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Home My WebLink About106 W Front St - Engineering City of Port Angeles Public Works Department Water Distribution Repair Report DUJ- 2.00 1-1(; ~8 'Work Order No: 16 <f: Jv Repair Type: Clamp _ Site Condition: Surface Curb Damage: Cuts: Street Cut: Ft. Reported: 2./,;1>; p-c, Repaired: ;> /.?-17 ?e- --- Repair Location: Component R~aired: Main: Service: Line Valve: Hydrant: Other: Main Condition: Apparent Cause 01 Leak: 5/19/98 'Crew: ~ VN' , if /e If ;'fJ/( P Condition. Source. Emergency ~ Routine Citizen Complaint Leakage Survey _ Other Address I tJ b /..f/ ;= I'( vA/ r Loc. Description. ->'U 1/ /CE c:..EA~ Main Line ID#: Joint Cir Break Split Bell_ Long. Break_ Hole Clamp _ Other B.1CK J Ii? E pF SeTrEA' .t::.. E,;<fI'<:IArt: Tap_ Corp Stop_ Pipe _ Curb Stop _ Flange Nuts, Bolts Stem Bonnet Branch Valve Barrel Dresser Other ~!' c, /I1ET~ S"7't-1" Gravel Roadway _ Asphalt Street _ Sidewalk Top Soil Area _ Soil Type _ Curb Cut: Ft. Sidewalk Cut: Ft. Diameter. Inches Material. Depth of Cover' Ft. Internal Lining: ,. Joint Type: External Prot: Tuberculation: External Corrosion. Special Conditions. N/A N/A Bedding: Other Structures. Minor Localized Severe Extensive Samples Taken. Pipe Section _ Coupon _ Water Off: From 7 'j)-.> ~ To Ift-c, f' M From ") /~ >/ ~v To'f ;J..(/ P M /SAc):. StPe' ,,c .seTTtA' LC/f~/h'~ Page 1 PW-902.09 ""'- a ~ 'E \\ "' o )"" -+ s ~~ GITY OF PORT ANGELES 0 ~-7 t?ttj DEPARTMENT OF COMMUNITY DEVELOPMENT - BUn..DING DNISION 321 EAST 5TI1 STREET, PORT ANGELES, WA 98362 ~.l'~.L'-a.""..LU.LI. .aWlwez. Property Address ASSBSSOR PARCEL NUMBBR Tenant nbr. name Application description Subdivision Name property Zoning Application valuation Owner PHILLIP CHB 408 S 'I' ST PORT ANGBLES Permit Additional desc Permit Fee Issue Date Expiration Date U3-00000769 Date 106 W FRONT ST 06-30-00-0-0-1503-0000- SEWER RBPAIR PUBLIC WORKS UTI LITES 8/11/03 XI~j)ltJ?;1~~ 6500 Contractor WA 98363 KUCHAN CONST CO INC 3049 B HICKORY STREET PORT ANGELES WA 98362 ~ ~ ~ PLUMBING PERMIT 62 00 8/11/03 2/08/04 Plan Check Fee Valuation 00 o Qty Unit Charge Per Extension 47 00 15 00 BASE FEE 1 00 15 0000 ECH PL- SA BLDG SEWER Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 45 00 8/11/03 2/08/04 Plan Check Fee Valuation 00 6500 Qty Unit Charge Per 1 00 45 0000 ECH RIGHT OF WAY PERMIT Permit Additional desc Permit Fee Issue Date Expiration Date Extension 45 00 STREET ALLEY RESTORATION 230 00 8/11/03 2/08/04 plan Check Fee Valuation 00 6500 Qty Unit Charge Per Permit Additional desc Permit Fee Issue Date Expiration Date BASE FEE Extension 230 00 SANITARY SEWER HOOK UP 95 00 8/11/03 2/08/04 Plan Check Fee Valuation 00 6500 Qty Unit Charge Per 1 00 95 0000 SA SAN SEWER HOOKUP ~ ~ Due Fee SUJlUlIary Charged Paid Credited ----------------- ---------- ---------- ---------- Permit Fee Total 432 00 432 00 00 Plan Check Total 00 00 00 Grand Total 432 00 432 00 00 00 00 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 for a period of 180 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 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"\PLANNING\fORMS\1102.15 [412002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST Date Time Received by (phone, person) location of Work to be inspected Name of person requesting inspection c.C'? s r 1 ~ '"""- b \ "'.j Address of person requesting inspection ~.y e of Inspection (circle appropriate one) S er Foundation Framing Chimney Plumbing Final Sewer Excav Other , t- ep a \ '(' INSPECTION NOTES lOb E F~ Phone No Permit No 62-761 Inspected Remarks Date ':{-/3-0'3 C. C> W\ f t e..../e.- Time o !!Y- ...{.A fJ._ RESTORATION REQUIRED .. . YES J( NO r ) I QJ ~ :5 r(j -J o Other CITY OF PO"RT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . REQUEST Date Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection c::~ '-" .. ? I", '""'- S , ,., '1 Address of person requesting inspection Type-.<>f Inspection (circle appropriate one) !Oh E Frux-/7 Phone No Permit No 67-761 i ~~ Foundation Framing Chimney Plumbing Final Sewer Excav Other r- ~~ p :s.' '(' INSPECTION NOTES Inspected Remarks Date Y - 13 - 0 '3 c.. <:> W\ f' I e Te..- Time By__ .--{.-A iJ RESTORATION REQUIRED YES )( NO \ / ll( ) i r :J --"-Lr /,( '- .-~" ...--/ fl [' I I QJ :> =" ra -J ~ c- :r J nyr (y.- -I ,?II ( /,-,.\ o D Other /5,j'-Irpd STREET SUPERINTENDENT (DATE) BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COYER, INSULA TE 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 DATi: ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FDUNDA nON DRAINAG~ ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT 1# ROUGH-IN I I PLUMBING UNDER FLOOR' SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW' WATER AIR SEAL W AUS CEILING I I FRAMING JOISTS' GIRDERS SHEAR W AU WALLS' ROOF' CEILING DRYWALL T-BAR INSULA TIOl'f SLAB W AU' FLOOR' CEILING I MECHANICAL HEAT PUMP WOOD STOVE' PELLET' CmMNEY HOOD' DUCTS PW UTILITIES' SITE WORK (Engineering Division) SEPARATE PERMIT /I's: WATERLINE' METEJI. SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARA TE PERMIT /I's SEPA. PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417....735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W , PW, CONSTRUCTION R.W ENGINEERING 417-4807 PW , ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417....115 BUILDING CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Appxlca~xon N%u~Der ..... 03-00000769 Date 8/11/03 Property Address ...... 106 W FRONT ST ~SESSOR PARCEL NUMBER: 06-30~00-0-0-1503-0000- Tenant Dbr, name ...... SEWER REPAIR Application description . . . PUBLIC WORKS UTILITES Subdivision Name ...... Property Zoning ....... Application valuation .... 6500 Owner Contractor PHILLI~ CHE KUCHAN CONST. CO. INC. 408 S 'I' ST 3049 E HICKORY STREET PORT A~GELES WA 98363 PORT ANGELES WA 98362 Permit ...... PLUMBING PERMIT Additional desc . . Permit Fee .... 62.00 Plan Check Fee . . .00 Issue Date .... 8/11/03 Valuation .... 0 Expiration Date . . 2/08/04 Qty Unit Charge Per Extension BASE FEE 47,00 1.00 15.0000 ECH PL- EA. BLDG SEWER 15.00 Permit ...... RIGHT OF WAY Permit Fee .... 45.00 Plan Check Fee . . .00 Issue Date .... 8/11/03 Valuation .... 6500 ~xpiration Date . . 2/08/04 Qty Unit Charge Per Extension 1.00 45.0000 ECH RIGRT OF WAY PERMIT 45.00 Permit ...... STREET ALLEY RESTORATION Additional desc . . Permit Fee .... 230.00 Plan Check Fee . . .00 Issue Date .... 8/11/03 Valuation .... 6500 Expiration Date . . 2/08/04 BASE FEE 230,00 Permit ...... SANITARy SEWER HOOK UP Additional desc . . Permit Fee .... 95.00 Plan Check Fee . . .00 Issue Date .... 8/11/03 Valuation .... 6500 Expiration Date . . 2/08/04 Qty Unit Charge Per Extension 1.00 95.0000 EA SAN SEWER HOOKUP 95.00 Fee summary Charged Paid Credited Due Permit Fee Total 432.00 432.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 432.00 432.00 .00 .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 for a period of t 80 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 a~d know the same to be true and correct. All provisions gl laws and ordinances governing this type of work will be complied with whether specified herein or not. The 9ranting of a permit does presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance o! construction. / Sigrlature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [4/2002]