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Home My WebLink About824 W 10th St - Building I /' ~ '1 ,,"" J CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . INSPECTION REPORT. . . . . . REQUEST Date -.J )7- 0 S- Time JI) ',1 5 1}1'h. Received by AI () tv~M ~ (phone-, person) Location of Work to be inspected 13 J.. L/ W / 0 ~ Name of person requesting inspection (>>ttt~r 01(./ Address of person requesting inspection /7c.>.3 S ,') is 'S'-- Phone No t II 7 - tl { L/1 Type of Inspection (circle appropriate one) Permit No Sewer Foundation Framing Chimney Plumbing Final Sewer Excav ~ ~7tfe r INSPECTION NOTES Inspected Date ".:)- 3- 7 - C> <) Remarks Time / 1< 3 0> q ~ By 7/) .'J \ \ GI I'YltV",- /3/ e#f f I ejJPtN<e. ~ t.A-{I1.. S.5 l~jlAI/ betl<1 J , / ' RESTORATION REQUIRED . . YES V NO ~ ~ \~ y J' -\ - JOT" I, J.O}/ I d. ,\ c.f All ... -""" KF IUo" ( rH \ SURFACE RESTORATION SURFACE TYPE D Unimproved D Gravel D Repaired by City [] Repaired by Permittee D No Damage Found D Asphalt D PCC r;l1 Other 1 O! S".., 1/ Work Order # 3> L 3 f.~ - C0S- o COMPLETE ~ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CIty of Port Angeles Public Works Department Water DIstribution Repair Report IWork Order No '30-3 'il - (--:J s- , ICrew 117J 7/6J 7/ <1 , DATE REPORTED 3-). )- "s CONDITION E1'v1ERGENCY ~ ROUTINE 0 CITIZEN COMPLAINT 0 LEAKAGE SURVEY 0 OTHER 0 D ATE OF REP AIR. ,) r ). 7- i) S TIME J 0 " :x.:J ADDRESS ~J (/ fA/ I aT/.... frA.M. OP.M. REP AlR LOCATION DEPTH OF MAIN c-x 4' SIZE ~ \\ TYPE OF MAIN CLOSEST VALVE DEPTH. ]\ COtvfPONENT REPAIRED. MAIN JOINT 0 CIR. BREAK;}( SPLIT BELL 0 LONG BREAK 0 HOLE 0 CLAMP 0 OTHER SERVICE TAP 0 CORP STOP 0 PIPE 0 CURB STOP 0 FITTING 0 1'v1ETER SETTER 0 METER 0 LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0 HYDRANT BRANCH 0 VAL VE 0 BARREL 0 OTHER. COIvlPONENTS OF REPAIR. CLAMPO DRESSERO OTHER 5.5 f €PC4.f,/ &tA J , SITE CONDITION GRA VEL 0 ASPHALT 0 SIDEWALK 0 CURB 0 TOP SOIL AREA)( SOIL TYPE CUTS ASPHAL T CUT _FT CURB CUT _FT SIDEW ALK _FT DRIVEWAY CUT _FT MAIN CONDITION INTERNAL LINING /l,/ A TIJBERCULATION-MINOR 0 SEVERE 0 EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0 CHLORINE RESIDUAL SAlv1PLE ...JJ P P M. WATER OFF FROM J O')v AM. TO II ')0 I} M. r FROM M. TO M. APP.'\RENT CAUSE OF LEAK n I 0 fJp.L /fc-o FEE REceIPT NUMBER CITY OF PORT ANGELES . DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERM.IT A 281 ~ PERMIT NUMBER . . .\'!loN1~ - ~; _pD, . . ,. ,. . ", '. TOTAL FEE ., " CONT. LIe. NO. TIM~ TO COMPLETE' .NO. STORIES -LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 8Zfci. WE$///d!J. . .:rc:PA.RORR cr ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner ~ ,<J.'€'-''( . :J)C)YLC Inst~lIation By . ,N,7(" .AnAh9/./) . 8 ,,-ccT.e,c.. Owner's Address 7!CJ, <!fAX/I;? "7' ~/J, Installers Address /326 ~ L/:Hi DayPhone. ~S7- ~'7latp '.. . Installers Phone _ 14-7-7601-: ApplicaHo~ is hereby made for Permit to install Electrical E.quipment as follows: A/e:- CA) /-,Ir'I'WC {,.;/,e MJcr-- .. ' Site Address Wiring Method t( 1,,1 e ., NUMBER AMP . 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT PEA' 100R FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN .. n 50 VOLTS , LIGHT OR LESS CONVENIENCE - ,. MOTOR CONVENIENCE .. - MOTOR . .. APF:lLlANCE . . . . . . MOTOR. .. DISHWASHER FI RE ALARMS DISPOSAL BURGLAR ALARM - . RANGE MISC. . . . OVEN WATER HEATER LAUNDRY .. . DRYER . . REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS - OIL FURNACE ENERGY FEE ELECTRIC - - - <I- :::iP" BASIC FEE ELECTRIC HEAT -/7,] <7L TOTAL FEE "'10, C '" ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER .. - .. A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE ..... ja,> 11- ~ . --- kfoA'l . A.W.G. '1 SUB-TOTAL . . SIZE OF GROUND SIZE OF ENTRANCE SWITCH 1 certify that the wo-rk to be performed under this permit will be done by the'installer and in conformance with the N.E.C, Electrical Code, Date Application made ...4~ ,21 ,1985"" By "7n~ specifications pertaining thereto, subject to compliance with the Ordinances of T t. ,.-- /-7~ 2( /Y6';, APPRO D Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be cove.~ed or 9urrent turned on before inspection and O.K. for covering. or service has been given by Inspector in Writing on Permit Placard, A, - Permits Phone: 457-0411 Ext. 158. \~ . Date Permit Issued WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPIC PRINTERS, INC. r REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS f>rJ-J- f)". /ll /"J S7/tL t-U o/? j( 0(' C- o/If !louse '1-)- 75S- 1!f'~ 570t'iPe p Py /{J,/L fl~ r;,n(flt V<J,{ e /\I 5DLiJ S-J..~ -1fS- 4l ~~ O.K. FOR COVERING J. 2~~ 0) /J1. '51 O.K. TO CONNECT SERVICE '1r')- 'tS- /i1;: J FINAL O.K. . z Cl a:: c:( :E !a J: .... Z W .... ~. .... e z e c .. 0:1&:>/ FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT d'F LIGHT APPLICATION AND ELECTRICAL PERMIT A /SL! PERMIT NUMBER . ... h .. .. TOTAL FEE It., .. ~ 00 CONT. lie. NO. TIMETQCOMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY 0< J- I I I ,.1 .. . "" (Ji n'T Site Address C1' , L-1../.. W'-. d I~ ~ _ _ CORRECT ADD~S IS RES~ONSIBIL1TY OF A PL CANT Owner ...d..2 H "J fI1 ~ cD 0,/ l_<: Installation By Owner's Address 110' B"..,te / -::2-,:)<I~ ;J.,4. Installers Address Day Phone. Lf. r "7'-:'-f 9. b j, Installers Phone Application is he~eby made for P~rmit to in.st.al! EI.ectrical Equipment as follows: I GH1P' St5P-V ICE ,. - oS t.V}9-, ODRESSES ARE CANCELLED .t.r '3' :<Ooy U PO B ",( I AS-'I ~J."7~1I96 h ~-A . Wiring Method . NUMBER AMP 12QV -- 240V NUMBER AMP 120V 24QV .. USE OF CIRCUIT CIRCUITS PEA 10 '100A FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE : CIA 30 CIA 30 LIGHT SIGN LIGHT .. 50 VOLTS OR LESS CONVENIENCE .. MOTOR .. .. ,. CONVENIENCE MOTOR ~i APPLIANCE .. MOT,?~ '\.\1 - , .. : DISHWASHER .. . ~-:::::::--" F.iI"E~~S \ ., j \ ~ " ,r-\ .\Vi ,.l..X, U A~M DISPOSAL . i:.J.' --~ '\;... r' , ::J\\ I \l SC. RANGE I',"~'. .. OVEN 1;-:;;'\ ~~ \\ \\\ \ \,,; WATER HEATER \ .\- l\! V LAUNDRY ~ I.-- - . , \ DRYER .. REINSTALLATION LIGHT FIXTURE # FURNACE - .. SUB TOTAL FEE .. GAS - OIL FURNACE ENERGY FEE ELECTRIC .. BASIC FEE ELECTRIC HEAT .. .. .. TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BAEAKER .. .. A.C. UNIT AMP _ PHASE FEEDER , SIZE OF SERVICE ENTRANCE CONDUCTORS .. .. .. SERVICE AW.G. T SUB,TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH 1-- ;;L...3 ,19'J"S' rical Code. I certify that the work to be performed under this permit will be done by the installer and in conformance Date Application made By CONTRAC R OR OWNER (OR T QAllED AGENT) Permis~ion is hereby given!o <to the al;)Qve described work, according to the conditions hereon and according t the approved.plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. /' ........ \ \ 01 TO!, OF CITY LiGHT " T I: WARNING i/;;3)6>i-" . Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not be coverec;J or current turned on before inspection and O.K. .for covering or ser.vice has been given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158. . , '\ . Date Permit Issued PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER - WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPIC PRINTERS, INC. REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS '- , '-} . . . l../ i..J I . .... loJ:...! I, I ~ 'I, . '-' li tj """ I I .. <.../ !-')...'?,-t[T '-.. 'O.K. FOR COVERING / - 7-3- '(T ~ /}J~'y O.K. TO CONNECT SERVICE '/- 2?-~) FINAL O.K. , I . z a a: < ::!! Ul i: I- ~ W . I- o Z o Q .