HomeMy WebLinkAbout217 S Jones St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date 7 -f''1- D</
Time 12'.0 D P Ii'"\ Received by 'U e vt '" ,'s E .(phone, person)
~
Location of Work to be inspected ~ ~ 2.1"1 So. JDLA-e.-S
Name of person requesting inspection VeVtVl r'S e-.
Address of person requesting inspection Lo-v IJ YA. r,J Phone No. If'/7 - 'f ??'i '7
Type of Inspection (circle appropriate one): ' Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other tJ~-I-e,r
INSPECTION NOTES:
Inspected: Date 1- I q - 0 L{ Time 2- f (II/\.
Remarks: l2ellc.;r 3/1" C:::of2ter :;;.e""v;ce
-r: (<A f e t-! v t 0 VL + 4 v co (' () .
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By
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DeVlVl"<' E.
(e~k'~ c...-f
t-I,,-e
RESTORATION REQUIRED . . . . .. YES X NO
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SURFACE RESTORATION: 'I X 8
SURFACE TYPE: 0 Unimproved OGravel j&'Asphalt 0 PCC 0 Other
o Repaired by City Work Order # /t..fZ.78-o<fl.-
o Repaired by Permittee ~ COMPLETE 7.ZJ1> -04 rv~ I\~\ M
ONo Damage Found 0 INCOMPLETE \!\l\ tVl Mo't' M~ 'I
1!!."~f!:~.~..:?' /P--dJ41tm.'oo.o':.::.._,....,___
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date 7 -fl- D4
Time 12'.0 0 P ~'''\ Received by 7)(.<1." ,'S E -(phone. person)
r-;:-
Location of Work to be inspected ~~ Z I "1 So . JD~ S
Name of person requesting inspection VCt"lVl"S e.,
Address of person requesting inspection Lcrv IJ 'Y?L ,.'- d Phone No. ('{ I 7 - '/8' 'i '7
Type of Inspection (circle appropriate one): I Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other tJ_-I-e'l""
INSPECTION NOTES:
Inspected: Date 1- I q - 0 '-/ Time 2- f f/1/\.
12 . 3/1 / -
Remarks: f'11"".r /'f I c'D/fer :;;e"-Vtc.e
-f'1.<Zre V!U t 0 VL T~ (2o,r().
,
By
( , . V'--t..
Devtvt,'<, E '
(e~kl~ e<..-f
tLe
RESTORATION REQUiRED...... YES X NO
~ ~
.)4- s-:~ -P
-- d"
r
'\l
.J' 16
~
II;.)
')
EiAs+ 30 ~
SURFACE RESTORATION: t.f X g
SURFACE TYPE: 0 Unimproved DGravel ~Asphalt OPCC o Other
o Repaired by City Work Order # I t.f Z 7 &> - 0 If Z--
o Repaired by Permittee 0 COMPLETE
[] No Damage Found 0 INCOMPLETE
"f;; Jlrwl '7/~~1 'if
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City of Port Angeles
Public Works Department
'Water Distribution Repair Report
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IWork Order No: N 2 78 - o'fz
I Crew: 71'7 -+- Cr e.0
DATE REPORTED '7 - Ib ~ oc!
CONDITION ElvIERGENCY [] ROUTINE [] CITIZEN COMPLAlNT ~
LEAKAGE SURVEY [] OTIJER []
DATE OF REPAIR: 1 -1'1 - o<f
TIME:
'2 l.t~
[]AIvl. I'-'r.lvl.
REpAJRLOCATION: ADDRESS: Zit 5D, UDvt.e-<;
A.t:., SIZE <g "
i ,
DEPTH OF MAlN: 2 'Z CLOSEST VAL VE DEPTH:
TYPE OF MAIN:
I
l..-z
COMPONENT REPAIRED:
MAIN: JOrNT 0 CJR. BREAK [] SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLAlvW 0 OTIJER
SERVICE: TAP 0 CORP. STOP 0 PWE)( CURB STOP 0 FITTING 0
lvIETER SETTER 0 lvIETER 0
LINE VALVE: FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRfu'\fT: BRAi'lCH 0 VALVE [] BARREL []
OTIJER:
COMPONEl'<,S OF REPAIR: CLAMPO DRESSERO OTIJER c~ VA/Do/\. +- '3"4 pc. 1-ub~S
SITE CONDITION: GRAVEL 0 ASPHALTJ( SIDEWALK 0 CURB []
TOP SOIL AREA 0 SOIL TYPE
CUTS: ASPHALT CUT 4x'/5 FT. CURB CUT _FT, SIDEWALK_FT
ORl\iEW A Y CUT _FT,
MAIN CONDITION: INTERNAL LINING TUBERCULATION-MINOR 0 SEv'ERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORlNE RESIDUAL SAMPLE ,34 PPM.
WATER OFF: FROivI 4 M. TO
FROM M. TO
APl'.A.REi'iT CAUSE OF LEAK: Of'; 4jQ...'
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