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Home My WebLink About536 Marine Dr - Engineering .. CITY OF PORT ANGELES l7- ? 2 1 DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST Date I ?--- 7- tl ') Time II ~ 'J /I /I~ Received by II? E/VJ /1- (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 s )~ /11./J)f IlVr J}/t.L. I 7.A^~ /J /lRII/~ , Phone No Permit No Sewer Excav Other INSPECTION NOTES Inspected Date/:;2 -- 7 - // '3 Time;;; ~ I P f' ,hJ By t' , IV Remarks 5t:~VIC~ L-/IVE LE/1KIA/V:- J W~TE;/r ~P/""/~ V II/PCI( If7 VI Lp //Vc;-~ ..f'ilv ( ~/= I;:;' C vI? r: >TP/' /?/{/.,P lfe?,L /?CEt? .5'e/(t//CE t.//Vr Iv , (J \\, ~ ~ jVJ /J 1\ ) 1'1 € !l {( II/~ ~ I 0 ~ - - - I ?--Y - - - ~X "- r-'^"' ~ t\r ~ r ~ "' '- ~(:;:. '" R\ RESTORATION REQUIRED. .... YES ~ NO SURFACE RESTORATION SURFAC~ TYPE 0 Unimproved 0 Gravel ~s/(~I 6 o Repaired by City f ~ 10 0 0 Repaired by Permittee o No Damage Found ~phalt 0 PCC 0 Other Work Order # / '1 J :;2 7 o COMPLETE rr1NCOMPLETE 51/(C€f #'Y Ci//CI! ,!,/€epJ' A tP' f (/ 7' / f/ 'X'I;J... / {,q- t c rf (Continue on reverse side if necessary) It? IJE 1l.5'IrHItL Ie;?, STREET SUPERINTENDENT (DATE) City of Port Angeles Public Works Departnlent Water Distribution Repair Report IWork Order No / ~ .}.;;- ? ICrew K tJ;V; le~jZ Y /PEA/A/IJ' I DATE REPORTED /)-7-t?3 CONDITION EMERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT 0 LEAKAGE SURVEY 0 OTHER 0 TYPE OF MAIN I ,;2- ?-{/ ) TIME II' 1 {/ ADDRESS S} , /11 /1 t< //1' tE C, .r SIZE /;2 li / .3 ~DP.M. DATE OF REPAIR. REP AIR LOCATION tJjflt/~ "'" DEPTH OF MAIN CLOSEST VALVE DEPTH. / ?.J / COMPONENT REPAIRED. MAIN JOINT 0 CIR. BREAK 0 SPLIT BELL 0 LONG BREAK 0 HOLE 0 CLAMP D OTHER SERVICE TAP D CORP STOP D PIPE ~URB STOP D FITTING D METER SETTER 0 METER 0 LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0 HYDRANT BRANCH 0 VAL VE 0 BARREL 0 OTHER. COMPONENTS OF REPAIR. CLAMPD DRESSERD OTHER /(Ef?LA[t:'f S€.RvlCi:. LIlVJ,2 SITE CONDITION GRA VEL 0 ASPHALT Er'SIDEW ALK 0 CURB 0 TOP SOIL AREA D SOIL TYPE CUTS ASPHALT CUT10.-tI) FT CURB CUT _FT SIDEWALK_FT DRIVEWAY CUT _FT MAIN CONDITION INTERNAL LINING TUBERCULATION-MINOR 0 SEVERE 0 EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0 CHLORINE RESIDUAL SAMPLE P.P.M. WATER OFF FROM M.TO M. FROM M.TO M. APP ARENT CAUSE OF LEAK. .Ye;c f/ Ice L '(1/ (:: L e /I t:=- ,4 r FIT (IIV' 5"a N - 5el< //)/': ~ L-IN~ ,. 5H 1/ T 0 j;::-F epIC'/': .5" T6'i:7 1# A'~j? A!'/c... /VEi/EI? YHv T t'J::-F ./11-1/#. CITY OF PORT ANGELES l7- ? ~ 1 DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST Date I ?-..- 7- (J J Time II 'J Ii /I~ Received by II< t:/VI /I- (phone~ person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) S)~ Ii' / t. L- I 7 ~1- /J /11./1 IL IN F PRI//~ , ~ Phone No Permit No Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other INSPECTION NOTES 7 (' ',- Inspected Date / ;2- -- /./ Time,) ~ I t/ f'1'? By i' 11't/ Remarks 5 E J(' VI C F' L/ IV E L E /1- K / ,A/V-. W /t T CJ l &: P / -1/?' C/ /1/ t? e 1\ I:l f/ I L );' //1/ c;- ~ .1'/-11./ ( j /= /== / C fIR r S' T 1/ ~ /1/\/ P If E /'.L /?{'Et? .5' eK t//C E L-/ /I/r /(I , TV (J \\, "0 'b jVJ/1{\ J;YE !l flll/~ ~ I 0 ~ - - - Irr3 - - - ~X "- r-'^"' '" \\i ~ r ~ <:: '- ~ ~ f\;;" l"\ (\\ RESTORATION REQUIRED YES ~ NO SURFACE RESTORATION SURF~ TYPE 0 Unimproved 0 Gravel ~SIr 'o!? 0 Repaired by City 17/ 10 [] Repaired by Permittee o No Damage Found 5ftee€f #Y C-i/IlP. ,!,/€cl?J' Af'/'~7' If/ X/~' f'q-; erf . (Continue on reverse side if necessary) ~phalt D PCC 0 Other Work Order # / ~ J :;;.. 7 J . lXJ COMPLETE . ~"e.L' \i'<':1)."J.,,\'I-ed vJ\ \11\ 0'lNCOMPLETE ~{2 b~~(:r \i~\~'~ . --r\i / t? IJ E It ..ytr !-t I} L T e .P , -. STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 04- / ';)... 0 0 57U;n~~ cffT r;/P()ll7~ l~~ r~ 1L -- ~;;;i" Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . Application valuation 04-00001200 .000000 536 MARINE DR 06-30-00-0-0-4940-0000- PUBLIC WORKS UTILITES Date 12/27/04 INDUSTRIAL LIGHT 1000 Owner Contractor CENTRAL WASH. GAMING LLC. 536 MARINE DRIVE PORT ANGELES WA 98362 ( 36) 417-8114 C&J EXCAVATING PO BOX 430 CARLS BORG (360) 683-7741 WA 98324 Permit STREET ALLEY RESTORATION Additional desc Permit Fee 230.00 Plan Check Fee .00 Issue Date 12/27/04 Valuation 1000 Expiration Date 6/26/05 Qty Unit Charge Per Extension 1. 00 230.0000 ECH STREET ALLEY RESTORATION 230.00 Permit SANITARY SEWER HOOK UP Additional desc Permit Fee 35.00 Plan Check Fee .00 Issue Date 12/27/04 valuation 1000 Expiration Date 6/26/05 Qty Unit Charge Per Extension 1. 00 35.0000 EA SAN SEW REPAIR 35.00 Permi t RIGHT OF WAY Additional desc Permit Fee 45.00 Plan Check Fee .00 Issue Date 12/27/04 Valuation 1000 Expiration Date 6/26/05 Qty Unit Charge Per Extension 1. 00 45.0000 ECH RIGHT OF WAY PERMIT 45.00 Fee swrunary Charged Paid Credited Due ----------------- ------~--- ---------- ------~--- ---------- Permit Fee Total 310.00 310.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 310.00 310.00 .00 .00 Separate Permits are required forelectricai 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 wili 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 Date Signature of Owner (if owner is buiider) T:\PLANNING\FORMS\1102.15 [11/1412003] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: . Date 1'2-/ u1-p1 Time Received by ~ I 1 (phone. person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. ~ 5'3, 771/ Type of Inspection (circle appropriate one): Permit No. tJ? - I Z-OC> r70undation---Framing--Chimney - Plumbing- -Final~Sewer-Excav.--Other------._------- --------- INSPECTION NOTES: ~;~rJ(::J . Inspected: Date 'I ~ - ~ Time l ~'''\. By J 4 .A) 0(j2.1;;;(~ Remarks: If th ~\ , \Je.rcA }J(')'J J'~_' ~e ,r c=ltit - ~acl:4'. (\~C\ lA.r\r~ (~V) r ~'y. \ L I lA,f;\;tl (vI: ~ JlAJ 1!> SI1/.lt-l ~h~ 5'~ rn{j~e., Vll. e ~. ,{ {E;llil. RESTORATION REQUiRED...... YES X NO SEE ,fJ,nlcZ-'" lv1.e;x-_ . SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel o Repaired by City o Repaired by Permittee o No Damage Found ...,1 \--, I ~!I '- ISll Asphalt 0 PCC , Work Or,der # JZ( COMPLETE o INCOMPLETE o Other ( ~6\<6'2 :tP Afe.o. ~\te.o\ w, t Y t-\o'r ""\ x: ~S-OS ~ 1i JItwI- / ~/ ~ Tp- f pORT ~ lO~ r'Gii L~ ~ ~,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Applicatlon description Subdlvlslon Name Property Use Property Zoning . . . Applicatlon valuatlon 12/27/04 04-00001200 Date .000000 536 MARINE DR 06-30-00-0-0-4940-0000- PUBLIC WORKS UTILITES INDUSTRIAL LIGHT 1000 Owner Contractor CENTRAL WASH. GAMING LLC. 536 MARINE DRIVE PORT ANGELES WA 98362 ( 36) 417-8114 C&J EXCAVATING PO BOX 430 CARLS BORG (360) 683-7741 WA 98324 Permit Additional desc Permit Fee Issue Date Expiration Date STREET ALLEY RESTORATION Plan Check Fee Valuation .00 1000 230.00 12/27/04 6/26/05 Qty Unit Charge Per 1.00 230.0000 ECH STREET ALLEY RESTORATION Extension 230.00 Permit Addltional desc Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP Plan Check Fee Valuation .00 1000 35.00 12/27/04 6/26/05 Qty Unit Charge Per 1.00 35.0000 EA SAN SEW REPAIR Extension 35.00 Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY Plan Check Fee Valuation .00 1000 45.00 12/27/04 6/26/05 Qty Unit Charge Per 1.00 45.0000 ECH RIGHT OF WAY PERMIT Extension 45.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 310.00 310.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 310.00 310.00 .00 .00 ~ ~ ~ ~ ~ j ;S ~ '\::J .., 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 ovisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a per . does not ~~~~ve authori / ~:4r cancel the provisions of any state or local law regulating construction or the pertor ance of ~ Z:(~~ ('{Jf) /t1 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T.\PLANNING\FORMS\1102.15 [11/14/2003]