HomeMy WebLinkAbout1640 W 4th St - Engineering
CITY OF PORTA'NGELES
DEPARTMENT OF PUBLIC WORKS
· . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . 2 y-n
REQUEST:
Date 12 -31 -of Time Received by De...k~,'? E~phone, person)
v -- - - I _..... _ (
1/ / I /\ ,I. "T!:::.
Location of Work to be inspected -,-c, TV (.U '"t
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
Phone No.
Permit No.
INSPECTION NOTES: '2- ~(-Of
Inspected: Date ~ ~Y - Time 7 ;:?Ja....-t...
Remarks:
By Vehh:-;' E--
RESTORA TIONREQUIRED . . . . .. YES IK NO
I~ 10 w
4J
C:, ~'
2." f. V.c.. .
..#/5 A/It y
~~
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. SORFACERESTORATION:
. SURFACE TYPE: tJ unimproved 0 Gravel
D Repaired by City
o Repairedbv Permittee
o No Damaga Found
MAsphalt 0 PCC D Other
Work Order # 2.L;o7
~COMPLETE
o INCOMPLETE
3'><3"
5-;) -0
bll~~,i;'I:iki~iJfli:g;1ft~li(f:;9.rj,i."d~,~fflte"er~j~nCle ifhi:u~essi. _ _
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
vtA.J - 2-o0?-- L007
REQUEST:
Date 12 - '51 ~C>(
Time
Received by 7)C(A__~ \'7 t.(phone, person)
Location of Work to be inspected Ie. 4:t> W , i.f f~
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
Phone No.
Permit No.
INSPECTION NOTES: / Z- '3( -or
Inspected: Date -- -dlr !l1.L V" k/(/.
Remarks:
Time
7 ;?iv~
By j)C'~d'\.'-;'
,-
t-' -
RESTORATION REQUIRED. . . . .. YES 1>(' NO
11 /6 {o tJ I.{~
8
V~ C:, 51' .......1 J
~ 71
zu Iv.c , ~ I
1/5 A (ley ~\
\
'"'
,..J
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
D Repaired by City
Cl Repaired by Permittee
CI No Damage Found
}&Asphalt 0 PCC 0 Other
Work Order # 2L;;o '7
o COMPLETE
o INCOMPLETE
<.-.s ' >< 3 ;'
STREET SUPERINTENDENT
(DATE)
City of Port Angeles
Public Works Department
Water Distribution Repair Report
Dw-2 00-;'- 2. 0 0 =I
'Work Order No: "2 C? <:) 7
'Crew: 7t5 - 1/ 7
DATE REPORTED: rZ --.31 ~ D (
CONDITION: EMERGENCY D ROUTINE D CITIZEN COMPLAINT D
LEAKAGE SURVEY D OTHER D
DATE OF REPAIR:
l'Z ~3cP~o l
DA.M. ~.M.
TIME: 7 II
REPAIR LOCATION: ADDRESS: f{;. '1-0 4J q-tt...
PVC
TYPE OF MAIN:
(t
SIZE: 2
DEPTII OF MAIN:
3'/
CLOSEST VALVE DEPTH:
(""/1
.::>
COMPONENT REPAIRED:
MAIN: JOINT D CIR. BREAK D SPLIT BELL- D LONG BREAK D
HOLE D CLAMP D OTHER
SERVICE: TAP D CORP. STOP D PIPE D CURB STOP D FITTING D
METER SETTER D METER D /'lit €. fer :S ku"t b ~
LINE VALVE: FLANGE NUTS/BOL TS D STEM D BONNET D
HYDRANT: BRANCH D VALVED BARREL D
OTHER:
COMPONENTS OF REPAIR: CLAMPD DRESSERD OTHER
SITE CONDITION: GRAVEL D ASPHALT IS. SIDEWALK D CURB D
TOP SOIL AREA D SOIL TYPE
CUTS: ASPHALT CUT 3X3FT. CURB CUT _FT. SIDEWALK _FT.
DRIVEWAY CUT _FT.
MAIN CONDITION: INTERNAL LINING ;V-A. TUBERCULATION-MINOR D SEVERE D
EXTERNAL CORROSION LOCALIZED D EXTENSIVE D
CHLORINE RESIDUAL SAMPLE !JA. P.P.M.
WATER OFF: FROM & fJ M. TO ~. IS f M.
FROM
M.TO
M,
APPARENT CAVSE OF LEAK: ~1efe r re<?~der -IvrKel fvte1-e r
Stp0 100 -t_r.
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