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Home My WebLink About160 Del Guzzi Dr - Engineering ..... CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . INSPECTION REPORT. . . . . . . . . . . REQUEST Date ) (..:/ - );1. - u") . Time 7 ~ ') J ./fn-, Received by 7 I I (phone, ~ Location of Work to be inspected /60 Oe l.luzz1 Or. Name of person requesting inspection iA./c,,- Te f O'v' Address of person requesting inspection ,1 7c..) 3 S 0 j~ Phone No Y I 7- L/ ~ i 7 Type of Inspection (circle appropriate one) Permit No Sewer Foundation Framing Chimney Plumbing Final Sewer Excav ~~CA..../ C<.. t (> r INSPECTION NOTES Inspected Date .1 1>/ JA. I 03 Remarks Time II' <FV AP1 By "/ / 7 Rei/u..,,/'t,.. () f~r /),.1'" t/e~'lT I, \ 3" X b'- OtLtct... 1'1 1100 C I '. RESTORA TION REQUIRED YES V NO " It lJe:- /1 v22-/ Dr. g "P~'L- 1-1'-1 ~" vI ..:.. >a-, - O~liv<!.lr SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel o Repaired by City [] Repaired by Permittee [] No Damage Found (Continue on reverse side if necessary) 0( Asphalt 0 PCC 0 Other Work Order # 303 J 5~ ~OMPLETE IO/20Io'S Bk. PQ INCOMPLETE 3ifl(o ~- \ STREET SUPERINTENDENT (DATE) .S ~~ CTIY OF PORT ANGELES DEPARTMENT OF COMMUNlTY DEVELOPMENT - Bun..DING DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 --------------~---~--------------------------------------------------------- Permit . . . . POBLICWORKS COMM WATER SERV Additional desc Permit Fee Issue Date .. Expiration Date Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 285366 04-00000306 Date .441652 160 DELGUZZI DR 06-30-12-3-4-9020-0000- COMM NEW CONST OWner Contractor WUJI ENTERPRISES LLC POBOX 3101 PORT ANGELES Structure. Information Construction Type Occupancy Type Other struct info J & J CONSTRUCTION 233 ALICE RD. PORT ANGELES 0 PORT ANGELES (360) 457-1809 NEW 4320 SF 2-STORY COMM BLDG TYPE V NON-RATED BUSlNESS:OFF/PRO/MED/REST TOTAL, t LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE ' PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 1160.00 5/27/04 11/23/04 Plan Check Fee Valuation Qty Unit Charge Per 1.00 1160.0000EA PW W/M COM 1" 5/27/04 WA 98363 7.00 V"'N 2.00 1.00 339768.00 2284.00 2284.00 1.00 .00 LO RIGHT OF WAY - - - - - - - - - - - - - ~ - - - - - - - - - - - - -.- - - - - ... - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ';"'---'- - Extension 1160.00 ---------------------------------------------------------------------------- Permit . . . . SANITARY SEWER HOOK UP Additional desc Permit Fee Issue Date Expiration Date Permit . . . . Additionaldesc Permit Fee Issue Date Expiration Date 45.00 5/27/04 11/23/p4 Plan Check Fee Valuation Qty Unit Charge Per 1.00 45.0000 ECH RIGHT OF WAY PERMIT 95.00 5/27/04 11/23/04 Plan Check Fee Valuation Qty Unit Charge Per 1.00 95.0000 EA SAN. SEWER HOOKUP .00 285366 Extension 45.00 .00 285366 Extension 95.00 ---------------------------------------------------------------------------- Special Notes and Comments On the lower floor there will be a dedicated ADA patient treatment room will be available to all health care Separate Permits are required for electrical work, SEPA, Shoreline, E~A. utilities, private and public improvements. This pe!"J'11lfbec()mes null and void it work or construction authorized Is not corrimencedwithin 180 days, it construction or work is suspended'ot"iil#indoned for a period of 180 days after the work as commenced, or it required inspections have not been requested witI'Iin 180. ctays frol11 the last inspection. I hereb~certify that I have read and examined this application and know the same to be true and correct. ~I provisions of laws and ordinances "governing this type of work will be complied with wh ether 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 pertormance of construction. "S'o.. T:\PLANNING\FORMS\II02.IS [lIIl412003] Signature of Owner (it owner is builder) Date BUILDING PERMIT INSPECTION RECORD .~ , ,., CALL 417-4815 FOR BUILDING INSPEcrIONS. CALL 417-4735 FOR ELECfRlCAL INSPECfIONS. . ' ; PLEASE"PRO"IDEA MINIMUM 24 HOUR NOTICE.ofT IS UNLAWFUL TPCOVEB,IIX$J/l,.ATEQR.CJXNC#-# 4JYXWOJJJ(BEFORE ... "\' . INSPECTED AND ACCEPTED. POSTPERMITINACO!'iSPlCUOUSL()CATION," ','" .' ..' .... . KEEP PERMITCARD AND APPROVED PLANS AT JOB SITE ..... .- . '.' I .~.~S'-TlON TYPE DATE ACCEPTED ,. ........ COMMENTS .' .' .. YES NO . ..... '., . FOUND~""ON: ". . . FOOTINGS : . ,..". . W#f.s,' ,u" .. "FOili$A:rION: DRAINAGEIDOWN SPOUTS ELE~i~#i'.'J;.. (LJGHTDEP1) SEPARATE PERMIT: # ,.',. .' ROUGH~iN'~, .'.: '. I I . .". ,..", " '.. . . I'Wr.tB~g., ". '. , UNpE~ft()QiVsJ.AB :. RotipIi.lli:,..\~ . wA.~~~~ TO BLOO) (jAS:L~i';'&;" " BAcKttPwiwATER .. , AIR SEAl;' \'" . , . wAiLs' I I cEILiNG' . I . " FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS " WALLS / ROOF / CEILING , DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR ....... '. .. " ..;. INSULATl9N .. ;.:{; SLAB' . '. : wAf,:l.l FLOOR I CEILING . . . . '. M~~ . '. ~TPUMP' .'. G,.sLllIm . . ." 'VQQDSJOVEI PELLET I ClDMNEY .. HOClP l. DUCTS . '. ..' PWJITIL}TIES / SITE WQRK (Engineering Division) SEPARATE PERMIT #'5: ". WATERLINE / METER SEWER CONNEcnON . '. ..... SANITARY . . STORM '.. PLANNINg, nEPT. SEPARATE"PERMlT #'5 .' . SEPA: PARKlN~lGlmNG . ESA: ~Nq~C~I'INc::; .. .' ., . :$ijO~INE: .. .,H I.... : " . .' '. .. " . ',,,..:' ......(. ... . 'FINALINSPE<mONS'RWUlRED PRIOR TO 0<:<;.(J1'~g:41~;E' .'. . ..; 'C: ih:~ <. .. '. HREsIDENTIAL DATE YES NO . . .cOMMERCIAL DATE .. -..\~C~ . . ......;,.., ". . '.. "" " :- .....' .,.... ," ,; ../ 'YES,..) ..'''''-'.,'",.<." .'ri,tNQ; ELECTRiCAL- UGirr DEPT. 417473S ELECI'RICAL " , . UGHTDEPT CONSTRUcnONR.W./ PWI CONSTRUcnON. R.W. ,,' Ie ENG~RlNG 4174807 PWI ENGINEERING ;,. '. ~. 417-4653 _c... FIRE'. .. FIRE DEPT. c .. . .,'" ..... P~GpEPT. 4174750 . PLANNING DEPT. BUILDING J .... '. 4174815 . BUILDING F T:\PLANNING\FORMS\II02..15 (11/1412003] :>;,'-,:, 'i>"'~:"=o't~". .'.~S"'~~ " ~, ~~ CITY OFPORTANGELES DEPARTMENT OF coMMUNITY DEVELOPMENT - BUILDING DNISION 321 EASTSTHS1REET, PORT ANGELES, WA98362 \ , 'ApPlication\Number pin number - . . . . . . . ". 04-00000306 . . .441652' ---------------~----~~------------------------~------~--~~------------------ Special Notes and Comments providers in lieu of second floor ADA access route. There will ,also bea required dedicated health care provider office in lieu of second floor AnA access route: ' 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. 'COrd. 14.36.050-E)'" ,,' The project is to construct a 4320 square' foot commercial structure in the Commercial Arterial zoh,e fora total1ot coverage of 7% ~ Setbacks and lot coverage are good and ' parking for the site as shown is for a general business or retail ,use,No land use issues are noted. Electrical load calculations and e1ctrical pepnits are required. ' 6' wide ,sidewalk to Citys,tandards along Del Guzzi Drive Page Date 2 5/27/04 ..~'-~-~~-----7-----------------------~---------------~-~----------------------~- Charged Paid Credited Due ----------------- ---------- - - - - .". - - -'- ---------. ---------- Permit Fee Total BOO.OO 1300.00 .00 Plan Check Total .00 .00 .00 Other Fee Total 4429.00 , '4429.00 .00 Grand Total '5729.00 5729.00 .00 Separate Permits are requiredfor electrical work, SEPA.Shoreline, ESA, utilities, private and public improvemen.ts.Thi~p~nnltbe~omes null and void if work or construction authorized is notcomm13nced within 180 'days, if construction or work ISSUSI)~,rid~J,9r!~~aridqned for a period of 180 days after the work as commenc~d, or if required .inspections have not been requested VJithin\~~~:~a~ftomthe last Inspection. , I hereby certify that I have reael and examined this application and know the same to be true and correct,. J\1I provisions of laws aryd ordInances governing this type of work VJiIl be complied with whether specified herein or not. The g/linting;ofa,pelJ1litdoes not presume to give authority to violate or cancel the provisions of any state or local law 'regulatir)9 construCtion or the perfon11ance of construction. Other Fees . . . ... . .,. SEWER SYSTEM DELV, CHARGE STATE S~CHARGE PW WATER SYSTEM USE FEE Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\II02.1S[1111412003] 1862.00 4.50 2562.50 Signature of Owner (if owner is builder) Date ,,' ',' "'~.'t,:" ,-"'T;O:",!:! ,BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-473~ FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE O~ CONCEAL ANYW(JRlfBEfORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA"TION. - . KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE I ACCEPTED , COMMENTS .. . .... I YES NO . . '. FOUNDATION: FOOTINGS WALLS . .' FOUNDATION. . DRAlNAGEIDOWN SPOUTS ,. . ...... ELECTRICAL (LlGHTDEPT) SEPARATE PERMIT: # '. '. ROUGH-IN . I I , ., ,. '.PLUMBING . UNDER FLOOR I SLAB . . ROUGH~IN' .' W A TEll. LINE (METER TO SLDG) .. GAS LINE . . BACK FLOW I WATER . .' , . AIR SEAL . , , WALLS' -:' i............ 'I ., . CEILING T '.' '.' FRAMING . . '.. .... . ,:.., , JOISTS I GIRDERS i.', . , SHEAR W ALLlHo.LD DOWNS '. " WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) ,. T-BAR ,.' , : INSULATION . SLAB , ] , 1 ..... WALL I FLOOR I CEILING .' I I r , MECtJA.I"lICAL , HEATPtJMp , , GASUNE , WOOD STOVE I PELLET I CHIMNEY HOOD I Duers ." , . PW UTILITIES I Slrt WORK... (Engineering Division) SEPARATE PERMIT #'5: WATERLINE I METER ..' .... "i SEWER CONNEOTION . ..,......., .".'.... . SANITARY . .' .. STORM '. " PLANNING DEPT. SEPARATE PERMIT #'5 '.' SEPA: ", PARKINGlLIGHTING . ."..'," ESA: LANDSCAPING . "', SHORELINE: . , ." ... . '.' .". '" '. . :,,' FINALINSPECXIONSREQUlRED PRIOR TO OCCVPANP'Il!~~ . '" .... :. . " .. .. . . . "" , ".' RESIDENTIAL' > "= YES NO COMMERCIAL ""'. DATE ACCEPTED ..... . DATE , . ':'" ...... .. .. . .'. . YES "NO '..., .. , '. ~, _ c .,. . . ..".' ELECTRICAL - LIGHT DEPT. 417.,4735 ELECTRICAL , UGHT'DEPT: ....... . . " CONSTRUCTION R.W. /PWI CONSTRUCTION ,R.W. . ENGINEERING. . 4174807 '. PW I ENGINEERING ", ii' '.' 417-4653 FIRE DEPT; ,. -c:- FIRE, '<' .,' PLANNIN9 DEPT. .. .', 4174750 PLANNING DEPT. --.- . ." . . BUILDING . <,.< ...... 417-4815 BUILDING "". . T:\PLANN!NG\FORMS\ll02.lS (1111412003] ,. J.... f ~ORr "'" ...O~~ $~~ ~~ ~ '4i.;:,;;P CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 04-r3-IJ0 APPlication\Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000306 Date .441652 160 DELGUZZI DR 06-30-12-3-4-9020-0000- COMM NEW CONST 5/27/04 /(;0 j)ffljt~' 285366 Owner Contractor WUJI ENTERPRISES POBOX 3101 PORT ANGELES WA 98362 J & J CONSTRUCTION 233 ALICE RD. PORT ANGELES PORT ANGELES (360) 457-1809 NEW 4320 SF 2-STORY COMM BLDG TYPE V NON-RATED BUSINESS:OFF/PRO/MED!REST TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98363 LLC Structure Information Construction Type Occupancy Type Other struct info 7.00 V-N 2.00 1. 00 339768.00 2284.00 2284.00 1. 00 Permit PUBLIC WORKS COMM WATER SERV Additional clesc Permit Fee 1160.00 Plan Check Fee ,00 Issue Date 5/27/0' valuation 0 Expiration Date 11/23/04 ---~----=~~~---~:;~~~~~~~~-~~:~--~~-~~~-=~~-=:_-----------------~ Permit RIGHT OF WAY Additional desc Permit Fee Issue Date Expiration Date 45.00 5/27/0' 11/23/04 Plan Check Fee Valuation ,00 285366 Qty Unit Charge Per 1.00 45.0000 ECH RIGHT OF WAY PERMIT Extension 45.00 Permit SANITARY SEWER HOOK UP Additional desc Permit Fee 95.00 plan Check Fee ,00 Issue Date 5/27/04 Valuation 285366 Expiration Date 11/23/04 ________=~~~___~~~t~~~~~~~_E~er__SAN_SEWER_HOO~~~________________~:~~~ Special Notes and Comments On the lower floor there will be a dedicated ADA patient treatment room will be available to all health care 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 thaI 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 stale 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 [11/14/2003] .. ;\ diPOAT~ l~%\ hiii ~~ ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 04-00000306 pin number . . .441652 Page Date 2 5/27/04 Special Notes and Comments providers in lieu of second floor ADA access route. There will also be a required dedicated health care provider office in lieu of second floor ADA access route. 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 OD. (Ord. 14.36.050-El The project is to construct a 4320 square foot commercial structure in the Commercial Arterial zone for a total lot coverage of 7%. Setbacks and lot coverage are good and parking for the site as shown is for a general business or retail use.No land use issues are noted. ' Electrical load calculations and elctrical permits are required. 6' wide sidewalk to City standards along Del Guzzi Drive Fee surrunary Charged SEWER SYSTEM DELV CHARGEe- STATE SURCHARGE PW WATER SYSTEM USE FE~ Paid Credited 1862.00 ~ 4.50 2562.5~ Due Other Fees Permit Fee Total plan Check Total Other Fee Total Grand Total 1300.00 .00 4429.00 5729.00 1300.00 .00 4429.00 5729.00 .00 .00 .00 .00 .00 .00 .00 .00 Separate Permits are required tor electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void jfwork 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 wiil 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. Date Date Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:\PLANNING\FORMS\1102.15 [11114/2003 ] . , CITY OF PORT ANGELES DEPAR1MENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000306 Date .441652 160 DELGUZZI DR 06-30-12-3-4-9020-0000- COMM NEW CONST 5/27/04 285366 Owner Contractor WUJI ENTERPRISES POBOX 3101 PORT ANGELES LLC WA 98362 J & J CONSTRUCTION 233 ALICE RD. PORT ANGELES' PORT ANGELES (360) 457-1809 NEW 4320 SF 2-STORY COMM BLDG TYPE V NON-RATED BUSINESS:OFF!PRO/MED/REST TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98363 Structure Information Construction Type occupancy Type Other struct info 7.00 V-N 2.00 1. 00 339768.00 2284.00 2284.00 1. 00 Permit PUBLIC WORKS COMM WATER SERV Additional desc pennit Fee 1160.00 Plan Check Fee Issue Date 5/27/04 Valuation Expiration Date 11/23/04 .00 o Qty Unit Charge Per 1.00 1160.0000 EA PW W/M COM 1" Extension 1160.00 Permit Additional desc Permi t Fee Issue Date Expiration Date RIGHT OF WAY 45.00 5/27/04 1l/23/~4 plan Check Fee Valuation .00 285366 Qty Unit Charge Per 1.00 45.0000 ECH RIGHT OF WAY PERMIT Extension 45.00 -------------------------------------------------- Permit Additional desc permi t Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 95.00 5/27/04 11/23/04 Plan Check Fee Valuation .00 285366 Qty Unit Charge Per 1.00 95.0000 EA SAN SEWER HOOKUP Extension 95.00 Special Notes and Comments On the lower floor there will be a dedicated ADA patient treatment room will be available to all health care Separate Permits are required for electrical work, SEPA, Shoreline, ESA, uliiities, 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 requesled within 180 days from the last inspection. I hereby certify thaI 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 nol presume to give authority to violate or cancel Ihe provisions of any state or local law regulaling construction or the performance of construction. s~ Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11/]4/2003] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date (l'J!lh1 Time Received by (phone, person) _. /IPD 'l)..dt:j$~~ 'j)Jv J ~ J (' J>1.aY - Phone No. 4vt) -~ 7 Permit No. t/1-----Y Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other (?~f ~~~On,~~ ~- INSPECTION NOTES: l/ ~ Inspected: Date /;/;.z,,/ tl~ Time By ~II. . / . Remarks: - {~ t-o f'~JA-(l.~.-/J ~j/'lZ;l /AN.L~ J1LJ 7AJ ~ "J~.-I~' ./t.dllfl~r- ~ Os:<Aib.A;;' location of Work to be inspected Name of person requestin.g inspection Address of person requesting inspection Type of Inspection (circle appropriate one): aWl) .I NO V RESTORATION REQUIRED . . . . .. YES L 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 Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . INSPECTION REPORT. . . q (Z 7 !01Time Received by . . (phone, person) REQUEST: Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): / 1/ D R~. t:e.\ ?{l.(?~ I~ r SOL.- Phone No. Permit No. OC)-3DV Fin(Sewer EXCV Other Sewer Foundation Framing Chimney Plumbing INSPECTION NOTES: ! ,j J Inspected: Date Q,1x / 04 Time Remarks: 114~ By J4 Ai\) ILB>>-'S. RESTORATION REQUiRED...... YES NOX , . '!2.Jl> - \ ~t-Oc.,. \... ~ 'Z...,f c..L(:,lyJOU"r 2..1 . ~ / o~"F-~l".V~~" \ .......Io\(.! 0";:' Lo\" i?Vc:. \ ,tl~' '%. ot '4sQo tit..l"::#" ~I..:_ .." P\J'-- ~1."A'" OlJ, e. 7.'.>' Ose-p -' \~'T"'L-Il~ \ \ ! /I "1...l?f.I5>"TI^-l~ ell' STVa.. ",. 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 .. ' CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ._ . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . ~EQUEST: II I /" Date I; 'llJ //)'0 Time Received by (phone. person) Location of Work to be inspected 1 [PO D.e1~, [)h, Name of person requesting inspection Address of person requesting inspection Phone No, Type of Inspection (circle appropriate one): Permit No. 04 - ~ Sewer Foundation Framing Chimney Plumbin8ewer Excav. Other INSPECTION NOTES: Inspected: Date t..{ ~ 2-6 - 05: Time /I: ~S- A/Il, By Q V Remarks: (/ ~/dew~ ~ .,tJJ./f~~5t'~~ RESTORATION REQUIRED . . . . .. YES NO ~ 0 lV<:b t C,.<:> r".pl~~~ 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____ _=-1_:.1: ____~~~____, J 80 Feet DelgUZZi 0 r. ~ "utical Datum = NA I'D 88 Hor;;:;on/a/ Dlltum = NAD83191 S.R.101 CA N Thi:; map is nOI illlendf'd to be IISed (1.< a 'egal description This map/drawing is produced br the Cityo! Pori Angdesfor irs 011'11 USP and pllrpoSl'$ ;/",.""/,.,,. ,,,,,,,flhi. ",,,,,MrnW;M" .J",II 'M' hD ,1M ''''n~no;h;J;,,, ~",." r;" ~ Area Map CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date 6.,;2 q-c? 'I Time /0 ',cJZ} f)/t'1 Received by (phone, person) Location of Work to be inspected /(.,.0 /J~( 6<./ Z 'Z. t' I)" Name of person requesting inspection lA/a..f~r tJ,./, Address of person requesting inspection ! 7 r<- 1 B 5 T. Phone No, '-//7 - <IFf 'f ( Type of Inspection (circle appropriate one): Permit No. tJ1- .3tJ b Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other f/l/r:..r~/ INSPECTION NOTES: Inspected: Date Remarks: Time By IJ'I ~ t,j,!(1., , Ap n~'I nlt.." lA/""J-Ir ,., <!:.r./I'C~ (, \ )( It) \ L-JT In. k<<~ G701 /:::;. oq 3Y ?~Z./ 7 RESTORATION REQUiRED...... YES Y NO $ Dc I tUZZ-1 Or. r ;',l.J' ~{~ J&. - lV '7 My.!.r-. T J)esT vJilf>tu,^, tVi.:>r~1 )( r (Jier4!: , SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel $.'I Asphalt OPCC o Other I V kJ,) - os'i' o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE (" I I o INCOMPLETE Cap~ fD ~ ~pj-1t R.f1~ wi tMm(x' 7-7AJ'f,J::-