HomeMy WebLinkAbout207 1/2 W 2nd St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUES~:~g _ 60
Date -1 Time
\) LU , '2001-- J' 'k
Received by
x6'7
Location of Work to be inspected
Name of person requesting inspection ---r: W I '/ C' iJ
Address of person requesting inspection 11+1.. '/;- Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
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(phone, person)
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Inspected: Date
Remarks:
TimE;
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INSPECTION NOTES:
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w(. (- s;- f >- '11 ( <( t
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RESTORATION REQUIRED . . . . .. YES
/
NO V
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC ) / 0 Other
Work Order # /6 7t
~PLETE J)-uJ 'J-C6"1
o INCOMPLETE
STREET SUPERINTENDENT (DA TEl
City of Port Angeles
Public Works Department
Water Distribution Repair Report
Ow- 2007-/6'4,
IWork Order No: It --; 1.
'crew:
7/,Y
Reported: ~ 1 ~'61 dD
Repaired: ~I ;..1/ /') u
Condition:
Source:
Emergency
Citizen Complaint
Leakage Survey _ Other
~
Repair Location:
Address:
?of 1'2-
{AJ
~/J,
Loc. Description:
Component Repaired:
Main Line IDU:
Main: Joint Cir. Break
Long. Break _Hole
Split Bell _
Clamp _
Other
Service: Tap _ Corp. Stop _
Line Valve: Flange Nuts, Bolts
Hydrant: Branch Valve
Other:
Pipe~
Stem
Barrel
Curb Stop _
Bonnet
Repair Type: Clamp _
Site Condition: Surface
Curb
Damage:
Cuts: Street Cut: Ft.
Dresser _ Other ~..f 0/ a.. L -e / 6-t{ / Of W /fA fE. t
, I
Gr~vel Roadway _ Asphalt Street V Sidewalk _ Ii p..-R.....
Top Soil Area _ Soil Type _
Curb Cut: Ft.
Sidewalk Cut: Ft.
Main Condition:
Diameter: Inches
Material:
Depth of Cover: Ft.
Internal Lining:
'It' ( C -J-
"
Joint Type:
External Prot:
,....;:
Tuberculation: NI A
External Corrosion: N/A
Special Conditions: Bedding:
Other Structures:
Minor
Localized
Severe
Extensive
Samples Taken:
Pipe Section _
Coupon_$l~ L F
~ oU'\ 0 -
~ A:M I nbU;
q J.1'M l,V6_+-€V I h V,,
$.e 'y- V " --e f(u $ +--e::...cf 6 Uti
Water Off:
From l.J '2.:$ lOb To
From LIJ.....:f.1 ~ To
Apparent Cause of Leak:
~Lv(
5/19/98
Page 1
PW-902.09