HomeMy WebLinkAbout1624 W 7th St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . .
/
REQUEST
Date J ~ ~ , '1 - q 1
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)
Sewer Foundation Framing Chimney Plumbing Final
Phone No
Permit No
Sewer Excav Other U s t1(~
DW (JSO I - {60~
INSPECTION NOTES
CU I +-!'\
Time
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By
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fiAcPl-e(/
Inspected Date
Remarks
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RESTORATION REQUIRED
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SURFACE RESTORATION ~ ~
SURFACE TYPE D Unimproved D Gravel D Asphalt ~CC '
D Other
D Repaired by City
[] Repaired by Permittee
CI No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
City of Port Angeles Ow ~ 56/ - I 5d ~
Public Works Department
Water Distribution Repair Report
IWork Order No: r S 0 q
r
Reported: I L I JJJ JJ
Repaired: & Jl/H
I Crew:
Condition.
Source:
Emergency
Citizen Complaint
Leakage Survey _ Other
7/e/
,
~eV
Repair Location:
Address:
/& ~.y
uJ
7+1
Loc. Description.
Component Repaired:
Main Line IDD:
Main.
Joint Cir Break /'
Long. Break _ Hole
Split Bell _
Clamp _
Other
Service: Tap_
Line Valve: Flange Nuts, Bolts
Hydrant: Branch
Other:
) Repair Type: Clamp ~
Site Condition: Surface
Curb
----
~ Damage:
Cuts: Street Cut: Ft.
Corp. Stop _
Pipe _
Stem
Barrel
Curb Stop _
Bonnet
Valve
Dresser
Other
Gravel Roadway _ Asphalt Street _ Sidewalk
Top Soil Area _ Soil Type _
Curb Cut: Ft.
Sidewalk Cut: Ft.
Main Condition:
Diameter Inches
Material.
Depth of Cover Ft.
Internal Lining:
~.. (-I:-
e.. /cL \/
3 Y:k f+:'
v
Joint Type:
External Prot:
~""&
Tuberculation: NI A
External Corrosion: NI A
Special Conditions: Bedding:
Other Structures:
Minor
Localized
Severe
Extensive
Samples Taken: Pipe Section Coupon --.It/' J7J -Z.
Water Off: From I ~ Ill.i.f To 1 IJ-M
From /2.//7133 To -c;- 4-M
Apparent Cause of Leak: 5-f H--I -<- Fr- c jr ct..-tJ< (
5/19/98
Page 1
PW-902.09