HomeMy WebLinkAbout1206 S Lincoln St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date 1/ - ;L - 0 '/
Time I 0: en> 1M.. Received by
(phone, person)
Location of Work to be inspected I ~ 6{;, -S /1t1C()/h..-
Name of person requesting inspection J ...t -e /' 1'//,./
J 7 f"- r/? $' (//7 'IOl/C.
Address of person requesting inspection _ _ <f I.j Phone No. - 0 I
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav.~ LA..../>t- f..e.r
INSPECTION NOTES:
/ I- ~ -0(.(
Inspected: Date
Remarks:
(( 1! n t' f/'/
Time / () :.ov An, By
7n
VvA f~f Je.rv/c<
/Yl1'I,~ ra M1 ~I-"'.r
RESTORATION REQUIRED . . . . .. YES Y NO
,
\'-.
-
3
('
C /
- M,.
IJ..''- ~ -~
,;;l"L'r 1-15"':'
L9
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel
D Repaired by City
[] Repaired by Permittee
D No Damage Found
D Asphalt D PCC [zr Other "p 501 I
Work Order # 1'1 ;;17'0- 070
D COMPLETE
XINCOMPLETE
City of Port Angeles
Public 'Works Department
Water Distribution Repair Report
IWork Order No: I 'i;'7 ~-07 v ,I
lerew: 717,716, ]).), 7)J
DATE REPORTED //J- :1.'6 -c;J ,(
CONDITION EMERGENCY D ROUTINE;zf- CITIZEN COMPLAINT 0
LEAK..'\GE SURVEY 0 OTIJER 0
DATE OF REPAlR: II-;)-OL( TllvlE /tJ:<:r0 P.,M,OP,M,
REPAlRLOCATION: ADDRESS /)06 S I""c;,,/....
TYPE OF MAIN: e-.I SIZE: ,;2 >,
DEPTH OF ivlAIN: 3' CLOSEST VALVE DEPTIl: 3'
COMPONENT REPAIRED:
MAIN: JOINT 0 CIR BREAK 0 SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTIJER
SERVICE: TAP 0 CORP, STOP 0 PIPE M CURB STOP 0 FITTING 0
ivlETER SETTER D ivlETER [{ ,
LINE VALVE: FLANGE NUTSIBOL TS D STEM D BONNET 0
HYDRANT BRA."lCH 0 VALVE 0 BARREL 0
OTIJER:
COMPONENTS OF REPAIR: CLAIvIPO DRESSERO OTIJER Pi Pille. C.:>f slot I 117 ~hr S/v(1
SITE CONDITION: GRAVEL D ASPHALT D SIDEWALK D CURB D
TOP SOIL AREA X SOIL TYPE
CUTS: ASPHALT CUT _FT. CURB CUT _FT. SIDEWALK _FT.
DRlVEW A Y CUT _FT.
MAIN CONDITION: INTERNAL LINING ,/J/ /I TUBERCu1..ATION-MINOR D SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORlNE RESIDUAL SAMPLE P.P.M.
WATEROFF FROM IO:JtJltM.TO //:j(}t!M.
,
FROM
M. TO
611P' I-~G
I
M.
APPARENT CAUSE OF LEAK: