HomeMy WebLinkAbout3610 Galaxy Pl - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
REQUEST
Date 'I ~ I t.f ~ 0 1
Time
J,DO Atvt Received by f)C-'t?lvlr5 E (phone, ~on)
Location of Work to be inspected 3~(O btA~r p{
Name of person requesting inspection De t1. vlf",> c::--.
Address of person requesting inspection WrJ/J l(CLv& Phone No f{ t7-tf-cfC/1
,
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Othe~
INSPECTION NOTES
Inspected Date eft f- () 4
Remarks
Time If. OD A ?Vl. By De",,! f1i5 E
RESTORATION REQUIRED
YES ><
NO
/ \
I
[JJ 3(,(0
~ 0c..llAYY PI
) - -
C\
0
--. ..c..
~ ~
,
---<
v
-.
--..l~
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o
o
i~~
(Con';n eo - eve;se s;de;' neeessa,yl
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
o Asphalt 0 PCC 0 Other Co~cve+E'-
5'x.5(
Work Order # It{ Z 19 ~u{ Z- >-., L
unJe ~'j
COMPLETE
INCOMPLETE
STREET SUPERINTENDENT
(DATE)
CIty of Port Angeles
Public Works Department
Water Distribution Repair Report
'Work Order No rcf.z1i5 - 01 z--
ICrew 7(~ <>f-- Cre.w
DATE REPORTED 1- -(0 ~Otf
CONDITION EMERGENCY D ROUTINE D CITIZEN COMPLAINT ~
LEAKAGE SURVEY D OTHER D
DATE OF REPAIR. L(.-I?--OLt TIME If DA.M. ~P.M.
REP AIR LOCATION ADDRESS 3tctD GcL/c....xy P(
TYPE OF MAIN /2tJC SIZE Zrr -
~,r ( (
DEPTH OF MAIN CLOSEST VALVE DEPTH. Z- ""-"2...
COMPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK D SPLIT BELL 0 LONG BREAK D
HOLE D CLAMP D OTHER
SERVICE TAP 0 CORP ~TOP 0 PIPE 0 CURB STOP 0 FIITING 0
METER SEITER Jl(.. METER D
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM D BONNET D
HYDRANT BRANCH D VAL VE D BARREL 0
OTHER.
COMPONENTS OF REPAIR. CLAMPD DRESSERD OTHER Ne.i.-<J ~MQ...+~v s~tte.r
SITE CONDITION GRAVEL 0 ASPHALT 0 SIDEWALK P CURB 0
TOP SOIL AREA 0 SOIL TYPE }\ju., t\ J e..... -- c.... t c..... Y _
CUTS ASPHALT CUT _FT CURB CUT _FT SIDEWALK_FT
DRIVEWAY CUT 5x 5 FT
MAIN CONDITION INTERNAL LINING TUBERCULATION-MINOR 0 SEVERE D
EXTERNAL CORROSION LOCALIZED D EXTENSIVE D
CHLORINE RESIDUAL SAMPLE P.P.M.
WATEROFF FROM () .3'0 AM. TO Cj -.3oAM.
FROM M. TO M.
APPARENT CAUSE OF LEAK. Elec frot ('St S
Leak t;:.
Location
LEAK REPORT
....
"L
Client:
Job t;:"
Date 3 /;7 JoL/.
( I
Remarks.
fI&AK:.D IN IA}41&R:.. W K(5Ef<.
Jfp-rr;:fZ- "/lZA)J5}C'(fJ<. })/5co;J)J&7W
Consultant: ~
Estimated
GPM:
~
Time in i () ~6
Time out ,\ - 15
'""Ie:
~ j..-..J
Leak Classification.
71I
C31"f4)
L-GAK
~
\
,
/
.'.......
/'
Note Map is not to scale /
Total time 45
Site Marked? Yes:
No j)<(
Leak Tvpe. Main.
Hyd
Valve: XJ
Service Line
Service Connection' Meter
Consumer Side Leak:
Undefined Leak Location.
Cover Tvpe,
Asphalt
Soil
Concrete
Gravel
Correlator Data
Number of Setups' (2
Number of Summaries: J 3
Footage from 'SIIAe' /3...3ZI'
Footage from IR~d." __ /g :
Re-CaJ/ ;j:'
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