HomeMy WebLinkAbout127 E 14th St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
REQUEST
Date '/-/5" -0'-1
Time
10 ~ DO
YellLlI\.l s 6-
Received by ~ ~ (phone, person)
__ , I -ft.-
Location of Work to be inspected I L 1 t:.. ('T --
Name of person requesting inspection DeVlVl.f<j tE
Address of person requesting inspection Co-r (J Yu....v& Phone No 'fl?"- Lfft.{9
1
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other vJ('~ fev--
INSPECTION NOTES
Inspected Date 'I - I S- - 0 ~l
Remarks
Time
/ t/O 1'1'11 By ;J-tf/l (/l (-S C.
RESTORATION REQUIRED
YES
NO X
;1i...
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
D Repaired by City
[] Repaired by Permittee
D No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # It/l7c;-olft,
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
City of Port Angeles
Public Works Department
Water Distribution Repair Report
IWork Order No
t{ ,- (5 -0 'f
,
, Crew
715 of- C-re0
DATE REPORTED t.{. -/2 -0 {-
CONDITION EMERGENCY D ROUTINE D CITIZEN COMPLAINT x..
LEAKAGE SURVEY D OTHER D
DATE OF REPAIR. q-- (5 -0 l.f
TIME [' , 00
C-. { c.( 1;::
DA.M. tW.M.
REP AIR LOCATION ADDRESS ( 2.. 7
c~T~
3,- -;-z((
DEPTII OF MAIN CLOSEST VALVE DEPTII. C--
TYPE OF MAIN
SIZE 2
"
"'"
COMPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK D SPLIT BELL 0 LONG BREAK D
HOLE 0 CLAMP D OTHER
SERVICE TAP 0 CORP STOP 0 PIPE){ CURB STOP D FITTING 0
METER SETTER 0 METER 0
LINE VALVE FLANGE NUTS/BOL TS D STEM D BONNET 0
HYDRANT BRANCH D VAL VE D BARREL 0
OTHER.
COMPONENTS OF REPAIR. CLAMPD DRESSERD OTHER LOwt.{J.r<.St;:ol.o"- UlIl.:D,^-- 5/5 (t\.5~rtS
,
SITE CONDITION GRA VEL 0 ASPHALT D SIDEW ~J<. 0 CURB 0
TOP SOIL AREA D SOIL TYPE l::JA..( vi <-
CUTS ASPHALT CUT _FT CURB CUT _FT SIDEWALK_FT
DRIVEWAY CUT _FT
MAIN CONDITION INTERNAL LINING tJ/A TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION 'LOCALIZED D EXTENSIVE D
CHLORINE RESIDUAL SAMPLE tJ /A. P.P.M.
WATEROFF FROM 8,15-.4 M. TO 8 25AM.
FROM
M.TO
M.
APPARENT CAUSE OF LEAK. htt1e 5e+tfL Cn..Jef Yoc:-k
,
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . INSPECTION REPORT . . . . . . . . . . .
.....
REQUEST
3-2-I-D)
Date
Time
10 A J;v\.
Received by t)<..l VI i os C (phone, person)
--.--..'"
Location of Work to be inspected I;: ( F
Name of person requesting inspection j)ev\V'\y'~
Address of person requesting inspection (. <.' r ('
Type of Inspection (circle appropriate one)
--t--k
14 -
r-
L.
'YC\...vd
17"1-13
Phone No '//7 - t..{ .:; L(-j
Sewer Foundation Framing
Permit No
, --..,'""
Chimney Plumbing Final Sewer Excav Oth~r ~!c t c (' )
"----~
INSPECTION NOTES
.5 LI - 05
Inspected Date
Remarks t<i 1-1) It1.c cclSD I cJ..(
I
Time Z - '50
3/,-," pel I
:!. _ c- -ubi Vlj Z",
")
By oj- { Vi VI (5 t:-
F c." S of u ~ '1~L (-'"
I
RESTORATION REQUIRED .
. YES X
NO
+-
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SURFACE RESTORATION ~ /
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt ~PCC
o Repaired by City Work Order #
[] Repaired by Permittee li COMPLETE
o No Damage Found 0 INCOMPLETE
/112 ,ih~ ~k~
(Continue on reverse side if necessary) STREET SUPERINTENDENT
5 x... 10' ~<(C .-~-I <':.
o Other 5tcPc:.. c.-j,.\. f {<.,
~~L\ ~\a {t 1
'S'd--e \j-JQ \ k
t(Q,StGted '-:S-12J-a";
----rt
(DATE)
CIty of Port Angeles
Public Works Department
Water DIstribution Repair Report
IWork Order No
JCrew 7 1:5 <::1-L.r-e0
]
DATEREPORTED 3-g-o~
CONDITION EMERGENCY 0 ROUTINE 0 CITIZEN COrvtPLAlNT ,9(
LEAKAGE SURVEY 0 OTIlER D
TYPE OF MAIN
C-L ~
Z 3D DA.M. ..MP.M,
( <-(1-.1:
<L
DATE OF REPAIR. g -'2 ( ~ 0::; TINfE
REP AIR LOCATION ADDRESS I Z '7 ~ ~
SIZE
I I I
DEPTII OF MAIN Z z.. CLOSEST VALVE DEPTH, z..
CO:rvtPONENT REPAIRED.
MAIN JOINT 0 Crn., BREAK 0 SPLIT BELL D LONG BREAK 0
HOLE D CLAMP 0 OTIlER
SERVICE TA.P D CORP STOP 0 PIPE)( CURB STOP 0 FITTING 0
:tvfETER SETIER 0 :tvfETER 0
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
OTHER.
2'"
COtv1PONENTS OF REPAIR. CLAMPO DRESSERO OTIlER 0/4 Pc: -ruhl ~ - '$/4 /.M. t-.- &fop
SITE CONDITION GRA VEL 0 ASPHALT 0 SIDEWALK Pi.. CURB 0
TOP SOIL AREA. 0 SOIL TYPE
CUTS ASPHALT CUT _IT CURB CUT _IT SIDEWALKS'K/Cl'IT
DRIVEWAY CUT _IT
MAIN CONDITION INTERNAL LINING Al/A TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE ~!A P.P.M.
WATER OFF FROM
M.TO
M,
FROM
M.TO
M,
/\PP,A.RENT CAUSE OF LEAK.
DId '^j.e.