HomeMy WebLinkAbout700 Blk Milwaukee Dr - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date 3-Zi?-D5:
Time
'ifIlVVl
Received by Lk",,,, . ; E' (phone, person)
Location of Work to be inspected "lOo g i k
Name of person requesting inspection Ue." -'l; S
Address of person requesting inspection Co,r 0
,
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other We::(. +e.r
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Phone No. <.f If - '-( 6>L(9
INSPECTION NOTES:
Inspected: Date 3.28-,)5 Time rz: ?, 0 ?i-4 By DeVl.;I\;S E-.
Remarks: WCA.+er l1Ac.;..~.I\ 0.<\.<; -to be -rtl..~()e.d b"i '-OVl..tr.....c:+o,.-. wk,k
e~,oos\-oIl.5 ,-rkL f-~(:e., -rki bro.ke'i+. kJ.{ reokced '-/' of
~Q... U<;i"'j aT) 5iuJv-t- ,D1E''-e~ <)~ dv~+;(e.. CL..-t..J dn.sser
c.."uf 1,"5s.
RESTORATION REQUIRED . . . . .. YES
NO ><-
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'1' $S".4 c.. ~Z37' ')j
3-{ , Oee(J I I 8" 0
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---..-.....-..-.----
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 503 '--{ 'f _ DOl
o COMPLETE
o INCOMPLETE
,,.......-.:......a. nn.rAVArse side if necessary)
STREET SUPERINTENDENT
(DATE)
City of Port Angeles
Public Works Department
Water Distribution Repair Report
jWork Order No: f503'-{'-I-Do i
lerew: 7/') Y-- Crew
DATE REPORTED 3-Z:{.-o5
CONDITION: ElvlERGENCY)( ROUTINE 0 CITIZEN COMPLAINT 0
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAJR: 5 -'28' - 05 TIME 12: 3D OA.M. ;eSp.M.
REPAJRLOCATION ADDRESS 700 51/.( fltf..:lw,,"vkee- Dr.
A 9"
TYPE OF MAIN: _C . SIZE: (J
DEPTIl OF MAIN: 3-1:' CLOSEST VAL VE DEPTII: :5
COMPONENT REPAIRED:
MAIN: JOINT 0 CJR. BREAK 0 SPLIT BELL 0 LONG BREAK X
HOLE 0 CLAMP 0 OTHER
SERVICE: TAP 0 CORP. STOP 0 PIPE 0 CURB STOP 0 FITTING 0
METER SETTER 0 METER 0
LINE VALVE: FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRAi'IT: BRANCH 0 VALVED BARREL 0
OTHER:
COMPONENTS OF REPAIR: CLAMPO DRESSERji'[ OTHER is" 1) JoJve
SITE CONDITION: GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA D SOIL TYPE We:.. r: v e.. - Pa. R..J VI
CUTS: ASPHALT CUT _FT. CURB CUT _FT. SIDEWALK _FT.
DRl'/EW A Y CUT _FT.
MAIN CONDITION INTERNAL LINING () K TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORlNE RESIDUAL SAMPLE . 52- PP.M.
WATEROFF FROM 8:3'Otk. TO i 2:30PM.
FROM M. TO M.
APPA.RENT CAU~F L1='AK:
i-Vere 0 b'-j
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