HomeMy WebLinkAbout3414 McDougal St- Engineering
REQUEST
Date I -I r - 0 {I
DW 2.-60 '} -,,[ t5' vb
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS I
. . . . . . INSPECTION REPORT. . . . .
Time
7 -: pC!
Received by If rJ t L e
(phone, person)
location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney
'Ji-IY-- /1c
j;JtlYL e
/7Ha afp
P tll/ If I'f (. L
Phone No
Permit No
Plumbing Final
Sewer Excav
Other
t1 w :rOC 7
INSPECTION NOTES
'7
Inspected Date I - I
Remarks 5' E j{ V I C E-
- v'O
LC-4/c
Time I () : p ~ 11 /I? By
.A T CC,I{j7
.1ft/IV'
RESTORATION REQUIRED
YES
NO V
1 1 ,
(\
I I l
~ I I
~ r:; I ~nh r 00 /~.___.,
- I
, .....
-. -
~
I t'i',
:
/'1e fJ dr/GIILL >
i "
'\
\ ~
xli: ~ ~
0 -. -~ il
- - - o '"'
..--- .---~ 1 ~--~-----,- ">-
- ". I V\ - ~
{-< ~ ~ I'll n\
0 "'" ~
("\ l"
'i'1 ^ ~ ~.:.
" ~ I -. ~
~ ('\. f"'> ~
'I ~ ~,
~
SURFACE RESTORATION
SURFACE TYPE [B"Onimproved 0 Gravel 0 Asphalt 0 PCC
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
WCOMPlETE
o INCOMPLETE
o Other
{~~)
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
City of Port Angeles OW:;'DO'7 - J 5' ~ ?:>
Public Works Department
Water Distribution Repair Report
Ie . 7l2~/{ r /(IlN IUCf/,,If~P
rew. p eM^, If _ I
IWork Order No: I 'i? ')
Reported: I I' Y-I P v
Repaired: I /I 71 V (/
Condition.
Source:
Emergency ~
Citizen Complaint
Leakage Survey _
Routine
Other
Repair Location: Address '3 r I Y- ~lc "I'll ;? e:t L L
L.
Loc. Description. Sef(..//lc.E L cA,K /tr ccfC-1'
Component Repaired: Main Line ID#:
Main: Joint Cir Break Split Bell _
Long. Break _ Hole Clamp _ Other
Service: Tap_ Corp Stop_ Pipe ~ Curb Stop _
Line Valve: Flange Nuts, Bolts Stem Bonnet
Hydrant: Branch Valve Barrel
Other:
Repair Type: Clamp _ Dresser Other v /.II tl AI +-- I'lec e of " Eo
Site Condition: Surface Gravel Roadway _ Asphalt Street _ Sidewalk
Curb Top Soil Area _ Soil Type _
Damage: /II (, A/ €
Cuts: Street Cut: Ft. Curb Cut: Ft. Sidewalk Cut: Ft.
Main Condition: Diameter- Inches
Material. ,"
~.~ ,
Depth of Cover- Ft. Joint Type:
Internal Lining: External Prot:
Tuberculation. NI A Minor
External Corrosion: NI A Localized
Special Conditions: Bedding: G',I( Av € L-
Other Structures.
Severe
Extensive
Samples Taken: Pipe Section _
Coupon _
Water Off:
From
From
1 1
---
1 1
To M
--
To__M
Apparent Cause of Leak: 8 '- (/ E
Tv II ~
pi;? IE
wtJ!i'E
~v (
5/19/98
Page 1
PW-902.09