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Home My WebLink About2101 W 4th St - Engineering CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . . REQUEST (' -? - zq- t) '-f Date c- Time 5 f?11A.. Received by f)e~tc-S E. (phone, person) Location of Work to be inspected 2 (0 ( kJ Name of person requesting inspection ~Vl,,,,, I ~ Address of person requesting inspection ~ 4 Type of Inspection (circle appropriate one) I Sewer Foundation Framing Chimney Plumbing Final L{- --f{:: C. Ycvu:i 17.{.- 8 Phone No t.f( { ~ ~ ~<{Cf Permit No- Sewer Excav Othe~ +0 INSPECTION NOTES Inspected Date (z. ' 'Lot -04 Time 6 rtvt. By O-tJLVU ~ tE Remarks /!.e ,;,,{e....ce- d ~ reet +~f (~It '^- VLQ...,W s~dA ~<2- ctV'-.A Lo (" f' S-h>,a I ---- - ( ~ -1- ....J- "3 / it /' I c..V'-C ~ ec'.c.V\. '\. _I TO e_l(<; l S" i V\.. E' '-0/ ,er . rJlLoL llvLL. (tU-.~ tJ~~ UV--C\ d{)~," C" ~'IA. Z' -To t-k e ~S T . ,_ ' }Ju,e, ~e+Gl' "0 \JJ I () \~\ ~ \L\ t+- crjL-\ RESTORATION REQUIRED.. YES NO X Pl1M4.p ~1" it( w i..{-t:- 9 SURFACE RESTORATION SURFACE TYPE D Unimproved D Gravel ~Asphalt D PCC D Other D Repaired by City Work Order # Ie.( z --r3 - 083 [] Repaired by Permittee 0 COMPLETE [] No Damage Found D INCOMPLETE /r; r+r~ L/~5-Jrc (Continue o~everse side if necessary) " STREET SUPERINTENDENT (DATE) City of Port Angeles Public Works Department Water Distribution Repair Report IWork Order No (t..( f- 7 g --085 I Crew 71 S cI Cre.J DATEREPORTED 1'2...--2.0, --0'1 CONDITION EIvlERGENCY 0 ROUTINE):c CITIZEN COMPLAlNT 0 LEAKAGE SURVEY 0 OTHER 0 DATE OF REP AIR /1--go, -o~ TIIvlE 5"'30 DA.M. tfR,M. REPAIR LOCATION ADDRESS 2( C l LJ t(~ TYPE OF MAIN A-c- . SIZE C:. tl - 3( f ; DEPTH OF MAIN CLOSEST VALVE DEPTH. 2.'z COMPONENT REPAIRED. MAIN JOINT 0 CIR. BREAK D SPLIT BELL 0 LONG BREAK 0 HOLE 0 CLAMP 0 OTHER SERVICE TAP ~ CORP STOP D PIPE D CURB STOP D FITTING 0 METER SETTER 0 IvlETER 0 LINE VALVE, FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0 HYDRANT BRANCH 0 VALVE 0 BARREL 0 OTHER. COMPONENTS OF REPAIR, CLAMPO DRESSERO OTHER ~ .5A.JJle- Lorp .- C.c_p . Vl1.\o,^ SITE CONDITION GRA VEL D ASPHALT 0 SIDEW ALK 0 TOP SOIL AREA 0 SOIL TYPE 6 ~v ~ I CUTS ASPHALT CUT tf )(LDFT CURB CUT _IT SIDE DRIVEW A Y CUT _FT MAIN CONDITION INTERNAL LINING tJ /4 ruBERCULATION-MINOR 0 SEVERE 0 EXTERNAL CORROSION 'LOCALIZED 0 EXTENSIVE 0 CHLORJNE RESIDUAL SAMPLE fA PP.M. WATER OFF FROM 5' f1 M TO 5 2 tJ I'M. URB 0 WI!... ~'^~ YO'- k ALK _IT FROM M. TO /JIlt ( M. A..PPARENT CAUSE OF LEAK CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . .-<EQUEST Date I -L ..- 2- <7 -- 0 -4 Time 3-,30 It-VL Received by 0 e..'L"t. t<; E . (phone, person) - Location of Work to be inspected Name of person requesting inspection Pevt "'- ( S Address of person requesting inspection ~'''''() I Type of Inspection (circle appropriate one) Permit No ~ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other0~+e. ~ , i I~~:~:t 'j\I~~ \~t'?~~~~~\\) RESTORATION REQUIRED YES X t -z.,ot ~ L tD ( INSPECTION NOTES Inspected Date 1'-"" 2-'9 - 0 t.f Remarks .cd r e J ... A .c re (J~I"" b~'^-d. _' I . SURFACE RESTORATION SURFACE TYPE D Unimproved 0 Gravel D Repaired by City D Repaired by Permittee [] No Damage Found /(/) ,fl-red (Continue on reverse side if necessary) o 6- YO-rJ t.j-tk /(+5 Phone No 'f 17 ..- C{ (1 y 0, a SO ?M By L/t://tV{t5 IE tJl~ a... I'" i.J<d.e. s-tA,(K.I~sS .5t'<.~1 "'" J Nme"'6-t~~ <'"> .res \'O{\")Jt~r);J NO l!:.lIlolp~~ "vest 4~ $*. ~)( lO; ~sphalt D PCC D Other ~ S \ cysa I Work Order # It..(:$ 14: - oo'f , C"i 0 ~ COMPLETE ^'~ t~~,fve..CJ D INCOMPLETE w~t\A '\-lo~ M,'l( ~ ~ 7-)-oS (f / Sf;: J -T-b STREET SUPERINTENDENT (DATE) City of Port Angeles Public Works Department Water DIstribution Repair Report IWork Order No 14314 ---ODL/ Icrew 7 f$ t:j- Lr4!.W DATE REPORTED /2.- 'Z <7 -ol{ CONDITION EIvlERGENCY ~ ROUTINE 0 CITIZEN COMPLAlNT 0 LEAKAGE SURVEY 0 OTHER 0 DATE OF REP Affi. 17--2..1 -0'-1 TIIvlE C. 5D DA.M. ~.M. REP AIR LOCATION ADDRESS 2/0 W L{-{l... TYPE OF MAIN A -c- . SIZE. ~ (t - 3' ( ; DEPTH OF MAIN CLOSEST VALVE DEPTH. 'Z'"i- COMPONENT REPAIRED. MAIN JOINT D CIR. BREAK J;t' SPLIT BELL 0 LONG BREAK 0 HOLE 0 CLAMP 0 OTHER SERVICE TAP D CORP STOP D PIPE 0 CURB STOP 0 FITIING 0 METER SETTER 0 METER 0 LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0 HYDRANT BRANCH 0 VALVE 0 BARREL 0 OTIIER. COMPONENTS OF REP AIR CLAMPj( DRESSERO OTHER SITE CONDITION GRA VEL 0 ASPHALT I( SIDEWALK D CURB 0 , TOP SOIL AREA 0 SOIL TYPE 6~v~ l ~ Wc~C;keJ VOL~ CUTS ASPHALT CUT 4 )(./D FT CURB CUT _IT SIDEW ALK _IT DRIVEW A Y CUT _IT MAIN CONTIITION INTERNAL LINING tJA 1lJBERCULATION-MINOR 0 SEVERE 0 EXTERNAL CORROSION! LOCALIZED 0 EXTENSIVE 0 CHLORINE RESIDUAL SAMPLE -$P P M. WATEROFF FROM s'oofM, TO 5- 2ofM. FROM M. TO M. AFP4.RENTCAUSEOFLEAK. 6/'C>J~~ :$ettle cL.)€.. 'To u,,,..-St-v<-.t,'o"'\., 6 -t=' $e....) e. r 4.. ~ :5 -h, .-- ""- I-v\... do.. t' V\.. . df,ORT~_ t~ rUil 1L -- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 D(P~ I OSO Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . Application valuation 06-00001058 Date 680412 2101 W 4TH ST 06-30-00-9-4-0000-0000- PUBLIC WORKS UTILITES 9/26/06 RS7 RESDNTL SINGLE FAMILY o Owner Contractor 2 {()l~ kJ 4 ~ QweS.T HUDGINGS DANIEL W!NANCYG 2101 TN 4TH ST PORT ANGELES WA 983631401 OWNER Permit Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . RIGHT OF WAY 80' BURIED PHONE SERVICE 87767 .00 plan Check Fee 9/26/06 Valuation 3/25/07 .00 o Fee summary Charged Paid Credited Due ----------------- ---------~ ---------- ---------- -~-------- Permit Fee Total .00 .00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 Separate Permits are required foreiectricaJ work, SEPA, Shoreline, ESA, utiJilies, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have nol 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 provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner Is builder) Date T:\Policies\II02_15R [l/05} SEP 26 2006 09:41 FR TRAFTON B 253 471 1324 TO 13604174709 P,02/03 <(8'~ C@Ved g)~ ~wo~ Permit To Perform Work In Sttllet Rilht-of-WIlY APPLICATION is hereby m~de to the munidplllity of PORT ~!:'~ nored hereon and ~s "hown on ~rrached drawing; :PLEASE. :5e-E. Al1' Actte:D ..s~: ~# ~-t)un,aol.~"Ic.a WI~.Q <to I l VI fo ffQ'JldP 1.lLl~PhDt\Ji. 'SJJLVIC-e- oj Rb \.J ,;}-I () t~ ~ #. APproved: Water Department - Superintendent .- Sewer DeparmuUlt - Superintendent The estimared time for'completion of the above work II 10 7:JAYS A"F,eR.... f1 Ft'warr- Dilte.' PH'v~ t'AX Cf /~ !fJb. J - By Excel- BSW~QWEST- Dona Thaut Contractor Owner OWf.ST IA"J\'l~ ; 'B5.w 253/597'-513.6_ 253/471-1324 7850-S s. Trafton~ Tacoma,WA THE ABOVE APPLICATION IS HEREBY GRANTED SUBJECT TO APPl.ICANT'S; Complying with all Municipal Ordinances; Nolifying rhe Street Superintendent of tile time the work 'lIIi1l star:. and when it will finis/!; Prosecuting the work with diliacncc and with due respect to all prop"rty. contract>, penons' righ u and the interests and con v"nience of the p\lbUCi Saving the Municipality h.armless from any and all damages whIch uay accru~ to any penon or propll'I'ty because of this instal1atiCln or the maintenance thereof; Complying wilh following special conditions: Date f{ N4 !of;! ~ Clt}' .of PORr ANGELES BV~UU~~. /liliiii .....,... SEP 26 2006 09:41 FR TRRFTON B 253 471 1324 TO 13604174709 P.03/03 Qwest Job * W~ D~D-' g(n.~-15/f-rY\ L W W~t+ .~~--.-.~.--_,.,--- .,..~- s 'L\D\ ~ GD ...- ~ I ~lOll This request for permit is for the placement of underground telephone service wire to our customer at the following address: 21DI w 4th This work will require: Plowing in the R/W (total footage) M\ Push or bore 2 inch pve or BlP under roadway (total footage) D" Push or bore 2 inch PVC or BlP under driveway (total footage) Push or bore 2 inch PVC or BlP under multiple driveways {total footage) 'All crossings and ROW work at 36 inches. "All pits and trenching require select fill. ** TOTAl p~r-;J= D1'":1 ">k"*