HomeMy WebLinkAbout2123 S Cherry St - Engineering
~ -~'fV {- li-81
CITY OF PORT ANGELES //
DEPARTMENT OF PUBLIC WORKS //
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . ./
REQU~ST / 1
Date :l. '- tJ - 6
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)
9--1 )... '3 . C ~-f' nj
~w I) (r, X
J 1 tll +- f3 f Phone No
Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other W t'-\ BY
INSPECTION NOTES
Inspected Date
Remarks
l0~~
~ Time By
<- (
!vt''-t~. ' C-IA k 6
~-~ ::;~" tll (IY- ~t~ ~;~d,
RESTORATION REQUIRED
/
YES V NO
jJ{'
~
tr bL' ~
~.( c-~
;>
~
q.;
~
V
06 J q 11
y
*
~
~
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt
o Repaired by City
[] Repaired by Permittee
o No Damage Found
OPCC
~
o Other /Ir ;; b i L-
/1'X{
Work Order #
avtOMPLETE
o INCOMPLETE
L f)o AJ.Ji?..
STREET SUPERINTENDENT (DATE)
/ (',) w :2. ~(J (- f"7 87
City of Pori Angeles
Public Works Department
Water Distribution Repair Report
'work Order No: \ 1 C61
Reported: .?-I-.LIM Condition.
Repaired: 2::::/ _LJ..cd Source:
I Crew:
flY'
Emergency Routine
Citizen Complaint ~
Leakage Survey _ Other
Repair Location:
Address.
Loc. Description:
2.1 h-3
d -€I'r f
Component R~red:
Main Line ID#:
Main:
Joint Cir Break
Long. Break _ Hole
/
Split Bell _
Clamp _
Other
Service: Tap _ Corp Stop_
Line Valve: Flange Nuts, Bolts
Hydrant: Branch Valve
Other:
Repair Type: Clamp ~.
Pipe _
Stem
Barrel
Curb Stop _
Bonnet
Dresser
Other
Site Condition:
Surface _ Gravel Roadway ~Asphalt Street _ Sidewalk
Curb Top Soil Area ~ Soil Type _
Damage: W-e+ U">1. d.{> V h ()U > <- 6 U) hey JlJ ~ f- (0 h cen,~
Cuts: Street Cut: Ft.
Curb Cut: Ft.
Sidewalk Cut: Ft.
Main Condition:
n. (~ C - -r
Diameter- Inches ~ ~
Material.
Depth of Cover- Ft. Joint Type:
Internal Lining: External Prot:
i'
f.-,.&
Tuberculation. N/ A
External Corrosion: N/ A
Special Conditions: Bedding:
Other Structures.
Samples Taken: Pipe Section _ Coupon --1JJ&!U C
Water Off: From '~/b I D I To 1?- P M '1 Ao tJ~
From Q- /IJ 6 { To 2- f M 0 {)--t
Apparent Cause or Leak: S --e +I-f~ C\ VI. J b v-€ CL K
Minor
Localized
Severe
Extensive
5/19/98
Page 1
PW-902.09