HomeMy WebLinkAbout702 S Cherry St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT . . . . . .
REQUEST
Date L{ - '2 ""L - 0 ~
Time 7 00 -4 t-vf. Received by Dec-1.v\, s E (phone, person)
Location of Work to be inspected 70 z. S D C ~r r '(
Name of person requesting inspection 'D e ...'1. V\ I S E.. .
Address of person requesting inspection ~r f }-'o...d.
Type of Inspection (circle appropriate one)
Phone No r ( 7 - l.f $?L/ q
Permit N.o --
Sewer EX~Oth:r tJ~
Sewer Foundation Framing
Chimney Plumbing Final
INSPECTION NOTES
Inspected Date '-/--Zz.....O<!
Remarks 12e 1Jc;.. I ,. Z" c -r
fe~o..l 'r be.\Yld
,
Time
i0..,,- I v1
q,tJo A- W'\. By PC./( YlI S E-
hre~1c tVrf h.. Z 38 0-1/
RESTORATION REQUIRED
YES
NO )(
^{
() 7 -t-~ Cf\
'Z 0
\L\ tI\J
1 (',
r:'
Q f 751 ~ "\
~
I --<
... . \~
, 70L
S ~ I...I_'-V-Y
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # /3Sz8-0(Cf
o COMPLETE
o INCOMPLETE
.
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
C-llY or yon Angeles
Public Works Department
Water DIstribution Repair Report
IWork Order No
I ?g2-g -O(~
,
I Crew
7 (;; ~ C-re.....J
J
DATE REPORTED 1.- Z(.... 0 ~
CONDITION ElvlERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT Ii
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR.
4 -zz - 0<-/
TllvlE
7 00
~A.M. OP.M.
REPAIR LOCATION ADDRESS 702. 50 L L....erry
C._I 2(1
TYPE OF MAIN SIZE.
DEPTH OF MAIN 3 ( CLOSEST VALVE DEPTII. Z. ~
"'"
CO!v1PONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK )r SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTHER
SERVICE. TAP 0 CORP STOP 0 PIPE 0 CURB STOP 0 FITTING 0
:tvIETER SETTER 0 :tvIETER 0
LINE VALVE FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
OTHER.
CO!v1PONENTS OF REP AIR. CLAMP,.kl.' DRESSERO OrnER
SITE CONDITION GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS ASPHAL T CUT _FT CURB CUT _FT SIDEWALK_FT
DRIVEWAY CUT _FT
MAIN CONDITION INTERNAL LINING N / A 11JBERCULA TION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE . Z 7 P.P M.
WATER OFF FROM '8 A~ M. TO g' LD~ M.
FROM
M. TO
M.
A.PP '\RENT CAUSE OF LE.'\K. 0""'-0 J '-1. cd S-€.--t+( ~