HomeMy WebLinkAbout405 E Front St - Engineering
CITY OF POR.T ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . . . .
REQUEST
Date I - I t.f - ():;
Time
Received by I::>LVI..~( '7 E- - (phone, person)
Location of Work to be inspected '-10 5 E /-::: r ov,- tS-t-.
Name of person requesting inspection 'f>: VI.. iA I "> C
Address of person requesting inspection~ yl<-'..\!-l 17~ "/-"B Phone No Lf. 17 - t.f J' L{ <-7
Type of Inspection (circle appropriate one) Permit No _~._
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Oth~J(,- h ~
INSPECTION NOTES
Inspected Date I -I L{ - u 3>
Remarks /.( e f?C'~ ( F L{ t, C c.... s +
I
h c.. IA... J
Time
.L -r D _, ~\A...C~ I If,
By
0J dl ('-<-full C llLl c
<;15
rC' /Jccl I-
f
RESTORATION REQUIRED
YES X
NO
I~
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel ~Asphalt 0 PCC 0 Other
Work Order # Z Z gg
~ COMPLETE~\~ ~"";S t-~otk VJ~S
o INCOMPLETE dolJe ~'-{ 'a~ecsid.~ a.S
. . ,,~'te~~tE~~Ccl
10 X?' A 1'kl-f led elL - /0 ----I -\< '5
STREET SUPERINTENDENT (DATE)
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
,Iv', ~free! )1h
(Continue on reverse side if necessary)
REQ/JOB
CREW
City of Port Angeles
WORK REQUEST
WF0002293 I 001 PROJECT
STMT Street Maintenance
REQ DEPT PW-Street
REQUESTOR TKAUFMAN
USER ID TKAUFMAN AUTH TKAUFMAN
REPAIR ASPHALT CUT AT 405 FRONT
PRIORITY
ORIGIN
WORK TYPE
PAGE
REQUEST DATE
PRINT DATE
PRINT TIME
SCHEDULE
START
COMPLETION
REF NBR
Low
Staff
Scheduled Work
1
3/23/03
3/23/03
13 37 16
DATES
3/23/03
3/28/03
LOCATION
GEN LOC
LOC ID
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REQUEST COMMENTS
repair asphalt cut at 405 Front pre HTE w/o 2288
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REPAIR ASPHALT CUT AT 405 FRONT
Category code Street Maintenance
Task coae Roadway Patch-Major
Facility ID
Assigned D~partment PW-Street
Start tlme
STMN
PACH
Stop time
INSTRUCTIONS
K~~A1K A~~HALT CUT AT 405 FRONT PRE HTE W/o 2288
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START DATE
_1_1-
COMPLETION DATE
_I_I
QUANTITY
UNIT OF PRODUCTION
LABOR
EMPLOYEE HRS
===============================================================================
EQUIPMENT
NUMBER HRS
ITEM
MATERIAL
QTY
COST
- -
===================================---=-=-=-===================================
CIty of IJort Angeles
Public ,V orks Departnlent
'Vater Distribution Repair Report
IWork Order No: 2 Z. 8g
'Crew 715-; 7/0/.7 17/ 71'1
DATE REPORTED' (- (L{ - 0-5
CONDITION E1\.1ERGENCy)g ROUTINE 0 CITIZEN COMPLAINT Pr'
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR. I-I tj-O '5
TIME.
5 \,,(,
DA.M, AlP,M.
REP AIR LOCATION ADDRESS
TYPE OF MAIN
L_J- r
SIZE.
Lf If
DEPTH OF MAIN
3'
CLOSEST VALVE DEPTH.
31
COMPONENT REPAIRED:
MAIN JOINT 0 CIR, BREAK)1 SPLIT BELL. D LONG BREAK D
HOLE 0 CLAMP 0 OTHER
SERVlCE TAP 0 CORP STOP D PIPE D CURB STOP 0 FIITING 0
1\.1ETER SETTER 0 METER D
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
OTHER.
COMPONENTS OF REPAIR, CLAMP)( DRESSERD OTHER
SITE CONDITION GRA VEL D ASPHAL T ~ SIDEWALK 0 CURB 0
TOP SOIL AREA D SOIL TYPE
CUTS ASPHALTCUT3x{OFT CURB CUT _FT SIDEWALK_FT
DRIVEWAY CUT FT
MAIN CONDITION INTERNAL LINING A I /11 TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROS~D 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE , L{ 7 P,P.M.
WATER OFF FROM tf t M, TO S- /-') M.
FROM
M.TO
M.
APPARENT CAUSE OF LEAK, 6 YO Ut"Ld ~ ff{ e - '7 r c,.~ 1'-- J I ~v L'-. t (0 ~