HomeMy WebLinkAbout413 W 2nd St - Engineering
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CITY OF POR'T ANGELES
DEPARTMENT OF PUBliC WORKS
. . . . . . INSPECTION REPORT . . . . . .
.....
REQUEST:
Date 1- 3 -()-s
Time
Received by VevuA. ( c; E. (phone, person)
. k~
Location of Work to be inspected '-I , S fAI 2-
Name of person requesting inspection De VLi.US L,
Address of person requesting inspection L.c,,- /::) YC\..r~
I
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
Phone No.
Permit No. __=-.
Sewer Excav. Oth0-k~
INSPECTION NOTES:
Inspected: Date 1- g-O'~~
Remarks: k!..."Pc....( re..! 6"
Time
c~\..., r l,ro k..
2.. f Iv\... , By [) ( '^- t'\. ,~ c...
M." l'''''' W t t l S/-5 ;::-~({ <=./';-c I <-
,
RESTORATION REQUIRED . . . . .. YES >< NO
~.
.~
~ \/ 9: ...L,
'j< G." e..I. f- (q e:/. v')
..,
.~ ~
2~ .-.........:.
(\"'" ttJ. -.........::
....... " ~
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
,gl Asphalt 0 PCC 0 Other
Work Order # 227~
fJ COMPLETE /~t~ K~\ t-d W'\ t ~
o INCOMPLETE ttGT M', ~ L\ -~ -O'~
,. ><.. (0 /'
STREET SUPERINTENDENT
(DATE)
REQ/JOB:
CREW:"
LOCATION:
City of Port Angeles
WORK REQUEST
WF0002336 I 001 PROJECT:
STMT Street Maintenance
GEN. LOC:
REQ DEPT: PW-Street
REQUESTOR: TKAUFMAN
USER ID: TKAUFMAN
REPAIR ASPHALT CUT
AUTH: TKAUFMAN
LOC ID:
PRIORITY
ORIGIN
WORK TYPE
PAGE 1
REQUEST DATE: 3/25/03
PRINT DATE: 3/25/03
PRINT TIME: 8:06:31
SCHEDULE DATES
START: 3/25/03
COMPLETION: 3/31/03
REF NBR:
Low
Scheduled
Scheduled Work
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REQUEST COMMENTS
REPAIR ASPHALT CUT AT 413 W 2ND PRE HTE W/o 2278
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REPAIR ASPHALT CUT
Category code . :
Task coae: ..:
Facility ID . . :
Assigned D~partment:
Start tlme . . :
Street Maintenance
Roadway Patch-Major
PW-Street
STMN
PACH
INSTRUCTIONS
K~~A1K A~~HALT CUT AT 413 W 2ND. PRE HTE W/o 2278
Stop time:
. .
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START DATE: ~/~/~
UNIT OF PRODUCTION:
COMPLETION DATE: ~/~/~
QUANTITY:
===============================================================================
EQUIPMENT
NUMBER HRS
ITEM
MATERIAL
LABOR
EMPLOYEE HRS
..el-
'f~fOI
QTY
COST
City of I)ort Angeles
Public '" orks Departnlent
'" ater Distribution Repair Report
IWork Order No: 2? 78
ICrew: 7/5, 7(~, 7.17,7/r5:7{Ct
DATE REPORTED: 1.- ~ - 0;;;
CONDITION: EMERGENCY}(, ROUTINE 0 CITIZEN COMPLAINT 0
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR: 1- 3~ D ~
REPAIR LOCATION: ADDRESS: 'lIS
TYPE OF MAIN: C- r-.
TIME: CJ,' 00
tJ. 2.~
/ If
SIZE: ~
,kfA.M. OP.M.
t' I'
DEPTH OF MAIN: '-f " CLOSEST VALVE DEPTH:
., It
tf.~
COMPONENT REPAIRED:
MAIN: JOINT 0 CIR. BREAK j( SPLIT BELL. 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTHER
SERVICE: TAP 0 CORP, STOP 0 PIPE 0 CURB STOP 0 FITTING 0
METER SEITER 0 METER 0
LINE VALVE: FLANGE NUTS/BOLTS 0 STEM 0 BONNET 0
HYDRANT: BRANCH 0 VALVE 0 BARREL 0
OTIIER:
COMPONENTS OF REPAIR: CLAMP)( DRESSERO OTHER
SITE CONDITION: GRAVEL Jf ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS: ASPHALT CUT i di( leFT, CURB CUT _FT. SIDEWALK _FT.
DRIVEWAY CUT _FT.
MAIN CONDITION: INTERNAL LINING xJ /A TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CJ-ll.ORINE RESIDUAL SAMPLE or 2 S P.P.M,
WATER OFF: FROM /6 A M. TO 12. '5(.)PM,
FROM
M,TO
M.
APPARENT CAUSE OF LEAK: G rOI.-)V\..-j) ~ Ie