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Home My WebLink About301 Lopez Ave - Engineering CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date q -- (A - 6 ( b tA.) - 2.00 1- - 194- ?- Time Received by (phone, person) Location of Work to be inspected .''3 (:)) L 0 IP-€!. Z Name of person requesting inspection t:' t.A.J I' j C c ;C- Address of person requesting inspection I 7 --fit <;it- t3 Phone No Type of Inspection (circle appropriate one) Permit No Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other W?t f---ey- INSPECTION NOTES' Inspected Remarks Date <s/im~ 0 ~ ~;t t-ev %.:!:/ 'rL . 0 I ~ u -e.- +0 L -e~ \.. ( By ( u~: s-cOd r;-('~::c-e / RESTORATION REQUiRED..... YES Y NO J fJf z J-tlvt <- F-1rO W'Jl5 .. ~ 4- 0 \- -.u I A'( 1- \v "-- -P ~ <:- ~ .La ~ v () I) uJJiJS eel L 0 r~ L I Y2- 5.e yvtC-€ C u+ FytJ~ ~ ~ttll1l ~ CJ SURFACE RESTORATION. . ~ SURFACE TYPE D Unimproved D Gravel 0 Asphalt ~CC 0 Other o Repaired by City 10 "2-"Z--(;.1 Work Order # --1 q l( 2- . o Repaired by Permittee ~w -t- ~ COMPLETE O-tJ :Lo 6 7 o No Damage Found 0 INCOMPLETE I s','d-e LJ CL / k /r;t; / J /f P &) eel- /lllf!!)/ (Continue on reverse side if necessary) ~ STREET SUPERINTENDENT (DATE) ~ ~..,.. Lll X Vr t'UK1 rl.i~ULLL") PUBLIC WORKS - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PUBLIC WORKS CONSTRUCTION Issued: 9/04/96 TF Permit No: 525 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT---------------_________PROPERTY LOCATION------__________________ HOLY TRINITY LUTHERAN CHURCH 301 LOPEZ 301 E. LOPEZ Lot: 8-18 Port Angeles,WA98362 Block: 18 Long Legal: 360/000-0000 Sub: PSCC 2ND ADD PROJECT INFO-------_____________________________________________________________ Work is OUTSIDE traveled road Value Work: $0.00 Plans Required: N/A Contractor: W. B. DENNIS Start: Finish: ~ ~ ~ -- $0.00 \' ~ Storm Drain ~ Underground Tele/Ele ~ Misc ~ PROJECT NOTES------_____~---____________________________________________________ new water service and fire main Performance Bond Required: N/A Proof Insurance: Amount: Work to Perform: INSTALL * Watermain Sanitary Sewer PROJECT FEES ASSESSMENT----_____________________________________________________ R/W Excav: $0.00 San Sewer SFR: $0.00 Sidewalk: $0.00 San Sewer MFR: $0.00 Curb/Gutter: $0.00 Add Unit: 0 Driveway: $0.00 Other San Sewer: $0.00 Dwy Culvert: $0.00 Sew Tap Wye/Man Tap: $0.00 Street Cut: $0.00 Sew Cap/ W/M Removal: $0.00 Other R/W: $0.00 Alter/Repair Sewer: $0.00 Fire Hydrant: $0.00 Storm Drain Tap: $0.00 Res Water Serv: $0.00 Catch Basin per ea: $0.00 5/8" Sewer System Dev: $0.00 3/4" Milwaukee Dr. Sew Assess: $0.00 1" R/W Use Perm: $0.00 Comm Water Serv: * $2,000.00 D.R.A. : $0.00 1" Admin Costs (D.R.A) : $0.00 1 1/2" Misc: $0.00 2" ------------------------------ ------------------------------ oth Water Serv: $0.00 Water Sys Dev: $0.00 TOTAL FEE: $2,000.00 AMT PAID: $2,000.00 Receipt No: 2330 ----------------------- Inspection Fee: $0.00 BAL DUE: $0.00 Separate Permits are required for electrical work, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection_ I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the ~~.v V.iissiioons of any stat~. or local law regulating fonstruction or the performance of construction. _.._7\o.~~.h ~ q(lt/76 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date ~ , 'I I , I I If I I F. I , I /. ' \ J I I I I I I I I I I I i I I I I I , i I I I I , I I I I I I I I I I I I , I I I I I I I I , SDW/I( ~J) .I IE~2'?~, ..11'''' .J. 4: . -- -------JI :/ II ---Ii " 'I Ii " II ---II II --II I I, II I J ----_h,/ I --i J --- --. -II I " Ii I !l __. (I -/1 II' I ~:.. :.=-:.::.; ~ II ~ -7 /1. O':'K / 20' CROUN ..I' ~'A '\'" .c: 'fi..~ ""4~ ..-- I ' PR')PA~IE, ! j T AI .jK I I I I I I \ \ \ \ I \~. III ~,~;~ ~rm~I~(~~;UI' ,\~ ' 1 \ I'r'- -t\ i : / /9- I 17k I . . >::>, I 'I I VINE Mt.PLE_----:-.. / ~. NE:luj~IC>EliJAU, I :>I(,"'~ 10' CfWUN ,~ '. ~ _" ~;:~I ~j;gT '~:Q, I CONTkACrOI'1 TO RI::~OL> A~~lr't. -~XCAVATlq;1 <> ~i1~ED-l j 111- ; ! - 1 !:~':;TII~~ ?':"~!!~E~ "'.t._~~ I L _ ___ _1 ~ I . --=:- - -_ ;e~~__=~ .~~ i ! - - -----., I I ; 5/~~NCTU"~R"1 4 : FELLOW5~IP HALL I J , ~ I , I J'-) -.. '( 1..__ NARTI It- ,"/ , (' 1 ole. I \ \ r rUF r r&I~1 ,- " ., .j ,/ -"" .-__. .n.___ Ci - INTERSECT/ON CI-/ASE ~ fREEr AND LOPEZ AVENUE BRASS CAP IN CONC/?E7E rUJSrt WrtH SURFACE - "--- -- '- ~-/~ ~ I Loye~ lo-Jl;.~...~. :~'1 .J~4j.h .Jt~...~.._~lt&'1_...U".__...l". ..1_ L..~1LL .......I._J..iJ....:.L...t.L. "" J................. ....4.. ..._. oil ... J. ~.... ;, .l.Uo.! l.....4:, I. =- '" ---_.~- as "'<,. =;~;,:; PUDLIC WORKS CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST STH STREET, PORT ANGELES, WA 98362 CONSTRUCTION Issued: 9/04/96 TF Permit No: 525 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ HOLY TRINITY LUTHERAN CHURCH 301 LOPEZ 301 E. LOPEZ Lot: 8-18 Port Angeles,wA98362 Block: 18 Long Legal: 360/000-0000 Sub: PSCC 2ND ADD PROJECT INFO-----------------------------~-------------------------------------- Work is OUTSIDE traveled road Value Work: $0.00 Plans Required: N/A Contractor: W. B. DENNIS Start: Finish: Performance Bond Required: N/A Proof Insurance: Amount: Work to Perform: INSTALL * Watermain Sanitary Sewer / / / / $0.00 Storm Drain Underground Tele/Ele Misc PROJECT NOTES------------------------------------------------------------------- new water service and fire main PROJECT FEES ASSESSMENT--------------------------------------------------------- R/W Excav: Sidewalk: Curb/Gutter: Driveway: Dwy Culvert: Street Cut: Other R/W: Fire Hydrant: Res Water Serv: 5/8" 3/4" 1" Comm Water Serv: * 1" 1 1/2" 2" Oth Water Serv: Water Sys Dev: Receipt No: 2330 Inspection Fee: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 San Sewer SFR: San Sewer MFR: Add Unit: 0 Other San Sewer: Sew Tap Wye/Man Tap: Sew Cap/ W/M Removal: Alter/Repair Sewer: Storm Drain Tap: Catch Basin per ea: Sewer System Dev: Milwaukee Dr. 'Sew Assess: R/W Use Perm: D.R.A. : Admin Costs (D.R.A): Misc: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ============================== $2,000.00 $2,000.00 $0.00 $2,000.00 $0.00 $0.00 TOTAL FEE: AMT PAID: $0.00 BAL DUE: Separate Permits are required lor electrical work, utilities, private and public improvements. This permft becomes null and void ~ work or construction authorized is not commenced within 180 days, ~ construction or work is suspended or abandoned lor a period 01180 days after the work as commenced, or ~ required inspections have not been requested within 180 days Irom the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions 01 laws and ordinances governing this type 01 work will be complied with whether specified herein or not The granting 01 a permft does not presume to give authority to violate or cancel the provisions 01 any state or local law regulating construction or the performance 01 construction. Date Sianature 01 Owner m owner is builderl Date Sianalure 01 Contractor or Authorized Aaent