HomeMy WebLinkAbout1502 W 4th St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST
Date I - 17- 0 5"
Time I-50 p~ Received by {)-e"l'" 1 S E. - (phone, person)
Location of Work to be inspected /502- W
Name of person requesting inspection DeY'l VI. \ s
Address of person requesting inspection G (" f
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
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1'7 q.. g Phone No 4- (7- 'f~4 q
Permit No. . _,
Sewer Excav Ot~~~
INSPECTION NOTES
Inspected Date 1,- (7 - 05 Time 3 30 PM. By
Remarks. Ke/'c..rreJ Zv c r ~1V1 w,'lfi... a. +'v(l
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RESTORATION REQUIRED . . . YES ~ NO
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SURFACE RESTORATION. 5x. 8 (
SURFACE TYPE 0 Unimproved 0 Gravel ~ Asphalt 0 PCC 0 Other
W9rk Order # 5037',,4 ~c)/o 't>-:2~16#{
~ COMPLETE ~teo. f'L?~j.t~
\.~\'t-'" 5B'\~ M\ y
o No Damage Found ~ 0 INCOMPLETE kt\-OS-
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(ContlSon 'eve'se sIde If neeess8"') I
o Repaired by City
o Repaired by Permittee
STREET SUPERINTENDENT
(DA TEl
REQUEST
Date (- 17- 0 5
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
T' ('? - /71'_A
Ime -?(;' r/~,--
Received by {)-eh.." s E. - (phone, person)
Location of Work to be inspected /50 z.. i/~
Name of person requesting inspection DeVl VI. \ s
Address of person requesting inspection ~ .-- f
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing final
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E..
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1 '7 ~ g Phone No 4- (7 - 'f~4 (
Permit No. __ _.
Sewer Excav Ot~,,~~
INSPECTION NOTES'
Inspected I .- I 7 - () 5
Remarks Z" C r ~ I
Time 3 30 ttv\ By Dev\ VI (S E.
W, '1 . c.. +'v II c. v <-.1 <::: re \ I ('
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RESTORATION REQUIRED .... YES~ NO
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SURFACE RESTORATION' 5~ 8 (
SURFACE TYPE 0 Unimproved DGravel ~Asphalt Dpcc o Other
o Repaired by City Work Order # '30 37',,4 ~ C! c
o Repaired by Permittee 0 COMPLETE
o No Damage FOU~d k / r--- 0 INCOMPLETE
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(Continu on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CIty of Port Angeles
Public Works Department
Water DIstribution Repair Report
IWork Order No 3(7 J Y7. - e/C f
JCrew 7 I ~ 0:+- C r-e0
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DATE REPORTED I -- (1 - 0 <;
CONDITION E1vfERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT 0
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR. {- ;7-05 TTh1E 3 ~0 DA.M. ~.M.
REP AIR LoeA TION ADDRESS /~O'- t.J t.f~
L.:C- ;(
TYPE OF MAIN SIZE 2 -
/ ( I
DEPTH OF MAIN Zz..- CLOSEST VALVE DEP11l 2'~
COMPONENT REPAIRED.
MAIN JOINT 0 CIR BREAK)1(' SPLIT BELL 0 LONG BREAK 0
HOLE 0 CL~ 0 OTHER
SERVICE. TAP 0 CORP STOP 0 PIPE 0 CURB STOP 0 FITTING 0
NJETER SETTER 0 METER 0
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
OTHER.
COMPONENTS OF REP AIR CL~ DRESSERO OTHER
SITE CONDITION GRA VEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS ASPHAL T CUT _IT CURB CUT _IT SIDEWALK_IT
DRIVEWAY CUT _IT
MAIN CONDITION INTERNAL LINING AJ fA TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE . 4'-/ p P.M.
WATEROFF FROM Z 3DPM. TO 3 P M.
FROM M. TO M.
~PARENT CAUSE OF LEAK. <3 ro..;~ .5etf I~