HomeMy WebLinkAbout909 W 14th St - Engineering
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CITY OF P(])RT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT . . . . . .
.....
REQUEST
Date I Z- - IS -o'-{
Time 7 A v--t. Received by Oerll-{i ~s E (phone, person)
9 ..) 1/ -1-4.-
Location of Work to be inspected 0<7 "'t../ IT -
Name of person requesting inspection j)-e ~t-I.. i ~ C.
Address of person requesting inspection ~.o i.(c-..rd) ('7 ~ i3 Phone No '1/7 -48'19
I
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other t<.l. +e. .r-
INSPECTION NOTES
Inspected Date I 'Z- - { ~ - 0 l.f
Remarks ~ eta.. I ~r ,tJ /vt ho {.e...
I
Time ?J
I e~ (<:.. ( vt.
/f tr..A... By (J-e rl "1. j '5 E
3/'( " /! C
RESTORATION REQUIRED
YES
NO X
I ~ ~ 0'1 ~k _J
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # I<fZ 7 8 -07Co
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CIty of Port Angeles
Public Works Department
Water Distribution Repair Report
IWork Order No !'-I,'L '78 -- 0 7&.
/Crew 71SC>f- &~tA.1
]
DATE REPORTED 12. - (~-o,/
CONDITION Elv1ERGENCY 0 ROUTINE 0 CITIZEN COIvlPLAlNT .xl
LEAKAGE SURVEY 0 OTHER 0
REF AlR LOCATION ADDRESS
7'oCf
TIME. c:r
w _ Icf-f-k
~A.M. DP.M.
DATE OF REPAIR. I Z -I <t;-D 4
DEPTH OF MAIN
M~
r e-.I.. SIZE. 10 (r
CLOSEST VALVE DEPTIl. #
TYPE OF MAIN
COIvlPONENT REF AIRED.
MAIN JOINT 0 CIR. BREAK 0 SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTIiER
SERVICE TAP 0 CORP STOP 0 PIPE)( CURB STOP 0 FITTING 0
:METER SETTER 0 :METER 0
LINE VALVE. FLANGE NUTSJBOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VALVE 0 BARREL 0
OTHER.
/' U eo g ~I {.
COMPONENTS OF REP AIR. CLAMPO DRESSERO OTIiER <-O#'Vt~. " ~l 0", { 'r
I
SITE CONDITION GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA K SOIL TYPE
CUTS ASPHAL T CUT _IT CURB CUT _IT SIDEWALK_IT
DRlVEWAY CUT IT
MAIN CONDITION INTERNAL LINING tJ / It TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORiNE RESIDUAL SAMPLE ~ 2 ( P.P.M.
WATEROFF FROM g"i5"AM.TO ~:30 M.
FROM
M. TO
M.
:\PP.L\RENT CAUSE OF LEAK. VJt.:5uve.. , P, "t.ko (e.. IV\. IS- yea..r ~ {j} p.~.
.....
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT . . . . . .
REQUEST
Date (L - Z. i .-- c) --J
Time
7 A...1.
Received by
D"-~1.lt i 'S ~-
(phone, person)
h_
Location of Work to be inspected LJ C 'i vJ I <f --
Name of person requesting inspection Vt"tfll"5 E
Address of person requesting inspection t..& I~ /' ~~i.. ,~ck ( "7 -~ D Phone No <{ ( 7 - '-f~><{ 1
I
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other 0,-,--+ c r
INSPECTION NOTES
Inspected Date /2- - z ( ,-1 'i
Remarks A.f:.-f' I~L"o 3N. P-E
'I
Time 1/ Of' /f w, By U<.lv{ \ S E
--t1/bi~:J -+ fe' 1--1. t,.-WA.:V\ -t-o ~i.-~t..cr_
RESTORATION REQUIRED .
YES
NO X
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 1'-4 Z. 1 -3- 07 g
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 It{ Z- 7 &' '-0 7 g
/Crew llS-.':" Lvev
]
DATE REPORTED i 2.. - zo Ot.!
CONDITION Elv1ERGENCY 0 ROUTINE 0 CITIZEN CO.!'vfPLAlNT X
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR. i 2 - Z. ( -(J '-I TIME
REP AlR LOCA TrON ADDRESS 90'-1 t..J
II
.-fl....
it.{ -
~.M. DP.M.
TYPE OF MAIN
cI
S-/
SIZE I ()
"
CLOSEST VALVE DEPTH.
--I'
DEPTH OF MAIN
CO.!'vfPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK 0 SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTHER
SER VICE. TAP 0 CORP STOP 0 PIPE lit CURB STOP 0 FITTING 0
METER SETTER 0 :METER 0
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
OTHER.
COrvtPONENTS OF REPAIR. CLAMPO DRESSERO OTHER 20' ,~f P..E- -Tv0,:s
SITE CONDITION GRAVEL 0 ASPHALT ~ SIDEWALK 0 CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS ASPHAL T CUT 3>< 5' FT CURB CUT _FT SIDEWALK_IT
DRIVEWAY CUT _IT
MAlN CONDITION INTERNAL LlNlNG rJ fA nmERCULA TION-MINOR 0 SEVERE 0
EXTERNAL CORROSION OCALIZED 0 EXTENSIVE 0
CBLORINE RESIDUAL SAMPLE 3'1 P.P M.
WATER OFF FROM 8 ~ M. TO (): -j-oA M.
FROM M. TO M.
APP.A.RENT CAUSE OF LEAK
PE
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