HomeMy WebLinkAbout2309 S Eunice St - Engineering
CITY OF PORT ANGELES
DEPARTMENT-OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
D W - 2JfS"- 2,,1[91
Y).P
REQUEST I ......,
~- ./6;;-
Date
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other LU{~--r-ev-
;) 3 () 1 E U)J\C~
-rLJ.J l \ C 6 -y:
I, ~ * ~ Phone No
INSPECTION NOTES
Time By
%-e~ DI ~' V~y~
b~ 7/'( ~__ LuZ"-.+-ev __.f?;-Ol c-€~
}2v 6 Yv1 eU r b /) s f-u P DIVe {j y y\ €}- + c) 0n-e-f-e,v-
L~,th. If( r; E ' P ~-Q
RESTORATI~N REQU~R~ YEs-LLNO_'
Inspected Date
Remarks
.-; /'
Nt
-J;
j.:l!
1'.
,+
34' ~
1 ~\
\
L/' AC-
1
..e w j'<ff .7 <? nhG~,
jJ ,'/NStd-e.. LJr
RJ'(\.?
?/r )eIVJ{~
f-o J.-?P r
fU)Jl (JL
SURFACE RESTORATION /'
SURFACE TYPE 0 Unimproved 0 Gravel ~Asp:alt
D Repaired by City
[] Repaired by Permittee
o PCC 0 Other
W~" Order # :2 I '2 ~
L~ ":,-~MPLETE . reo.. t~~l'ed.
INCOMPLETE W\\V\ ~'<J\ M\X ~-\L\..O)
\i(~
C 1-6 >5 I YlJ 5
/ , ..:~tmage Found 0
..-V. ) strf: e:- ]V:g n r J1.!.e
I
WC,"-'-/
/
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
City of Port Angeles
Public 'Vorks Departnlent
Water Distribution Repair Report
j)w ~ 2.S/J- z.l81
9;D
IWork Order No:
DATE REPORTED
7)3/
7 ~ )..1- (5 J-
I Crew
7/1
CONDITION EMERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT ~
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR. q - 1- 6 ~ TIME.
DA.M. DP.M.
REPAIR LOCATION ADDRESS
2-'50 V
}::-UAJ, C-e
TYPE OF MAIN
SIZE.
DEPTH OF MAIN
CLOSEST VALVE DEPTH.
COMPONENT REPAIRED:
MAIN JOINT D CIR. BREAK D SPLIT BELL. D LONG BJffiAK D
HOLE D CLAMP D OTHER R-J2lV--i4JeL Vy tHA I (J. ~QVUlC--<?..
-1;' tJ-(~ /'(
SERVICE TAP 0 CORP STOP D PIPE D CURB STOP D FIITING 0 Lu { ~'l LJ "L
METER SETTER 0 METER 0 rF .t:::
,
,P / )/....f(.
LINE VALVE. FLANGE NUTS/BOLTS 0 STEM 0 BONNET 0
HYDRANT BRANCH D VALVE 0 BARREL 0
OTIlER.
COMPONENTS OF REPAIR. CLAMPO DRESSERD OTHER
SITE CONDITION GRA VEL D ASPHALT 0 SIDEWALK D CURB 0
TOP SOn.. AREA D SOn.. TYPE
CUTS ASPHALT CUT _FT CURB CUT _FT SIDEWALK_FT
DRIVEWAY CUT _FT
MAIN CONDITION INTERNAL LINING TUBERCULA TION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE J. (I P.P.M.
WATER OFF FROM
M.TO
M.
FROM
M.TO
M.
APPARENT CAUSE OF LEAK.
')\..U' OC 7-- -~ ("} 2-
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS -5 ~ - "
. . . . .. . . . . . . INSPECTIQN REPORT. . . . . . . . . .. V; V
REQUEST /I
Date "7 -I ~ D ?-. Time
Received by
(phone, person)
Location of Work to be inspected ~ J () r 5 I f- U AJ i c:.-,<--
Name of person requesting inspection ---r-- 0U ,J (0 ,fC
Address of person requesting inspection 1lJ-it t- 0 Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other ~
INSPECTION NOTES
Inspected Date Time ~ By
Remarks Nt! f/< r k 1-r:flJ,r ~ -~&t 1;;y:;?~tk~
51-vl p 1-,)u<- 1"
/
RESTORATION REQUIRED YES V NO
J tJ/
1)/1/0
r
'"
" -
~
~
1:
I oS" .R..
I I \ <./
\ 1,) -, +-5-"1-"1"'"
1'( 4-C
-- r--
\
SURFACE RESTORATION /
SURFACE TYPE 0 Unimproved 0 Gravel ~sphalt 0 pcc 0 Other
Work Order # ~~ '?-
(2( COMPLETE~~\ f~
o INCOMPLETE VJ\ \~ \;() t Jv\\ ~ 0 -\ l\ -cr.t
~\\c...
It)' S~pj- 'fl)(/(J7_tr=-
D Repaired by City
[] Repaired by Permittee
CI No Damage Found
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
City of Port Angeles
Public 'Vorks Departnlent
Water Distribution Repair Report
U c.v ; ~o 1- - .21 T 2-
IWork Order No. ~11?-
I Crew
'/IY
DATE REPORTED '7- I <) ..... 6 2-
CONDITION EMERGENCY 0 ROUTINE 0 CITIZEN COMPL~
LEAKAGE SURVEY 0 OTIffiR 0
DATE OF REPAIR. 7-1' - 6 t---
TIME
DA.M. DP.M.
51 E- (/ /U t' C ....Ie
REPAIR LOCATION ADDRESS
TYPE OF MAIN ~I y
~)D r
~' ;~L
U't SIZE.
DEPTH OF MAIN
CLOSEST VALVE DEPTH.
COMPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK D SPLIT BELL. 0 LONG BREAK 0
HOLE ~ CLAMP 0 OTHER
SERVICE TAP 0 CORP STOP 0 PIPE ~URB STOP D FITTING 0
METER SETTER 0 METER 0
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH D VALVE D BARREL 0
OTHER.
COMPONENTS OF REPAIR. CLAMPD DRESSERD OTHER
SITE CONDITION GRA VEL 0 ASPHi}L T 0 SIDEWALK 0 CURB 0
TOP SOIL AREA 19" SOIL TYPE
CUTS ASPHALT CUT _IT CURB CUT _IT SIDEWALK_IT
DRIVEWAY CUT _IT
MAIN CONDITION INTERNAL LINING TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE i 2 I P.P.M.
WATER OFF FROM / {) A- M. TO
/ .J;J M.
FROM M. TO
old {(uti ell 7'/1( C"-a. /1/'
+e; I? ..e. k -f1? /4 c -f> ,IX eo.. 1/ Y
APP ARENT CAUS~F LEAK. .
t I ~ ).)~-ed S'
f>