HomeMy WebLinkAbout807 W 11th St - Engineering
CITY OF PORT ANGELES OiNJOC'7- 15Z/7
DEPARTMENT OF PUBLIC WORKS /
I
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . !
REQUEST
Date 9-- - <tJ - 0 D
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)
8.;7 , LJ- IL+A
. .-WI/ rbt:
Phone No
Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other LJ.-.> c-\t--eV
INSPECTION NOTES-
Inspected
Remarks
.....'"
,
\ tJ
I -;; / /
l
.,.1 L,... '.
='.,_ ""_.. M-~ u_
~, It c--1-
----'<--
7 ~!( .L--
"-
l.I ~
IliA ~
51- ,
~
r~d~~-~~_-
~ ~
,
SURFACE RESTORATION
RESTORATION REQUIRED
~.
YES /' NO
(Continue on r
IAJ 5~~:I-'~
:J,. -a ' ZLJOOO.
o Other 7~l/' -?...s 0 J 'L-
" .
9'2-
f)- tJ ;(t:J 0 7
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
D Repaired by Permittee
D No Damage Found
~/l\?-ot/f- \ SL( ~
City of Port Angeles 1/ V\J
Public Works Department
Water Distribution Repair Report
IWork Order No: If) 'f ;L
Reported: 1. /1-/ Cfb Condition.
Repaired: ;;)j~/ 60 Source
R~air Location:
Address
Loc Description.
Component Repaired.
Main:
Joint
Long. Break_
Service:
Une Valve:
Hydrant:
Other:
Tap_
Flange Nuts, Bolts
Branch
Repair Type: Clamp _
Site Condition: Surface
Curb
Damage:
Cuts: Street Cut: Ft.
I Crew:
711.(
Emergency Routine V
Citizen Complaint /"
Leakage Survey _ Other
iOI
{~ 1 (-+11
Main Line In#:
Cir Break Split Bell _
Hole Clamp _ Other
Corp Stop _ Pipe V" Curb Stop _
Stem Bonnet
Valve Barrel
- f If ,/p--e.. -f5n .f+I-e 4-. Jf6/ -e:;
Dresser _ Other tJ}.e4J P'1:- 1'1 PZ
Gravel Roadway _ Asphalt Street _ Sidewalk
Top Soil Area _ Soil Type _
Curb Cut: Ft.
Sidewalk Cut: Ft.
Diameter- Inches
Material.
Depth of Cover' Ft.
Internal Lining:
Tuberculation. N/ A
External Corrosion. N/A
Special Conditions. Bedding:
Other Structures:
Main Condition:
"
Joint Type.
External Prot:
Minor
Localized
Severe
Extensive
Samples Taken. Pipe Section _
Coupon -AI J fr-L
Water Off'
Apparent Cause of Leak:
Fu\ ~
5/19/98
From ;L cJ_J OD To ~f1:M
From "'~fL! f2f2. To .........l.1L11... M
SIt( .f/ F r/p-f. D,,:J
6 F f/)IJ 1+-0 (-e 5'
t e}rr'Hi~
Page 1
PW-902.09