HomeMy WebLinkAbout804 Golf Course Rd - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . .
REQUEST:
Date 5- z <f -0-:;
Time
s ;4 1'0 Received by..oe'1V1 1'5 ~
(phone. person)
Location of Work to be inspected q 0 L/- (; 01.(1 (ou "s e K'd
Name of person requesting inspection D-e..., vt : <, ~.
Address of person requesting inspection 4'--0 ~Ly-d 11-+- i5 Phone No. ill 1-4'i?'-i'l
,
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other ~"'--+e r
INSPECTION NOTES:
Inspected: Date '5 - z <{ -oS-
Remarks: Mc;.,.... byoke<-l c..1-
31 i 7 I ,
L- Oe e,o c..J;J -to L--t:.
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Time I /'/7/1. By 0('," MIS E-..
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O<!e t? f(efJ !c..eed L '-150 behd S c<.."lJ S- (
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RESTORATION REQUiRED...... YES X NO
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SURFACE RESTORATION: S-'x/(;1'
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC )8LOther ~/;; e i<.Jo./k.. /
DR . db C' Work Order # 503'-f'' -u-",{ Cc)rlo,J'
epalre y Ity L..-- <-, '-I
D Repaired by Permittee 0 COMPLETE
D No Damage Found D INCOMPLETE
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City of Port Angeles
Public Works Department
"Water Distribution Repair Report
.. .
IWork Order No: 303'-/z- -D2.H
Icrew: 7(') 'f- C,e4.J
DATE REPORTED 3- '-1-- Q-;-
CONDITION. EMERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT 0
LEAKAGE SURVEY!ll: OTHER []
DATE OF REPAIR: 3-l'-f..-O~
TllvlE:
g
MA.M. OPM.
REPAIR LOCATION: ADDRESS:
IS' 0 'i &0 { <' CouvS e Rjl.
TYPE OF MAIN: f? (I L . SIZE: Z- "
I .
DEPTH OF MAIN: 2'i .h., ~CLOSEST VALVE DEPTH: Z
COMPONENT REPAIRED:
MAIN: JOINT~ CIR. BREAK 0 SPLIT BELL [] LONG BREAK []
HOLE [] CLAMP 0 OTHER
SERv1CE: TAP 0 CORP. STOP 0 PIPE 0 CURB STOP 0 FITTING 0
METER SETTER 0 METER 0
LINE VALVE: FLANGE NUTS/BOL TS [] STEM 0 BONNET 0
HYDRANT: BRANCH 0 VALVE 0 BARREL 0
OTHER:
, . ..
COMPONENTS OF REP AIR: CLAMPO DRESSERO OTHER Z - </17 b"",d ~. ,0,1)<' u "',,/ "I ,eSSe' c"uoG
I I I I
SITE CONDITION: GRAVEL 0 ASPHALT 0 SIDEWALK Ii CURB []
TOP SOIL AREA 0 SOIL TYPE
CUTS: ASPHALT CUT _FT CURB CUT ~FT. SIDEWALK "x/OFT
DRlVEWA Y CUT _FT.
MAIN CONDITION: INTERNAL LINING bOOJ.2 TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORlNE RESIDUAL SAMPLE ~/A PPM.
WATEROFF FROM 3 M. TO / {.'3DAM.
FROM M. TO
M.
."J'PARENT CAUSE OF LEAK: ~>o v,<.,1
Se1t/L
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Leak #
J...'
LEAK REPORT
Client --Pod- ~l)d~s! vJ().
10~ GDlf Cv"r5e. Rd,
G,rrI'Jde- w:K,'" ~{eet fro('\. J. d.fFe,fe'11 5eflAfS.
tv ~rI-R1 IUAk ~+I'DV'\ w:t( ~ro~ ~'C. L :Vl(;
lAsed ;v-- / (Of't~J"J"Otd {,^es-l-:;''t\fi\b/e. '
G-fJr: Time In: ~:)D Timeout.jO;oo TotalTime~h
Date:
3/1~/D5
Location:
Remarks:
Uvw>~le
+yfe.
Tech Initials
Estimated GPM: ). - Leak Classification: :ru:- Site marked: fi) / N
Set-up Diagram. I ~ Leak TYDe: Main.!.- Hyd_
l 'O~ \ \)~ ~fGi'd-\"
~ . h 0' j S'ervice Line Valve
~(ol'l"~ - -
~ f Meter - Curbstop ~
& 4. I Service Connection
C VI -
- ,1' Consumer Side -
In'''~ A Undefined
' ~ Other
-\- - -
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< 'U , ,.-
- - )~ Cov-er TVDe:
'~" Concrete j
PVc. ~ I Asphalt _
(\AI - D( -7tAC Soil Gravel
- -
VI I Correlations I
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5 scan time filter point ht footage
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file
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUE~T I
Date .q {- 0
I I
,f ~___
J5:J~
Time
Received by
(phone, person)
Location of Work to be inspected 1 0 Lf G-o } F CoOl y- ~ --e
Name of person requesting inspection --r:- fA...) ,! I c 0 (<
Address of person requesting inspection )/ ~t( r f!J Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other ~
INSPECTION NOTES.
Inspected Date
Remarks
Time. By
f1:<:a.rk f(Z}'~Y~ J f) r- ~~ d~-e;",:!c~
!Jill
RESTORATION REQUIRED ". YES
ItJ '{,..e.......
I) TJ,~yVl
./
NO l/
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SURFACE RESTORATION'
SURFACE TYPE D Unimproved D Gravel
D Repaired by City
o Repaired by Permittee
o No Damage Found
D Asphalt D PCC
Work Order #
~MPLETE
D INCOMPLETE
D Other
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STREET SUPERINTENDENT
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