HomeMy WebLinkAbout2005 W 7th St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST
Date f? ~ z '8 ~ D <-(
Time .3 5'5" f1 J1/\. Received by Dc....,u." E. ~ person)
.-IL
Location of Work to be inspected 7-0 D s- tJ 7-
Name of person requesting inspection Oe vt Vl / 5 E
Address of person requesting inspection C-o r J::J ~r J
Type of Inspection (circle appropriate one) V
Sewer Foundation Framing Chimney Plumbing Final
Phone No iff? ~ 'ff'f'1
Permit ~ ~
Sewer Excav Oth rVa.....f <- 0
INSPECTION NOTES
Inspected Date g - Z ? - 0 Lf
/J 3' fl
Remarks I'<. e ,0,,- I v- /c..{ f f -E.. .
,
Time
-ruh (~
4 "Ld ~(2 +-e. r .
By
b-€f0 e e t'\. ~; V\.
RESTORATION REQUIRED
YES
NO X
-
lL4k
~
-<)
2- " f V C 3' O~ef I
(/8' ~
v'
r
~
"'S
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LJ {~
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt
OPCC
o Other
f t/ l7 /?- t)LjJ
D Repaired by City
Cl Repaired by Permittee
D No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CIty of Port Angeles
Public Works Department
Water DIstribution Repair Report
'Work Order No Ii 2,8 -o~7
Icrew 7/5 + Lvev
J
DATE REPORTED 8 .-28'-ol/-
CONDITION EN1ERGENCY){ ROUTINE D CITIZEN COMPLAINT )(
LEAKAGE SURVEY D OTHER D
DATEOFREPAlR. ~-28~o4 TI1v1E. 5'.30 DA.M. iXP.M.
~
REPAlRLOCATION ADDRESS 2D05 ...... u.). 7 -
I?r/e-
TYPE OF MAIN
SIZE Z (".
DEPTII OF N1AIN
:<1
--"
CLOSEST VALVE DEPTH.
z.~f
COMPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK 0 SPLIT BELL D LONG BREAK D
HOLE 0 CLANW D OTHER
SERVICE TAP 0 CORP STOP 0 PIPE K CURB STOP 0 FITTING 0
:METER SETTER 0 :METER 0
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH D VAL VE 0 BARREL 0
OTHER.
COMPONENTS OF REPAIR. CLAMPO DRESSERO OTHER ..s/1 Cou...{), UtA.. \C> IA.S / P L p'f>e
I
SITE CONDITION GRA VEL 0 ASPHAL T D SIDEWALK 0 CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS ASPHAL T CUT _FT CURB CUT _IT SIDEWALK_FT
DRIVEWAY CUT _FT
MAIN CONDITION INTERNAL LINING ~ A TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION 'LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE P P M.
WATEROFF FROM 5' 2D(JM. TO s~. ?o;JM.
FROM .31
M.TO
M.
APPARENT CALSE OF LEAK. flet;(e<-.t ,'tie.. iJ 'pe
q
.....
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
.....
REQUEST
Date '5'- I ,fj -c;:'s
Time
7 A ~ Received by
0<".... V'l 15 E (phone, person)
~
Location of Work to be inspected '200 S t..J, 7 'f~ sr-.
Name of person requesting inspection {Je K V\. t ., c...
Address of person requesting inspection ~rJ4 ~rd 17 Cf /3 Phone No 'It -, -i..f8f...(C(
I
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other ~ + e r
INSPECTION NOTES
Inspected Date :5 .-I.sf - 0 S-
Remarks I<.e/.)/~c e ':;/'f'" P..E
I
Time I ( A ""'-
'tv hi~.J ,17 ro.-Y\.
By t)~yti-t IS E
"'^-.c" I VI.. +- D 11..-1... e. f (!.. r
RESTORATION REQUIRED
YES
NO x:
-------
i-'
~
~- lib ~~~~~<~j
W 7ff
\/)
~
o.t
'S
~.-tJ
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
D Repaired by Permittee
[] No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 5v3tf" -OZL>
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CIty of Port Angeles
Public Works Department
Water DIstribution Repair Report
'Work Order No 50 ~c...I~,. oZ.()
I Crew 7, c;- y.. Cre.....J
]
DATE REPORTED
3~{to OS
CONDITION EN1ERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT 0
LEAKAGE SURVEY J1( OTHER D
DATE OF REPAIR. 3 -1[1-0 r- TI:ME 7 ~.M. DP.M.
REP AlR LOCA TrON ADDRESS Z. 0 <..")', t..J 7+i.. 5+
TYPE OF MAIN fJt/C SIZE Z" -
DEPTII OF MAlN 3-k I CLOSEST VALVE DEPTH. 3'
COMPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK 0 SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLANW 0 OTHER
SERVICE TAP 0 CORP STOP 0 PIPE ~ CURB STOP 0 FITTING 0
:METER SETTER 0 METER 0
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VALVE 0 BARREL 0
OTHER.
I,
COMPONENTS OF REPAIR. CLAMPO DRESSERO OTHER :gILl P E f-u fa 1"-)) 'S"q 1M. t-t'" S Tof
SITE CONDITION GRAVEL 0 ASPHAL T 0 SIDEWALK 0 CURB 0
TOP SOIL AREA ~ SOIL TYPE ,Ja.. +t-J e.
CUTS ASPHAL T CUT _FT CURB CUT _IT SIDEWALK_FT
DRlVEW A Y CUT _FT
MAIN CONDITION INTERNAL LINING b '">0 c,J, 1lJBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE D
CHLORINE RESIDUAL SAMPLE . (5 P P M.
WATER OFF FROM
2( SDA:M. TO 7' 5c.)AM.
FROM
M.TO M.
APP.A.RENT CAUSE OF LEAK.
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