HomeMy WebLinkAbout818 E 2nd St - Engineering
CITY OF PORT ANGELES tfTtoJF- 7t1ltJ
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date <Y'- I ( - 0 '3 Time ( /.. 30 /I 't.A. Received by v. . 6~)'j 'f3rphone. person]
00 ,-- J
Location of Work to be inspected 0 ( (]) ~ Z
Name of person requesting inspection D. E' ~I(~ i-n- ~
Address of person requesting inspection ~IJ Yc;:::r~ Phone No.
I
Type of Inspection (circle appropriate one): Permit)!o... ~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Ot~ tJ '
INSPECTION NOTES:
Inspected: 9Pte 8 - ((--C)'~ Time
Remarks: Ke.14..iredz." GL- /1A.a...(V\.
D(ec~ / o,p /lf4e
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;2 ..30 I'M.. By 7) ~;':J,~'---
uJt +~2. Dr~SC;cr~;. 4 "-' a.. L I
RESTORATION REQUIRED . . . . .. YES >< NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
[] Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order # 7<J I G
o COMPLETE
o INCOMPLETE
DOther~~~~ (
,
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
IDA TE)
LIty 01 lJort Angeles I-fTt..-::" uJ F 7 ~ / t:,
Public 'V orks Departnlent
vVater Distribution Repair Report
'Work Order No: 78.( fa
'Crew: 715"i 7tSJ 7Z-~
. ,
DATE REPORTED:
8-- (f -o'Z)
CONDITION: EMERGENCY 0 ROUTINE)( CITIZEN COMPLAINT 0
LEAKAGE SURVEY 0 OTHER 0
DATEOFREPA1R: 8-1( -03 TIME: 2: 5D
J
REPAIR LOCATION: ADDRESS: 81 f E 2
DA.M. &.M.
TYPE OF MAIN: C .r .
SIZE:
3(
DEPlli OF MAIN: _
f
CLOSEST VALVE DEPlli: 2 'L
COMPONENT REPAIRED:
MAIN: JOINT ~ CIR. BREAK D SPLIT BELL, D LONG BREAK D
HOLE 0 CLAMP 0 OTHER
SERVICE: TAP 0 CORP, STOP D PIPE D CURB STOP D FITTING D
METER SETrER 0 METER D
LINE VALVE: FLANGE NUTS/BOLTS 0 STEM 0 BONNET D
HYDRANT: BRANCH D VALVE 0 BARREL D
OTHER:
COMPONENTS OF REPAIR: CLAMPD DRESSER)t1 OTHER
( (of'
Z Z 1-
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SITE CONDITION: GRA VEL D ASPHAL T D SIDEWALK D CURB D
TOP SOn.. AREA)t SOn.. TYPE
CUTS: ASPHALT CUT _FT. CURB CUT _FT. SIDEWALK _FT.
DRIVEWAY CUT _FT.
MAIN CONDITION: INTERNAL LINING U~ ( I Nd TUBERCULATION-MINOR 0 SEVERE x..
EXTERNAL CORROS10N LOCALIZED 0 EXTENSIVE D
Cffi.ORINE RESIDUAL SAMPLE ~ 41 P,P,M.
WATER OFF: FROM 12 '3DfM.TO 1:~fM.
FROM M. TO M.
APPARENT CAUSE OF LEAK: G rovvuJ S-e itl<-