HomeMy WebLinkAbout1107 Grant Ave - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
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/
REQUEST'
Date
Time
Received by
(phone, person)
----
---
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-1
~
~
~
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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
Phone No
Permit No
Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected Date {
Remarks
Time I (
By
RESTORATION REQUIRED
YES
NO
: \
\ I
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
D Repaired by City Work Order #
[] Repaired by Permittee .0 COMPLETE
[] No Damage Found 0 INCOMPLETE
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(Continue on reverse side if necessary) STREET SUPERINTENDENT
tJ Other
(DATE)
bw -J0{]/-!6 3 I
City of Port Angeles
Public Works Department
Water Distribution Repair Report
'Work Order No:
Reported: _/ _/_
Repaired: _/ _/_
Condition.
Source
Repair Location:
Address.
Loc. Description.
Component Repaired:
Main.
I Crew:
Emergency Routine
Citizen Complaint
Leakage Survey _ Other
Main Line ID#'
Joint Cir Break
Long. Break _ Hole
Other
Service:
Line Valve:
Hydrant:
Other:
Split Bell _
Clamp _
Tap _ Corp. Stop _
Flange Nuts, Bolts
Branch Valve
Pipe _
Stem
Barrel
Curb Stop _
Bonnet
Repair Type: Clamp _
Site Condition: Surface
Curb
Damage.
Cuts: Street Cut: Ft.
Dresser
Other
Gravel Roadway _ Asphalt Street _ Sidewalk
Top Soil Area _ Soil Type _
Main Condition:
Curb Cut: Ft.
Sidewalk Cut: Ft.
Diameter' Inches
Material.
Depth of Cover' Ft.
Internal Lining:
Tuberculation.
External Corrosion.
Special Conditions:
"
Joint Type
External Prot:
N/A
N/A
Bedding:
Other Structures:
Minor
Localized
Severe
Extensive
Samples Taken: Pipe Section _
Water Off:
Apparent Cause of Leak:
Coupon _
From
From
1 1
---
1 1
---
TO__M
TO__M
1_-
5/19/98
Page 1
PW-902.09
I~ (.(,) - 25"01 . I 1 3.;-
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT.
!/'
REQUEST
Date II - 2 & ~ '-" 0
Time I ( A rt/l
Received by VI Io'...Yt r ~ E. (phone, person)
Location of Work to be inspected II () 7 t 6 I~ A ;/1.:1 A t) e
Name of person requesting inspection J)~\'LV\ I "; t
Address of person requesting inspection /7 ~ q- 73 (C<' f y",y d Phone No '-I! 7 - 1-(r.f I.f4
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other !.\)4Xa--t_
INSPECTION NOTES
Inspected Date // -'2 &- -or....)
/} /1 -J. II A .
Remarks ".,< ,P IJ<? I , ..- .~, J_
" " , I
/ '-( of" L.J"C-l 'if' tJ / .t1/?
I I
Time -,I / A H~ \ By
1.11 it) f! / l() ( rl. 2- fjre ~ "- r:!' ,/'"
I I
ye ~l.h. 7 f-:-
(.L)UI..)(,""" ~ c),-" A
I --)
RESTORATION REQUIRED
YES "y('
NO
~
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"
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~
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-" ------.-
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4J
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
D Repaired by City Work Order #
[] Repaired by Permittee 0 COMPLETE
[] No Damage Found [)J' INCOMPLETE
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/" ' . _ 'tl1 IJ I-€ C
/ /0 /JJa;CiJC ! f / 1.J1 / tJO ff - Jl--- 6 (
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
...--, (
;;<1 Other / ~ f~( 'I
D C,.\,) - '50 1- 113 J-
City of Port Angeles
Public Works Department
Water Distribution Repair Report
IWork Order No' 173S-
Reported: 11..1 ZJ,/ LTC)
Repaired. I ( / Z~ 1 C(1
Repair Location,
Component Repaired,
Main
Service:
Line Valve:
Hydrant:
Other:
Condition.
Source
Icrew' 71-~ -7Z()~-7Z 8'
Emergency X Routine
Citizen Complaint )(
Lea1cage Survey _ Other
Address It 0 7 E 6 Yo<' v{ 1- A J<~
Loc Description. .... ~4';Ll..DulA e{/ G)f 10aj dt v)(-o,Per-+,! ItVLC
Main Line ID#: 1- /( A.c
Joint Cir Break
Long Break ~ Hole
Split Bell _
Clamp _
Other
Tap _ Corp Stop_
Flange Nuts, Bolts
Branch Valve
Pipe _
Stem
Barrel
Curb Stop _
Bonnet
Repair Type: Clamp _
Site Condition: Surface
Curb
Damage.
Cuts: Street Cut: Ft.
Main Condition.
Dresser ~ Other
Gravel Roadway _ Asphalt Street ~ Sidewalk
Top Soil Area ~ Soil Type _
Tuberculation. Nt A
External Corrosion: NI A
Special Conditions. Bedding:
Other Structures:
Diameter'
Material.
Depth of Cover' Ft.
Internal Lining:
Curb Cut: Ft.
Sidewalk Cut: Ft.
Inches 4- ,/ i
AC
"
,. ,
Joint Type
External Prot.
A_L
Minor
Localized
Severe
Extensive
Samples Taken: Pipe Section _
Coupon _
Water Off: From-1.1J Z'IOO To~/LM
From_t.~J..z:bJo6 To /O-.rOt1M
Apparent Cause of Leak: l.vec... k ,:) (r<J e
I I
5/19/98
Page 1
PW-902.09