HomeMy WebLinkAbout518 E Ahlvers Rd - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS ( / V
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .~
REQUEST ~'
Date 6 - Lf --62. Time Received by (ph ne, person)
f>(oJ
b w - 2.Q()'f- 2..13~-
location of Work to be inspected tJl<6 ;4HL V-e V'>
Name of person requesting inspection -f vu , } Cq;<
Address of person requesting inspection LJ-tl1 i-lJ Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other ~
INSPECTION NOTES
Inspected Date Time By
Remarks rR'-f:.;:Jlctc-ecl Q... l' ~ P I- p)P~- f2n l11
~ -e {.-PJ'- . DIU + ~ "'-vd t:h?Jl,\1 t .
[Pt" [( fl)~~ ~ f{t.flc~~ ct)f +h-e uS~'I1-o
Ci/1o.c'f\ ~J~t<+ f-i)rv-e_ th~Y'e. 1$ 4 J-. -€Qck ./
RESTORATION REQUIRED YES NO L/
~~ Cf1A~-\<y to/" ~
tl~f~\ ~ ftffl\
~
-7 9-1'
c
(;~O~
Nt
A~\veY7
p.oJ
/(~
I
(;~r f,pL
SURFACE RESTORATION
SURFACE TYPE D Unimproved 0 Gravel
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
D Asphalt D PCC D Other
Work Order # 9.-..( '3 S-
~MPlETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CIty of Port Angeles
Public Works Departnlent
'" ater Distribution Repair Report
p c..v . 2.00 .,. ~ 2. \ 3~-
'Work Order No. ~I 3 ~
/Crew- 71 f .
DATE REPORTED'
5- 30- 01-
CONDITION EMERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT ~
LEAKAGE SURVEY 0 OTIlER 0
DATE OF REPAIR. b - 4- 02- TIME.
~(~
ADDRESS
-; YA.M. OP.M.
11-1+11/ e r>
REPAIR LOCA TI0N
TYPE OF MAIN
SIZE.
DEPTH OF MAIN
CLOSEST VALVE DEPTH.
COMPONENT REPAIRED:
MAIN JOINT 0 CIR. BREAK 0 SPLIT BELL. 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTIlER
SERVICE TAP 0 CORP STOP 0 PIPE}{ CURB STOP 0 FIITING 0
METER SEITER 0 METER 0
LINE VALVE. FLANGE NUTSIBOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
OTIlER. ~-R.fla.(J-ej :1. 7 t D F P 1:- ~jJz
COMPONENTS OF REPAIR. CLAMPO DRESSERO OTIlER
SITE CONDITION GRA VEL ~SPHAL T 0 SIDEWALK 0 CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS ASPHALT CUT _FT CURB CUT _FT SIDEWALK_FT
DRIVEWAY CUT _FT
MAIN CONDITION INTERNAL LINING TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
Cffi,ORINE RESIDUAL SAMPLE I ~D P.P.M.
WATER OFF FROM
-;, ~M. TO
Cf 4M.
FROM M. TO M.
APPARENT CAUSE OF LEAK. o{j ~h*l--e - fy.(.1;,
+0 ~_ J4)v I ~/, ~tI a I Ht-e ~
1--..ed.K 1+ IJ -e~el5
~~,)1
')<.A.J. 2-00'1- 201 i
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT. . . . . .
REQUEST
Date~ 1-8-02-
Time :;-, rlvt
Received by
D..t" H"t'5 c:: (phone, person)
Location of Work to be inspected 518
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney
E Alvers 41,//lerS
Phone No
Permit No
Plumbing Final Sewer Excav Other J~ -f e ~.......
INSPECTION NOTES
Inspected Date
Remarks FI/({?d
(/' ~E
Time
I,..u:.... w. fL OrLe
By
I U c'o trV'\. ,tJ
I
Lu(.)~/;~
,
RESTORATION REQUIRED
YES
NO X
t I4l~(Jr<;
G ItA.L
-?5-;
K
C~'<.f'\.,/OfA ~
-V
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o Other
Ze> II
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CIty of Port Angeles
Public Works Department
Water Distribution Repair Report
bcu. 2co'"f- ~ \
IWork Order No: 2 <? ( l
ICrew 115' - 7/6 - 7/7
DATEREPORTED / - g-a'Z-
CONDITION EMERGENCY Jii.1 ROUTINE 0 CITIZEN COMPLAINT 0
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR. l ~)/ - z:; z.....
TIME
o
DAM. ~.M.
REPAIR LOCATION ADDRESS
S-IS E-.. Atl..J..ers
o{ ,"
TYPE OF MAIN r c y SIZE
DEPTH OF MAIN g ( CLOSEST VALVE DEPTH. IV A
COMPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK D SPLIT BEL.L 0 LO~G BREAK 0
HOLE 0 CLAMP 0 OTHER P L +u h ;~
SERVICE TAP 0 CORP STOP D PIPE J1 CURB STOP 0 FITTING 0
METER SETTER 0 METER 0
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VALVED BARREL 0
OTHER.
lIt r'
COMPONENTS OF REPAIR. CLAMPD DRESSERD OTHER UI-V\p TI-Th~
SITE CONDITION GRAVEL)t ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS ASPHALT CUT _FT CURB CUT _FT SIDEWALK_FT
DRIVEWAY CUT _FT
MAIN CONDITION INTERNAL LINING ~. A TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE A.J A P.P,M.
WATER OFF FROM r; :ifs. PM. TO c;. ~oPM.
FROM
M.TO
M.
APPARENT CAUSE OF LEAK. HDle IV{ f?E. t-(.,Ib.~