HomeMy WebLinkAbout1908 W 7th St - Engineering
CITY OF PO.RT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
b W-.2S-~ (-ZO~
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REQUEST
Date 3-/2 - oz
Time
Received by
(phone, person)
location of Work to be inspected I q 0 8 W T tJt. ~,
Name of person requesting inspection krl'",/',/ tt)/!c..ox
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Address of person requesting inspection <-...or;,o 10.. v- J I 7 - 'f- .5
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Type of Inspection (circle appropriate one)
Sewer Foundation Framing
Chimney Plumbing Final
Phone No
Permit No
Sewer Excav Other ~
INSPECTION NOTES
Inspected Date
Remarks ~ ~""-' -v-
I
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'-
CL
Time
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By
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RESTORATION REQUIRED
YES X NO
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.........
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt
o Other
o Repaired by City Wor!yorder # 20(>5
[] Repaired by Permittee cWCOMPlETE
[] No Damage Found 0 INCOMPLETE
1! f-!reef 'PIt! ~ .~
(Conti ue on re rse sIde If necessary)
OPCC
1111
S~7--6"Z-
STREET SUPERINTENDENT
(DATE)
"
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . .
~W-7a~
qtJ
.....
. "
REQUEST.
Date 3-/2 - oZ
Time
Received by
(phone, person)
location of Work to be inspected I q 0 8 w. T tJt. .:;yp.
Name of person requesting inspection krr,/',/ tJ; !~x
/' I v' J ' tk, i2
Address of person requesting inspection '-Or;,o 10.. V I 7 - 'f- y
I
Type of Inspection (circle appropriate one)
Phone No
Sewer Foundation Framing
Chimney Plumbing
Permit No
Final Sewer Excav Other E!3
INSPECTION NOTES
Inspected Date
Remarks ~ ~""-I-V-
I
z'" C L
Time
/Vl?;. I Y1 t.-J; ft. ^-
By
-Cu f ( ~ (r c!~
,re.cJ~/:r bv..~ ,
I
RESTORATION REQUIRED. . . . .. YES X NO
I ~
-
~J 7~
I ...... )1
2"C.I \.~ CJo "A
, -U ~
SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel D Asphalt
Dpcc
D Other
2oros-
D Repaired by City
D Repaired by Permittee
o No Damage Found
11 ~-!reJ- -;/tJ/o~
(Conti ue on re rse side If necessary)
Work Order #
o COMPLETE
D INCOMPLETE
STREET SUPERINTENDENT
(DA TE)
City of Port Angeles b"'-' - 2..5"0 (- 20 'J-
Public Works Department
Water Distribution Repair Report
IWork Order No:
2. 0 G-,.c;-
,
ICrew 71'-f (7/Sf 7 ( 7( 118
DAlE REPORlED' ~:; I { - 0 Z.
CONDITION EMERGENCY 0 ROUTINE 0 CITIZEN COMPLAlNT .kf
LEAKAGE SURVEY 0 OTIIER 0
~
DAlE OF REPAIR. s- 12 -OL-
TIME. /0' 00 ckA.M. DP,M.
REPAIR LOCATI0N ADDRESS /108 1#. 1t!!-~
TYPE OF MAIN C _ r SIZE. Z I(
" (.1'
DEPTII OF MAIN t.j l' CLOSEST VALVE DEPTH. 3 G
COMPONENT REPAIRED:
MAIN JOINT 0 CIR. BREAK ~ SPLIT BELL. 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTIIER
SERVICE TAP 0 CORP STOP 0 PIPE 0 CURB STOP 0 FITTING 0
MElER SETlER 0 MElER 0
LINE VALVE. FLANGE NUTSIBOL TS 0 SlEM 0 BONNET 0
HYDRANT BRANCH 0 VALVED BARREL 0
OTHER.
COMPONENTS OF REPAIR. CLAMP)( DRESSERO OTIIER
SIlE CONDITION GRAVEL 0 ASPHALT 0 SIDEWALK 0 C 0
TOP SOIL AREA;:it SOIL TYPE G-r-AVC I I1.A.h /i:
CUTS ASPHALT CUT _FT CURB CUT _FT SIDE ALK_FT
DRIVEWAY CUT _FT
MAIN CONDITION INTERNAL LINING TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE 4-P.P.M.
WATEROFF FROM ~ M. TO
FROM M. TO
M.
Ke(Jc..' ,ed
()/~e(" I (~esstJ,re
M.
APPARENT CAUSE OF LEAK. LrJlc:P t-vt7a. rLe ,,---