HomeMy WebLinkAbout104 W 7th St - Building
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City of Port .Angeles
Public WorkSDep~Irtment
Water Distribution Repair Report
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IWork Order No:
DATE REPORTED'
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CONDITION. EMERGENCY 0 ROlITINE 0 CITIZEN COMPLAINT ~
LEAKAGE SURVEY 0 OTIIER 0
DATE OF REPAIR. b - 7 - 0 { TIME. 7
REPAIR LOCATION. ADDRESS
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TYPE OF MAIN' ~ /I SIZE.
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DEPTH OF MAIN 9.. Y?- ( CLOSEST VALVE DEPTIl.
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COMPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK 0 SPLIT BELL- 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTIIER
SERVlCE. TAP 0 CORP STOP 0 PIPE ~CURB STOP 0 FITTING 0
METER SETTER 0 METER 0
LINE VALVE: FLANGE NUTS/BOLTS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VALVE 0 BARREL 0 n
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COMPONENTS OF REPAIR. CLAMPD DRESSERD OTIIER
SITE CONDITION GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA tr SOIL TYPE
CUTS. ASPHALT CUI' _FT CURB CUT _FI' SIDEWALK_FI'
DRIVEWAYCUI' _FT
MAIN CONDITION INTERNAL LINING TIffiERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXIENSIVE 0
CHLORINE RESIDUAL SAMPLE /" J l{ P.P.M
WATEROFF FROM
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APPARENT CAUSE OF LEAK.
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . .
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REaU~ST
Date b - 1 --
C5
Time
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)
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Phone No
Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
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INSPECTION NOTES
Inspected Date
Remarks
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Time By
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RESTORA TION REa JIRED VI S NO 1/
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
o Asphalt 0 PCC" 0 Other
Work Order # ! ~~ 7
~PLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT. . . . . . . .
REaUEST
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Date 0 (-- L/ /'
1 "3 }t/I
Time
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Received by 1/ tI fee
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
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Phone No
Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected Date (, ~ 'f"..... tl:> Time /5 : tJ (/ By
Remarks S € I!. t/ / eEL e /JIC ). i 17 €' IT I A/ 1/
ON CI (Jf'; S TIJ;j () 1/ ;-
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RESTORATION REaUlflED
VES
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
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o Asphalt 0 PCC 0 Other
Work Order # t.f 9 '1 r
o COMPLETE
~INCOMPLETE
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6' J{ /I 55
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13 t/ C Ic..e 75
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(DATE)
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STREET SUPERINTENDENT
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST STH STREET. PORT ANGELES. WA 98362
ELECTRICAL PERMIT
Issued: 3/21/97
Permit No:
5868
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
MARY SMITH 104 7TH ST W
104 W. 7TH Lot:
Port Angeles, WA 98362 Block: Long Legal:
360/000-0000 Sub:
T: S: Parc No:
CONTRACTOR-----------------------------DESIGNER---------------------------------
COLEMAN ELECTRIC
522 W. 16TH
PORT ANGELES, WA 98362
360/452-7194
I
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: RES. MISC. prj Value: $0.00
Occ Type: Cnstr Type: ADD HEAT
Occ Grp: Occ Load: Land Use:
Electrical Heat Service Type
Baseboard KW: 0 Riser Voltage: 120,240
X Furnace KW: 10 X Overhead Service Diameter: X-1 -3
X Heat Pump KW: 5 Underground Service Service Size: 200 AMPS
Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS
PROJECT NOTES----------------------------------------------------------_________
remove oil heat add furnace and heat pump
PROJECT FEES ASSESSMENT--------------------------------------------_____________
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $40.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$40.00
$40.00
=================================
TOTAL FEE:
$40.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULA TE OR CONCEAL ANI' WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEcnON n"r. DAn: I ACCF.PTED COMMENTS
I YES I NO
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IHlIl(;H_IN I
SERVICE
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GENERAL COMMENTS,
PW-I 102.1j 14196)
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DMSION
321 EAST 5TI1 STREET, PORT ANGELES, WA 98362
ELECTRICAL PERMIT
Issued: 3/06/97
Permit No:
5858
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
MARY SMITH 104 7TH ST W
104 W. 7TH Lot:
Port Angeles, WA 98362 Block: Long Legal:
360/000-0000 Sub:
T: S: Parc No:
CONTRACTOR-----------------------------DESIGNER---------------------------------
ANGELES ELECTRIC
524 E. FIRST ST.
PORT ANGELES, WA 98362
360/452-9264
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: RES. MISC. prj Value: $0.00
Occ Type: Cnstr Type: ADD HEAT
Occ Grp: Occ Load: Land Use:
Electrical Heat Service Type
Baseboard KW: 0 Riser Voltage: 120,240
X Furnace KW: 10 X Overhead Service Diameter: X-1 -3
Heat Pump KW: 0 Underground Service Service Size: 200 AMPS
Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS
PROJECT NOTES--------------------------------------------_______________________
INCREASE SERVICE TO 200 AMP
REMOVE OIL HEAT, INSTALL 10KW FURNACE (BY OTHERS)
PROJECT FEES ASSESSMENT--------------------------------------------_____________
Service: $55.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$55.00
$55.00
---------------------------------
---------------------------------
TOTAL FEE:
$55.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
DITCH
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SERVICE 3.ff,,/u7 -r &wi...
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FINAl I T I
GENERAL COMMENTS:
PW-ll02.15(4I96]
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