HomeMy WebLinkAbout3512 Canyon Edge Dr - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT . . . . . .
REQUEST
Date 3 -/ 7/' 0 ";)
Time
1 A~
Received by 7)e",-~,~ E (phone, person)
Location of Work to be inspected 3512. u'^-YOV\- E~e. Dr.
Name of person requesting inspection Devt'^-V? [.
Address of person requesting inspection Corp Y,,-rJ.. II +- B Phone No 41 7.,- 4$4"
Type of Inspection (circle appropriate one) Permit ~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Oth~
INSPECTION NOTES
Inspected Date 3 - l "1 - 05
Remarks Fdt><:..( 1E'I:~l CL +
Co~tJe y tv h( ~ W l tk.
t I
Time q A~
CDrp.o",\.... -fta..v"e. v\..;t.
3/y P E -t-uh I v\.~
By De' (,\. v\.., c:; ~
Repkce~{ , ( C).( ~ ~r~
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RESTORATION REQUIRED.. . YES
A~\v'e(7 ()..~
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 # gOSY~-oz..(
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 3()~L{" ,- Ol(
JCrew 71'7 4 C..re..v
]
DATE REPORTED 3 .~ ~ - 0"';-
CONDITION E.lvfERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT .IX.
LEAKAGE SURVEY 0 OTHER 0
DATE OFREFAlR 3 - i,- 05
TTh1E
OA.M. OF.M.
REPAlRLOCATION ADDRESS 35'"ll LAV\.YOA ;-Jje ~(""
TYPE OF MAIN
A-L.
SIZE g "
DEPTH OF MAIN
.'
I.{
CLOSEST VALVE DEPTH.
3'
COMPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK 0 SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTIffiR
SER\1ICE TAP 0 CORP STOP 0 PIPE 0 CURB STOP 0 FITTING K
METER 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 ("lc..re.. IAl...rt' J P €) L<9~vf..f L.J~'\.lalA.
SITE CONDITION GRA VEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA %- SOIL TYPE C.lc-::L
CUTS ASPHAL T CUT _FT CURB CUT _FT SIDEWALK_FT
DRlVEW A Y CUT _FT
MAIN CONDITION INTERNAL LINING TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE . Zc, P.P M.
WATEROFF FROM t I?'" AM. TO fr.50AM.
FROM M. TO M.
APPARENT CAUSE OF LEAK &.J.. f {o.. V-e Ch" Cor fer Tu b ; ""-~