HomeMy WebLinkAbout431 E 10th St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT . . . . . .
DV0 - 'Z)Ci{ -72 6()
REQUEST
Date If - '20 - 02-
-:; :.)
. . . .. ~-'.... I )
~-- ~ --
Time
Received by
(phone, person)
~
Location of Work to be inspected 't-Sf C (0-
Name of person requesting inspection D E:.y~ +0",-
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Oth~
INSPECTION NOTES
Inspected Date II ~ 2-0- oe
Remarks ;?e J<1c-<.( ..- Z ,., L. r
I
Time By D Edj l '"'--:J +0 '""--
~(~"'l ~) tJ < f L -Fu {( Cl r c (e.. V<:f6:...1 r bA~d.
~
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~ ~
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~ ~ to - ~ "-.
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RESTORATION REQUIRED .
YES ><
NO
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other 'I:;'.as<! t (
I
Work Order # 22.too
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CIty of })ort Angeles
Public 'Vorks Departnlent bW-"2S-01- "22.<'0
Water Distribution Repair Report
'Work Order No: 2~f.oo
I Crew 1 t ~ 7/7 / 7 z.. I
, ,
DATE REPORTED' II-/Cf --Oc
CONDITION EMERGENCY D ROUTINE D CITIZEN COMPLAINT X
LEAKAGE SURVEY D OTHER D
DATE OF REPAIR. II ~ (1- 0 "Z-- TIME. 1 30
REPAIR LOCATION ADDRESS '131 E { 0 ~
DA.M. ~.M.
TYPE OF MAIN
C.L.
2ft
SIZE.
DEPTH OF MAIN 3 ' CLOSEST VALVE DEPTH. 3 ("
COMPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK)( SPLIT BELL. 0 LONG BREAK 0
HOLE D CLAMP D OTHER
SERVICE TAP 0 CORP STOP 0 PIPE 0 CURB STOP 0 FITTING 0
METER SETTER D METER D
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
OTHER.
COMPONENTS OF REP AIR. CLAMP~ DRESSERO OTHER
SITE CONDITION GRAVEL 0 ASPHALT 0 SIDEWAJ-K 0 CURB 0
TOP SOIL AREA f8{ SOIL TYPE ~ 'r,c/..e.
CUTS ASPHALT CUT _FT CURB CUT _FT SIDEWALK_FT
DRIVEWAY CUT _FT
MAIN CONDITION INTERNAL LINING N IA- TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION' LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE . 3 7 '>.P.M.
WATEROFF FROM b- 3 o PM. TO &:> 30 PM.
FROM M. TO M.
APPARENT CAUSE OF LEAK. G.rCii..lV\..J s.e..-ttl :.~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT . . . . . . . .
REQUEST
Date I - '5 ~o~
Time II >0 I) k Received by fJevlI/l t S E (phone, person)
-+t..
Location of Work to be inspected '13 { E 10-
Name of person requesting inspection O..e "" v'/l S C
Address of person requesting inspectionc::::"~riJ Ya..rJ
I
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
Phone No tf f -, ~ '-I84~
Permit No
Sewer Excav OthQ~
INSPECTION NOTES
Inspected Date I -- 5' - 0 c..J.
./) "7 '(
Remarks f<. e y:1c;... , or ~ L- C 'I--
v
Time / :;-0 P'M By D.e Yl. VI I ~ E
IMLAI"vz br~~ k vtJ t + "" t:Z 5<'::> r.e Pa..., r b" Ir\d
Z 3$ Rc>\~
\ \t\
(j z't L-L 3 (JRcf \~ C)
5S( ~ 0
,~ F"" .-S:
-
,~ ~
~
~
RESTORATION REQUIRED
YES
NO X
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Asphalt D PCC 0 Other
Work Order # S {'34- L --- C {I Z--
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CIty of Port Angeles
Public Works Department
Water DIstribution Repair Report
IWork Order No 3L>'~<-tZ- -oe,z-I
Icrew 7/s- <::j.. Cr-e...J
1
DATE REPORTED 1- '5 -0 E
CONDITION ElvlERGENCY 0 ROUTINE 0 CITIZEN COMPLAlNT ~
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR, -1~~ 1-5-05TIME
REP AIR LOCATION ADDRESS L/ '3 I E
12 ~D
I()~
DA.M. ~.M.
if
TYPE OF MAIN
~--'-
SIZE, Z
DEPTH OF MAIN
3'
CLOSEST VALVE DEPTII.
i I
C"2.
CO'tvIPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK)i( SPLIT BELL D LONG BREAK 0
HOLE D CLAMP D OTHER
SER VICE TAP D CORP STOP D PIPE D CURB STOP D FITTING D
METER SETrER D METER 0
LINE VALVE. FLANGE NUTSIBOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VALVE D BARREL 0
OTHER.
COMPONENTS OF REP AIR. CLAMP)( DRESSERD OTHER
SITE CONDITION GRAVEL 0 ASPHALT 0 SIDE\YALK D. CURB D
TOP SOIL AREA)( SOIL TYPE IV ~ f I v' <:'"
CUTS ASPHAL T CUT _FT CURB CUT _IT SIDEWALK_FT
DRlVEWAYCUT _FT
MAIN CONDITION INTERNAL LINING TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE ~P.P M. f {kd I ( v'e..
WATER OFF FROM
,---.
M,TO
--
M.
FROM
M.TO
M.
.A.PPARENT CAUSE OF LEAK.
f? r 0 J vtd Se:f-( Ie....