HomeMy WebLinkAbout3002 Mt Angeles Rd - Engineering
. . . . .
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
.....
REQUEST
Date It) --j -0 '-I
Time
q' [) 0 A ttA,.
Received by I?e.'\ vtl S ;:: (phone, person)
-
Location of Work to be inspected 3 () 0 Z M -r~ A ~~! e ~ 12 J2.
Name of person requesting inspection # J.'( Vl i 5 t:::....
Address of person requesting inspection0'- t) Yt;..rd I 74 6 Phone No
,
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
INSPECTION NOTES
Inspected Date /0 - ~ - 0 '-I
-- -
Remarks '..L Pl ~+4. (( t'LiLLJ
Time I Z Pi-'^-
Z I X -')/8 " L'<>M;1ov~
I
By .Dei/lVl ,"? E-
w?l+er ;j'e.. rv l <-~
c.., <?o q t
r D7-004/w
RESTORATION REQUIRED
YES
NO X
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~ '- 1105"'
~...J "" A L 3 l>~<r'
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved DGravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # IY7D5"-7~
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date g~2-<"( ~Olf Time 3'.;3c) All'- Received by De,,-,,;.... E-
. 30D2-D/V1+ ~t-r!-
Location of Work to be inspected We.$1" oJ; ON I A.d."",,,,-. O-WiU'_
Name of person requesting inspectionJ>e",,,,.-s E .
Address of person requesting inspection ~ ">'Yp ~ a...rl
Type of Inspection (circle appropriate one):
~ person)
Phone No. <{17-4g~'1
Permit No. rY!- 9)S~::S
Sewer Excav. Other ~+<-f
Sewer Foundation Framing Chimney Plumbing Final
INSPECTION NOTES:
Inspected: Date R-z.l", ~o4- Time ~ (;, fJw...
Remarks: Ref""'" ~<> ~''-LC~f-L Cyli~e..v ""...-J
~r..." .
By Dbl."'-':' E.
("""i1-cr", s....rrov....Jl~
RESTORATION REQUIRED . . . . .. YES
NO
2. Ca,dr"dor <<Jill b~
- re.tll.-.J/ -t- ~ (~t'\.lL.
2..t.f1r c..C-.
8" II '-
g"I'/L
L't"
VAIj)~
"
5e.....V{~e R..o. (0 N p)
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
OAsphalt OPCC [Q(Other '7/W\.b...rd_
Work Order # 1'1" /1,- 002-
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATEI
City of Port Angeles
Public Works Department
Water Distribution Repair Report
jWork Order No: f'ffo(q ~OOL
I Crew: 7 ( 5 <I- Ue.<J
DATE REPORTED f{ " 2. '-j-Oy
CONDITION EMERGENCY J2( ROUTINE D CITIZEN COMPLAiNT D
LEAKAGE SURVEY D OTHER D
DATEOFREPAlR: f5-Z.5>O'+
TIME: C;;
DA.M. ~.M.
REPlURLOCATION: ADDRESS :YUS+ 0c.st ~.f ",,-dkA.tv\.. 04tc.e <'\.T () N.?
TYPE OF MAiN:
L..ov<Lre f-e L~' \. SIZE: 30"
7' .or
CLOSEST VALVE DEPTH: '-"
DEPTH OF MAIN:
COMPONENT REPAIRED:
MAiN: JOINT D ClR. BREAK D SPLIT BELL 0 LONG BREAK D
HOLE X CLAMP D OTHER
SERVICE: TAP 0 CORP. STOP 0 PIPE 0 CURB STOP 0 FITTING 0
METER SETTER D METER 0
LIl'iE VALVE: FLANGE NUTSIBOLTS 0 STEM D BONNET 0
HYDRANT: BRANCH D VALVE 0 BARREL 0
OTHER:
COMPONENTS OF REI' AIR: CLAMPO DRESSE~ OTHER
B~<L "So"DX.
I
SITE CO)\l'DITION: GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA 0 SOIL TYPE rJc...t, Je.....
CUTS: ASPHALT CUT _FT. CURB CUT _FT. SIDEWALK _FT.
DRl\iEW A Y CUT _FT.
MAIN CONDITION: INTERNAL LINING Q,K. TUBERCULATION-MINOR 0 SEVERE 0
EXTER..NAL CORROSION LOCALIZED D EXTENSIVE D
CHLORlNE RESIDUAL SAMPLE PPM
WATEROFF FROM '-I'5oA M. TO
1\-Z+O~
FROM M. TO
t, PM
,-:>8-26 -0'-1
M.
.1J'?A.RE"T CAUSE OF LEAK: 0 (J< A'(f-