HomeMy WebLinkAbout903 W 8th St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . "
REQUEST
Date I L - 3-0--(
Time 7 A ~
Received by Dc;..". \0'\..1 ~ t:. (phone, person)
a 8tk
Location of Work to be inspected 16 3 irJ ,
Name of person requesting inspection De I'\. i-\. I 'S E
Address of person requesting inspection ~.-- f Yc.... r.t:R
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
Phone No elf 7 -48c..(9
Permit No
Sewer Excav Othe~ +.e }3)
INSPECTION NOTES
Inspected Date I Z - 3- cJ-(
Ref!1arks L-t2a.. k A..- -t 6;.[
( llA..€.- -r 0 JVUL. -t e y- J hJ;
Time II ,4- ^"- By De ~ V\ \~, t=:'
"5 +0 () <::' ^- ~ &... v- e t-L.J t-. R e f I <.<:e d. j 41 VC4. i'\. ( ~ e d
3/4 ' FI k ~. 'ruh':j
\;e ,'v\{)l.Je.. \\2) -':~'16 {)OAi6' OA..) ^ ~o I A. \ t
. \
,.-f \Ul
'--..."y
RESTORATION REQUIRED " " YES X NO
55 Ie erg '{)~~f
142.:
~
\J
w-
75 -+~ ~
~\
I
\ ~ --\ ' V"x 8> .'
o Asphalt OPCC o Other ~,-v-cl--~ (
Work Order # /-1 '278 -D 7ll "j (Cr1 S "*/
~ COMPLETE J\~ -~~ ~~
o INCOMPLETE ~-\C)-C)S
- \ ~
l
00
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
(DATE)
CIty of Port Angeles
Public Works Department
Water DIstribution Repair Report
'Work Order No I'-I~ 18.-67'-/
I Crew
]
DATE REPORTED I Z - ( - D t./
CONDITION E?vlERGENCY 0 ROUTINE 0 CITIZEN CO:rvfPLAlNT i!..
LEAKAGE SURVEY 0 OTIIER 0
DATE OF REPAIR. It.. 3-0-/ TIME /1 'wA.M. oP.M.
REP AIR LOCATION ADDRESS CjD3 iJ 8-f~
c-I I (
TYPE OFMAlN SIZE. ~ -
3'" i r
DEPTII OF rv1AIN CLOSEST VALVE DEPTIl '2-1-
COMPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK 0 SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTHER
SERVICE TAP 0 CORP STOP 0 PIPE p( CURB STOP 0 FITTING 0
1vfETER SETTER 0 METER 0
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
OTIIER.
COMPONENTS OF REPAIR. CLAMPO DRESSERO OTHER '*' fE. fvlo,~.:)'~.~te, slvt o~
SITE CONDITION GRAVEL 0 ASPHALT 0 SIDEWALK):( CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS ASPHALT CUT _IT CURB CUT _IT SIDEWALK:5~8'IT
DRIVEWAY CUT IT
MAIN CONDITION INTERNAL LINING N~ TIlBERCULA TION-MlNOR 0 SEVERE 0
EXTERNAL CORROSION OCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE . 2- ( P.P.M.
WATEROFF FROM 8 304M. TO q 3oAM.
FROM
\1. TO
M.
APPARENT CAUSE OF LEA.K Lee... k a. 1- ~ Ie..., e. k.....A t C!J i-1.. Co r f :~of'