HomeMy WebLinkAbout3131 Regent St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST (
Date ~- ~D -- 0
Time
Received by
(phone, person)
DuJ - 'Z..oo-=l - 16 2--1J
I
Location of Work to be inspected 3/ 3 ) f{ --R1.-e.71 +
Name of person requesting inspection --,-- LA ) -l \ C cy
Address of person requesting inspection 11 tit 6- f3 Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other Luee t- e,y.
INSPECTION NOTES
;C/- c-By
L h. /V--ea t-
e 0 VF~
,
Inspected Date . Time
Remarks ., ~ -(peL I 'r ~ d 'Jj y-
, S -l-c>'-J ( ') JV Cf1l e::Z I h
/'
. YES V NO
/(j(\
RESTORATION REQUIRED
vi '--('to C l'--f S +
~
~
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~
:s
+
CJ\
~
SURFACE RESTORATION
SURFACE TYPE
(Continue on reverse side if necessary)
~
,
t.
"3 J ) I R~t-etrf
{;v A-t-er f-e~1:/ 1<.. --e
R-ef'C\.1 r~el C( f-
Co ;,- /" .5 +-0 P
LILY 01 l'Orl Allgele~
Pu blic \\1 orks Departnlent
Water Distribution l~epair Report
Ow. 2,.ooi - { 8 2.-?
ICrew I / Y
IWork Order No: l..~ 'A. l'
DATE REPORTED' ~ - J- () I
CONDITION
EMERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT rJ.,/
LEAKAGE SURVEY 0 OTHER 0
tl- :J.6 - 0 ( TIME /
:31 J I
If- C: SIZE
ADDRESS
TYPE OF MAIN
1/'
)fAM. OP.M.
X"-< cj ~ /1 +-
/
DATE OF REPAIR.
REPAIR LOCATION
/"J #
DEPTH OF MAIN ./
CLOSEST VALVE DEPTH.
COMPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK 0 SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTHER
SERVICE TAP 0 CORP STOP 0 PIPE,t{ CURB STOP 0 FITTING 0
METER SETTER 0 METER 0
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VALVED BARREL 0
OTIIER.
COMPONENTS OF REPAIR. CLAMPD DRESSERO OTHER (' ti rn 1.7('-<)<) I t~) 1 U /lj ('e) n Yv
,
SITE CONDITION GRA VEL 0 ASPHALT 0 SIDEW ALK 0 CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS ASPHALT CUT....lL::..-FT CURB CUT _FT SIDEWALK_FT
DRIVEWAY cUlt-' _FT
MAIN CONDITION INTERNAL LINING TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE 12- 3 P.P.M.
o 11 an / /7~ us-e OU+ /), v (
WATER OFF FROM ---L.J:l M. TO -/ /7 M.
FROM
M.TO
M.
Br/fll-e Yy r E /~//,...JL
APPARENT CAUSE OF LEAK.