HomeMy WebLinkAbout518 W Lauridsen Blvd - Engineering
....~~ ....
. ..~' CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
.. . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
~EQUEST:
Date I - 2 D -0 -S Time 3 ;30 PM- Received by VeL<." ,'<, E . (phone. person)
Location of Work to be inspected -!) I fJ t..) . L4. u r ('J s.-- "'-
Name of person requesting inspection D€",-,^-:s F,
Address of person requesting inspection 4rp y",-rJ ("") 'f- 13
Type of Inspection (circle appropriate one):
i?lvd.
Phone No.
<f1'7-<fNi
Sewer Foundation Framing Chimney Plumbing Final
Permit ~ .~
Sewer Excav. Oth W<,-+4L V-- )
INSPECTION NOTES:
Inspected: Date f -'7...D -OS Time ~'''3o pf1A- By f)e"" "" ,'S E.
Remarks: R.e..f&..,'r 2'" c.r. M4."/"\. bre....~ c;.......! .-e -t-<>-f 5e.rl/(~L.
Pt,e.o, l\)f>ed6 \raC~~\\-B~ I €.d.l\es. ~\.JQ/'E'd 6' y ley
RESTORATION REQUIRED . . . . .. YES )(... NO
~
tAJ Lo..ur:Jso!.V'.. t?lvd
.j..-
VI
;:
~~
~-::::
t~ ->
I
I
-,
z' c:L
'3' Oup
Y, I;
13 l7' R~f",ir
ZS'7
~
~
~
0:
SURFACE RESTORATION: (,')l.. fl.'
SURFACE TYPE: D Unimproved DGravel gJ:Asphalt D PCC D Other I
. D Repaired by City Work Order # '$o3-l"l.- 0 (Z- 0 ~ ~O ~ I,
D Repaired by Permittee :eg COMPLETE Af'€-c:.. ~ \ J'C.0: Wi "\
DNo Damage Found D INCOMPLETE ~t M\ 1. "3-)-()s
/(p _ .J fred
/ /
1/26/05 Ie
I I
\\L-
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date (- z 0 -0 -S- Time :; )-30 PM.. Received by 'VelA.";'" E - (phone, person)
Location of Work to be inspected -S-I?J tJ - L4.1.1 r ~'J sP-""-
Name of person requesting inspection L><?VUA.;'" F.
Address of person requesting inspection 4<'f' Vc..vJ () 'f- J5
. Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
f?lvrd.
Phone No.
t.f- , I - <fJ>tl1
Permit ~ ~
Sewer Excav. Oth 06-. + ~ r-- )
INSPECTION NOTES:
Inspected: Date I -7... v -os
Remarks: f<.Q..fec,'r Z" C..T.
Time &,'.30 PW'- By \).eVl.V'.:S E.
J,v\",-, n.. bre....\::.. a.~ ,oe -T<>.6 5-<z.rl.l(~<-.
I
RESTORATION REQUiRED...... YES >Z. NO
-: :> ~
)
LV L.O-Ll r" J Se "'- i? [vd.
+-
Vl
~ ~
~~ " c:'r x, I~, ~ i o!
l 2.)7 ~ a:::
~::: I ~' Deep SL'R .
L~ -::> 7 ef<o..r
I
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
(,',,- 1Zi
gJ:Asphalt 0 PCC 0 Other
Work Order #$o3'-l"Z-- 0 ( z..
o COMPLETE
o INCOMPLETE
~....)fred
/ /
//26/iJ5 -; ~
I J
)
~
,
City of Port Angeles
Public Works Department
Water Distribution Repair Report
IWork Order No: 3D3Li'Z. - OIL
Icrew: 71<; + L.re..J
DATE REPORTED: i -2-0 -0<;
COl'mITION EMERGENCY 0 ROUTINE 0 CITIZEN CO!vlPLAINT ~
LEAKAGE SURVEY 0 OTIlER 0
DATE OF REPAIR:
!-Z.O-d)
TIME:
3 '.)0
OA.M. lSF.M.
REPAIR LOCATION: ADDRESS: 5/2 0. LA.u,,-.J~,^ ~'Jd
TYPE OF MAIN:
c .r . SIZE: 2.'
:s ( CLOSEST VAL VE DEPTH: ~
DEPTH OF MAIN:
COlvlPONENT REPAIRED:
MAIN: JOINT 0 CIR BREAK (I( SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLAlvlP 0 OTIlER
SERvlCE: TAP 0 CORP. STOP 0 PIPE 0 CliRE STOP 0 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
OTIlER:
COlvlPONENTSOFREPAIR: CLAlvlPO DRESSER9l OTIlER ~c.L.... ~O P-I/~.
SITE CONDITION: GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURE 0
TOP SOIL AREA 0 SOIL TYPE iV <L -t . j e...
CUTS: ASPHALT CUT ',,-I1.FT. CURE CUT _FT. SIDEWALK _FT.
DRJVEW A Y CUT _FT.
MAIN CONDITION INTERNAL LINlNG (,~ TUBERClJl..ATION-MINOR;KsEYERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORJNE RESIDUAL SAMPLE ~! ^ PP.M.
WATER OFF: FROM q tJ M. TO 5": )CP M.
FROM
M. TO
M.
.\PPARENT CAUSE OF LEAK:
G rev ~ sili-k