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Home My WebLink About1737 W 9th St - BuildingApplication Number 05 00000707 Date 8/30/05 Application pin number 235489 Property Address 1737 W 9TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 5150 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY ti Application valuation 0 Owner Contractor HOUSER CLIFFORD /JULIE 1737 W 9TH ST PORT ANGELES WA 98363 (360) 461 4561 Permit ELECTRICAL NEW RESIDENTIAL Additional desc OWNER/ WIRE SHOP Permit pin number 56572 Permit Fee 78 70 Plan Check Fee 00 Issue Date 8/30/05 Valuation 0 Expiration Date 2/26/06 Qty Unit Charge Per 1 00 78 7000 ECH EL RM 0 200 1ST SRV FEEDER Fee summary Permit Fee Total Plan Check Total Grand Total COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 121 EAST 5T1-1 STREET PORT ANGELES WA 98362 OWNER Charged Paid Credited Due 78 70 78 70 00 00 78 70 78 70 00 00 00 Extension 78 70 00 00 00 D3 /8a t 3 272 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. INSPECTION TYPE DITCH TROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE 3 o LO Cln 4z-L ACCEPTED YES I NO COMMENTS a8/ e,61) °'pa D PW -I 102.15 [496] PREPARED 3/20/06 12 49 31 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/20/06 ADDRESS 1737 W 9TH ST SUBDIV CONTRACTOR PHONE OWNER GRINNELL FRED C PHONE PARCEL 06 30 00 0 2 5150 0000 APPL NUMBER 05 00000725 RES ACCESSORY BUILDING PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 9/21/05 JLL BUILDING FOUNDATION MONO SLAB 9/21/05 AP 09/20/2005 09 33 AM PBARTHOL SAM ALM 461 0652 MORNING 9 00 A M ARE STRAPS REQUIRED HAS NO REAL PLANS AT SITE 09/20/2005 04 44 PM PBARTHOL 09/21/2005 11 31 AM PBARTHOL 20 ground ok BL3 01 /2 L J�L L BUILDING FRAMING AIME 00 03/20/22/20/2 08 04 08 04 AM DYAS UMUR JULIE 461 4561 COMMENTS AND NOTES PREPARED 9/20/05 13 12 22 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/20/00 ADDRESS 1737 W 9TH ST SUBDIV CONTRACTOR PHONE OWNER GRINNELL FRED C PHONE PARCEL 06 30 00 0 2 5150 0000 APPL NUMBER 05 00000725 RES ACCESSORY BUILDING PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 /2o/ 5JLL 14- re' 2O BUILDING FOUNDATION MONO SLAB 09/20/2005 09 33 AM PBARTHOL SAM ALM 461 0652 MORNING 9 00 A M ARE STRAPS REQUIRED HAS NO REAL PLANS AT SITE COMMENTS AND NOTES 920d0D crt, Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner GRINNELL FRED C 1324 JAMESTOWN RD SEQUIM Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total WA 98382 T \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000725 943950 1737 W 9TH ST 06 30 00 0 2 5150 0000 RES ACCESSORY BUILDING RS7 RESDNTL SINGLE FAMILY 2700 Contractor OWNER TOTAL I LOT COVERAGE EXISTING LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT RESIDENTIAL 58230 106 75 Plan Check Fee 8/18/05 Valuation 2/14/06 Qty Unit Charge Per BASE FEE 1 00 14 0000 THOU BL -2001 25K (14 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments 08/18/2005 12 27 PM SROBERDS The site proposal allows a storage structure to be built in the front rather than the rear Other properties in the block are accessed from the alley 9th St is not opened and and topography and development in the area allow the reversal of front /rear yards Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review STATE SURCHARGE 4 50 Charged Paid Credited 106 75 106 75 00 42 70 42 70 00 4 50 4 50 00 153 95 153 95 00 Date 8/18/05 20 00 1400 00 1 00 Due 00 00 00 00 42 70 2700 Extension 92 75 14 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 Thrtel Sig turjof Own (It owner is builder) iaate WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL /'FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 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. Q INSPECTION TYPE DATE ACCEPTED COMMENTS v' YES NO --1 FOUNDATION• (s FOOTINGS s l� v 1 SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT I BUILDING 0\ PORTA, PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review If you have any questions. cal] PERMITS (360)' 417 -4815 FAX(360)417-4711 Applicant or Agent: Owner i 13 o .S`-6 to Address. 7 7 l Ci stCit ktd-h -Gt 002! rs Architect/Engineer. Contractor State License 4 Address City City ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other W1-64/ by �f Phone Exp Phone /'7' ,67.2 Zip Phone. Phone Zip FOR OFFIC Date Rec. Permit W- Date Approved Date Issued: I4 Credit Card Holder Name Billing Address: Credit Card Type VISA MC 4 Exp. Date: TYPE OF WORK. SIZE/VALUATION it Residential New Coustr Re -roof Stove 4 0 SF ,9 7 0 Multi family Addition Move Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair Sign ic Other kieu o OTAL VALUATION 70 BRIEF DESCRIPTION OF THE PROJECT J-7 _4 ti 8% PROJECT ADDRESS 7 3 7 i t a c 9 A 5 7 t 1 ZONING s /J(ek C LEGAL DESCRIPTION Lot: c- C t 11 e V $i Q f ro urn 5`' P 1/ Block: ub vision: CLALLAM COUNTY PARCEL NUMBER. 4' .3 0 DD Z) 2_5 _472 COMMERCIAL/RESIDENTIAL. Occupancy Group- Occupant Load: Construction Type: No of Stones: .2 Lot Size: 700ASgf Existing Sq Ft. /L/ d d Proposed Sq Ft.o 1 f2ty" TOTAL Sq Ft. AQ/21;, Total lot coverage t 3 APPROVALS PLAN BLDG DPWU FIRE. OTHER 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 Division to comply with current fee schedules. Contact the Permit Coordinator at 417 4815 for assistance. PLAN CHECK YEE IF a plan check fee is due it must lie.: submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REV t KW If no permit is issued within 180 days of the date of application, the 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 R105.3.2 of the International Building/Residential Code, 2003) 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. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits re re uired ,not the City's, and that I must obtain such permits prior to work T I102_13.wpd Applicant:/ Date: lr 6 r 40 Feet t 1729 Vertical Datum NA VD 88 N Horizontal Datum =NAD 8391 1738 173,7 j f f f Area Map This map is not intended to be used as a legal description. Thi map /drao ng is produced bi the Ciro of Port Angeles fo, its own se nd pulp Anv other use of du map /drain tg shall lot be the respoi ibilitr of the City 17.29" 1 72' Approval Date fr 9 up' QNr CITY OF PORT ANGELES Construct ion Plans The Issuance of this permit based upon these pl; s, specifi- cations and other data shall not prevent the building official from thereafter renr' rs in` said plans, specifications and other data. or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. Isovtiowl of B .'-L. i-7.--14,0 I I vy citirrtg-FV40 1\1 I ti A ANCHOR 7' MIN. EMBEDMENT CRAWL SPACE fi VERTICAL REINFORCEMENT BEND =12 X BAR DIA. #4 BAR 6' BEND 3' CLEARANCE 1 BENT VERTICAL REINFORCEMENT TIED IN PLACE TO HORIZONTAL/ REINFORCEMENT _T SLAB r fl a t 3' CLEARANCE 1:11 2003 INTERNATIONAL BUILDING CODE CONCRETE FOUNDATION WALL FOOTING DETAIL WALL THICKNESS 6' THICK FOR WALLS UNDER 6' HIGH 8' THICK FOR WALLS OVER 6' HIGH 1 ANCHOR BOLTS FOR 1 STORY 72' 0. C. 2- STORY 48' 0. C. PLACE BOLTS WITHIN 12' OF EACH PLATE END USE 3 "X3 "X1/4' SQ. WASHERS UNDER NUTS 6' MIN. TO UN- TREATE ATERIAL TI I FOOTING WIDTH 12' 1 -STORY 15' 2 -STORY 23' 3 -STORY MONOLITHIC CONCRETE FOUNDATION DETAIL •AI1CHOR 47' MIN. =1 EMBEDMEN BL 1102_08IRC.WPD NO SCALE 1' IDTH 12' 1 -STORY 15' 2 -STORY 23' 3 -STORY PRESSURE TREATED SILL PLATES 4 HORIZONTAL REINFORCEMENT PLACED WITHIN 12' OF TOP OF WALL FINISH BRIDE REINFORCEMENT SCHEDULE MIN. DEPTH FOOTING *2' TO 4' BELOW GRADE INTO *4' TO LESS UNDISTURBED THEN 6' SOIL 12' 1 -STORY 18' 2 -STORY HEIGHT IN FEET *2' *6' TO 8' >8 VERTICAL REINFORCEMENT MUST BE BENT TIED TO FOOTING REINFORCEMENT REINFORCEMENT SHALL BE GRADE 60- HYDRAULIC BENT ONLY #4 REINFORCEMENT 2- PIECES CONTINUOUS FOOTING THICKNESS 1 -STORY 6' 2 -STORY 6' 3 -STORY 8 1/2' 1 /2 ANCHOR BOLTS(SAME AS ABOVE) PRESSURE TREATED SILL PLATES #4 REINFORCEMENT 1 -PIECE CONTINUOUS 6' MIN. TO UN- TREATED MATERIAL IIIL ltin MIN. FOOTING DEPTH BELOW GRADE INTO UNDISTURBED SOIL 12' 1 -STORY 18' 2 -STORY VERTICAL REINFORCEMENT #4 48 O C #4 48 0 C #4 @24 0 C #4 @24 0 C FINISH GRADE HORIZONTAL REINFORCEMENT (1) #4 TOP BAR #4 24 0 C #4 @18 O C #4 @10'0C ENGINEERS ANALYSIS WITH STAMPED SIGNED PLAN REQUIRED i #4 REINFORCEMENT 2 PIECES CONTINUOUS COMPOSITION FIZO ING 30* 81liLDING FELT I /2" PL`t'11.00D ROG 61EATI IIN& 2X SIRD E3LOCKENG U1/ 2". SCREENED VENT (2) PER RAFTER SPACE CONT METAL OR VINYL RAINGUTTER 2X6 CEDAR FASCIA SNEAT+4 6I IN AS R SELECTED 15Y ouNE APPS EV HOUSE WRAP RIM JOIST 4. 3LOCKING FINISH GRADE IGvsriv sp j r TICS 4TLINE STORM DR IF RECZT 6 14REE DRAINING GRAVEL Aeav 1 ‘)9 oF Foot ov 4 PERF RATED FOOTING DRAIN UND ISTUiREED EARTH rA antic_ t1 r45" ti5� -WI -t PE.5 BAFFLE MAINTAIN 1" MIN_ AIRSPACE p t T c t1 R- INSULATION PRE ENG`D /f'"R'D TR. SSES 24" OC 5/8" GLB. CE (L INC% 2X6 DSL. TOP PLATE R SATT INSULATION V2" CdLIS. 2X6 STUDS X 16" CC 3/4" T4G COMPLY FLOOR R- INSULATION JO ISTS PER FRAMING PLAN 2X PT SILL PLATE AN.N CN O R5 /2 W X 10" A. 48" DC •4 `,PERT T i E b Akt HOOK *4 HORIZ I BA1 (2) GOVT 6 MIL. SLACK POLY VAPOR BARRIER CiTY OF PORT ANGELES % DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000217 Date 3/11/03 Property Address ...... 1737 W 9TH ST ASSESSOR PARCEL NUMBER: 0630000251500000 A~plication description . . . RES NEW SFR Property Zoning ....... Application valuation .... 119879 Owner Contractor ...... Structure Information NEW 2224 S F SFR W 480 S F GARAGE ..... Additional desc . . Expiration Date . , 9/07/03 .oo . ooo oo_ Additional desc . . Expiration Date . . 9/07/03 Qty Unit Charge Per Extension Fee summary Charged Paid Credited Due 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 taws 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 giv9 autho~it~ to violate or cancel the provisions of any state or local law regulating construction or the performance of Signature of dontrac't~or o~',~uthorize~- Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 41%4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 0 3 ' ~ ) ~ I PLANNING DEPT. 417-4750 PLA~ING DEPT. BUILDING 417-4815 ~ '/~ /~-- BUILDING FOR OFFICIAL USE ON!I[Y: Date Rec.: ~;7~,~'~' BUILDING PERMIT - APPLICATION ~,~: Date Approve: The Building Permit ~pplication mu~ be filled out completely. Please type or print in ink. If you have any qu~lons, pl*a~ call 4174815 EG ENTERPRISES, INC. Appl[c~t or Agent: 1~9~ I~, ..... ~ Phone: Owner: Sequim, WA 98382 Phone:"~/- (360) 66~-5/a~ ' Address: City: Zip: ' License ~: ~n ~ Exp: Phone~'-~ ~¢ / Address: ,/~/, / ~& f ~ ~ City:.~ -~ ~ Zip: C~X L~G~ D~SC~PTION: Lot: // Bl~k: ~ ~ / Su~ivisiun: ~/~ CL~L~ COUNTY P~C~L NUMBER: Credit Card Hol~er Billing Address: City: Credit Card ~: Exp. Date: VISA MC ~ReE OF WOP. Kz' / SI~,~/VA[UATION: sidential ~NcwConstr. D Re-roof ~ Wood-stove ,~",/~' d SF.~$ ~ Multi-hmly O AddiSon ~ Move ~' Garage 6~ck~ .d~d~ SF. ~ $ ~ Co~rcial ~ Re~el O Demolition D Deck ~/~'SF,~$ /'~/ /SF.=$ D Repak ~ Sign ~ ~ T~TAEVA[UaT~ON ~/~SIDENTI~: ~cupancy Group:~ Occupant Load: Cons~chon No. of Stories: ~ Lot Size: ~0~/~ % ~t Coverage: ,, ~ ~ ~ % ExistMg Lot Coverage: ~ /sq. fl. + ~oposed Lot Coverage: /~ /sq ~, = TOTAL LOt COVE~GE:. PLANING USE ONLY: APPROVES: PL~ Notes: BL~. DPW ES~ctland(s): O Yes ~ No SEPA C~cklist requbcd~ ~ Yes ~ No Other: OTHER BUILDING PE~IT ~PLICATION S~MITT~: Your applic~on and si~plan must hefted out com~letdy to be accepted for r~i~. lhe Bulldog Division can provide you ~ rare derailed ~bmtion on ~e applica~on ~d plan sub~l tequir~nts. Yo~ co~letcd a~lication, site pl~ (for additiom) and building cons~caon plans ~e to be sub~ned to ~e Building Division. VALUATION OF CONSTRUCTION: In all ca,es, a valuation amount must be entered by the applicant. Tl~s figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance~ pL.auN CHECK lqgE: Your plan check fee is due al the time the building permit application and construction plans are submitted. All other permit fees are due at the tUne ofperrmt issuance, EXPIRATION OF PLAN REVIEW: If no permit is ~ssued within 180 days of the date of application, ti,as application will expire. The Building Official can extend the tune for action by the applicant up to 180 days upon written request by the applicant (see Section 107,4 of the Uniform Building Code, cttnant edition). No application can be extended more than once. I hereby certiJy that I have read and e{amined this application and know the same to be ~rue and correct, and I am authorized to apply for this permtt. [ understand it is not the City~ legal responsibility to determine what permits are required; it remains the applicant's responsibdity to determine what permits are required and to obta~n such~ BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Job Located at 1"-~.-~ ¢'~ L) ~ ,/~'1 Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: These corrections must be made and ~ ~/not to be covered until reinspection~ ~ade. Wher/~ corrections have been~rrnade, please c~l ~ /~-~. for insp~ec[tion./ - ~ / / DateL~l~ 1~)~ ~._ ~ ~ector for Building Division DO NOT REMOVE THiS TAG EG ENTERPRISES, INC. 1324 Jamestown Rd. Sequim, WA 98382 (360) 683-5731 0 [ CIVIL ENGINEERING ...... LAND SURVEYING /,==~ & A S S O C I A T E S 2003' UL~) CTYOFPORTANGELES March 9, 2003 Mr. Brad Collins City of Pod Angeles Depadment of Community Development 321 East Fifth Street PoR Angeles, WA 98362 SUBJECT: E. G, Enterprises - New Single Family Residence located at 1737 West 9th S~reet, PoR Angeles Dear Mr. Collins: I have examined the plans for the proposed single family residence to be built by E. G. Enterprises at 1737 West 9th Street, in Pod Angeles for the following: 1997 Uniform Building Code Current Washington State Ventilation and indoor Air Quality Code Washington State Energy Code The set of plans reviewed by this office are in substantial conformance with the above and unless there are outstanding items for which I have not reviewed the plans (Zoning, Parking, Grading, Drainage or Electrical Permits), I recommend that a permit be issued for the structure. Please call me if you have any fuRher questions on this matter. Sincerely, Tmcy Gud~el, Fc: JN 03049 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~'- ~ I~q- -O '% Time /_/ .' I$-' Received by ~ ~ Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney~ Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ~-~/~-~ Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel I--IAsphalt [~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 ~-~/d~'~'---~ Time Received by (phone, person) Location of Work to be inspected i r~'~-''~ i.~ ~ ~/-/~[ Name of person requesting inspection ~-c~_,~ Address of person requesting inspection Phone No. Type of Inspection (ci~priate one): Permit No. ~' ] ~' Sewer Foundation~.~raming~Chimney/~--~ Plumbing Final Sewer Excav. Other A~V'__~c~! INSPECTION NOTE~: 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 ~---/~---~ Time Received by (phone, person) Location of Work to be inspected ~ r~ ~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (c~priate one): Permit No. Sewer Foundationd~ramlng~Chimney-'~' -'~ Plumbing Final Sewer Excav. INSPECTION NOTE~: [ Inspected' Date \~ '~ Remarks: ' ~ ~ Time RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel [-]Asphalt ~-~PCC []Other El 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 by ~ ~' (phone, person) Location of Work to be inspected / ~ ~'~ ~' Name of person requesting inspection /~ Address of person requesting inspection Phone No. Z~'_/.~./ '~ ~ ~(~ Type of Inspection (circle appropriate one): Permit No. Sewer ~~'~raming Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ~-~_~ ~ ~ Time Remarks: .~,¢~,~-~,/~ ~ F~>-~ /~, RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel ~-~Asphalt []PCC [~Other [] Repaired by City Work Order # [--t Repaired by Permittee [~ COMPLETE [--I 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 by ~-~ [~J (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/'~ndatlon~ Fram,ng Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ~-- Z~'~ '~)~' Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~]Gravel I-]Asphalt I--IPCC []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 (~,.~ ~:J+~)/~"~ Time ~)~.~.~-,J?l~ Received by ~- · n person) ! - ! Location of Work to be inspected ! ~,:~ ,? ~/~ ~,7-h Name of person requesting inspection .~.,J~-~-- Address of person requesting inspection Phone No. ~.~ Permit No. Type of Inspection (cirCe_ --~ ~appr°priate one): Sewer Foundation 'Framing/Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date~'~ ~<--~'/- ("':-~'~ .Time_ By ~/' Remarks: RESTORATION REQUIRED ...... YES. NO ! SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel I--IAsphalt []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 by (phone, person) Location of Work to be inspected /~_~ "7 ~ ~ 74 ,~ Name of person requesting inspection Address of person requesting inspection Phone No. ~'~/'* Type of Inspection (circle appropriate one): Permit No. ~-~ / ~* Sewer Foundation ~.~*~g--~himne~y Plumbing Final Sewer Excav..~Other 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)