HomeMy WebLinkAbout521 E 1st St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
.....
REQUEST
Date 7 - g -0 {f
Time 7 00 11M
Received by
Oe MM.I S E-
(phone, person)
Location of Work to be inspected ,S-Z I E ! ~
Name of person requesting inspection O-evt "115 E-
Address of person requesting inspection c...., y-l ~.. J 17 "'1-- S Phone No Y- , 7 - l{ f'l: c;,
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other 04.--(- e .r
INSPECTION NOTES
Inspected Date 7 - 8 - 0 L{
Remarks I! e r1 (c....c e t1A.. e..... T e r
,
Time 3DD P Iv( By D.en l-\. (s E
S~ut c9{{' - A(SD fJ,{efef bOK C{e.<d ~tl-r
RESTORATION REQUIRED
YES X NO
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SURFACE RESTORATION 1';( (" 5x5'
SURFACE TYPE 0 Unimproved DGravel ~Asphalt Opcc MOther ~v\..c.reie
Work Order # ;L/z 7 8,... 03 g-
O COMPLETE LGI-.J~j:'G-\<::" q...> j\qJ~tl t-
O INCOMPLETE LG/v\~')l~t~~ -{.- )0 -(\( I
f 7 -\\~
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(Continue on reverse side if necessary) STREET SUPERINTENDENT
[] Repaired by City
[] Repaired by Permittee
[] No Damage Found
-fo~< ~kud-
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST'
Date j- ~D --0 ~
Time
<:; ~ J7..) /7 /h
!L /1. Received by
7/7
(PhOne~
Location of Work to be inspected ~;2... / G / Sr
Name of person requesting inspection L--t/a. f€' J at/'
Address of person requesting inspection 17 c.) J I )'0 B Phone No. '-1/7 - ,/ Z 7" .,
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav ~......-t../<<t e r
INSPECTION NOTES:
Inspected- Date 7 /-u- c>~-
Remarks _
Time
Jo(c/C> 4A/\ By 7/7
(lj';'/\) l'J-e-./,J,t jJ4nel d-eeJ,
-( -e /4. c e J __
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P'tul
RESTORATION REQUIRED . . . . .. YES)( NO
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SURFACE RESTORATION:
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 pec ~ Other StJ ~ ?0b..//r
o Repaired by City Work Order # ,fu3V6 - oS-S-
O Repaired by Permittee 0 COMPLETE
./ 0 No Damage Found ~ INCOMPLETE
/1Q Jk&1 1 /X;</~
/Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST
Date j - :;( D .- <.? ') -
Time lf' ,/L) /I /h. Received by 7 1 7
(Phon.~~
Location of Work to be inspected ~;2... / E / SF
Name of person requesting inspection L--t/",.(. r- ~ J at/'
Address of person requesting inspection /7 (} J ( )" 0 B Phone No '-117 ,/ Z y .,
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav ~......-t../<.'<. t ~o ~
INSPECTION NOTES'
Inspected Date 7 /- u -- c>~-
Remarks
Time JO (,/0 /1,10 By 717
/l j ~41. t:i -r ,{let .r <-
RESTORATI~..... YES >(
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NO
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC .fA] Other StJ -< {~;/(
o Repaired by City Work Order # {0]<;6 -- oS-S-
O Repaired by Permittee rg( COMPLETE A..~"e:-0.. \'eV2{'1 (-ed
o No Damage Found 1:7( INCOMPLETE 9"\~. \n -~0C: (""'rf'" ~
../ ~ J I. J _J -.J..) \--....
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(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
ROUTING SLIP
Certificate of Occupancy
$ Certificate/Inspection Fee
DATE~ Lf ,
Address of roposed B
;l.. f-
New Business ............................
Transfer of Business Location. . . . . . . . . . . . . . . .
Change of Ownership . . . . . . . . . . . . . . . . . . . . . .
New Building . . . . . . . . . . . . . . . .
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Business . . . . . . . . . . . . . . . . . . .
Change of Use. . . . . . . . . . . . . . . . . . . . . . . . .
Applicant
Address
Phone:
business /f)2. -2.)' { home if.n -;2-) 0 3
Brief description of proposed business: / hie I
Legal Description: Lot
Current Use of Property:
Zoning Classification of Property:
Block
Subdivision
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WILL THERE BE ANY OF THE FOLLOWING?
Construction changes.
Electrical changes.
Mechanical (heating, cooling, stoves) .
Plumbing changes
New or relocated signs.
New septic tanks.
New sewer service
Admission charged to patrons.
Is this a home occupation?
Excavation of filling of lots
Work done in City right-af-way .
Is there sufficient off.street parking? .
New driveway openings.
A grading plan for site drainage.
(parking lots, downspouts, etc.)
Are the existing streets paved?
Are there existing sidewalks? ,
Is there curb and gutter?
Other.
\
YES NJ THE FOLLOWING WILL BE REQUIRED: IV
PERMITS BUSINESS LICENSE
v 1) Building 1) Taxi {1,
----v- 2) Plumbing 2) Peddlers
V 3) Electrical 3) 2nd Hand Dealer
-
--\,,-- 4) Mechanical 4) Pawn Broker lI'
--'-- 5) Sewer 5) Dance ,
I- 6) Sidewalk installation 6) Hotel - Motel
... 7) Driveway installation 7) Fireworks
v 8) Curb installation 8) Ambulance
V 9) Sidewalk obstruction 9) Tattoo shop
-
-iL 10) Water meter installation 10) Other
---L 11) Fire
V 12) Occupancy
~ 13) Sign
V 14) Shoreline
----v-
~ 15) Home occupation
16) Conditional use
---v 17) Other
I hereby apply for a Certificate of Occupancy and acknowi-
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my
knowledge. Signed:
A~;;,{~~REJECTED
Comments / Conditions
Building Section
Public Works Department
Planning Department
Fire Department
City Cierk
P.B.I.A.
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