HomeMy WebLinkAbout2139 W 7th St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT. . . . . .
b c..v ~ 2..00 Y - 2./ 3D
REQUEST
(,- "}-j7;r
237)
Date
Time
7 -- ;; e9 IJ,MReceived by
PtlY L. 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)
Sewer Foundation Framing Chimney
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/( C# {?--eck -ey
I l.4"<- 'j Lf Phone No
Permit No
Plumbing Final Sewer Excav Other
INSPECTION NOTES
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Inspected Date f5l rr
Remarks J) e I( 1/ Ie ~ L tHE
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Time / 0 : t7 tf/ IJ ,11 By
/
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K 17 ~~
J'IPe
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RESTORATION REQUIRED
YES
o ) cR/IfC e
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~
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SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC '2 I ~ Other
D Repaired by City Work Order # r
[] Repaired by Permittee OOcOMPlETE
o No Damage Found [g--1NCOMPlETE
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~
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CIty of IJort Angeles
Public Works Departnlent
"rater Distribution Repair Report
U f.C,I- 2.t>t:> Y - 2./30
'Work Order No: '?/ }IP
'Crew tfPR/ 7~...f't7~ :1" er/:
DATE REPORTED.
C->-tJ?-
CONDITION EMERGENCY iiV'ROUTINE D CITIZEN COMPLAINT D
LEAKAGE SURVEY D OTIIER D
DATE OF REPAIR.
C-7-(),?
TllvIE
7 ,">11
tv 7;P(
DA.M. DP.M.
REPAIR LOCA TI0N
ADDRESS
TYPE OF MAIN
e~
SIZE. ~
DEPTII OF MAIN
it-'
CLOSEST VALVE DEPTH.
r-tJ '
COMPONENT REPAIRED:
MAIN JOINT D CIR. BREAK 0 SPLIT BELL. D LONG BREAK
HOLE D CLMvIP D OTIffiR
SERVlCE TAP D CORP STOP 0 PIPE ~ CURB STOP D FITTING D
METER SETTER D METER 0
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VALVE 0 BARREL 0
OrnER.
COMPONENTS OF REPAIR. CLMvlPO DRESSERO OTIIER
SITE CONDITION GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOn.. AREA ~SOn.. TYPE
CUTS ASPHALT CUT _IT CURB CUT _IT SIDEWALK_IT
DRIVEWAY CUT _IT
MAIN CONDITION INTERNAL LINING TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SMvlPLE P.P.M.
WATER OFF FROM
M.TO
M.
FROM
M.TO
M.
APPARENT CAUSE OF LEAK. P L.A ele r'.. E ~ /'LA-.J'T Ie we/lKetVeP
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . .
:b c.u . 2-Uo.. 2../3,
REQUEST
h _c "'-O-Z-
Date J
. ;2 5 .~]:)
Time
Received by
(phone, person)
~t 7 l' V 7-#t
location of Work to be inspected
Name of person requesting inspection {-W , I 0:.. >'
Address of person requesting inspection 1'1,{h c6- 13 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
f(-ep{tt C-e
~Wl. ' ~/l-er
By
7% P F S-erVtC-<1- J.../~
9X- ct.f YL
NSK fJ
.
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. I
V
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~
., I
RESTORATION REQUIRED
/'
YES V NO
SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC
D Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o CJ!MPlETE
[ZY1NCOMPlETE
D Other
r:2-156
Tu(?fo' L-
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CIty of Port Angeles
Public Works Departnlent
"Tater Distribution Repair Report
() c.u p z.c. e"" - ~ I ? G,
IWork Order No. ~\ ) ,
1
'Crew: f Il(
]
DATE REPORTED
~- 3D - 62-
CONDITION EMERGENCY D ROUTINE 0 CITIZEN COMPL~
LEAKAGE SURVEY 0 OTIIER 0
DATE OF REPAIR. 6, - [/- 0 L TllvIE.
REPAIR LOCATI0N
ADDRESS
/ )6A.M. OP.M.
~( r; r fA) t-#t
:t.- c ~ ~ SIZE. r'JI C-
TYPE OF MAIN
DEPTII OF MAIN
CLOSEST VALVE DEPTH.
COMPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK 0 SPLIT BELL. 0 LONG BREAK 0
HOLE 0 CLMvIP 0 OTIIER
SERVlCE TAP 0 CORP STOP 0 PIPE ~URB STOP 0 FITTING 0
METER SETTER 0 METER 0
LINE VALVE. FLANGE NUTS/BOLTS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VALVE 0 BARREL 0
OrnER. /f~/~~1 1/y 5-ero,2~ .f//P-e '~Jf1. ~\t ~%Q~V
COMPONENTS OF REPAIR. CLMvlPO DRESSERO OTIIER
SITE CONDITION GRA VEL 0 AS~HAL T 0 SIDEWALK 0 CURB 0
TOP SOn.. AREA ~' SOn.. TYPE
CUTS. ASPHALT CUT _IT CURB CUT _IT SIDEWALK_FT
DRIVEWAY CUT _FT
MAIN CONDITION INTERNAL LINING TUBERCULA TION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SMvlPLE...:;1 P.P.M.
WATER OFF FROM 7- '30 1I1vt. TO
hr /I M.
FROM M. TO
M.
DfA fbf-{fffe
t:E ~/)O~
I
APPARENT CAUSE OF LEAK.