREST AFTER DELINQUENCY:
FOR YEAR AMOUNT BILLED AMOUNT PAID
1987 3&5,13 NIL
BEING COUNTY TREASURER'S PARCEL NO. 702122001,
THIS REPORT IS RESTRICTED TO THE USE OF THE ADDRESSEE, AND IS
NOT TO BE USED AS A BASIS FOR CLOSING ANY TRANSACTION AFFECTING
TITLE TO SAID PROPERTY. LIABIL1TY OF THE COMPANY IS LIMITED
TO THE COMPENSATION RECEIVED THEREFOR.
CHARGE: $100.00
RO~+t~/:!h4
1037 EAST SIMS WAY P,O.BQX SOO PORT YOWNs~ND. WASHINGTON 00380 108/308.1321 108/388'1311
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KENNETH ENDORF
Contract Right of Way Agent
Real Estate Services
Acquisition - Relocation - Appraisal
PHONE 12061 456.174Z
June 9. 1987
Jefferson County
Department of Public Works
Courthouse
Port Townsend, WA 98368
Attn: Bruce Laurie
Construction Engineer
Re: SR 2D, County Road Approaches
and Leland Creek Bridge
Right of Way Acquisition
Dear Bruce:
I respectfully submit the attached time sheets for the above
referenced projects. The billings of acquisition time and ex-
pense has been separated as per your request.
These billings are in accordance with personal service contracts
with the County concerning the acquisition of six parcels of
right of way for SR 20, County Road Approaches:
Time: 39.5 hours @ $12.50 per hour $ 493.75
Mileage: 704 miles @ $.225 per mi Ie 158.40
Incidental expense. recording 5.00
Total $ 657,15
Leland Creek Bridge Replacement. CRO 587
Federal Aid Project H8ROS 2016 (5)
Time: 29 hours @ $12,50 per hour $ 362.50
Mileage: 616 miles @ $.225 per mi Ie 138.60
Total $ 501. 10
Total billing - two projects $1.158.25
Thank you for the opportunity to be of service to Jefferson Coun~.
Very rUlY~
'?~t-:a/ ~;f/;v/
Kenneth Endorf r
Enc: Time Sheets
452<1 27th Ct, S.E,
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I,Reoy, WA 98503
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JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
Courthouse
PORT TOWNSEND, WASHINGTON 98368
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Phone 385.3505
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DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Slreet
P.O, Box 1220
Pori Townsend, WA 98368
(206) 385.3505
June 11, 1987
Gary A. Rowe, Director
Robert G. Nesbitt, RE., County Engineer
ENDORSEMENT
TO: R.H. Barnard, chief R/W Agent
I have reviewed and concur in
this R/W Certification
THRU: Bob George
Dist, 3 State Aid
Engineer
W,S,D,O.T,
Olympia, Wa 98504
DATE:
R/W Supervisor, Dist.
TO:
William I, Hordan
State Aid Engineer
Dept. of Transportation
Highway Admin. Building
Olympia, Wa. 98504
Leland Creek Bridge Replacement
CR0587, Fed. Aid No,
BROS 2016(5)
Dear Sir:
STATEMENT: Right of Way has been acquired in accordance with
current FHWA Directives covering the acquisition of real
property.
I hereby certify that the above referenced rights of way have
been acquired including legal and physical possession.
There are no improvements to be removed or demolished for this
portion of the project,
I further certify that there were no individuals or families
displaced on the above referenced parcels, Therefore, the
provisions of the current FIIWA directives covering the relocation
of displacees to DS6<S housing and availability of adequate
replacement housing are not applicable to the above referenced
parcels.
Dated at J?ort Townsend, Washington, this
1987,
/.2.
day of ~,
Sincerely,
~dJ.:.-?<T-
Robert G. Nesbitt, J?,E,
County Engineer
KC: J?WA02, CR0687, corres, 6< R/W ~
100% Recycled Poper
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REVIEW APPRAISER'S CERTIFICATE
Project No. CR0587 BROS 2016(5) Paroel No. 702122019
c~ .5 67
I (/ZIG#-I cJr;
wAy tI
OWner Name Johnson, William A., Jr. << SUsan J.
OWner Address 46434 Hines Wav. Westfir, OR 97492
The appraisa1(s) sul::mitted on this parcells) are as follows:
Date of Before After Just Allocation
Appraiser Valuation Value ~ Compensation Takincr ~
J.A. Siebenbaum 5-11-87 $17,300 $16,600 $700 $700-0-
I, the review appraiser, certify to the following:
The above appraisal report (s) have been reviewed by the undersigned and
were found to have foll~ accepted appraisal principals and techniques in
the valuation of real property in accordance with existing State law.
That the determination of value which is set forth below has been
independently reached based on appraisals and other factual data of record
without collaboration or direction. That I have no direct or indirect
pres:mt or contemplated future personal interest in such property or in any
benefit fran the acquisition of such property thereto except as set forth
below. I further certify that I understand the determination is to be used
in conjunction with a Federal-aid highway project and because of items
canpensable under State law, but no eligible for Federal reimbursement,
none (-0-) of the approved Just Canpensation is ineligible for Federal
reimbursement.
Just Canpensation $~
Allocated:
Taking $ 700
Damages $ -0-
~Y~~~p?--#
Reviewing Appraiser, County
/Y-r /~ /9~7
Date
Concurrence and authorization:
The Board of County Camnissioners of Jefferson County does here indicate
its concurrence with the above certification ,and does authorize further
action by the County Engineer to proceed according to established
procedures with the acquisition of the designated property.
COUNTY OF JEFFERSON
BOARD OF CCM>IISSIONERS
DaM///
~.~ ) Af'~-<-~;:;::;:;--
:>Onra:t1ll1lan( Memb"r ..."./...._;::
Member
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REVIEW APPRAISER'S CERTIFICATE
Project No. CR0587 BROS 2016(5) Parcel No. 702122001
OWner Name Moschetto, Joseph A.
OWner Address 1882 - 136th Place N.E. , Bellevue, WA 98005
The appraisa1(s) subnitted on this paroel(s) are as follows:
Date of Before After Just
Appraise!;: Valuation Value Value Compensation
J.A. Siebenbaum 5-11-87 $41,000 $40,100 $900
Allocation
Takincr ~
$900 -0-
I, the review appraiser, certify to the following:
The above appraisal report(s) have been reviewed by the undersigned and
were found to have foll~ accepted appraisal principals and techniques in
the valuation of real property in accordance with existing State law.
That the determination of value which is set forth below has been
independently reached based on appraisals and other factual data of record
without collaboration or direction. That I have no direct or indirect
present or contemplated future personal interest in such property or in any
benefit fran the acquisition of such property thereto except as set forth
below. I further certify that I understand the determination is to be used
in conjunction with a Federal-aid highway project and because of items
canpensable under State law, but no eligible for Federal reimbursement,
none (-0-) of the approved Just Canpensation is ineligible for Federal
reimbursement.
Just Canpensation $~
Allocated:
Taking $ 900
Damages $ -0-
d:.:Y-o.<Y~ /#
'Reviewing Appraiser, County
/'?:.y /-0/ /9R'7
Date
Concurrence and authorization:
The Board of County Camnissioners of Jefferson County does here indicate
.its concurrence with the above certif.ication and does authorize further
action by the County Engineer to proceed according to established
procedures with the acquisition of the designated property.
COONT'l OF JEFFERSON
BOARD OF CCM>IISSIONERS
s/f.:; /J:7
DatEl' /
~~~.Jw)4 ~ adk~
~~ Member ~ .,.,,:.>""~
Member
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REVIEW APPRAISER' S CERTIFICATE
Project No. CR0587 BROS 2016(5) Parcel No. 702122019
OWner Name Johnson, William A., Jr. & SUSan J.
OWner Address 46434 Hines Wav, Westfir, OR 97492
The appraisal(s) sutmitted on this parcells) are as follows:
Date of Before After JlISt
Appraiser Valuation Value ~ Compensation
J.A. Siebenbaum 5-11-87 $17,300 $16,600 S700
Allocation
Taking ~
$700 -0-
I, the review appraiser, certify to the following:
The above appraisal report(s) have been reviewed by the undersigned and
were found to have follcwoed accepted appraisal principals and techniques in
the valuation of real property in accordance with existing State law.
That the determination of value which is set forth below has been
independently reached based on appraisals and other factual data of record
without collaboration or direction. That I have no direct or indirect
present or contemplated future personal interest in such property or in any
benefit from the acquisition of such property thereto except as set forth
below. I further certify that I understand the determination is to be used
in conjunction with a Federal-aid highway project and because of items
compensable under state law, but no eligible for Federal reimbursement,
none (-0-) of the approved Just Compensation is ineligi1.>le for Federal
reimbursement.
Just Compensation $~
Allocated:
Taking $ 700
Damages $ -0-
~-Y:-Y~L;..#
Reviewing Appraiser, County
/Y-r /-'; /9~7
Date
Concurrence and authorization:
The Board of COlIrlty Conunissioners of Jefferson county does here indicate
its con=rence with the above certification and does authorize further
action by the County Engineer to proceed according to established
procedures wi th the acquisi tion of the designated property.
COUNTY OF JEFFERSON
BOARD OF COM>lISSIONERS
-54///
oat'e
&i&d-tAJl1 /rd:,'L-<'M_r!~"7~<-/
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Member
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Transportation Building
Olvmpia, We.s.hington 98504
Parcel NO.a\9.?~ .??91? ('51......... .... .......
Federal Aid No. .~E!?:!.:...'?!?~!?.............................
Project: .. .leland. c.re.eJ<:. Br,i.da.e.. .aeplaceroent
,....,..!;l.: .r:.: ..!!.:,?~..~~..!;l.:.r:.:.. .9.:.~T...,.., .......".., .., ....
........ C,o.WJ.I;;Y. ./Spj;R.., .iF.. ,3.4.4.09,9,..,....,.......................
Map Sheet ......l............ of ........J........ Sheet'
Map Approval Date: ..2.-:'.1.7.-:',6.7..............................
Date of last map revi,ion: ,1'1.0)).<;\...........................
CERTIFICATE OF APPRAISER
I hereby certify:
nlOt 00 .........M<lY....1.,....l.S.6,7............................................................................ (dat') (s), I personally made a field
itlspection of the property herein appraised and that I have afforded the property owner the opportunity to accompany
me at the time of inspection. I have also personally made a field inspection of the comparable sales relied upon in
making said appraisal. The subject and the comparable sales relied upon in making said appraisal were as represented
by the photographs con tained in said appraisaL
That to the best afmy knowledge and belief the statements contained in the appraisal herein set forth are true, and the
information. upon which the opinions expressed therein are based is correct; subject to the limiting conditions therein
set forth.
1l1at I understand this market value appraisal is to be lIsed in connection with the acquisition of right of way for a
highway to be constructed by the State of Washington with the assistance of Federal-aid highway funds or other
Federal funds,
That such appraisal has been made in conformity with the appropriate State laws, regulations, policies and procedures
applicable to appraisal of right.of.way for such purposes; that in apprais.ing the value before acquisition, no considera-
tion has been given to increases or decreases in Fair Markel Value caused by the public improvement; and that to the
best of my knowledge no porlion of the value assigned to such property consists of items which ilIC noncompensable
under the established law of suid State.
nl~l.t neither my employment nor my compensation for making this appraisal and report are in any way contingent
upon the values reported herein.
111at [have no direct or indirect present or contemplated future personal Interest In such property or in any benefit
from the acquisition of such property appraised.
'TIlat [ have not revealed the findings and results of such apPT<\is1.\\ to anyone other than the proper officials of the
TratlSport,tion Departn1l.'l1t of said State or official, of the Fedenll Ilighwuy Administration, and I will not do so until so
authorized by State officials, or until 1 am required to do so by due process of law, or until I am released from this
obligation by having publicly testified as to such findings.
TImt the conclusion set forth in this appraisal is my independent opinion of the value of the property us of the
),Il;t;., day of ....J:1i'lY..............., 19 ..ir7, , and that ,,,ch conclusiDn was reached without collaboration. Dr direction
3S to value.
It Is my opinion Ihatth, FAIR MARKET VALUE of the abov, captioned real property is as follDws:
VALUE IlEFORE ACQUISITION $ ....l7.,.~,9.R.,...................
VALUE AFTER ACQUISITION $ ....lti,R.9.Q.,...................
VALUE DIFFERENCE $ ...........:7.9.Q.,...................
The property hns been apprnlsed for Its fair market value as though owned in fee simple, or os cncUmbtHCd only by the
exisllng casement in favD' Df ,J:lQIJ.Q,'~l:I<I.~.,,<lt',e.e:h',t...m'\l;~et..;v.Q.lJ.\e:.....,.........,......,..,..............."............, ,.......' ...,.
.......................................................................................,...............................................,...................................................
TIle opinion of volue cxpl'cssecl nbovc is thc result of lmd is. s.ubject to the dntu lInd conditions descrlbcd in dotull in
this report of ......lP........... pages,
Date Df Cont,act: Apl::i1...6"...l9,a7......",.., ,...,........,...",
Nallle: ,..,J,.~,. ji~nbaU1fl.....,....""....".., ,........ .,., ,..,.
SlglIlI!llr.: ./:.1,/1. ..', y,':,~Al.llj?ii.lk.=",.., ...,..'"... ......
.................i..~~I./.............., 19.11.7.....
po NOT WRITE BELOW THIS LINE
Hllnd(IUllrlar, Dolfl 5wmp
Olllrlc:l OfHO Slllmp
DOT
P'ORM :lIIt.on
AIl:VIlIED I/n
'T:\ll\lARY OF CO:-;(,Ll'SIO:-;~
(Accounting@L'at;on . NOT indicatIve of appraisal meC/;,~) employed)
INDicATED VALUE BEfORE ACQUISITION: --
Highest and Best Use: R1.Iral ResidentiaL, .
La.nd area Unit 'Value
1,.24.:t.,?C::J:::~;;;m "............,...U,,;i.QQ,....,;t/ac.r.e.s $ 17,300..
..,.,.....,........,....,....._,..,. $,
$
$
$",
Total area.................... TOTAL LAND
IMPROVEMENTS
Type
None
Size
Unit value
......-_......_....__...---~..,~..._........ ..... ..........--........-
.....................--...-----.......- ...--.........--........-..----......
........_...._.....__._.__._......___.....___.._H.._____.-.____.....--.................--
$ ..........=.0=,.--.......-,-
$
$. ,......-,-................,........-.
$..... ........,-.........,.-..-'.....'..
$....,....--...---,-
$..........-
$... E,l..QQ,--.-.....
TOTAL IMPROVEMENTS $...,_..,....::9...-:,_,_............
TOTAL INDICATED VALUE...,.................................. $..._1,7" 300-'-____
.........-.-........................... ....--...........--....-..-------------.......----.........--
INDICATED VALUE OF REMAINDER:
Highest and Best Use:.......,..J3.'1.E:..a},....g"',"'.!9.".'.'.loi,~1.........._...,.., ,......,
Land aTea. Unit value
....~:,~~..fi..'!"?::"':'-...,_...,--.,-'" ".......__......1,~.~5..Q.~...:!:l.,~c -$,_..l.~~,~.Q9.,_,...._"
..........,.........,.......... ....,......,-,............... $.......
$....... .
$...
$
Total area.................... TOTAL LAND
IMPROVEMENTS
Type
...none..
Size
Unit value
$
$...
...,...- $........
-0-
$. ~.~!.~?9..._...._......
$"
TOTAL IMPROVEMENTS $.....-.........-0-.............. ....
TOTAL INDICATED VALUE.,...,.."...,.,.....,............... $......16.,,600..____
BREAKDOWN Of ACQUISITION:
Le,nd..Crea Unit value
. l ::EIACres . "'"".E~5g~:..,;!/..a.:c:.:."'.~,
............,.........-.....................-...........".............
......................-..............' .....................................,....
Total area.,............."... TOTAL LAND
IMPROVEMENTS
Type
!,!one
Size
Unit value
TOTAL IMPROVEMf:NTS
DAMAGES
lZem
1<''''.':1''.,
TOTAL DAMACF-S
Sub-total
BENEFITS (Subtract)
Item
, N:c:m.E"
$...., ..,700............,........
$, ..,....,...."'.."".....-....,,.".......
$" "..,........"..,............,....-',..'..
$
$
$..,
$, ,..'
$", .
~.O."......,...........
$,.." ,.......7QQ",.............,..
$.... .............."'0.=...........-....
$... ...............,,0."'..,...............
$..." ......,700.......,-..-..
'TOTAL BENEFITS $ .,...,.... ,,,O~....,.
Difference Between the Belore and Alter Values.., .. , . , , .. .. ., .. .. , , .. .. .. ,. .. . .... $_:700.__...,___
J .A. ..,$i..!i'PElp1;>aum, Appraiser
DOT -~~:~.'~2[~i.~~~~:.....
.;',,~_~T.~.,.,;7'7~-,.
$....................,.0."
$
$., ............~o,~............,
$,
Pale 2
Parcel No........7.021220l9,