HomeMy WebLinkAbout1236 E 5th St - Building
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
'21 EAST 5TH STREET. PORT ANOELES. WA 9R162
ELECTRICAL PERMIT
PERMIT NO 7362
ISSUED: 8/08/2001
OWNER/APPLICANT
LAYTON BATEY
1236 E. 5TH ST
Port Angeles, WA 98362
360/000-0000
T:
CONTRACTOR
OWNER
VARIOUS
Port Angeles, WA 99360
206/000-0000
S:
PROPERTY LOCATION
1236 5TH ST E
Lot: 1 & WAO' OF LIBERTY ST
Block: 190 D Long Legal
Subdivision: TPA
Parcel No: 063000019005000
ARCHITECT
N/A
, 98360-0000
360/000-0000
PROJECT INFO
Project Type: RES. MISC.
Occupancy Type:
Occupancy Group:
Electrical Heat:
[8J Baseboard
D Furnace
D Heat Pump
D Fan Wall
Project Value: $0.00
Construction Type: ADD CIRCUITS
Zoning Use: RS7
3 KW
o KW
o KW
o KW
D Riser D
L><:J Overhead Service
D Temp Service
Underground Service
Voltage: 120,240
Phase: L><:J 1 D 3
Service Size: 200
Feeder Size: 0
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6'
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PROJECT NOTES
add lighting and recpt. and 3 KW baseboard
~
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$0.00
$0.00
$45.50
$0.00
$0.00
$45.50
$45.50
$0.00
V
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.,.
"
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FEES ASSESSMENT
Service:
Additional Feeders:
Circuit Wiring:
Temp Service:
Misc Fee:
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE
CQIIEv1J:j\!TSjACTION NEEDEP
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMlT CARD AND APPROVED PLANS AT JOB SITE ~7GJ-
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
1)11 Cl1
RI -IN / COVER 17/"/101 U
SER VWR
I "Inht I LW I
GENERAL COMMENTS:
PW.I 102.1' (4'96}
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BUILDING PERMIT
OWNER/APPLICANT
LAYTON BATEY
1236E. 5TH ST
Port Angeles, W A. 98,362
360/000-0000
T:
CONTRACTOR
"',,,,;.' ;'ri'~>,
APEX CONSTRUCTION
32 ROSEWOOD LANE
PORT ANGELES, WA 00003-8362
360/457~2945
+,"
c" rnY,'~' ,QF'PORTAN, .OELE,S
PUBLIC woRKs - BUJ1.DINO'DMSION
321EASTSTH,STltEET;'PORT~GEnES, WA 98362
t:.:'i\';f~/;~,
, 98360-0000
360/000-0000
Commercial:
Industrial:
Garage:""
o
'0
'0
PROJECT, INFO
ProjectValue: $8,500.00" ,
Project Type: SFR ADD/REMODEl-
Occupancy Type:
Occupancy'G'roup:
Construction Type:
Zoning Use: RS7
,SFB Units:
',' SfD,Sa FT:
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'MFD Units:
MFD sa FT:
o
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PROJECT NOTES
240 sa. FT. ADDITION OF 10' X 24'TOEXISTINGRES.MAINLlVING AREA
;";,,.;
FEES ASSESSMENT
Building Permit:
Plan Check:
State 'Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$167.25
$0.00
$4.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Misc Fee 1:
Mise Fee 2:
"MisC'Fee3;"
TOTAL FEE:
"""""AYPUNJeAIP~.",.,
;; c,,' ,
," .,4)" BALANCE DUE:
'Date
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BUILDING PERMlTlNSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECI10NS. PLEASE PROVIDE AMINIMUM 24 HOUR NOTICE. ITISUNLAWFU/.;;TQgqtER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMm~ARD AND APPI~OVED PLANS AT JOB SITE
INSPECTION TYPE
f. )JATE ~" :ii') ACCEPTED
, YES , NO
FOUNDATION: t. .
FOOTINGS
WALLS
FOUNDATION DRAINAGE."
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r, 1IU/fIU
COMMENTs
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1-(S~Ol f-~'
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.
ELECTRICAL (LIGHTDEPl) SEP~TEI,'I:SMIT:# ....
ROUGH-IN ,.
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
.
. .......
,;, ".''''~ ,
t\
.
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WooDSTOVE / PELLET/CHIMNeY/INSERT
,;'.".::.
,(;
, .0
,
19-4-0'
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HooDlDUCTS
PWUTILmES / SITE WORK '(Engineering Division) SEPARATE PERMIT 1#;8:
WATERLINE / METER '."
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'8
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SEPA:
ESA:
SHORELINE:
PARKINGlLIGHTlNG
LANDSCAPING
,
RESIDENTIAL.
,0'"" .'? '>;n'~
ELECTiucAL~ dam 'DEPT.'!'
..,.,,:. .. ".,,:
'CONSTRUClioN R. W./ pw/
ENGINEERING
FINAL INSPECTIONS REQUIRED PRIOR TO'OCCUPANCYJUSE
'.. ,..pATE .YES, NO.. .:COM~ER<;y.L
');.','~:' .tt'C' ,.,.< ,l;".; :e. ." 'J'..
i417~735' ur.;."'; .' ,...., ," i t-, . " eLI'1crRlCM. )>"
,..7<' ~"i,ll~;:"l. , ,',., i,.\t".LlGH'IDEPT
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417-4807'; I -'.." . i'\ .."
.
C<)NSTRucriON~ it w.
PW / ENGINEERING
I DATE.'. d" ~ACCEPTED ~
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BUILDING ".' ' i,: i., '1" .:',;~;..-:."., , ',.: '
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PLANNING DEPT,
BUILDING
417-4653
417-4750
411-4815
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FIRE DEPT.
.' .p~G DEPT.
FIRE
C:\APPL.WPD
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Building/Utility/Electric/Fire Permit Application
Please fill out completely. Type or print in ink. If you have questions
plcasecaJl (360) 417-4815 or Fax: (360) 417-4711
e-mail: www.ci.port-angeles.wa.us
Applicant and/or Agent: t:.l:) ~AN
Owner: LA"ttEN ~A~,,(
Address: 12~ E.. 577-1 ST'.
ArchitlXtJEngine~ign9'- A't>EX CoN~"'t~'-'c.~C.N
Contractor: A~ ~6"iilv~"o'" License #:p,,~-Ji~%.. Exp: ~O'J/O \
Address: 283<7 E. ~W"'(. \0\ City: ~.ANC:Et.c.6
PROJECT ADDRESS:: \2.. ~G.. E. 5Tl-I 6T.
LEGAL DESCRIPTION: Lot: \ Block: 1'70
Phone: 457-7033
Phone:
City: ~ ANc.:.E-L€O
Subdivision:
CLALLA1\1 COUNTY PARCEL l'IlJMBER:C43aD Ol'3Q)S (XXX)
Billing Address:
Credit Card #
Credit Card Holder Name:
City:
Exp. Date:
FOR OFFICIAL USE ONLY:
Date Rcc.: 7 - 2 ;;>-0 J
Pennit#: /2 ~77
Pre-Appl Complete:
SHBl724:_Y_N
Letter ofCompleleness:_
Bldg. Permit Appl:
B.P. Issued:
45]. - 2057
Zip: 58~lO2..
Phone: ~S7-.2'9~
Phone:451 -2~4S
Zip: ~~3G:.2.
ZONING
Zip:_
VISA_MC_
TYPE OF WORK:
o Residential 0 Nt.,'w Constr. 0 Reroof
o Multi-family % Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o EllXtrical 0 LP-ga<; 0 Sign
SIZENALUATION:
2L10 SF.@S
,
SF.@S
SF:"@ $
TOT AL V ALUA TION
o Stovc/lnst...Tt
o Garage
o DlXk
DUST
, ,
BRIEF DESCRIPTION OF TH of=. /0 X 2.ct 1-lvlNb AR~A
~e-Te ~t> A.oo~ 2"~ t. Re-MAtJv~EH)
COMMERCIAL/RESIDENTIAL: Occupmlcy Group: Occupant Load:
No. of Stories: \ Lot Size: % Lot Coverage:
Existing Lot Coverage: \4,00 /sq. ft. + Proposed Lot Coverage: 2~ 0
/SF. = S
/SF. = $
/SF. = $
S 1?Sc.o~
,
TO fl\A.1't:.H EX\~TINb.
.0/0 ..")
/sq. ft. = TOT,~LiOTCOVERAGE; /720 /sq.ft
Construction Type: NEw
PLANNING USE ONLY:
Pl.:nnits Required:
Max. Height: Setbacks:
Site Plan mld Use Approved by:
ESAlWetlmld(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No
APPROVALS:
Notes:
Zoning:
Date:
Other:
PLAN
BLDG
DPW
FIRE
OTHER
PRE-APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The
Building Division can provide you with more detailed information on the application and plan submittal requin.:ments.
BUILDING PERMIT APPLICATION SUBMITTAL: Your completed application, siteplml (for additions) and buildiilg construction
plmls are to be submitted to the Building Division. .
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Div. to comply with current fee schwuIes. Contac1 tIle Pennit Coordinator at 4 I 7-48 I 5 for assistance.
PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All
other permit fees arc due at the time of pt...'Tmit issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date ofappfication, this application will expire
by limitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant
(see SlXtion 107.4 of the Uniform Building Code, current edition). No application can be extendw more than once.
I hereby certify that 1 have read and examined this application and know the ...ame to be true and correct, and 1 am authorized to
apply for this permit. lllnderstand it is not the City's legal responsibility to detennine what permits are required; it remains the
applicant's responsibility to determine what permits are reqllir. and to obtain such.
PW-II02 U[rcv3/00J
Applicmlt:
Date:
7/Cj/o1
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~ORTANGELES
WAS H I N G TON, U. S. A.
DEPARTMENT OF COMMUNITY DEVELOPMENT
November 27,2001
Mr. Layton Batey
1236 East Fifth Street
Port Angeles, W A 98362
RE: Variance - V AR 00-04
BATEY - 1236 East Fifth Street
Dear Mr. Batey:
-
A review of your variance application file (V AR 00-04) and your building permit file indicates
that although reductions were permitted to allow an addition to your residence and a detached
garage at your property located at 1236 East Fifth Street, you only constructed the addition.
This letter is then to inform you that approval of the remainder of the proposed construction
activity (the detached garage) with a reduced setback has now expired. I am enclosing a copy
ofthe November 16,2000, letter written to you following the Board of Adjustment's decision
approving your variance application for your information. You will note that the letter stated
that those activities for which the permit is approved must be commenced within one year of.
the date of approval of will become invalid.
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If your intention is to construct the detached garage planned previously, you must once again
present your application to the Board of Adjustment for consideration as that portion of your
variance request was never commenced.
Please don't hesitate to contact staff if you have any questions regarding this matter.
Sincerely,
~
1\ // '---_/~:)
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Sue Roberds j"
Planning Specialist
~. Building Division
Enclosure
321 EAST FIFTH STREET · PO BOX 1150 · PORT ANGELES, WA 98362-3206
PHON E: 360-417-4750 · FAX: 360-417-4711 · TTY: 360-417-4645
E-MAIL: PLANNING@CI.PORT-ANGELES.WA.USORPERMITS@CI.PORT-ANGELES.WA.US
t- ._~-- NS(P".E'OO" ~ ____._~2~~~_______
"-4::.. 5TH S TREE T ~
. '- JONeS ST. @ { 5TH sr:
FOUND r PIPE. WITH TACK
IN LeAD PLUG IN MONUMENT
WELL.
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Notes
Comp, Plan Designation: Residential
Zoning: RS-7
Lot Size: 10,876 sq. ft.
Current Coverage: 1,650 sq. ft./15%
Proposed Coverage: 1,200 sq. ft./ll %
Total Proposed Lot Coyerage:
2,850 sq. ft./26%
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LC2:end
~ 16" Catchment Basin
WJllA
Curtain drain consisting of gravel
trench 2-3' deep,16-18" wide containing
4" perforated drain pi pe.
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Crt VACATED '~=~EY
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Batey Site Plan - 1236 East 5th Street
Scale: 1" = 20'
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Board of Adjustnumt Minutes
November 6, 2000
Page 2
PUBLIC HEARING:
VARIANCE REQUEST - V AR 00-04 - BATEY. 1236 East Fifth Street: Request
for a reduction of the side yard setbacks to allow a small room addition and a
detached garage in the RS-7, Residential Single Family zone. (Continued from
August 7, 2000.)
Planning Director Collins noted that an additional letter from the applicants was included in the
Board's materials. The applicants have proposed ~ revision to the original site plan which removes
the proposed garage from being over the private sewer line and decreases the requested variances
from the required setbacks. He added that a windshield survey indicated that there may be other
older homes in the area that encroach into the required setbacks, but without verification he could
not be sure. Vice Chair Gase opened the public hearing.
Layton Batey, 1236 East Fifth Street, believes there are other newer homes in the area that do not
observe the required setbacks. The original proposal did not proposed construction over the existing
private sewer line. The sewer line serves the house directly south of his residence. The current
proposal is to move the proposed garage 12' west of the original proposal which allows an acceptable
clearance of the sewer line.
Mr. Batey confirmed for Board Member Lowman that there is at least 5' separation between the
sewer line and the proposed garage. Board Member Lowman noted that Mr. Batey had redesigned'
the proposal to try to addroSs both the Public Works and Fire Department comments.
There being no further testimony, Vice Chair Gase closed the public hearing.
Board Member Lowman moved to approve the variance proposal as revised as there are other
homes in the area that are encroaching into the setbacks with the following conditions, findings
and conclusions:
Conditions :
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A ..3. ~'.. ..s.f1'Tl. .:n."cu"" ,'atl~n!~,tie jbr6N.iUta. ........'.,:.. .
~.~~.~~l~:~j..'.oo,. .t'-,'''_ , .;t~~- ,".J_
o-~p~tnlent: . .,'- ",
tI~-PubliCWprkS, D~.~t
Findings:
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;.' ,.'-:n....;<-.- )",' , ..,'.. ,_, - . ' ','- '.':'-<~;~i;~;~.;~g~'~>;r:.:.-"";
e~ l~~"pti~t~\'1\11Fs~t"'ife'
r, -,-,-; .,,' ,~,
. m.th~Il'--iN.aie;sewer_line.
Based on the staff report analysis, public review and comment, the Board of Adjustment's
discussion and deliberation, the Board of Adjustment hereby finds that:
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- FLOOR PLAN -
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10-0 10' )( 2.4' (240 SG-. ~T)
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date '1-1-0-{
Time
Received by
~~
(Phone'e~
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle'appropriate one):
Sewer ~oundation\ Framing Chimney Plumbing
t'\ y, / WALL
INSPECTION ~IO};ES:
Inspected: Date (f' -- 9' - 07
Remarks:
fL S t? ~ !""8-
~d t Apt ~ ')
Phone No.1I60-lfO{.,.
Permit No. 1 2.. W 2.~
Final- Sewer Excav. Other
}f
Time
By
~f
RESTORATION REQUIRED . . . . .. YES NO
((~uc;.s f I f~ /J(JS P'C7/AT'-l
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC
o Other
o 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)
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
- REQUEST:
Date q -S-O \
Time
~(
Received by
E- S0-~
~, 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 Framing Chimney Plumbing
r I 3> (.:,
Co(
Final
Phone No.
Permit No.JL 82?""
Sewer Excav. Other~s.v1.
wA'-L
~
INSPECTION NOTES :
Inspected: Date 1,... ~- 01
Remarks:
Time
By
O~K
RESTORATION REQUIRED . . . . .. YES NO
.. ..
~xp~~ eu I t ru: P V A Pe;1'1(fG k-S.
VkPa{( ~~
-
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 pcc
o Other ~
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
,
'\1
'1 I
~-
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
I --- ---------
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: ~
Date tf' - , If - 07 Time Received by 2:?<
e~
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspec . circle appropriate one): Permit No. fl.#'?-"2...
Sewer Framing Chimney Plumbing Final Sewer Excav. Other
IZ~~
~
INSPECTION NOTES:
Inspected: Date ~.. ,): Q1
Remarks:
Time
By
0~ 1<.
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC
o Other
o Repaired by City
D Repaired by Permittee
D No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
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l
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST
Date 3-1-6l(
Time
Received by
(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 Framing Chimney Plumbing Final
I~ 56 f, S-jll
---r"t-U i l ((')7
, 1 ftt {- B
Phone No
Permit No
Sewer Excav Other lAJ V\... ~'v--
INSPECTION NOTES
Inspected
Remarks
Date
Time By
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RESTORATION REQUIRED. . .. YES r./ NO
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SURFACE RE TORATION.
SURFACE TYPE 0 Unimproved 0 Gravel
D Repaired by City
D Repaired by Permittee
D No Damage Found
/{; J-fv~~o'~-(~:5+-R~~+--
'1""""_+:_1._ ^" .o_'o..~_ C!'il'l.o. if ru:u'''_~C!'!:u',,\
OPCC
D Other
/(/2'1-x-co ~
Work Order #
o COMPLETE
o INCOMPLETE
Ch-J ?)/~Jr------
______ _ .___....___.__..._ ,..... A~r-'
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST
Date 3- 1-0 L(
Time
Received by
(phone, person)
Location of Work to be inspected I A-)6 F. 5-+ It
Name of person requesting inspection ---r" 1A.) I \ ((~ 1
Address of person requesting inspection I 1 f l{ .{ B Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other Lu V\... ~ t-
INSPECTION NOTES
Inspected
Remarks
Date
Time By
1.:<-<. ol/'< (-e. JIt C <">J 7J~ r
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RESTORATION REQUIRED
~
YES ~ NO
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SURFACE RE TORA TION
SURFACE TYPE 0 Unimproved 0 Gravel
D Repaired by City
[] Repaired by Permittee
D No Damage Found
/~ J-Iv~T*r{A-(~?+-R~ -P-!-
(Continue on reverse side if necessary)
o PCC 0 Other
Work Order # 1(/2 '1-x -Co ~
~COMPLETE ~IC-p~~r~ \,J\'l-li\ \~0t'
o INCOMPLETE tv\n( '---r-K ~- \~-9L\
c Jru ? 51 JuL.----
STREET SUPERINTENDENT (DATE)
CIty of Port Angeles
Public Works Departnlent
Water Distribution Repair Report
IWork Order No ) It' :J 7 X -c.)ck I
DATE REPORTED ~ -- :2 b -6 l(
Icrew I t <(
CONDITION EMERGENCY 0 ROUTINE 0 CITIZEN COrv1PLAINT ~
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR. 3 - )~ 0 t(- TIME
DA.M. DP.M.
REP AIR LOCATION ADDRESS
I J... X
~ . ~.fJ\
DEPTH OF MAIN
;)<' j.J tI C- SIZE
)/
~ CLOSEST VALVE DEPTH.
~
TYPE OF MAIN
COrv1PONENT REPAIRED.
MAIN JOINT D CIR. BREAK 0 SPLIT BELL D LONG BREAK 0
HOLE 0 CLAMP 0 OTHER
SERVICE TAP D CORP STOP 0 PIPE ~URB STOP 0 FITTING D
rvIETER SE1TER 0 METER 0
LINE VALVE FLANGE NUTS/BOL TS D STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
OTHER.
COrv1PONENTS OF REPAIR. CLAMPO DRESSERD O~R f{ -fp I t1 (. Y:!
SITE CONDITION GRAVEL 0 ASPHALT ~DEWALK 0 CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS ASPHALT CUT _FT CURB CUT _FT SIDEWALK_FT
DRIVEWAY CUT _FT
5 -f YUt~. J-., ~
MAIN CONDITION INTERNAL LINING TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE ,. J. 7 P.P.M.
WATER OFF FROM M};1 M. TO ) P i1'1M.
/7 L'\ U + 0 f--
;h6V'>--C '-
.5e Vv f L-e..
FROM
M.TO M.
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1/
APPARENT CAUSE OF LEAK.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date q -0-0 \
Time
fC
Received by
,f~5T
g, S -'--
t&, 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 Framing Chimney Plumbing
f ? "!.. ~
U
Final
Phone No.
Permit No.k L [5 2. ~
Sewer Excav. Other ~s. CI f .
tA.JA L L
~
INSPECTION NOTES:
Inspected: Date 1,. s;-- o-j
Remarks:
Time
By
o-~
RESTORATION REQUIRED . . . . .. YES NO
i'xp '141~
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P V A Pe ;r1~ ;t-s
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
i I
o Other --J
o Repaired by City
[] 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
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
16504
Pbrt Angeles, washlngton________.Y.__=_:;!._I._______________________.__..______, 19'?'__r
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
::::: 1:_~2~ :;~~~; d_O :&L::__~~~rt~~-~--------------mm-m
\ V
Owner. . __ _ __~____._____m_m__m__ TenanL____m___mmm__.___________m_m___m_____m___n____m__._
Wiring ~-~:~~~to~ m_:__~ . _L,<~--e{?-~":f.-----m- By_:__________m__mm_m___mmm__m______m____m__m____
Light outletB..._m____.m~.6...__..___... Service, volts .....!'..;t.~tf.!.& Type of Wiring:
Receptacle OUt1ets......](.~n.___....... No. wires .....003._00.00___00____00..____... Armored Cable ..._______00____..............
D'ye" KW m___.~________mm____mm____ Size wires..~~_P..f'....._.. Non-Metallic ................._m_______._.._
/ "'" a6t7 LI Knob & Tube......._____..._....__.........._
Range, KW..____ .._~_..__________m___ Main fuse m____=m._..m..t:::r'c.....
S Rigid Conduit ...-------.-..-..--...-...----
Enclosure ...._0000___..00._.____._._______00.___ Metallic Tubing ____0....__..........___.__
Water Heater:
KWmm__J"....__:t____..____m
Hea" KWm..._l.3...BI3_m..
Type of wiring:
Entrance Cable 0000000000..___.______.......
Ser. NO.un.__.__.................___nn............
Raceway _______........................__..._
Circuits, Light.fi___..._m__m...._._......__
Utility ...__I:r.__....____.............._____m.__
::ge -<-$;;:::::::::~::::::::::::::~::~~
Water Heater ..g__........_.__...__...
Motor ...___..______.____................._...__..
Dryer _______.::::)............___._.._.___........__
Furnace ......................._...._.____.___.....,
Motors: sIze. volts and phase:
Rigid Conduit 00__.__.___.____
MetalUc Tubing ..______.._______
Current transformers:
No. & Size............_n.nn........
Ser. N 0........_000000___.........00.00._.._.0000__...
Ser. NO..n.nn______..__..n.....___________..n__._
Total Load_____....___..n............. Ser. NO._.....______n_n_..._.....n.._...._.n.... Total .....3.':1..........______________
Remarks: m__m_m__m___~n----n-~:'I'?'.---~-mmm-m--mm-------m--m---m------.---.m.m__m__
_;~~;~--;~~mmm-mmmm-m---;~:~~.--;:::;~~m---mm--mmm.----.----/rw,-~-;~2m---------
$______-:l~_~_Q._______________ No.___________________.________ By _./If.dl..e:_Yf'E:!!-.______________________:::t<Jt1.."-:: ...
.. v
/...--JS:M-ICE=CUrrent must not; be turned on until Certificate of Inspection has been issued. If work is to be eon-
, ,cealed due notice must be given the Inspector so that work may be inspected before concealment.
.1~ ....
-" NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
d"~
~".,~-~...,..... ..~.. ,q."~' "...~.-
ELECTRICAL PERMIT
N?
1650'
(
> ,
Address___.__.__....._...._......................_.....___.....___.....__...._________.___._._.__.._........._._......_.......................Date..._._....____..__._.........._._...._......_.........
Owner__........._.........___.___......._.....__.._....______..._.._........_........__....__..__...____..___.__....._._______.Tenant._.__........................_......................................
~iring Contractor ........................._................................._..........................................___.........__.____ By._..............................................................
NOTICE-Current must n()t be turned on until Certificate of Inspection has been issued. It work Is to be con-
caled due notice must be given the Inspector so that work may be inspected before concealment.
,
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