HomeMy WebLinkAbout913 Eckard Pl - Engineering
. . . . .
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT. . . . . .
REQUEST
Date 7-;2. 6- u <f
Time 3('oVf /11. Received by
(phone, person)
.....
Location of Work to be inspected q /:3 2~ h ,J
Name of person requesting inspection l,'/ RL t~.r /J'J/,
Address of person requesting inspection / 7ft... ( is 5r Phone No
Type of Inspection (circle appropriate one) Perm~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav ~ rA/a. T-t? .r
INSPECTION NOTES
Inspected Date Time
Remarks
il~f>>t'l e (- J"-f It .5e.rVJ",€ /e~ I:..
By
f3/Nf'I.D/] J1ee!s S' )/It.-/' ~Jch
r I
RESTORATION REQUIRED
YES
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
p
~ Asphalt 0 PCC 0 Other
Work Order # /47- 1!-zf1
J? COMPLETE ~
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
I '--!Z ~1
1~/
1)-
,
(DATE)
CIty of Port Angeles
Public Works Department
Water DIstribution Repair Report
IWorkOrderNo 1'i17&-o(./~
'Crew ;/7, 7/&, 7J..3
1
DATE REPORTED
..-) ;~ -oc!
CONDITION ElvIERGENCY 0 ROUTINE 0 CITIZEN COlvfPLAINT 0
LEAKAGE SURVEY 0 01BER 0
7-).6 0<(
REP AIR LOCATION ADDRESS q / 3
Pi/€-
DEPTH OF i\.1AIN 3. S-'- CLOSEST VALVE DEPTH. J. 5'
DATE OF REP.AJR.
TTh1E 8'30
Lcf-Cl/ J f'i
~.M. DP.M.
TYPE OF MAIN
'7 Il
SIZE t7'
~
C01'v1PONENT REPAIRED.
MAIN JOINT 0 CIR BREAK 0 SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLAMP 0 01BER
SERVICE TAP 0 CORP STOP 0 PIPE)I CURB STOP 0 FITTING 0
METER SETTER 0 METER 0
LINE VALVE. F1..ANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
01BER.
COMPONENTS OF REPAIR. CLAMPO DRESSERD 01BER Jft; Wd1;::J UfJio(IJ
.
SITE CONDITION GRA VEL 0 ASPHALT)f. SIDEWALK 0 CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS ASPHAL T CUT )~ 10 IT CURB CUT _IT SIDEWALK_IT
DRIVEWAY CUT _IT
MAIN CONDITION INTERNAL LINING #'.J. TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE Ill). P.P M.
WATER OFF FROM
M.TO
M.
FROM
\1. TO
M.
~p '\RENT CAUSE OF LEAK. 01 tl P,lle
,