HomeMy WebLinkAbout308 Columbus Ave - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST ')
Date / () ~ ~ 1-0 Time
I07~
Received by
(phone, person)
Location of Work to be inspected '3 () ? c 0 f u'vY\.b u ;;
Name of person requesting inspection 'I (Aj j \ (oy
Address of person requesting inspection / ? fIt t 0 Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other Lu C\. ~ V
INSPECTION NOTES
Inspected Date
Remarks
Time -;
,/rt4 }..-~ -:) r C -L
1-- -f'(A.k I~~ All. c iv r/,-,< f! <'\/1 ,L
J Nt
(' 6 ! U 1111 b U 7
-1/ /' (* ~
I ~'re ~
1\ 4\ .~
l-e~Y 'J-'ViJ..\ul. \J
RESTORATION REQUIRED
YES
/
NOV
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt
D Repaired by City
[] Repaired by Permittee
D No Damage Found
o Other
Work Order # 10 '7 '3 0
~PLETE
o INCOMPLETE
OPCC
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CIty of Port Angeles
Public Works Department
Water Distribution Repair Report
IWork Order No' g, 10730
ICrew> 7/~, 71 S' 716
J
DATE REPORTED to - Z 7 ~O'~
CONDITION EMERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT ~
LEAKAGE SURVEY 0 OTIIER 0
DATE OF REPAIR. /0 -2 7~o~
TIME
7 .3tA.M, DP,M,
REPAIRLOCATION ADDRESS 308 Loiu~,-'\.~u'S
TYPE OF MAIN C~r SIZE 2 t,
DEPTH OF MAIN
3(
CLOSEST VALVE DEPTH.
c
z-
COMPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK}Ii SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTIIER
SERVICE TAP 0 CORP STOP 0 PIPE 0 CURB STOP 0 FITTING 0
METER SETTER 0 METER 0
LINE VALVE FLANGE NUTSIBOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VALVE 0 BARREL 0
OTHER.
COMPONENTS OF REPAIR. CLAMP)( DRESSERO OTIIER
SITE CONDITION GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA~' SOIL TYPE tU~ f-, J e....
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
CHLORINE RESIDUAL SAMPLE .. 30 P.P.M.
WATER OFF FROM
3 A.M. TO
c)AM.
FROM
M.TO
M.
APP.A.RENT CAUSE OF LEAK. 6roc;;t--,-<-~~--r+( e.-