HomeMy WebLinkAbout523 E 3rd St - Engineering
CITY OF PORT ANGELES bw-2-S-01-Z-~if1
DEPARTMENT OF PUBLIC WORKS ~
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
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Date I - }-- c>2- Time Received by (phone, person)
Location of Work to be inspected ~ J-. ? f- - J r-c(
Name of person requesting inspection Y c,A...) ( J c () Y
Address of person requesting inspection /1 f'/( -r! 13 Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other I..LJ'ct./.-(---c~
INSPECTION NOTES:
Inspected: Date
Remarks:
Time .
af:/!h I Y-1~
.. U' 1
By
":f C-~ Lv.~
011 ~ !rc/-e ~ 117
/
RESTORATION REQUiRED...... YES V NO
f).'( A ~ftJ.( r- tJ 1
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
D Repaired by City
[] Repaired by Permittee
D No amage Found
}
~
~
E 7~
Asphalt 0 PCC 0 Other
Work Order # tf)...)... Y f
~. COMPLETE ;J--tU '). )61
o INCOMPLETE 46:>... tefo..,'J--e;.~ v0it~\
STREET SUPERINTENDENT (DATE)
City of Port Angeles
Public 'Vorks Departnlent
Water Distribution Repair Report
D lA..1 - '2...So , - ~ '2-<19
IWork Order No: ~;L4 If
'Crew:
71t;'
,
DATE REPORTED: JI-J - 02-
CONDITION: EMERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT /'
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR: ) 1- 3 ,- 0 J- TIME: 73, (j 6 ,grA.M. OP.M.
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TYPE OF MAIN:
e;-:L-J
:J.... r .. C-j:-
SIZE:
REPAIR LOCATION: ADDRESS:
Q (
DEPTH OF MAIN: 2
CLOSEST VALVE DEPTH:
COMPONENT REPAIRED: /
MAIN: JOINT 0 cm. BREAK VSPLITBELL. 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTHER
SERVICE: TAP 0 CORP. STOP 0 PIPE 0 CURB STOP 0 FITTING 0
METER SETTER 0 METER 0
LINE VALVE: FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT: BRANCH 0 VALVE 0 BARREL 0
OTHER:
COMPONENTS OF REP Am, CLAMP~ESSERO ~R
SITE CONDITION: GRAVEL 0 ASPHALT ~IDEWALK 0 CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS: ASPHALT CUT _FT. CURB CUT _FT. SIDEWALK _FT.
DRIVEWAY CUT _FT.
MAIN CONDITION: INTERNAL LINING N A- TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE Dr}... ,_
CHLORINE RESIDUAL SAMPLE P.P.M. I! ~4-' \.-.J iAer -e Jr :;~~; "i ~ /!::
WATER OFF: FROM M. TO M.l{)t{t-eV .Il/vr(- Cl FP .
FROM M. TO M.
i / -I....p d~ 12 /r--
APPARENT CAUSE OF LEAK: 5e.. 71 / . '- -rr !...?r- eC1--~