HomeMy WebLinkAbout708 S Race St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST
Date fO - 30-- 00
Time 8 30 AL1-1.. Received by Vclaq<5 cE
{PhOne~
Location of Work to be inspected 7011 5 R~e
Name of person requesting inspection 'i)eVl.\.\. l S E
Address of person requesting inspection (~"'t-- '6
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
NorR ,,-t-- bld5 o~'-- 7-fi;:
Phone No '-I, 7- 48 <.14 ~
Sewer Exca:e~ .J~~ ';;
INSPECTION NOTES
Inspected Date to -30 .- cro Time 10 '15 A M By j) C--vt. tr.. IS E:
Remarks -1Irec.. A.e€dl ~ 4:Spktf ~frrol t./ X 8'
~
~
RESTORATION REQUIRED
YES X
NO
~ ~
\J
~
o-tk ~ V)
EtLSf 7 -
~( - I
Z C-.L yt- ~.g7 1-
=-
SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel ~Asphalt D PCC
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
/1;/ C)+rerd I J:d 'L[)a{)
~Continue on reverse side if necessary)
Work Order # /1/c;
~ COMPLETE II-It~/)o
INCOMPLETE
D Other
~#~
, ~
STREET SUPERINTENDENT
(DATE)
C) W 2.. > -(.J ( ~ I 11 ,
City of Port Angeles
Public Works Department
Water Distribution Repair Report
'Work Order No 17 (<7.
Reported' /D /27/ ot:)
Repaired: I u / "30/00
Condition.
Source
Repair Location.
Address
Loc Description.
Component Repaired.
Main
Joint
Long. Break_
Service:
Line Valve:
Hydrant:
Other:
Tap_
Flange Nuts, Bolts
Branch
, Crew' 7 ZCo 7 'L '8" - 7 W 7 I 8
Emergency Routine ><
Citizen Complaint )(
Leakage Survey _ Other
70B 5D Ra..c~
tJ6r~ 012 hl~
~
OIA. 7"t~ s:t.
Main Line ID#:
Cir Break K
Hole
Split Bell _
Clamp _
Other
Corp Stop_
Valve
Pipe _
Stem
Barrel
Curb Stop _
Bonnet
Repair Type: Clamp ..x..-
Other
Dresser
Site Condition: Surface Gravel Roadway _ Asphalt Street ~ Sidewalk
Curb Top Soil Area _ Soil Type _
Damage: flo..'L(..
Cuts: Street Cut: Ft. 'Ix. 8 Curb Cut: Ft.
Main Condition.
Diameter'
Material.
Depth of Cover.
Internal Lining
Tuberculation.
External Corrosion.
Special Conditions.
Sidewalk Cut: Ft.
(I
Inches 2
cr
Ft. Z ~ Fee1-
~A
,.
Joint Type:
External Prot:
N/A
N/A
Bedding:
Other Structures:
Minor
Localized
Severe
Extensive
s_::: :m:;) :-o/A-M
From /_ To _M
Apparent Cause of Leak: 6 rc:')v~ -seft {e.
5/19/98
Page 1
PW-902.09