HomeMy WebLinkAbout504 E 8th St - Engineering
CITY OF PORT ANt:..ELES
DEPARTMENT OF PUBliC WORKS
. . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST.
Date :5 - 'G Q 5
Time ;;; '-I () A I/'-..- Received by Ve H 1/1/:;' E. (phone, person)
--
- . -- c) -I-~
Location of Work to be inspected 5 () <f L.. ~ C>-
Name of person requesting inspection Dc Vl VI. ,~ t:..-
Address of person requesting inspection Ce,';f Yct(-,J
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
lIef "5 Phone No tf (7 - L/ ?S 17'
Permit No .-- .~
Sewer Excav Oth~)
INSPECTION NOTES
Inspected ~ate 5' I tv - c) 5
~ (f .---
Remarks e ,?lOLl ,. L L - L-
v
Time
'7 (.)() ;4V~By j)eUi1.'S E
l.0' ,'t ~ Ct.. I tit 5.'"5 ,r-e pc- r,- be;;... vld
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2 <38 Z b5 /:;~
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6
~ /70 I >l
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1
RESTORATION REQUIRED . . . . .. YES X NO
. ( r
if x ~
MAsphalt OPCC o Other
... Wyrk Order # 3D A'-I Z- - 0 Z. 'L _r--A
13 COMPLETE ij~ ~()Q)..{ t'-~
o INCOMPLETE \;01i'~ t L S tte.er
\~
SURFACE RESTORATION:
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
STREET SUPERINTENDENT
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST
Date ~ -/Cf-tJf'
Time
Received by
?P1' 11
I
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other ~J4 fel<
s !) '-I e t/-r~
ifo-n 4.
INSPECTION NOTES
Inspected Date '1- /9- o~ Time By
Remarks P~d/RE..D d1." C? L. ,/7/4'/,1/ ,hJ/r~ @1~~~,t'&:~~
,.A)~~d~ .l4.rll(~ II- ,.rJQl-d ) 4jJ/X.!) lc". ~K /...:;/ #
RESTORATION REQUIRED
YES rf-- NO
1
Nt
~
~.
(11'\
<g tf1..... .5 f1(. e€ \ To bE p A+chec(
UA(IJ.,-J- / fp). /. ~I
X
1 SO~ e g-fA.
SURFACE RESTORATION f'l):\d" 'fX 12 \}-J t=- --:z L.\ ? (j~
SURFACE TYPE 0 Unimproved 0 Gravel ~Asph~) 0 PCC 0 Other
~epaired by City Work Order # ,<1 ~ ~ - oa2J
Cl Repaired by Permittee g' COMPLETE J~.J'-~ \.Ze ~\ ~c:J
o No Damage Found 0 INCOMPLETE vJrtC~ \-~G ~ /V\~ ~
c.
STREET SUPERINTENDENT IDA TEl
CIty of Port Angeles
Public Works Department
Water DIstribution Repair Report
IWork Order No 3D'$'-lt -Dl.:Z--
ICrew 7/5'"f C,rerJ
DATE REPORTED 3 -, I~ - 0 ~
CONDITION ElVlERGENCY Jr( ROUTINE 0 CITIZEN COMPLAINT 0
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR. 3- /6 - o~ TIME Cj )li(A.M. OP,M.
S-b L{ -- r~
REP AIR LOCATION ADDRESS ;-
TYPE OF MAIN C-.I SIZE 2 '" -
, " ( ,-
DEPTII OF MAIN I - ,i CLOSEST VALVE DEPTH. 1'2..
COMPONENT REPAIRED,
MAIN JOINT 0 CIR. BREAK 0 SPLIT BELL 0 LONG BREAK 0
HOLE }( CLAMP 0 OTHER
SERVICE T.AP 0 CORP STOP 0 PIPE 0 CURB STOP 0 FITTING 0
NfETER SETTER 0 NfETER 0
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
OTHER.
COMPONENTS OF REP AIR. CLAMPK DRESSERD OTHER
SITE CONDITION GRA VEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP ~OIL,AREA 0 SOIL TYPE IUc..Ji ve... C [c.... fr.
CUTS ASPHAL T CUT ~IT CURB CUT _IT SIDEWALK_IT
DRIVEWAY CUT IT , /
MAIN CONDITION INTERNAL LINING tJ/A. 1lJBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE R
CHLORINE RESIDUAL SAMPLE . 3 ( P P M.
WATER OFF FROM 7 5DA M. TO ~ AM M.
FROM '\1. TO M.
4.PPARENT CAUSE OF LEAK. EfeL +yoltSt OS
CIty of Port Angeles
Public Works Department
Water DIstribution Repair Report
IWork Order No 13 flzfr.... 0'-."1 1
[Crew 7 ( '=> ~ c... ve0
J
DATE REPORTED g - { ~ -ocf
CONDITION ElVlERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT )(
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR. 2( -/'1-D<f TIME -, I\~-to (DA.M. ;k.M.
REPAIR LOCATION ADDRESS ~o<l E _ I?-tt.-
TYPE OF MAIN" C ,r SIZE z. l',
?' (
DEPTII OF MAIN C-- CLOSEST VALVE DEPTH. I ~
CONfPONENT REPAIRED.
MAIN" JOINT 0 CIR. BREAK)( SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTI1ER
SERVICE T.AP 0 CORP STOP 0 PIPE 0 CURB STOP 0 FITTING 0
NfETER SETTER 0 NfETER 0
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
OTHER.
COMPONENTS OF REP AIR. CLA1v1PJ( DRESSERD OTHER
SITE CONDITION GRAVEL 0 ASPHAL T 0 SIDEWALK 0 CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS ASPHAL T CUT _IT CURB CUT _IT SIDEWALK_IT
DRIVEWAY CUT _IT
MAIN CONDITION INTERNAL LINING A t /Ll TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROS~ED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE AJ IA P.P M. F, l<et! Ln";L
WATER OFF FROM
M,TO
-
M.
FROM
M.TO
M.
APPARENT CAUSE OF LEAK. 6rC:H)~ "5e..tt-l-e ..