HomeMy WebLinkAbout5th & Peabody - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date C::, - q -05
~
Time
ClAM
Received byf)e~l~tS E
(phone, person)
Location of Work to be inspected 5 if: "f- ~e Co. tJ:dy AI .E.., Larrte r
Name of person requesting inspection J)("". ~ t;....
Address of person requesting inspection (/> r,i> YA.rd / l~q.- g Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. o~~0
7 ,oM. By De........;" C-
iA) 1'1- L 2" ScJ\.oeJ. 80 P..v'L, 6\....,,{
re......e.<Ja..l, See b.e.lo..u
RESTORATION REQUiRED...... YES X NO
.J. ~. N '8~sT 01.1 Wk.<<1
Det<-: l ~
\ '(/I ~ ,-~ppe.
1\ ,,~ ref~ $"" ~o t l.tOr6SU
p;/( 2."
Nt':!' """f'
'6"11'- ,,(., 'ut.. v(.
bU p...I ., ~ \S 2"dT
fk Old Wl..e.d. '3' Pup
E V'llv~ 1'"
5 - ST. t-Il!.W '2.' G.,+t. Jdlle..
? -1" C."ff','" +;..-; i....t" 'l" A\..AiO'"
>-.. .h....W\. 8' fI.c
\] .
<J \J
~ ~ T v.dvc.
J i3 r<..5 S TO i'l..e..w
~ IS g'
.0 'IX>
VI
SURFACE RESTORATION: 3x& wh....L{ CI.uJ:r r4.Wlp.
SURFACE TYPE: 0 Unimproved OGravel ~Asphalt OPCC ~Other C"IAL'-e..+-e....
o Repaired by City Work Order # f!,D3'-/t. - 038 __I
o Repaired by Permittee t.i COMPLETE A.'t- e..o... 'i'~~\ \'<:::.'0\
o No Damage Found 0 INCOMPLETE \IJ\ t\;\ \-\0\ ~, y
lCoM;""..:1i..~?!..f:!: ft~1 ~)(r _?:4\OSS'- ,\'tOC
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
\
REQUEST: ' \
f
;/
\, '
Date 7-2(,:rD5
Received by /)z.~ VI. ; 's C
(phone. penonl
,
'Time
\ ,
\
'- 71..
Location of Work to be Inspected 5 ~ S-r,
Name of person requesting inspection ~",.....:",
Address of person requesting Inspection Cor f>
Type of Inspection (circle appropriate onel:
Sewer Foundation Framing Chimney Plumbing Final
v;~
€,
Yo..rJ.
1-D Pe" bvd)/ - /rLtl r t k sid L
i7 "t- {) Phone No. Ii" 17 - 'f8<./~
Permit No.
Sewer Excav. Other W.....+e.,r
INSPECTION NOTES:
Inspected: Date Time
Remarks: {(tll./c.,.) Z" 6a.(J e-r. i<A.A''''- ",J~-tk ~"
1",1" '1"'-f< ,
" , ~
.J
..t
'---- ,". " "
. -. "~.,
I:l<> ..' <i f
1" t: <,,~....1 " t Grr'!>oLT.,
-1 ;tbl< 7' "~$t.T i' pVL-Z'iO'- ef' / ,)./ 10'
5/t.- k 308- ',ri'- 137', "
~
~- ,
(J ~Z,,~ '~ro'.....
lI.d,,{ 1-011...\,,(.
~ ove.,-c...l\ \e~-t"- -j..'
Cl[j " E 5~ VJ
't: \iJ
\.1.1 ~
C\:.
~
\J
RESTORATION REQUIRED. . . . . . 'YES X NO
D Repaired by City
D Repaired by Permittee
D No Damage Found
;; .2jY{'~~ g ~
ICnn inUA on rAVArAA RidA If nAI!ARRArvl I
Ha......J ~ C<'f3 I"'''''''p Z,,.,..
OOther LoiALfde.
:>,1- .~"lv
Work Order # A
D COMPLETE ~Pd'e.(i''C, A D,,,\
D INCOMPLETE t-\o~ \ ' Cs'-'\ \:l \~\' N:C
/ ~~O :S~R~~-\(,) -OS
({2 -r~___ _u__ __
OPCC
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel 0 Asphalt