HomeMy WebLinkAbout8th & Liberty SW - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . .. . INSPECTION REPORT. . . . . . . .
REQUEST:
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Date
Time t.;: J t? .-1~eceived by / /<:J
(phone, person)
1..,6.,.,1'.,,,. (' 'OT4. .JU/ CuYler-
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Name of person requesting inspection l/t../" f.,./ P'I v
Address of person requesting inspection f 70.3 5 j) J? Phone No. '1t7-'I'ii'/c;
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ We'! t-~r
Location of Work to be inspected
INSPECTION NOTES:
Inspected: Date / -;'6 - 0) Time S: (JV fJ;h.
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Remarks: t,\ fie $a'r' f5r~K (g{)ai.tec UrIU..
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(,f,-L C ~.f,'" 17r", '5Ser~ .
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By '117
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1(e.M/v.ec 15' o\' 5/~€--V,.fk
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RESTORATION REQUIRED . . . . .. YES
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt ~ PCC 0 Other
o Repaired by City Work-Order~_ /z03'A3 -0" I '6 \C{ bG dF(
o Repaired by Permittee ~ COMPLETE) ~ \(e..~ ~
o No ",m.,. Fooo. ~ INConmETE 7-~$._a::;
,- r;' Sired I / ~/;~5 Ti=- ~~
I"nn';n"~nn.reverse side if necessary I . _ _ _ _ ' STREET SUPERINTENDENT IDA TEl
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City of Port Angeles
Public Works Department
Water Distribution Repair Report
IWork Order No: )(:)"313 -CXP(
lerew: /15: 717, 7/~ 7';<>7 },1j
. . . ,
DATE REPORTED 1-), 6 -05"'
CONDITION EMERGENCY lii! ROUTIJ\'E 0 CITIZEN COtvlPLAINT 0
LEAKAGE SuRVEY 0 OTHER 0
DATE OF REPAIR /-;}..f-, .O~ TIME: Lj: )8
REPAIR LOCATION ADDRESS L,t.erf)/ J <6'rl...
TYPE OF MAIN: 4t:-. SIZE: h ~~
~.M oP.M.
S?V C<;?rVl'e'V-
,,,,
DEPTH OF tvlAlN: .2
'7'
CLOSEST VALVE DEPTH: J
COMPONENT REPAIRED:
MAIN: JOINT X CIR. BREAK 0 SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTHER
SERVICE: TAP 0 CORP. STOP 0 PIPE 0 CURB STOP 0 FITTING 0
METER SETTER 0 METER 0
LlJ\c VALVE: FLANGE NUTS/BOLTS 0 STEM 0 BONNET 0
HYDRANT: BRANCH 0 VALVED BARREL 0
OTHER:
(d)
COMPONENTS OF REP AIR: CLAMPO DRESSE~ OTHER 9l
SITE CONDITION: GRAVEL 0 ASPHALT 0 SIDEWALK~ CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS: ASPHALT CUT _FT. CURB CUT _FT. SIDEWALK _FT.
DRIVEWAY CUT _FT.
j)i.x:.Jj;" J;;. (jiA il, d "<.
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MAIN CONDITION: INTERNAL LINING _ '_. _ TUBERCULATION-MINO~SEVERE 0
EXTER,'1AL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE P.P.M.
WATER OFF: FROM 4')0 11M. TO !/:afJ!fM.
FROM
M' TO
M.
."JlPARENT CAUSE OF LEAK:
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