HomeMy WebLinkAbout9th & Eunice St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date ~ - I (p - 0 y.
Time
T 00 A-M
Received by f3e~ i t-
(phone, person)
.,
(lt1, . r:;. .
Location of Work to be inspected -I i 1..Il'\..c.e...
Name of person requesting inspection Bei'\jle..
Address of person requesting inspection Lor f ~ CI. r d
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
Phone No. tlI7-..;gt./9
Permit No.
Sewer Excav. Oth~CL+~
INSPECTION NOTES:
Inspected: Date '15 - 1(" - o'f
Remarks:~p(;\ \I-pd vJl th.
Time 7, 00 ByaR;e-
c:lv-e SSe r .5 t:\.ncl 5 I pe.i ce. 0 f p c... f2.1-Pe...
RESTORATION REQUIRED . . . . .. YES X
NO
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I "
ID"c:L 14" cZ:
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2 Cl.
X 0
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........~
SURFACE RESTORATION: -!t- :i ' lQ'y\O' \;J/F ~~ '.24
~ x ~
SURFACE TYPE: 0 Unimproved DGravel E!Asphalt 0 PCC
ooq
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
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(Continue on reverse side if necessary) --
Work Order #
@ COMPLETE
D INCOMPLETE
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City of Port Angeles
Public \-Vorks Department
Water Distribution Repair Report
IWork Order No: \ 39)..8 - 0 ~{"
lerew:
DATE REPORTED '3 -110 ,0 ~
CONDITION E1vIERGENCY 0 ROUTINE 0 CITIZEN COlvIPLAlNT %
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR: g - \1& . 0'-\
TIME: 7:30 liIA.M. DP.M.
at-I, c: <\.1
'\ \" C-lJ" ILe, J vv (.oro'\e.("
2'.
SIZE:
REPAlR LOCA nON ADDRESS
TYPE OF MAIN t. J
, .,
DEPTH OF 1vWN: Y t.
't'
CLOSEST VALVE DEPTH:
C01vIPONENT REPAlRED:
MAIN: JOINT 0 CIR. BREAK 0 SPLIT BELL 0 LONG BREAK 8
HOLE 0 CLAMP 0 OTHER
SER'vlCE: TAP D CORP. STOP 0 PIPE 0 CURB STOP D FITTING 0
METER SETTER 0 METER 0
LINE VALVE: FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT: BRANCH 0 VALVE 0 BARREL 0
OTHER:
C01vIPONENTS OF REPAIR: CLA1vIPD DRESSER~ OTHER fiVe...
SITE CONDITION: GRAVEL 0 ASPHALT 1!f SIDEWALK 0 CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS: ASPHALT CUT '1')<lr FT. CURB CUT _FT. SIDEWALK _FT.
DRIVEWAY CUT _FT.
MAiN CONDITION: iNTERNAL LINiNG ~Doci TUBERCULA TION-MlNOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE D
CHLORINE RESIDUAL SAMPLE P.PM,
WATER OFF: FROiv! I ()
^M TO /2. PM
FROM
M, TO
M.
AP?ARENT CAUSE OF LEAK: (}r-ov,~J .s'e#/''''j
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date 1(~3-0Lf
Time
q AM
Received by U", VlI'S E (phone, person)
y{, L -
Location of Work to be inspected c:p.- Cjt- Lr./ VI. , L-e..
Name of person requesting inspection P.e"tVlI:;' E-.
Address of person requesting inspection 4 r-jJ ~ r-,) 17 </-8 Phone No. 4-/7 - '-I fI <1'1
,
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other W~+~ r
INSPECTION NOTES:
Inspected: Date II - 3 --0 <-I
Remarks: ~ f(-etJa.. ,'r 2."
. ,
e -OVlS+V-UC.'+ 10 P\.. ,
C.L
Time 12- PM By fJelrli'1/S E...
M.a.,'", lx'e"k;, brokeVl dur"V\j
RESTORATION REQUIRED . . . . .. YES
V
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'-
~
1<-1-" Cr:
Er Cj ft..
Rt.f^;'-
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel
D Repaired by City
[] Repaired by Permittee
D No Damage Found
D Asphalt D PCC D Other
Work Order # /3828-03'-1
D COMPLETE
D INCOMPLETE
(Continue on reverse side if necessaryL ....
City of Port Angeles
Public Works Department
Water Distribution Repair Report
IWork Order No: I 3fJz 8 - 034
lerew: ?I? tJ-C-r.
DATE REPORTED II r '5 - o...f
CONDITION ElvlERGENCY f5- ROUTINE 0 CITIZEN COtvlPLAlNT 0
LEAKAGE SURVEY 0 OTIIER 0
DATE OF REPAIR: I ( r '3 - 0'1 TIlvlE: DA.M. DP.M.
REPAlRLOCATlON: ADDRESS: CJ-f4 ~ EUv7.I~e.-
TYPE OF MAIN:
L-L.
? I. i
..:) -Z CLOSEST VALVE DEPTH:
'7 if
SIZE: c-
DEPTH OF MAIN:
31
COlvlPONENT REPAIRED:
MAIN: JOINT 0 CIR. BREAK)!!t SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLAlvIP 0 OTIIER
SERv1CE: TAP 0 CORP. STOP 0 PIPE 0 CURB STOP 0 FITTING 0
tvlETER SETTER 0 tvlETER 0
LINE VALVE: FLANGE NUTSIBOL TS 0 STEM 0 BONNET 0
HYDRANT: BRANCH 0 VALVED BARREL 0
OTIIER:
COlvlPONENTS OF REPAIR: CLAlvIPO DRESSER~ OTIIER
/(/ Sc.k 8D Ii ,,0<.-
v I
SITE CONDITION: GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS: ASPHALT CUT _FT. CURB CUT _FT. SIDEWALK _FT.
DRlVEW A Y CUT _FT.
MAIN COl'IOITION: INTERNAL LINING 0_ K. 11JBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORlNE RESIDUAL SAlvIPLE - 3 I PPM.
WATEROFF FROM /0 A M.TO {PiZrJM.
FROM M. TO M.
.'l.PPARE"T CAUSE OF LEAK:
La..... 5 -ho LJ c...t i ~ V\.
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