HomeMy WebLinkAbout1110 S Cedar St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST
Date I 2 ~ I 9 .-" l.f
Time /0 fi "'1-1.. Received by f}e/;Ll'f f 5 C (phone, person)
Location of Work to be inspected I ( ( 0 :S-o Ced!6.. r
Name of person requesting inspection iJei/l Yl ,") ~
Address of person requesting inspection Ce, r~ ,"i-...- J.. 17 <f- IE Phone No 'f /7 -4.R " 9
I
Type of Inspection (circle appropriate one) Permit No ::.:::::-
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav OthCtJ"l. +e.;' ~
INSPECTION NOTES
Inspected Date / Z - I,f? -0 '-I Time
Remarks K €..(llc....ce.. (",' <.. + jt1- e:. -I -' b '\'l
I I
--n ...J L'V<'
Ne.et.:\~J <;:OuJC 0\ ~,... '-.J
I jJ J;~ By f}..ct-t ~ {s E,
.(-'v-o :1.1... f1-CQ_'+er -tu,-",.c...rJ..s ~v\.c'\. \ \'\.
RESTORATION REQUIRED . . YES !>Z NO
tUe1Jf If ~ ~
\-
~ D
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SURFACE RESTORATION 4",c S-'
SURFACE TYPE D Unimproved 0 Gravel D Asphalt D PCC Q(Other ~M..C r~T <-
D Repaired by City Work Order # /I43IfP' /Lf2/}8 /71 5\q 1'6 -R
D Repaired by Permittee M' COMPLETE A~ ~~~ t~
[] No Damage Found D INCOMPLETE '"2- \O...c~
/r; SIred ! ;;;/;;'7/ N T r
(Continue on reverse side if necessary) / ' STREET SUPERINTENDENT
(DATE)
City of Port Angeles
Public Works Department
Water DIstribution Repair Report
IWork Order No ICrew 7 f7J <)'-. CJI
DATE REPORTED / Z- ~ 12-0'1
CONDITION ENfERGENCY 0 ROUTINE 0 CITIZEN CO.tv1PLAlNT ^
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR I Z -It -01 TlNfE
REP AIR LOCA TlON ADDRESS I ( ( () s:.,
I 0 ~,M. OP,M,
ced.c....r
TYPE OF MAIN
A.L
AJA
SIZE f{
DEPTH OF MAIN
CLOSEST VALVE DEPTH.
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 I)( CURB STOP 0 FITTING 0
NfETER SETTER 0 METER 0
LINE VALVE. FLANGE NUTSIBOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VALVE 0 BARREL 0
OTHER.
COMPONENTS OF REPAIR CLAMPO DRESSERD OTHER 3~ t!..o...../.J Ui~'~Oi'-. / 8' P€.- +r.Jh'l\.e;
, I
SITE CONDITION GRAVEL 0 ASPHALT 0 SIDEWALK k CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS ASPHAL T CUT _FT CURB CUT _IT SIDEWALK l/ it.. ~ IT
DRIVEWAY CUT _FT
MAIN CONDITION INTERNAL LINING I\J A TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION 'LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE ' 31 P,P M,
WATER OFF FROM i t: 3~ A M. TO 1(.' 'I5AM,
FROM
M,TO
M.
APP.J\RENT CAUSE OF LEAK.
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