HomeMy WebLinkAbout1527 E 1st St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
.....
REQUEST
Date 9-15 -() 'i
Time ,;l ~ "rV Pm Received by
(phone, person)
Location of Work to be inspected IS",.) 7 E hrsT 5/: (' Bc.J.5Macit'l)
Name of person requesting inspection t../ 4,1, r (),,,!.
Address of person requesting inspection J 7 (I.... t B sf: Phone No '117- "/<[If./'
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav $ I/Va..f"t;? r
INSPECTION NOTES
Inspected Date q-15-0f./ Time ~. e,rV plh't. By 717
Remarks re/lt'vo../eJ /'/n..'1. .~~r.y~'t::-e a.Pff'L)~.'.<;\)(Il~" Gi./rl"'- blA.c~
/leeds repl!t.i'-e<!
j-L":JLJ
I
RESTORA TION REQUIRED YES X NO
A/~6r 51, ~ ~
\0
~~ ~
- - f ""
- - rile...
"... k ~
f;r5T sT.
( ~
'R ~~.J 'v (s.: \ t~-
.c::;
~ Asphalt 0 PCC 0 Other
Work Order # N;{78 -015.:1 -}S'S n I.
Li1' COMPLETE A~ -r~\>D.\t-d W\ t.V\
o INCOMPLETE t\~\ \ ~\ \ X q - \ l--AQC\
~
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
[] Repaired by City
[] Repaired by Permittee
[] No Damage Found
(DATE)
City of Port Angeles
Public Works Department
Water DIstribution Repair Report
IWork Order No 1L/J..7~-Ob3
Icrew 7/7.. 7/~ I JA3
DATE REPORTED q -10- 0'/
CONDITION EMERGENCY 0 ROUTINE)[ CITIZEN COMPLAINT 0
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR. q-/') - (, '/
TIME <g: ()?)
;tA.M. DP.M.
REP AIR LOCATION ADDRESS
TYPE OF MAIN A L.
S'
DEPTH OF MAIN _
/5).7 E, h.rs/ 5T.
SIZE 8"
C-'
CLOSEST VALVE DEPTH. J
COMPONENT REPAIRED.
MAIN JOINT 0 Crn.. BREAK 0 SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTHER
SERVICE. TAP 0 CORP STOP 0 PIPE ~ CURB STOP 0 FITTING 0
METER SETTER ~ METER ~
LINE VALVE FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL \IE 0 BARREL 0
OTHER.
COMPONENTS OF REPAIR. CLAMPO DRESSERO OTHER f'h" 6~ss f?'P~ .I11~kr s70pl'7()'"
.. ~ ,
SITE CONDITION GRAVEL 0 ASPHALT ~ SIDEWALK 0 CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS ASPHALT CUT ~YID IT CURB CUT _IT SIDEWALK_IT
DRIVEWAY CUT _IT
MAIN CONDITION INTERNAL LINING /2/ /f TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE /1/ A P P M.
WATER OFF FROM /O:3cJ .AM. TO il,"<fl;' f. M.
FROM \1. TO M.
A,PP/\.R.E~'T CAUSE OF LEAK. /tel t
I