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Home My WebLink About1138 W 17th St - Building CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 8/17/2001 PERMIT NO 7373 OWNER/APPLICANT PROPERTY LOCATION aron d. rice 1138 17TH ST W 1138w. 17th Lot: 9 P. A., WA 98362 Block: 451 [] Long Legal 360/457-1073 Subdivision: TPA T: S: Parcel No: 063000045139000 CONTRACTOR ARCHITECT owner N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Type: RES.REMODEL Project Value: $0.00 Occupancy Type: Construction Type: FEEDER Occupancy Group: Zoning Use: RS7 Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 120,240 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] [] Fan Wall 6 KW Service Size: 200 Feeder Size: 0 PROJECT NOTES 100 amp sub, 6k.w. heat and circuits for bedrooms and bath addition FEES ASSESSMENT Service: $0.00 Additional Feeders: $63.20 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $63.20 AMOUNT PAID: $63.20 BALANCE DUE $0.00 ('OMMI:NTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4 ! 7-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CO VE~ INSULATE OR CONCEAL ANY WORK BEFORE IT iS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ~7 3 7 '5 DITCH .~. ! ? ROUGH-IN / COVER - g/z ~1 ~- ~ SERVICE o, GENERAL COMMENTS: CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUE~: 8/23/2000 PERMIT NO: 12138 OWNER/APPLICANT PROPERTY LOCATION AARON RICE 1138 17TH STW 1138W.17TH ST Lot: 9 PA, WA 98362 Block: 451 [] Long Legal 360/457-1083 Subdivision: TPA T: S: Parcel No: CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206~000-0000 360/000-0000 PROJECT INFO Project Value: $12,500.00 SFD Units: 0 Commercial: 0 Project Type: SFR ADD/REMODEL SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES ADD 1,088 SQ/FT ADD FEES ASSESSMENT Building Permit: $223.25 Misc Fee 1: $0.00 Plan Check: $89.30 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $317.05 Plumbing: $0.00 AMOUNT PAID: $317.05 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 RW SANITARY WATER DWY STORM DRA OTHER Separate Permits are required for eiecbical work, utilities, pdvate and public improvements. This permit becomes null and void if work or constm~on 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 in.spec'dons have not been requested within 180 days from the last inspection. I hereby certify that I have read and e~(amined this application and know the same to be ~ue and cor~ecL All provisions of Ipws and ordinances governing this type of work will be complied with whether specified herein or not_ The granting of a permit dees not presume to give authorib/to violate or cancel the 3rovisionsof anystate or local law regulating construction or the perfor_mance~..~,~'nstructJon..~ /~..--~/~-_ ~ ~ ~--~ ~(::~.) Si~lnature of Contractor or Authorized Agent Date Si~'ature bf Owner (if~wner is builder} Date To the city of Port Angeles, I, Aaron Rice of 1138 W 17 Port Angeles I am requesting a 6 month extention on my building permit #12138. I have the bottom floor framed I am trying to l~t started on the second floor on the 17th of March. Sincerely yours, Aaron Rice o~FOR OFFICIA~ USE ONLY: BUILDING PERMIT- APPLICATION Date A~d: -- ~ Building P~mit - P~pplication must befd~d out compl~e~. D~ ~ Please ~pe or p~nt in ink If you have any qu~fion~, pl~s~ call ~17~815 ~c~tec~g~e~: 0~ ~' Phon*: Con~ctor ~ ~ E~ Li~me ~: E~:. Phone: Address: '~ Zip: LEGAL DESk--ION: Lot: q Block: ¢'q i Subdivision: [' "~ CLALL~ COU~ P~CEL ~ER:. TYPE OF WO~: S~UATION: o Multi-~ily ~ Addition ~ Move m Grog* SF.-~ $ a Commemial ~ Remodel ~ Demolition a ~ck SF. ~ = R~ ~ Si~ ~ ,TOT~UA~ON~$ CO~RCIA~S~E~L: Occup~ Gm,p: O~upant Load: ~ Cons~ction ~: . . No. of Sm~es: Lot Si~: % Lot ~vemge: Exim~g ~t ~vemge: /sq. ~ + ~ ~t Cove~e: /~. ~ = ~ ~T ~GE: /~.R PL~N~G USE O~Y: ~PROVA~: PL~ Pemi~ Requ~: Not~: M~. HeiSt: S~b~: Zoned: DPW Site PI~ ~d Use Approved by: Date: ES~'etlmd(s): ~ Yes u No SEPA Ch~klist requ~d? ~ Y~ ~ No ~er: OT~R B~D~G ~PLICA~ON S~'I-I'~: Your appHcation and see plan must be fllled out co~letely to be accepted for review. ~e Bulldog Division c~ provide you wi~ mom derailed ~fomafion on ~e application ~d p~ submi~ mqu~en~. B~D~G PE~ ~PLICA~ON S~TI'~: Yo~ ~mpl~d ~plimfio~ site pl~ (for add,on) ~d bulldog cons~ion pl~ ~ to bo submi~d to ~e Build~g Division. VALUATION OF CON~UCrION: ~ ~1 ~. a valuafi~ ~o~t m~ ~ en~ by ~e applic~t ~is fig~e will bo mvi~ed ~d may ~ ~v~d by ~e BuH~g Div. m comply wi~ rant f~ schedule. Conm~ ~e P~it ~o~tor at 4174815 for ~ce. P~ ~CK ~E: Yo~ ptm ch~k f~ is duo ~ the ~ &o bulldog pemit applic~ion md cons~mion plms ~ submiR~. All o~er pemit fees ~ due at ~e t~e of pemit issu~ce. E~TIOH OF P~ ~W: If no ~it ~ i~u~ wi&~ t$0 days of~e date of application, l~imtions. ~e Bulldog Official m ~mnd ~e ~e for action by &e ~plic~t up to 180 days, on ~i~n reque~ by &e applic~t (see Section 107.4 of~e Unifom Bulldog Code, c~nt edition). No application c~ be extended mo~ ~m once. I hereby c~t~ t~t 1 ~e read a~ ~amin~ th~ application ~d ~ow the same W be ~e and cd--t, andl am author~ed to apply for this permit. I underst~d it ~ not the Ci~ legal respo~tbili~ to determine whatpermi~ are requ~; it ~mai~ t~ ~pllc~t~ r~po~ibili~ to determine what permiU are required and to obtain suc~ PW-I lO~l~[r~.~9] STREET City of Port Angeles Applicant Project Review Sheet Is the proposed use listed as a "lmmitted use" o~ an "~_eeessory use" in tlxis zone?)~ y~s: ok n. no: re~q.~umes PD ~s ~s me ~y usc Cousine~, rcsidcnc~, ~.) on ~ sit~? ~ Y~: o~ [] no: r~q.~ir~s PD beenHaS there .over b~n a subdivision, shortplat, o~ PRD approved for ~ ~, ~ ~ ~submitted wd is pending approval? ~ y~: r~.uir~ PD I-1 no: ok Does the proposed use require a new bui~..~s license? UI yes: r~q.uires CC ~xno: ok Does the project extend imo any required setbacks or cross any lot lines (interior or exterior)? [] y~s: req,uires PD ~ no: ok D°es the !~-°ject exe -'x4- - thc- '[remitted height all°wance °r cause the lx°pen~ t° exceed ~ ye~: req.u/r~ PD ~no: ok the allowed lot coverage in this zone? r~a~w inD°eSthisthezone?Pr°ject require any additional parking or special desi~nflax~__~pe improvmuents E] yes: requires PD ,~ no; ok Does the project eliminate any existing parld~ spaces? ~ yes: rcq.uires PD ok Is the pWJect located within 200' of the shoreline? n yes: requires PD J~ no: ok Ar~in¢ludmg:lher~ ~my ~nvfl'or~ntally ~miti,~ ~ on or wiflfin 200' of tl~ la~y, ~i y~: mqui~. PD ID no: ok ~[ w~tl~d~ or ~re~ of ~m:lin~ ~' (y~r round or ~asoml); r~aew ~a*~a~ (year.round or ~ with ~ ~1o1~ of 40% or 8~at~r, or ~ that h~v, t~viden~ of l~'t 8round mo~m~t ~' ~'o~ion? [] .~i~e Plan 0 Comtn~tion D~wings [] Parking/Drainage Plan O.Civil D~awings item(s) [] Energy' Calc [3 Supporting Engr. Calc O Landscape/Lighting Plan O Other l~ Plann~ng Dep.a~v. .~.~nt re. vi,ew, i~r~. quired,..the prace~b~g time may b~ extended. If it ~ determined a ~epara~e Planning laepar~ent penmt(s] ~s neo,~, me Planning I.~laanmenl l~nntt(~) mint be appro~d pHor to the i~uance of any other ~y,me t.~O;,to oe mco~re, ct: m;sproject::will2b~:~topl~, until ~ t~m# the:Ci~vdtttrrnlne~ the c'orrtct tnforma~on i~providtd and any · uosequentty r~qutrea revtew andapproval~tmeeornpl~ttd and granted. Pe*mitCamgoty# '7~ (see revtme side) BuildingP~mit# i ~-[~j Mast~Tracking# Route to: [] BD [] CC. rn FD 0 LD 0 PD 12 PW 0 Pile O Other Completion oJ th~t form t~ r~ir~d for all eatttgory lb, 2 & $ In.wit& Completion i* not t I r~quiredforeategorylap~rrnits~mlea*tl~yrttultinapottntlalchang~ofworoccuptmey. NI3I_L~ A3--13 1 S 3/"X NOIIVA393 iS~3 BUILDING SECTION CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST; Date ~]/~/~)G Time Received by hone, person) Location of Work ,o be inspected /!i ~ ~ /,~, /7 ~ .~.~' Name of person requesting inspection Address of person requesting inspection Phone No. Permit No. Type of~ appropriate one): Sewer~F~n,~~ming Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ,2 Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel [~Asphalt ~-IPCC []Other [] Repaired by City Work Order # [] Repaired by Permittee b-~ COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ~ i >''~ ~jo ~ Date ~1 I~'~/O~) Time Receivedby person) Location of Work to be inspected / i ~ ~ ~ , / Name of person requesting inspection ~' ~)-~ ~ Address of person requesting inspection U Phone No. Type of Inspection [circle appropriate one): Permit No. ~ ~. ~ ~'3~ Sew on F~ming Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: )/j~'- .,~ Inspected: Date ~ By Remarks:. RESTORATION REQUIRED ...... YES NO. SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [Gravel []Asphalt [PCC ~-]Other [_] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ~--/O --(~ / Time / ~ ~ Received by ~ ~-' ~(phon~e, erson) Date Location of Work to be inspected i { % Name of person requesting inspection ~'~/~ Address of person requesting inspection Phone No. Permit No. Type of Inspection (~.'cp~iate one): Sewer Foundatio~Fra~himney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: D~ate , ~ I ,- ' t Time Remarks: ~ t :, .~.. '~ ,, \ · \ ,, ~ - i" RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel [~Asphalt [~PCC [~Other []Repaired by City Work Order # ~--lRepaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE {Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ~ Date "~-/ ~/~' '~;j Time Received by ~i~ ',~ ' ~ [phone, person) l, ~ / · Location of Work to be inspected ~ ~ ~ -' ~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. /~/~ ~ Sewer Foundation ,fFraming Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: . ~ ./~.~i Inspected: Date ~- ~-//' /~'~ ' Time By Remarks:. RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # ~--] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS REQUEST: ........... INSPECTION REPORT i ......... ~'~"~(' Date Time Received b phone, person) Location of Work to be inspected / ~ ~'~) ~ / / Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. 1 ~'' :, ~ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other .~**,4J.~;~ 5-- ~ INSPECTION NOTES: Inspected: Date , , Time Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt {~PCC []Other [] Repaired by City Work Order # [~] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE {Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES PUBLIC WORKS - BUR,DING DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 8/23/2000 PERMIT NO: 1213{~ OWNER/APPMCANT PROPERTY LOCATION 1138 17TH ST W AARON RICE Lot: 9 1138 W.17TH ST PA, WA 98362 Block: 451 [] Long Legal 360/457-1083 Subdivision: TPA T: S: Parcel No: CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $12,500.00 SFD Units: 0 Commercial: Project Type: SFR ADD/REMODEL SFD SQ FT: 0 Industrial: Occupancy Type: RESIDENTIAL Garage: Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES ADD 1,088 SQ/FT ADD FEES ASSESSMENT Building Permit: $223,25 Misc Fee 1: $0.00 Plan Check: $89.30 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $317.05 Plumbing: $0.00 AMOUNT PAID: $317.05 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 RW SANITARY WATER DWY STORM DRA OTHER Separate Permits are required for electrical work, utilities, private and public improvements. This permit becomes null and void if W°rk or coneb'uction autho~zed 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 ins~ns have not been requested within 180 days from the last inspection. I hereby cerlJty that I have read and e~<~mined this ap~n and know the same to be ~ue and correct Ail provisions of ~ and ordinances governing this type of work wilt be complied with whether specified herein or not_ The gran'~ng of · permit dj~a~s not presume to give authority to violate or canc~4 the provisions of any state or local law regulating construction or the pen'ormance o~.../f~dnstnJcfion. ~ BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PI~ASE PROVIDE A MIIqlMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COFEI~ INSULATE OR CONCE,4L ANY WORK BEFORE1NSPECTED AND ACCEPTED. POST PERMIT IH A CONSPICUOUS LOCATION. KEEP PER~T CARD AND APPROVED PLANS AT JOB SITE To the city of Port Angeles, I, Aaron Rice of 1138 W 17 Port Angeles I am requesting a 6 month extention on my building permit #12138. I have the bottom floor framed I am trying ~o get started on the second floor on the 17th of March. Sincerely yours, Aaron Rice o~ ~)~ FOR. OFFICIA~USE ONLY: ~ ~o~r~.~ BUILDING PERMIT- APPLICATION P,..tt#: I~ ~ D~ A~cd: ~ Building P~mit - Preapplic~ion must be~d out completely. Da~ ~ ~ Please ~pe or print in ~ If you have any qumtions, pl~se all 417~15 ~c~tec~n~eer: O~ M~ Phone: Con~ctor ~ ¢~ Licem, $: E~:. Phone: Address: '~ Zip: CLALL~ COU~ P~CEL ~ER: TYPE OF WO~: S~UATION: ..... ~ , ~ ~ Multi-~ily ~ Addition m Move ~ Gmg~ ' SF.-~$ ~$. ~ Commemial ~ ~odel m Demolition ~ ~ck SF. ~ $ /S~. = $ ~ R~ak = Si~ ~ .TOT~ ~ALUA~ON~ CO~RCIA~S~E~L: Ocoup~cy Gwdp:. O~upant Load: Co~aion T~e: No. of Swfies: ~ ~t S~: % ~t.~vemge: % Exi~g Lot Coverage: /sq. ~ + ~sed ~ Corpse: /sq. [ = ~TAL LOT CO~GE: /sq.~ PL~N~G USE O~Y: ~PROVA~: PL~ Pe~i~ Requked: No~s: ~ BLDG M~. HeiSt: Se~ac~: Zon~g: DPW Site Plan ~d Use Approved by: Da~: ~. ES~'etl~d(s): ~ Yes ~ No SEPA Chec~i~ r~u~d? ~ Yes ~ No ~er: OTHE~ B~D~G ~PLICA~ON S~: Fourappliceflonands~eplaamustbefll~outco~letelyto~eacce~tedforreule~. ~e Bu/ld~g Division c~ provide you wi~ mom detailed ~fo~ation on ~e appli~tion ~d pl~ submi~l ~. B~D~G PE~ ~PLICA~ON S~'rr~: Yo~ ~mpl~ ~plicafio~ si~ p~ (for addition) ~d bulldog cons~on pl~ ~ to be submi~ed to ~e Bulldog Division. VALUATION OF CONS~U~ON: ~ ~ ~s, a valuation ~o~t m~ be en~ by ~e applic~L ~ts fl~ will be ~viewed ~d may ~ mvhed by ~e Bu~dhg Div. ~ comply wi~ c~nt ~ schedule. Conga ~e Pe~it C~rd~aWr ~ 4174~15 for ~b~ce. P~ ~CK ~E: Y~ pl~ check fee is due ~ ~e t~e ~e bulldog pe~it application ~d cons~ion pl~s ~e submi~ed. All o~er pe~it fees ~e due at ~e t~e of pe~it i~u~ce. E~TION OF P~ ~W: If no ~it h ~ued wi~h 180 days of~e date of application, ~is application will expire by l~i~tions. ~e Bulldog Official ~ e~d ~e ~e for action by ~e applic~t up to 180 days, on ~i~n mque~ by ~e ~plic~t (see Section 107.4 of~e Unifo~ Build~g Code, c~nt edition). No application c~ be extended mo~ ~ once. ] A~by ~t~ t~t l ~ read a,d ~omin~ this a~plication ~ ~o~ the same to be ~e and co,ct, and ] am ~tkor~ed to apply for tA~ permiL ] uoderstand it ~ not the Ci~s legal r~po~ibilt~ to determine ~hatpermi~ are required; it remai~ t~ ~plE~t~s respo~ibi[i~ to determi~ w~t permits ~ required aad to obtain $uc~ Pw-I t o~t~[~.~] Cuy of Port Angetes Applicant Project Review Sheet b~nHaS th~resubm~tted~ b~nand isa anbdiviainn,p~nding approvel?ah°t~plat' ~ PRD apl~nn~l for thia aite, ~ hea on~ ~ y~: ~. PD [] no: ok Does the prolx~ct use requi~ a new heimeas li~? [] yes: req.uires ¢C ~no: ok Does the project ex't~d into any requirod setbacks or ~roea any lot ~ (~tefior or exterior)? [] yes: req.uirea PD ~ no: ok Doesthe allowexlth~ projectlot coverageeXC~d th~ p~mittedin this zorn? height allowanc~ or ~u.~ the proln~ to ~xe _,~_ _ [] y~: r~quit~. PD ~ no: ok DoeSin thisthezone?pWject require any additional parking or ~ial deaign/land~ape/m~t~ [] yea: req.u/r~ PD ~ no: ok Does the project eliminate any existing pm, king sp~ce_~? [] yes: r~lgi~a PD ok la the pwject located w/thin 200' of th~ ~horeline? I-I yea: req.uirea PD ~ no: ok Areincluding:there any env/ronmantally sansitive areas on or w/thin 200' of the inop~n~t, '~ yea: n~q~fr~ PD [] no: ok · wetlands or areas of standing water (year round or ~m~nal); r~'new · streams (year.wund or ~a.nmal); · areas w/th a slope.of40% or grester, or · areas that have ~ndanec of past ~roand movement or ewsion? Have all the requirad submittals been provided by the applicant? [] yea: ok [] no: mark [] Site Plan [] Constriction Draw/n~ ~qinxad [] Parking/Drainage Plan El Civil Drawln? ~tem(s) [] Enerlg/Cal¢ [] Supporting Engr. Calc l~ Plannins Del~..r.~, .ent re, vi,e~_, is~r~, qu(r~d, the processing .~. ~e may b~ e~tended. If. it is date. trained a sseparaie Planning I.~eparonent permitfsj ts neeaea, me t'amnmg Departn~nt l~nmt(a) ntuat b~ approved pnor to the tssuance of any other permit. ,The~nj'~.~ ?~, .p~ed a~... is ~u~.itotht.b~t of my .1~..~, I unders~a~ that in the. ~nt:that any of this information is determined oy.me Lt~,to oe t~,~c~., ~is p.roj~ct~:wtll_ b~ tto~l~, until ruth tim# the:Ci~,d~tarmln~s the correCt information is providtd and any suozequentty requ:rea rmn~rw ana approvals a~ completed and granted. PormitCatego~# '~_ (,eer~w:rae,~de) Buildinsparmit# i ~---I~ M~t~Trae.~#. Route to: El BD [] CC. [] FD El LD [] PD [] PW El File El Other Corn?etion o/th~form is r~qtdr~d for all cat~gory lb, 2 & $ lnmnits. Completion is not ~ I requirtdf~reattg~y~a~n:nn~t~un~earth~yrts-~t~nap~ttntialc~angt~fa~s~r~pan~y~ STREET NDI/~A3-13 NOI±~A333 1SV3 BUILDIN6 SECTION CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST; ' Date ~:~/,~/4~ C~' Time Received by hone, person) Location of Work to be inspected /!/~ ~ ~.~ / ~ ~ -~- Name of person requesting inspection Address of person requesting inspection Phone No, Permit No. Type often (_ci~rcle appropriate one): Sewer( Foundation F~r ming Chimney Plumbing Final SewerExcav. Other INSPECTION NOTES:'t r~' Inspected: Date ~ ~ ~'~-) Time Remarks: ! RESTORATION REQUIRED ...... YES NO. SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: / ~o Date ~'/ I ~/~;) Time I~''~ Received by person) Location of Work to be inspected /i ~ Name of person requesting inspection Address of person requesting inspection O Phone No. Type of~--- ~'~lnspecti°n (circle appropriate one): Permit No. Sewe~on Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: /~-- Inspected: Date By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel []Asphalt [~]PCC [~]Other I--I Repaired by City Work Order # [--J Repaired by Permittee ~ COMPLETE I~1 No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~-~--/O --(~/ Time / ~- ~'~ Received by~' ~.~ph~erson) Location of Work to be inspected i { '-~'~ ~ ~ ~ ~ Name of person requesting inspection ~ ~ ~ ~ Address of person requesting inspection Phone No. Permit No. Type of Inspection ~iate one): Sewer Foundatio~Fm~himney Plumbing Final Sewer Excav. Other INSPECTION NOTES: /~ ~ Inspected: ~te ~ - ~ ~ ' ~ Time '~/ /'~ ~/~/ By ~ ~- Remarks: ~ ~',~,~.~ * ~ ~'~* ~ ~,'~ /~'*~ ~ * ' RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel []Asphalt []PCC [~Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ~ , ~ ~"' Date- ~! ~' !2; / Time Received by {,~ (phone, person) Location of Work to be inspected t ! ~ i~'~I /~.~.";~ /' /''~'? Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. /~'/"~ ~ Foundation ~,fFram ng Chimney Plumbing Final Sewer Excav. Other Sewer INSPECTION NOTES: ~ , ~ Inspected: Date ~- ~/' ~l Time By Remarks:. RESTORATION REQUIRED ...... YES NO $URFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC ~Other [] Repaired by City Work Order # [--] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ... REQUEST: Date Time Received b phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. INSPECTION NOTES: Inspected: Date~'~ 7'~ ~? Time By Remarks:. RESTORATION REQUIRED ...... YES NO. SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [Gravel [Asphalt [PCC []Other [] Repaired by City Work Order # I--] Repaired by Permittee [-~ COMPLETE El No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~{ '~---L"~ [ Time Received by arson) Location of Work to be inspected f/~ ~ ~} Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit~No.--'- '- '~' Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. t~ INSPECTION NOTES: Inspected: Date ~'~' / ~ "~'~/ Time By Remarks:. RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel I--rAsphalt r--~PCC [~Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE)