HomeMy WebLinkAbout331 E 11th St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST
Date 8-(5 -03
Time
Received by Veq......,'5 E.
(phone, person)
fL.-
Location of Work to be inspected 3'3 ( E I ( -
Name of person requesting inspection DelA.~l 5 F.
Address of person requesting inspection~ Yd..rJ.
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
Phone No
Permit ~
Sewer Excav Oth r ~<--r ~
INSPECTION NOTES
Inspected Date e - 13 -03
Remarks ;(e /Jt;;..tr' :;;:.eru( c...e
I
Time By ve lAlI\. \"'> E
(e4 k C<.. -(- &.cJ. 5(~€- o~ ~i-e. r
RESTORATION REQUIRED
YES ")l:
NO
33( ~ (~
J
2 (r L T -:::-- 8~~
~
\;(
-~ I (1~ ~
~
\j ~
.
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other -r::i)X;;l {
I
D Repaired by City
D Repaired by Permittee
D No Damage Found
Work Order # 7935"
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CIty 01 IJort Angeles
Public 'Vorks Departnlent
vVater Distribution Repair Report
ffTP lur 7 7'3 '
IWork Order No 74 ~5
ICrew DelA,^''7 f'. ~.,o"-- ~ J"e~ G I
DATE REPORTED
8- 13 ---03
CONDITION EIv1ERGENCY x5.. ROUTINE D CITIZEN COMPLAINT ~
LEAKAGE SURVEY 0 OTIfER 0
DATE OF REPAIR. 8 -(5 -03 Tl1v1E 7 50 DA.M. ~.M.
REP AIR LOCATION ADDRESS 33( E- { (-f!::::
TYPE OF MAIN G-J.- SIZE 2_N
3( r (
DEPTH OF MAIN CLOSEST VALVE DEPTH. 2--2-.
COMPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK 0 SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTIfER
SERVICE TAP 0 CORP STOP 0 PIPE 0 CURB STOP 0 FITTING 0
METER SEITER F! METER 0
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VALVE 0 BARREL 0
OTIIER.
COMPONENTS OF REPAIR. CLAMPD DRESSERD OTIfER 1<<+,. 90 I .j! E- 1-ubr"'5) t:eW'.x (IA-#
/ Ma....k )I. Co.'^P
SITE CONDITION GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0 '5-S '''-$€...--'t
TOP SOn.. AREA ~ SOn.. TYPE Vc..-+IV.e....
CUTS ASPHALT CUT _FT CURB CUT _FT SIDEWALK_FT
DRIVEWAY CUT _IT
MA1N CONDITION INTERNAL LINING tJ A TUBERCULATION-MINOR 0 SEVERE D
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SNvtPLE A).A P.P.M.
WATER OFF FROM 5.15 P M. TO "7 ,up M.
FROM
M.TO
M.
APPARENT CAUSE OF LEAK. ~ (ec-tfvo(( {Sl 'S -