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Home My WebLink About312 Forest Ave - BuildingPREPARED 6/21/10 9 48 14 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/21/10 ADDRESS 312 FOREST AVE SUBDIV TENANT NBR LEON SKERBECK CONTRACTOR PHONE OWNER LEON E SKERBECK /L CELESTINO PHONE (360) 457 3194 PARCEL 06 30 09 5 2 3308 0000 APPL NUMBER 09 00001338 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS June 21 2010 9 44 48 AM pbarthol LEON 460 2931 CALL TO ARRANGE A TIME TO MELT HIM THERE COMMENTS AND NOTES ME6 01 5/27/10 JLL MECHANICAL GAS LINE TIME 01 00 5/27/10 AP May 27 2010 8 18 38 AM 1pangrle LEON 460 2931 GAS LINE AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN MEET YOU THERE May 27 2010 4 51 22 PM jlierly ME99 01 6/21/10 L MECHANICAL FINAL N PREPARED 5/27/10 8 25 08 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/27/10 ADDRESS 312 FOREST AVE SUBDIV TENANT NBR LEON SKERBECK CONTRACTOR PHONE OWNER LEON E SKERBECK/L CELESTINO PHONE (360) 457 3194 PARCEL 06 30 09 5 2 3308 0000 APPL NUMBER 09 00001338 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 5/2 MECHANICAL GAS LINE TIME 01 00 May 27 2010 8 18 38 AM 1pangrle LEON 460 2931 GAS LINE AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN MEET YOU THERE COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00001338 Application pin number 398396 Property Address 312 FOREST AVE ASSESSOR PARCEL NUMBER 06 30 09 5 2 3308 0000 Tenant nbr name LEON SKERBECK Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 100 Application desc PROPANE TANK SET GAS LINE TO A COOKING STOVE Owner Contractor LEON E SKERBECK /L CELESTINO 312 W FOREST AVE PORT ANGELES WA 983622429 (360) 457 3194 Fee summary Charged Paid Credited Due T:Forms/Building Division/Building Permit OWNER Date 12/18/09 Permit MECHANICAL PERMIT Additional desc TANK SET /COOK STOVE GAS LINE Permit pin number 158568 Permit Fee 121 30 Plan Check Fee 00 Issue Date 12/18/09 Valuation 0 Expiration Date 6/16/10 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 10 6500 EA ME STOVE /FIREPLACE /MISC APP 10 65 1 00 10 6500 EA ME FUEL GAS PIPING 1 5 OUTLETS 10 65 1 00 50 0000 HR ME INSPECTION MIN 1 HR 50 00 Permit Fee Total 121 30 121 30 00 00 Plan Check Total 00 00 00 00 Grand Total 121 30 121 30 00 00 604, eA 6-zi- 0 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, 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 has 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 provisions of any state or local law regulating construction or the per formance of constructi l a der) i.ULA /l(� re l es l n 1 7�- Die Print Name Signature of Con rt act /or Authorized Ag nt Signature of Owner (if owner is builder) Inspection Type FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T.Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. 5 -27- 10 Inspection Type Date Accepted By 311- PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Comments FINAL Date Accepted by FINAL Date (0 I °Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Date Accepted By Applicant Le nn S Ke( bec -I \tk ci ge CQ- 1 VI Property Owner ke SKerher k a— 10,cc d Ue e le S rri Property Owner's Address ti 6-es-4 it-tie Contractor �tt9rn�rL Contractor's Address License PROJECT ADDRESS 3 l2, LU t2 4-do Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System ''Other Floor Areas Existing (sq. ft.) Basement 1st Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structur Site Coverage the amou t of impervio and other impervious surfa•es (see Max. height of proposed structur Will a lawn sprinkler system be i Will a fire sprinkler system be BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Expires Residential Multi family FCC) ,.ri_V\ I &n can House garage other Heat pump wood- burning stove gas fireplace Proposed (sq. ft.) sq ft. T Lot size s surface on a parcel includin AMC 17 94 135 for exemptions) ft. Occupancy group Occupant load Construction 'pe n e r ck t+r .v t1 Lot per sq 7 TOTAL VALUATION sq ft. Lot coverage structures ed driveways sidewalks patios Site coverage For City Use Only Date Received ;2. -1R-09 Permit O l R Date Approved Phone 3C06- VS 3(9V Phone 3h 12 r a c+,3 Phone E -mail rah t.3 a tl, Cdn'l Commercial Zoning Industrial tear off re -roof lay over one layer pellet stove other ft of bedrooms of full baths of half baths I have read and completed this application and know it to he true and correct. t am authorized to apply for thi.• it and understand tt at it is my revonsib;lity to determine /hat permits are required, and to obtain permits prior toe:king on Date Print Name kik_ C i IL e l I i n 6 S,gnat T Forms /BuiIdinj Di' is. 'Building permit application CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: Installed By: Owner/Business: Owner/Business Address: o RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS ~ SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) Details/Description: DATE 1/0CJ S- ;;;I hh3 , , PERMIT NO. o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Phone: Sq. Fl. o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS /J1{JU ~ /l1ck k? Ile eU~/ W,S. No. SERVICE SIZE DATE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. ~'f! O.K. to connect service o Final O.K. Installer:[ Site Address: New Meters Notify Port Angeles City Light by Street Address and Permit N umber when ready for inspection. Work must not be covered before inspection and O.K. lor covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. '~v1 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ dIJ &;!? Electrical Inspector WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer OLYMPIC PAINTERS INC Permit Fee GREEN - Top: Meier Dept., Bottom: City Hall (~) CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. If,;o3 ,? /2/ IFIf? ELECTRICAL PERMIT DATE Installed By: o READY FOR )i(WILL CALL FOR INSPECTION INSPECTION Phone: Site Address; Owner/Business: Phone: c. Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction I2f Remodel )li!' Service update/alter/repair o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) << Overhead o Underground Voltage f?4/.J Jij10 03.0' Service size c CJf) o Temporary Amps Detai IslDescription: -1 /-1;; T [/P/JA rr- '>FRII/rJ;;" 11//1 77;::12 /'IF?CU)";- <:: T/J PI)(7,4 . dPi7AT~7}RVF/?"PA1Jf5F , '. . ,/ ('..oR.11. EC T F!"{ I /J (, "Pt.1 C H . ) W.S. No. Service Capacity: 0 O.K. 0 Not O.K. ~HCi:l-lnspeCtlOA-U~ /ilP-- ~Rough-in/cover O.K. N>. t- % O.K. to connect service .Q ,i",,1 0.1\. Size Comments Date Hold lor: 0 Easement 0 Letter o Signed up lor service/meter o Meter Department notilied lor installation o Fire Department notilied 01 inspection o Plan Review approved/pending Site Address; Permit/Receipt No. o f{J/!...~ S'J Alv J ~ rJ (U L ~.J C -e---- '3 -l.1 -6"6 I Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or eiectrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. MI- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT f $ 0 ~ Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall ?,n Installer: New Meters Date: OLY"'''IC PRINTERS. INC. CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 1nsUllled By: '0/Z L~ ELECTRICAL PERMIT ~.Jf -,)i'.v. PERMIT NO. ~03J Jh..;-/yI f . DATE Site Add ress: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: Sq. FI. ~IDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL ~. ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) Detuils/Description: (' )j. f(Z:~~"-" W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REOUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection OK , 1]-Rough-in/cover O.K. \. o O.K. to connect service o Final OK L; Site Address: I Installer: New Meters 317- ~~tA \ Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. - !l91.'l/\" Electrical Inspector NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ &-eJ ,;:(0 - Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYUPIC PRINTERS INC ~ o~. ~ BUILUlNG PERMIT OWNER/APPLICANT LEON E. SKERBECK 312 WEST FOREST Port Angeles, WA 98362 360/457-3194 T: CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 ISSUED: 4/08/2002 PERMIT NO: 13336 PROPERTY LOCATION 312 FOREST Lot: 2 & 3 Block: 33 0 Long Legal Subdivision: FOGERTY & DOLAN S: Parcel No: 063009523308000 CONTRACTOR OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 PROJECT INFO Project Value: $5,500.00 Project Type: CAR PORT CONV. Occupancy Type: Occupancy Group: Construction Type: Zoning Use: ARCHITECT N/A , 98360-0000 3601000-0000 SFD Units: SFD sa FT: o o Commercial: Industrial: Garage: w - ~ o o o MFD Units: MFD sa FT: o o Tl () i (t iJ', t PROJECT NOTES CONVERT EXISTING CARPORT TO GARAGE RECEIPT#8932 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $125.25 $0.00 $4.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Mise Fee 1 : Mise Fee 2: Mise Fee 3: $0.00 $0.00 $0.00 TOTAL FEE: AMOUNT PAID: BALANCE DUE: $129.75 $129.75 $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA. 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 fora period of180 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 provisions of any state or locai law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date ~ --' --= .; ;-0-7 ner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS ";-Is-Ol. I Y1-f WALLS .,-30 -dJ'Z L-?H FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH.IN I I I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS I I I CEILING I 1 I FRAMING JOISTS / GIRDERS SHEAR WALL ~ WALLS / ROOF / CEILING 1ib-21!(:.6?. DRYWALL 10-2.4-0?.. L7:ff /&C..s I- f-UO-t l 0 ~ ID-2'-1-62- If- T-BAR INSULATION SLAB I I WALL / FLOOR / CEILING I I I MECHANICAL HEAT PUMP WOODSTOVE I PELLET/CHIMNEY / INSERT HOODIDUCTS PW UTILITIES {SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW./ PW/ CONSTRUCTION - RW. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417.4815 BUILDING C:\APPL.WPD ~ ~ORT ~ t>> "- -=... 'tiii1C~ BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: '-1- ~ -0 <:: Permit #: J'~ ~ ~ C-, --. Date Approved: Date Issued: The Building Permit Application must befilled out completely. Please type or print in ink. Uyou haye any questions, please call 417-4815 Applicant or Agent: Owner: Leo", [" Address: $(2 Le0^ E, S/cuL,c) Skc vl::>eC /( /,JesT fbr"6T IIve_ City: Phone: 360 t/to 293/ 7"57- S /9 tj L(57- 52C7 Zip: C;f53(;2 PelT Phone: A""je ~~ U Phone: Architect/Engineer: Contractor License #: Exp: Phone: Zip: WNING: Address: City: Us, f:y~ Block: PROJECT ADDRESS: '31 L LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Billing Address: Credit Card #: II-ve . Subdivision: Credit Card Holder Name: City: Exp. Date: VISA MC TYPE OF WORK: E Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Moye o Commercial iii Remodel 0 Demolition o Repair 0 Sign SIZEN ALUA TION: SF. @ $ /SF.~.$ . SF, @ $ lSF. ~ $ .5;8 'J SF. @$ /l1.'S'-I/SF. ~ $' TOTAL VALUATION $ S.sOO- c.~.... ~I-t- k-" So..v""--O...S~ o W ood-stoye I! Garage o Deck o BRIEF DESCRIPTION OF THE PROJECT: c..Ov\ \,:Q..r+ COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: /sq. ft. ~ TOTAL LOT COVERAGE: APPROVALS: PLAN BLDG. DPW FIRE ESAfWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must befilled out completely to be acceptedfor review. The Building Diyision can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Diyision. No, of Stories: _ Lot Size: Existing Lot Coverage: PLANNING USE ONLY: Notes: % Lot Coverage: /sq, ft, + Proposed Lot Coverage: % /sq. ft, VALUATION OF CONSTRUCTION: In all cases, a yaluation amount must he entered by the applicant. This figure will bereyiewed and may be reyised by the Building Division to comply with current fee schedules, Contact the Pennit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building pennit application and construction plans are submitted. All other pennit fees are due at the time of pennit issuance, EXPIRATION OF PLAN REVIEW: Ifno pennit is issued within 180 days of the date of application, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certifY that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain;~~._ ..:;;2:::/' Applica~ ~ 7C;~ -:5 Date: L/_ ifl- OZ T:\FORMS\APPS\Buildingpermit 1-- --r" ,~ I I =lO ~ I I~JVd I -ON O~ ",,<1' --\(j) >;- Z- G)Z en" ,0 en' (j)Z . (j) "''' >*' N ",,,, <:p '" Gl N C>l (j) o ~ -1'> (J1 -...J , l>' :!:: o J "i1/~ NVld iiOOl::l cJ3S0dOiid ~ "O-,9l r~ OL,~(U - U ,~./j' cJ0HQ L X OL r-- ---T---.~ ;:E]OV3H Z#:lO 9 X V [T1 -< [T1 CJ) --\ o Z [T1 \JJ c I 'CJ Z Gl 'CJ [T1 CJ) Gl z 1-- I //-} I', Dc r"L "- (J,I. "\\'/,~ I "L-.':;."6x "v-,gL 39V2IV9 'Ii q J'O ,,-vZ@G3GSmU"0N3"NVV\J-:::!2Jd I I ,<1\ \\' "J'\. 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""~ ~~" ~ @fij "-,, -~~]J ~~ ", ~~S::: "'" ~~"-, h;~~~?2 -, ~'~~ , i<"-.;~_ ~~~~, " ,"-. ......<>" ~"':<"'>' , '>"'''-- -----l" ,,9 N 11 S IX3 '1 E ~~;I~_~=~'~I~: ~::' ~~ -.~---'1 -c::-_c.~-j I-=--c.c.-- f: ':' "'!~f~~ ~. ~" ~ C L'~, 1[. tti.l~l <,.,].,i <~.~~ ,1 ", ~ ......':::.:.,." ~-:J J II-v/l NYld 'ClOOl.::l 0NI1SIX3 _.___.o,~ ClJ bs G6Z \l3ii\l9NllIll ,,9-.ZL ------1- , r-- ~1 I! ,D-,91 I 1 I I , ---~ I ! I", Iii "L-,QZ x "Ql-JL liiOdii\lJ N "' q I I ! i ~ ~ ~ q I II I, 8 I' ~ ,,-v-,Q2 x "OL-,LL J N 39\1iiOlS IN I~ "' \.-- , <N I'" I N . " 0 ! ! l L-____~ -J .,9-,ZL REQUEST: Date 5 -(2, - 0<:" CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . INSPECTION REPORT 0 0 0 0 . . . 0 . . ,~ fl...! Time Received by (phone. person) 51 2- "F-c1(2 (~~ r Location of Work to be inspected ' Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer ~~)Framing Chimney Plumbing INSPECTION ~~S: Inspected: Date.;p..:-! ~ -() "L Time Remarks: Phone No. Permit No. I~ 33 C, Final Sewer Excav. Other ~ By ~t: G- RESTORATION REQUiRED...... YES NO ./ /-" -.;",?" / ,. / / .,oj ,,-'" \~ -, - ,;r' of "'/"! ,I ..~'..~(. ,...5, 1>0,,\,. , ;- .' --- '- SURFACE RESTORATION: SURFACE TYPE: D Unimproved DGravel D Asphalt D PCC D Other D Repaired by City D Repaired by Permittee D No Damage Found Work Order # D COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . INSPECTION REPORT. . . REQUEST: Date 10-2 if -0 '2_ Time Received by I~V (phone. person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): ~ Sewer Foundation Framinlj) Chimney ',\- '1..J.~.\ \ INSPECTION NOTES: I ''\ '2 l! '''j ", Inspected: Date ' (/. r Remarks: .~ 517 ;:'6 re ";' I Phone No. Permit No. -Is i;bS'" Plumbing Final Sewer Excav. Other ! ~ -:" ":;},,,' , -' .,," ,"" ;"..;,';:.' Time By ,./~:':) /--~,. j /';' "r-~""'-J? )/~".' ~' " ' ;.,.~-' -.. --~'.""'.:.'.. .'.' , ). .' __ '0' '..".- ,~'" , /1 J I , , IJ'- j'-1 . ~ )j'" P' ,'. RESTORATION REQUIRED . . . . .. YES NO \" r) '\\. (11 l,' ...j SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other [] Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . INSPECTION REPORT. . . . . . . . . REQUEST: Date s: - 30 '-0 a. Time Received by Rtf' (phone. person) Location of Work to be inspected :3 J C. i- 0 r-e,S t-- Name of person requesting inspection ('. h r ; ~ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. /S 3s: 6 sewer0un~~ Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOT..fS: .L... ~o,'1L. Inspected: Date '--'"' J. "- Remarks: Time By ~ .> (" '\ J. ! I .' (~) \~/- RESTORATION REQUiRED...... YES NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved DGravel D Asphalt D PCC D Other D Repaired by City D Repaired by Permittee D No Damage Found Work Order # D COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . .. . INSPECTION REPORT. . . . . . . . REQUEST: Date 11- /5 -07- Time Received by J<V (phone. person) Location of Work to be inspected c ;:> / 2. F6 ,~<::;. i- Name of person requesting inspection J... eO I1L Address of person requesting inspection Phone No. Type of Inspection (circleJlllj)lo.priate one): Permit No. / .:s-3..sE. Sewer Foundation(;~~min~ ~himney PIUmbing~Wer Excav. Other otvly~ INSPECTION NOTES: h-'" / ":,- --.,.. / I Inspected: Date //.. . -G c-___ Time By" l ' " ~ Remarks: /;;~ / ..-:> ,/ )/~ (q/l RESTORATION REQUiRED...... YES NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City [] Repaired by Permittee D No Damage Found Work Order # D COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)