HomeMy WebLinkAbout1710 S E St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
kJuJ - /O"l..r. 2.2.00
REQUEST
Date 0 ~- IJ-D"d-
Time y, 0\.) f YY\ Received by~(dLj'-"-c~{PhOne, person)
sf. G1/1~ Aluc0
Phone No
Ata'I"'\t- Permit No "J.,0\ CB-"::;-
Plumbing Final Sewer Excav Other uJ,O# :J.::JDtJ
RESTORA TION REQUIRED YES Y- NO
'F' " E. 1 ~
s~+- s-\-tu;.;.(.
r/~~o J ~~- \
J ,
'" \ -~""
" i./'1r -U ,,>,v
,~"~
j
y... ~PO..lr'lG- Ii N Jb ~~ '"-{'-'--V""\
y' cLUp
2' b /I
C l.P p.c+ 2. (.'1.(..,~'-(\(.L"'>
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
D Repaired by City
[] Repaired by Permittee
o No Damage Found
OPCC
o Other
STREET SUPERINTENDENT IDA TEl
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . .
.....
REQUEST
Date 9-1-Dl{
Time
I ( . S-t' rt < '--' Received by D6 .....~" l S E (phone, person)
~
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
/7 rtu S I 1::- 5 -I-
f) r' f:- elf} I h J f--c;/tf
) 7 /1c ~f3 Phone No
,
Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other (fi; -:J.fr~
INSPECTION NOTES
Inspected Date S --C? -Dt..{
Remarks
Time I (J Iv{
By DeL t Ll ( 'S E........
" N---<-
X-f C(/ Y-
OUr S, ">--<
~ -
or- L-
~
--fJ YO; c.~
RESTORATION REQUIRED
YES
NO )<'
1* /lit
~ v
~~
! 1-11~ S-+--
~
g...'t (~y ....
-.............. ~J' ,
--, k ~,'
'{VUA't~/Y~ ~ !
7 ~ kf-~ J..
- ..
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
D Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o Other
I Y 2. -; X--" (j c:) F
o COMPLETE
o INCOMPLETE
IContinue on reverse side if necessary I
STREET SUPERINTENDENT
IDATEI
City of Port Angeles
Public Works Department
Water Distribution Repair Report
IWork Order No
j y 9-.. I ~-o611
f Crew
(Ie;-
CONDITION
1- q - D l(
EMERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT ~
LEAKAGE SURVEY 0 OTHER 0
+1- cl- 0 i( TIME
DA.M. OP.M.
5'- E 5+
DATE REPORTED
DATE OF REPAIR..
REPAIR LOCATION ADDRESS /1 / D
TYPE OF MAIN J! r -5-P 1/ (/I S~~
I
DEPTH OF MAIN l '2..- ( CLOSEST VALVE DEPTH.
COMPONENT REPAIRED.
MAIN JOINT D CIR.. BREAK 0 SPLIT BELL 0 LONG BREAK 0
HOLE ';K( CLAMP D OTHER ,/
SERVICE TAP D CORP STOP D PIPE ~URB STOP D FITTING D
METER SEITER 0 METER 0
LINE VALVE FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL D
OTHER.
~
COMPONENTS OF REPAIR. CLAMPO DRESSERD OTHER pc... -fL.)!1It~);, ~. [~(C~'--
SITE CONDITION GRAVEL 0 ASPHALT 0 SIDEW 1LK 0 CURB D
TOP SOIL AREA 1(. SOIL TYPE 6Jo-:.t f J e.-
CUTS ASPHALT CUT _IT CURB CUT _IT SIDEWALK_IT
DRIVEWAY CUT _IT
MAIN CONDITION INTERNAL LINING f..J A TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE S-~ P.P.M.
WATEROFF FROM /2 30P M. TO
I ;D M.
FROM
M.TO
M.
APPARENT CAUSE OF LEAK. old
Uj~ - putko fL (fA.. f1-€... -fu hlfr~
I I