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HomeMy WebLinkAbout503 W 3rd St - Engineering CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: / ~ Date 1j I ~ p.~ Time Received by ..--:-" --- ;r- I (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 Foundation Framing Chimney Plumbing e/sewer Excav. Other -i- //1AI..IJ .--- I (/.....vv ;1~ INSPECTION NOTES: J I 6 Inspected: Date 41 /1/03 Time ~ -- By v ~ Remarks: SQ3 W c3/?-tL -)?uJ'-~~~ -;7u~~ /538 GD YV\f ~ RESTORATION REQUIRED . . . . .. YES K., NO J~ ....---- ~- L // r Ii -> :3.,;) ~) .- ---ff 'j ~'~~'-"\.,\ - - ) /' ";:::"--1 'k ,....,.~~~_.===-===-- '.-::::::-.:-.-~ ~~~ ------ "':5\ ~- ~_K I ~iL~-:::::_-::::--=..::;.:~" J- ~ -" 0;: 3~ SURFACE RESTORATION: J 11-3 SURFACE TYPE: 0 Unimproved OGravel [Xl Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE -10' SI(e~- 4/ZIt ro3~F lr.nntinllA nn rAVAr~A ~irlA if nA"'A~""'rvl ,.......~--.... ,.... .....--.......-...--..- CITY OF PORT ANGELES DEPARTMENT OF 'P.UBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: / ~ Date 1j I ~ P? Time Received by -j- ,r (phone, person) INSPECTION NOTES: L L Inspected: Date 4 /1 03 Remarks: 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. r..~', Sewer Foundation Framing Chimney Plumbing ~jewer Excav. Other '7-~~ ;Y-~ BY(/~ S{)3 W <3)?-pL -/r~~~/i -;7~ - /538 Time GD vYLp ~, RESTORATION REQUIRED . . . . .. YES Kd NO // \ \ l ~3< ! J ~ i ( '-.0." /) " ./..__'"'~-'"'''-,'.:'':;-'--'__-~7''' .4.:;;..__~,,______._,_. T..... .~:_-..,~.... '-..(~,~._. ~~. ~ 3 . /"<'\ ~:::::::::::::::::::_':;::=::::;:=~4""J,,,'-crci1_tL....o...::' .'.......; .' '\J ~ (~ r ...J '3 r~~ SURFACE RESTORATION: J 11-3 SURFACE TYPE: 0 Unimproved 0 Gravel [Xl Asphalt 0 PCC o Other D Repaired by City [] Repaired by Permittee [] No Damage Found -10' Sir' e-eJ- Work Order # I. o COMPLETE A:,'t<esJ,. ~~ot,,~ \10\ ~\v\ o INCOMPLETE ~,~\\~ ~-IL{-O# ~~ 4/?A !Q3-1F STREET SUPERINTENDENT (DATE) (Continue on reverse side if necessary) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: f-O Date J 1- 10 -!)J- Time I D t\...>- 2.00 ( - 2 "2 :::'<1 Received by (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 Sewer Excav. Other ~ '3 0. 3vd 4'~ J tilef Phone No. Permit No. /3c3J>' . LAI tA t-e~ INSPECTION NOTES: Inspected: Date Remarks: Time . ~ )1t/( I 1, L . /l.;U2 (jj ~~u~;;; ~; ~ ~r cfr" ~o/ By / r: c;;I1: w~ y- ~l.7/; 9!;:f;tk, II // RESTORATION REQUIRED . . . . .. YES/ NO -iN 1J/ ~ /g~%,?1p C--&70h \ I I ~~ S0- '\ ~y J f\- - 51'4-L ~. C-x , - .. ~ ~~ I ~ SURFACE RESTORATION: . /' SURFACE TYPE: 0 Unimproved 0 Gravel ~ Asphalt 0 PCC 0 Other o Repaired by City Work Order # 9- ?.. s- q I o Repaired by Permittee 0 COMPLETE D-W ~DU o No Damage Found 0 INCOMPLETE 1I:r!tM: /~W{)7_7A/Srnt+:~ t;;!cl~ ~ p~ <d~l (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ..... CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . REQUEST: I,/+1-0-r." Date Time Received by location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): ~o 3> /J) 312.tL ~ I I( E'" S'b"",",e.r"-S Phone No. Permit No. '--"", Sewer Foundation Framing Chimney Plumbing Final Sewer Excav.) Other /' (phone, person) I~; -_.....-._-~ INSPECTION NOTES: Inspected: Date / /- 7 - D 7_ Remarks: C. D VV\ P Le-j'e_ \, Time P rYl By ~tj == i '('P{~ ~'~ 1 ..: <::L... f' ' . ......L / rJ;;'; r c_, r <:\ !' u-1;' RESTORATION REQUIRED. . . . .. YES 1 d f:: ,,- \ .j-~ / ~.. "r 1 y .+ c.....~.1 , ~\ ,_..g ~s. II' -" J-;;. f' hye,,', 1 \ J'de"T b" pue.. 'to' P\JC .. . T .. r 7':' '~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other D Repaired by City [] Repaired by Permittee [] No Damage Found 10 ~trfJ ICont;n"e on ,eve..e s. elf ecessa,v) Work Order # t\ ~ ~"t(j,^ EQ w nl\. M\'<. OtJ H- \ - 0-:2.. .-r(~ o COMPLETE o INCOMPLETE J 11/A10~ IK/ I STREET SUPERINTENDENT I .-,'(1 )... '-- ~\d\ (DATE) PUBILle WORKS & R/W PERMIT D Attached Notes OWNER/APPLICANT MIKE SOMERS 254895 HIGHWAY 101 Port Angeles, W A 98362 000/604-2268 PROJECT INFO Work is: Plans Required: Contractor: OWNER Performance Bond Required: Proof of Insurance: Work to Perform: Issued: 10/22/2002 Permit No: Work Order: 1338 o PROPERTY LOCATION 503 3RD ST W Lot: 18,19 Subdivision: TPA Parcel No: 063000004970000 Block: 49 o Long Legal Value Work: $0.00 Start Date: I I Finish Date: 206/000-0000 I I Amount: $0.00 [gJ Install o Repair [gJ Watermain [gJ Sanitary Sewer [gJ Storm Drain o Underground Tele/Elec [gJ Misc driveway PROJECT NOTES FEES ASSESSMEN"F 1.) R/W Excav: $45.00 15.) Other San Sewer: $0.00 2.) Sidewalk: $0.00 16.) Sew Tap Wye/Man Tap: $0.00 3.) Curb/Gutter: $0.00 17.) Sew Capl W 1M Removal: $0.00 4.) Driveway: $0.00 18.) Alter Repair Sewer: $0.00 5.) Dwy Culvert: $0.00 19.) Storm Drain: $0.00 6.) Street Cut: $500.00 20.) Catch Basin per ea: $0.00 7.) Other R/W: $0.00 21.) Sewer System Dev: $745.00 8.) Fire Hydrant: $0.00 22.) Milwaukee Dr. Sew Ass: $0.00 9.) Res Water Serv: 5/8" $640.00 23.) R/W Use Perm: $0.00 10.) Comm Water Serv: $0.00 24.) Admin Cost (D.R.A) $0.00 11.) Other Water Service: $0.00 25.) ORA $0.00 12.)Water System Dev: $1,025.00 26.) Misc: $0.00 13.) San Sewer SFR: $95.00 TOTAL FEE: $3,050.00 14.) San Sewer MFR: $0.00 add unit 0 Amount Paid: $3,050.00 Receipt No: 7481 Inspection Fee: $0.00 Balance Due: $0.00 CITY OF PORT ANGELES Dl,-'-2GC>(-Z2S"ci l DEPARTMENT OF PUBLIC WORKS / ./'- . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . ". . REQUEST: ~ Date J 1- {D -~J- Time I Received by (phone, person) location of Work to be inspected '!;) '3 U) '3 V,(j Name of person requesting inspection j~ il tbt Address of person requesting inspection ___ _ ~__ _ Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other UJ ('^-t-e~ INSPECTION NOTES: Inspected: Date Time. By Remarks: ~ ~~u I~ )ry:Oi1;(( j g/~sr:;- , - ~ ' ~ 0 '; ') Ji +- ~ - :~ ~ :. f' if 0kc pr c:fr 13'6]< / / RESTORATION REQUiRED...... YESV NO , 1JJ F /:l~3S~/~~ - C_J/70 ?., \11 I ~~ S0- '\ -'~ Jf\ 51'4--L 9.r< C-k "- &-) -- '" ~ ~~ , ~ T SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel D Repaired by City [] Repaired by Permittee o No Damage Found ~halt 0 PCC 0 Other Work Order # 9- A c;- q ( o COMPLETE D./LU ~DU o INCOMPLETE A~~, ~\"c"~(J. vJ't \-~ . ~ \ . - \ b - <j'J.. r' / -r~ STREET SUPERINTENDENT IDA TEl