HomeMy WebLinkAbout1122 Olympus Ave - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . . .
REQUEST:
Date c5 - t ? -0'"
Time 7 A "'""-- Received by '?Ie.....1-,;, E. (phone. person)
Location of Work to be inspected If 22 O!y-w...ous Ave
Name of person requesting inspection De<-lI1.' ~ E.-. t
Address of person requesting inspection 6or/J VtLYd 17-1-.3 Phone No. .'-f 1'7 - <18 '14
Type of Inspection (circle appropriate one): f' Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other c.Je.... +e r
INSPECTION NOTES:
Inspected: Date '3 - t ~ - () S- Time IO;r V'A- By
Remarks: J!eotJ4-'___e.J' 'L" P....V.c.. ~~. i<..Jc'tt... &..
4.t.o<..d z. / J"ess"r<? .
f)~#'1. VI , ;"
2-' S c.."'-
C.
:8 () fl.l/C._
RESTORATION REQUIRED . . . . .. YES
NO )(
~ +
h- \A
D( i"^lU? AJe.., l
~
( "'"/ If \.
~ Zl<g >I .c... PVL {,' tJee;J ~
.D 0
b1A...J b Lsc..lc ~
v'c..lve. ,O'^-
vG..c.A.+<..4 S+('t-e.1-.
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 5D 3<f "L - 0 (9
o COMPLETE
o INCOMPLETE
(Continue on reverse side ~f necessary) _
City of Port Angeles
Public Works Department
'Water Distribution Repair Report
IWork Order No: 503-1.2. -6("
lerew: 7, ~ "I- Lre<...J
DATE REPORTED: 2.-((,-0<)-
CONDITION: ElvlERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT IS..
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR: 3-/7 -D"> TIME:
(0
4.iv!. OP.iv!.
TYPE OF MAlN:
ADDRESS (( 2. z..
P-(/L.
OtL//<Ar1VS
, I
"
SIZE: Z
A..Je-
REPAJR LOCATION:
DEPTIl OF MAIN:
t;r
CLOSEST VALVE DEPTIl:
s{'
COMPONENT REPAIRED:
MAlN: JOINT 0 CJR. BREAK 0 SPLIT BELL 0 LONG BREAK )l(
HOLE 0 CLAMP 0 OTHER
SERvlCE: 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
HYDRANT: BRANCH 0 VALVED BARREL 0
OTHER:
COMPONENTS OF REPAIR: CLAMPO DRESSER.!&.. OTHER Sc1... So (J.v.e.
SITE CONDITION: GRAVEL)( 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 CONDITION: INTERNAL LINING TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORlNE RESIDUAL SAMPLE . Z~ P.P.M.
WATEROFF FROM 8:50AM. TO q A1It0.
FROM M. TO M.
A.P!'.ARENT CAUSE OF LEAK 6vo<.>"",-.1. ~-tfle...