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Home My WebLink About2425 Arbutus Ln - Engineering " CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 os- --~/ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: "'Application type description Subdivlsion Name property Use Property Zoning . Application valuation 05-00000311 Date 580683 2425 ARBUTUS LN 06-30-01-5-5-0110-0000- RES NEW SFR MADRONA WOODS RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 82890 7/26/05 -z4 2 ')YJ/!-/}U T~5 . Owner Contractor )7lJ~ MAGGIE STALLINGS . .2425 ARBUTUS LN PORT ANGELES OWNER WA 98363 Structure Information 000 Other struct info . . 000 1372 SQ.FT.SFR wi 528 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS SQ.FT. ATT GARAGE 21. 90 1. 00 9011.00 1978.00 'L'OO Permit . . . . . Additional desc . . __Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 5/8" DROP IN WATER METER 51243 195.00 7/26/05 1/22/06 Plan Check Fee valuation .00 82890 Qty Unit Charge Per ~ BASE FEE 195.00 ----------------------------------------------------------------- -------- . Permit . . . .. RIGHT OF WAY . _....~ ,,>_~....,. ~ .Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 51235 50.00 7/26/05. 1/22/06 Plan Check Fee valuation .00 82890 Qty Unit Charge Per Extension ________=:~~_______=~:~~~~_~CH___RIGHT_OF_W~Y_PERMIT_____________~,50:~ Permit . . . . . . SANITARY SEWER HOOK UP Additional desc . "Permit pin number Permit Fee --Issue Date Expiration Date 51227 110.00 7/26/05 1/22/06 Plan Check Fee Valuation .00 82890 0-\ ~\f Qty Unit Charge Per CID' n 1.00 110.0000 EA SAN SEWER HOOKUP 110.0 --------------------------------------------------------------- ------------ Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-El When roof gutters are installed. drains will located in dry wells or piped to approved storm drain location. No Separate Permits are required for electrical work, SEPA, Shoreline, ESA, ulilities, 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. Signalure of Contractor or Aulhorized Agent Date Signature of Owner (if owner is builder) Date T:\Policics\l] 02. j 5R [1/05] CITY OF PORT ANGELES PUBLIC WORl(S - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000311 Application pin number 580683 Page Date 2 7/26/05 Special Notes and Comments pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior to backfill. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Cade(UFC) and National Fire Protection Association(NFPA) standards. 05/12/2005 12:35 PM SROBERDS --------------------------- . proposal will result in 22% lot coverage. Setbacks are good. Electrical load calculations and MAINTAIN CLEARANCES FROM SERVICE Electrical load calculations and MAINTAIN CLEARANCES FROM SERVICE required. required. required. MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are MAINTAIN CLEARANCES FROM SERVICE WIRES Ditches and culverts will be installed to City Stanards. See -Public Works Engineering for Standards. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works .'Engineering is required prior to prouring concrete. .. elctrical WIRES elctrical WIRES permits are permits are Other Fe~s SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Fee summary Charged Paid Credi ted ue ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 355.00 355.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2129.50 2129.50 .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 Contraclor or Aulhorized Agent Dale Signature of Owner (if owner is builder) Date T:\Policies\1102.15R 11/051 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . INSPECTION REPORT. . . . . . . . REQUEST: Date '3. ~ s . 0 b Time / () 11'" Received by TF (phone, person) Location of Work to be inspected cJ If;2 5 A v- b <-<...-\-ec ~ L c.. '" -.:: Name of person requesting inspection S -e I f'- H -e (to l-I o LA.. :;, t' V\ '1 Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. OS' - ~ { I Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ F t' v\.c.. I ~ ;Y'j1 INSPECTION NOTES: Inspected: Date 8, -,:} 0 r OCo Remarks: C.- LA...-- b '0 - ,- 6'" S IA"-'. "6 -dO~O~ [) '" i u< '-<J "" \1 <3 - I 0 - 0 &:, <;i+-.::. Ov~,^-<;\-e. uJc....\--" {L - O~ RESTORATION REQUIRED. . . . .. YES Time 9f.-1h NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City D Repaired by Permittee D No Damage Found Work Order # D COMPLETE D INCOMPLETE '"" APPLICATION FOR WATER City Water Division YJ<tS ~ Port Angeles, Washington 7 - '2.1", .20~ I hereby apply for water to be furnished in accordance with rates and rules of the City for the ,,,,,"". ,om"" l~v,"'n) ~/ ~-?"'//"" ::::s:: APP"Z1~rz't:7J~1//Jj Renewal 0 New ervic.. Lot 1/ Ad~/7.t? Ji:;,,::;{1!J/. ?/"~. ~ "" ""'Mo' ~ ~,~my ~~37rr" Service Left On 0 Service Le~igne~~/~ Installed by Remar~j/ /till:/} t?5-ilJjJ :/;~~-I-7/~.!S' N -' " , , SId' I 0" J r ~" p",,-- E W ~ IW TU's ~ l. ilo II> C:J s CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date ~'--2JJ-D~ Time Received by rr- F (phone, person) I / Location of Work to be inspected d?1:25"Atr/7tc.f!Z7J:l. .) Name of person requesting inspection -'>//ur ~-rx2r,Yh//",,~ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. OS-- ~II ~oundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date 3- ZO-tJ(tJ Remarks: Time By RV OK RESTORATION REQUiRED...... YES NO 1'- r;/cll c./tJ ..,so,,).op / re.dl)...C,.ll.r- / S'~:-''\\\~5 / - II""r( 2~ 1./ r- -(C 7> s\-,I.A,'I) ~ N 'F ';)"'~9Q. 0., r b\A.t [,L S SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt I OPCC o Other o Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # [] COMPLETE o INCOMPLETE I,...........:.....~ ...... ~......I'Oo......... ..:.,1... :.... .....................~..\ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . .. . . . . REQUEST: Date (I/~j-!o ')' 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): ~ Foundation Framing Chimney Plumbing 2.4ZS ~T.t(J'LN. o/L ~7 to -I=P' / / Phone No. 1'77/2-43- Permit No. I!) 'S'"~ $/1 Final Sewer Excav. Other INSPECTION NOTES: __~I ~ J/ / 'IlJr- /'/,' 0$ AfVlBy .' Inspected: Date /1 /15?:S":'> Time _---=='-.:::.... Remarks: Cnl'1l,-urte,r !/)CAf..r.rl LI"Pve.. "j",/-, Cl> frop.,.,..J,~/l.'''L cv"J fo'cla,O. r>15f>4//eJ t.j"Pvc. -/-r, I,ol<se.. 5F<.UF.t' C..D. c.ui/l be. ',,,sf"'"I,,,,J CL~c.. ICLt-,v'-dah.., l~ous'e l,J'l-~ 1'\10 pl....;Y1.\J'^i--.a..+ -1-1.",0;, 4-;"",e..- RESTORATION REQUiRED...... YES NO .'/-.. "- "t ...... o . "IS \.p~, ~ fl " '" I /lP ,.... t ~'" ~ Il / --J.. <:> ;3' 0 :> ' }.' ,-I v' v cP </J S '/50 --.. Ao..6t.<.+-u.":> L"'I"'L 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 '''"__...._u_ __ ________ _L.._ ...1___ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS , . , . . . , , , . . INSPECTION REPORT, . . . . , , . . . . REQUEST: Date e Ie / Oft::> . . ~ Time 3P"" Received by (phone, person) INSPECTION NOTES: Inspected: Date el/I?/o(,. ~ .. Remarks: -L "" <;;...\- II 'E' d -jIVe. i -e. +0 Co........ b Location of Work to be inspected c1 Cf J. '5 A v- bV\. \- L.\. ~ L,o....J-c.. Name of person requesting inspection G,...-e ~ 'i - S -e l ~ \..\ -e I. p Ho.c..:.i","'1 Address of person requesting inspection Phone No. '/77 - I:z. fl3 Type of Inspection (circle appropriate one): Permit No. D5 -"3/ / Sewer Foundation Framing Chimney Plumbing Final Sewer Excav.(Qtj:leO 00 """"" .s (J o....t;s _____ Ore...:" " ) ..... Time / tJ AM . By ~iL /4'1' L 4" Pvl' P If..... (YO') -fil'Ol"1 S/6 c.o;l>oH- t>,p. fl..., RESTORATION REQUIRED. . . . .. YES NO '1.... c c.v- /,. I ~4~~ 1 ~ ~ 1 , ("0. I' fi/C.'~ v"""4 p."..b~kc.:. L.......J-<-. SURFACE RESTORATION: SURFACE TYPE: D Unimproved DGravel DAsphalt Dpcc D Other D Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # [] COMPLETE D INCOMPLETE tr.nntinlJ,:lt. nn r~V,:llrCl:A Cl:ino. if n,:lt."'Il:IC!:Cl:~r\l\ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date Time Received by (phone, person) Location of Work to be inspected ~ if (). '5 A r- bCA. -\- L{ <:::, Name of person requesting inspection A \ J-<:( .-c- '<- c::.c.."".... r Address of person requesting inspection Type of Inspection (circle appropriate one): L...."''''C... / Phone No. Permit No.aS -3// Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other C. ....."..10 / (.)^'(J~.....4--1 INSPECTION NOTES: Inspected: Date Remarks: Time By RESTORATION REQUiRED...... YES NO 'f.- ~ / '-I / ()f, f6/7( O(P CO It / (IV 0/ t() 10(, ofc-- +OfCM-- c:...... b ~ d-h'''';~..f GI.v c../b ok ~ ole- +- fC1lA.r- Or.'/X-lN'd i ~~ F>Y1~ / ~V Jr"v~tA.J>4Y - ~----L. 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 ''''__4.:_.._ __ __..____ _:.J_:.I: ________.., fr.:,H'I.\! ..,>..O~%;.<" "~. 11- -- ~lC~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, \VA 98362 os- --UI Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: -Application type description Subdivision Name property Use Property Zoning . . . Application valuation 05-00000311 Date 580683 2425 ARBUTUS LN 06-30-01-5-5-0110-0000- RES NEW SFR MADRONA WOODS RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 82890 7/26/05 -z12)iW3MT~5 Owner Contractor rnJ~ MAGGIE STALLINGS 2425 ARBUTUS LN PORT ANGELES OWNER WA 98363 Structure Information 000 Other struct info . . 000 1372 SQ.FT.SFR wi 528 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS SQ. FT. ATT GARAGE 21.90 1. 00 9011.00 1978.00 '1.00 Permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 5/8" DROP IN WATER METER 51243 195.00 Plan Check Fee 7/26/05 Valuation 1/22/06 .00 82890 Qty Unit Charge Per G90 BASE FEE 195.00 ----------------~------------------------------------------------ -------- Permit . . . .. RIGHT OF WAY '_.~~~~.' .~ .Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 51235 50.00 7/26/05 1/22/06 plan Check Fee Valuation .00 82890 Qty Unit Charge Per Extension ________=:O~_______=~:~~~~_~CH___~=~~:_~~_~~:_~~~=:_____________~:~:~ Permit . . . . . . SANITARY SEWER HOOK UP Additional desc . . 'Permit pin number Permit Fee . ""Issue Date Expiration Date 51227 110.00 7/26/05 1/22/06 Plan Check Fee Valuation .00 82890 (}\ ~\f Qty Unit Charge Per GillVn 1.00 110.0000 EA SAN SEWER HOOKUP 110.0 --------------------------------------------------------------- ------------ Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36. 050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain location. No Separate Permits are required for electrical work, SEPA, Shoreline, ESA, ulililies, 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 Ihe 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 Agenl Date Signature of Owner (if owner is builder) Date T:\Polirics\1 102.15R [1/05J CITY OF PORT ANGELES PUBLIC WO~S - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, \VA 98362 Application Number . . . . . 05-00000311 Application pin number 580683 Page Date 2 7/26/05 special Notes and Comments pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior to backfill. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire code (UFC) and National Fire Protection Association(NFPA) standards. 05/12/2005 12:35 PM SROBERDS --------------------------- Proposal will result in 22% lot coverage. Setbacks are good. Electrical load calculations and MAINTAIN CLEARANCES FROM SERVICE Electrical load calculations and MAINTAIN CLEARANCES FROM SERVICE required. required. required. MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are MAINTAIN CLEARANCES FROM SERVICE WIRES Ditches and culverts will be installed to City Stanards. See -Public works Engineering for Standards. sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works .'.Engineering is required prior to prouring concrete. " elctrical WIRES elctrical WIRES permi ts are permits are Other Fe~s SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Fee summary Charged Paid Credited ----------------- ---------- ---------- ---------- Permit Fee Total 355.00 355.00 .00 Plan Check Total .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 Grand Total 2129.50 2129.50 .00 ue .00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, privale 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 correcl. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or nol. 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 Ihe performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\l'olicies\II02.15R[1105] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST:' Date g - ~ S - 0 b Time I() /1.... Received by TF (phone. person) Location of Work to be inspected ,;) <j:;2 5 A v- Ie LA....\.-"'-:' L Co." -<:: Name of person requesting inspection S -e I.f.- H -<=: l P l:-\OL-<.~l' V\ 1 Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. ()':') - ~ II Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ F i II\<=< I ~rf'f INSPECTION NOTES: Inspected: Date S -:;2 e - 0(", Remarks: c:. L-<.r- b '2> - f - Ci '" S IA.v. "3 -;;20-0~ 0" i u< '-<.) '" 'I <3 - I 0 - 0 Co Si{-.:: Ov~,^-c,)~ u...J0-~ lL - O~ RESTORATION REQUIRED . . . . .. YES Time 91-1;-' NO 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 , APPLICATION FOR WATER City Water Division Port Angeles, Washington 7 - '2.b .20JZI YJ ..(!,5 Y I hereby apply for water to be furnished in accordance with rates and rules of the City for the '0_'" ".~-, [*y,-pn) !?/ I *",,-7,W/.,<s ::::s::APP"Zf~rz't;t~~hj Renewal 0 New ervic.. Lot 1/ Ad~/74 d;?'~ '" 0< "N" J/ ~'" ~-'? ~.) 7/"" Service Left On 0 Service Lef~igne~~_ Installed by Remar~f/I1I/I:IJ t?5-~JJ n~~7 7'//)~~ N , ~ w J r b"P<'- ~ W lW TV~ E ~ l. ~ \i> () s CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date "3"-ZD-D~ Time Received by --r F (phone. person) / / Location of Work to be inspected 6?1:zf:Att~<tl. ./ Name of person requesting inspection _y!;/-fL'i ~~r.~nv~ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. 0::;-- ~II ~oundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date 3- ZO-tJ(;J Remarks: Time By RV OK RESTORATION REQUIRED. . . . .. YES NO ^ all/' 40 ~soc\.op / f'"e..d\.,.\.c..Il.r- / ,'J\ l:;;l\.s"~5 - //7\ ( 2~ Y rY, t:. 7> s\-'~'D ~ N 'F '3<>~9Q. ~.. 'o\A.t i-l S SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other o Repaired by City D Repaired by Permittee o No Damage Found Work Order # o COMPLETE D INCOMPLETE CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . INSPECTION REPORT. . . . . . . . . . . ./ REQUEST: / ___-I "..- Date /1 /f;;23 1> ~ 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): ~ Foundation Framing Chimney :z.4ZS ~T~("LItJ. o/L G:"9 /..op:J: / / Phone No, 177/2..4;3 Permit No. ~'S~~I Plumbing Final Sewer Excav. Other INSPECTION NOTES: ~ J/ /- 10--- /'/,' 0$ AW1By .' Inspected: Date /t/~E3-~ ~ Time _ ~ Remarks: Cnr1!"c,<.k,,r //)<=,,.,4.,.1 Lj/'PVt.. ~~"h a, rropNi~ll'^L Q",J fo'riu,p, "Tr/5f04/le.J t..;"PtJc. .J.n ",ol<se.. 5F..;F"'- c..G, <-viiI lo~ ',^si-..../'.,d Ct.1-<< lCLt"'.....da.h-. l~ous'e l~jd,~ ''-10 pl"l.M \""-, (1+ -l--h.is .J-iyY\.e... RESTORATION REQUiRED...... YES NO '/.... Cl "- "t ..... o " ''is lP~' :::: n ;; '" I /lP ..... ~ <\'" ~ Il / "" \P' ""3' D ':> I,,' / Vi v ,J </,;J S '-/5" ____ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other , I , I ! I At:L6",,+LI.'::> L"'''''L o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date e / e / Of&, , .. v' Time 3P"" Received by (phone, person) INSPECTION NOTES: Inspected: Date eIIQ/o' -=-- .. Remarks: I VI <;:".\.w. ( 1"E' J -:3 0....'" i -e. +0 c......... fa Location of Work to be inspected c1 Cf J. '5 A V- b"", \..lA ~ LA --.I -c:... Name of person requesting inspection G,...-e ~ 'i - S -e I ~ l~ -e lop ~o.c.i ^'1 Address of person requesting inspection Phone No. '177 - /;l. ((3 Type of Inspection (circle appropriate one): Permit No. DS -""3/1 Sewer Foundation Framing Chimney Plumbing Final Sewer Excav.(Ot.be!.-) OO...........sfow.t;r ______ O~';"") -e. Time /tJ~Wt . By~ff1:/ 4" Pl1r p ;p-.!" ('-10') -tt'Ol"1 S/6 C.o;~- o-P .H.... RESTORATION REQUiRED...... YES NO 'I.. I ;140l~ ~ ~ f..O' I' fiJC.'V;1 I v/4 C (.y.. /,. Po.,.. lot..\. k..,. L......J-<-. SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 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,_ _._ _______, CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date Time Received by (phone, person) Location of Work to be inspected 6) '-I (). '5 A r- bCA. +- V( "::> Name of person requesting inspection A \ J-cII'C. '<- c::.c..O'\ ~ t Address of person requesting inspection Type of Inspection (circle appropriate one): L~;1,'"<... / Phone No. Permit No.05 -"3// Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other C. .....".10 I (.)"'.V-1:.....4--/ INSPECTION NOTES: Inspected: Date Remarks: Time By RESTORATION REQUIRED. , , , ,. YES NO 'f-.. <{ / '-I / of, 9J/7/0fp ra / f( / (){, 0/ /()fo(, ok- +otClk- CtA;" b ~ ~F'N~( C/oV c....,,4J ()k ~ 01.;.. ~ f(;1"",-- Or"fre-l.J"'4 f ~~ r:>Yl~ I r/V J""'II-e.("..b4Y. - ">~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE