HomeMy WebLinkAbout519 W 13th St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT.. . . . . . . . . . .
REQUEST
Date /- J.-1- 05
Time fl ruV Av(,',,- Received by
(phone, person)
Location of Work to be inspected Sl1 t.A.I I '3 r~
Name of person requesting inspection tA/df,Tt:2 r iJlt/
Address of person requesting inspection I 7(.)3 So (1
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
Phone No ell) - (/$V7
Permit No
Sewer Excav e'\~.7t=> /-
7/7
K
Ii ESTORA TION REQUIRED . YES f NO
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SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel ~sPhalt D PCC D Other .
Work Order # .5 6 i '1.1 -Ct )- ";, 7.\lGj ~ I
t::J COMPLETE I \J'~ \,~cx~..f'e,~
)L( INCOMPLETE \.AJ~'\ ~ c..o\e\ ^^,''';
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STREET SUPERINTENDENT
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
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(Continue on reverse side if necessary)
(DATE)
CIty of Port Angeles
Public Works Department
Water DIstribution Repair Report
IWork Order No 1,;. 3,03'1;?-O/S-
ICrew 7/7, 71 r: 7;12, 1~ 1
/ /
J
DATE REPORTED I-J:~-O)
CONDITION BvlERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT ~
LEAKAGE SURVEY 0 OTHER 0
TYPE OF MAIN
I -,} ~ -,;:> ;-
ADDRESS 511
c-Z
TIME 10: VI,)
t..-r./ I 3 T "-
r'J \l
SIZE. (7'
KA.M. OP.M.
DATE OF REPAIR.
REP AIR LOCATION
'1'
DEPTH OF MAIN ~
7'
CLOSEST VALVE DEPTH. !d.
COMPONENT REPAIRED.
MAIN JOINT 0 CIR BREAK X SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTHER
SERVICE. 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 VAL VE 0 BARREL 0
OTHER.
COMPONENTS OF REP AIR. CLAMPO DRESSERO OTHER 55 r eIJa., F bv.~ d.
,
SITE CONDITION GRA VEL 0 ASPHALT}( SIDEWALK 0 CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS ASPHAL T CUT ~IT CURB CUT _IT SIDEWALK_IT
DRIVEWAY CUT _IT
MAIN CONDITION INTERNAL LINING ~ A TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE /ZIA P.P.M. f"ss,r,,/c:. f/~ssvr'e.
WATER OFF FROM
M.TO
M.
FROM
M. TO
M.
~p '\RENT CAUSE OF LEAK
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,
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST
Date /- J.-1 ~ 05
Time fl t'uV AR'0-- Received by
(phone, person)
Location of Work to be inspected Sl1 t.A.I I '3 r~
Name of person requesting inspection tA/df,Tt:2 r iJlv
Address of person requesting inspection /7 <:) 3 So (1
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
Phone No 91)- (/$Y7"
Permit No
Sewer Excav ~~7t=> r
INSPECTION NOTES
Inspected Date / -;;'1>-0 S
Remarks ,;z\\ /1"l4~n ~r~f
Time / Of 3u /j-'k- By 7/7
41K1J L C<./( 1'1. tlCe>-A).
x
~ ESTORA TION REQUIRED . . . .. YES f NO
f
All 0", -
- ;. "e I " ~
J ;<y/' , (.
~ 13Tt- V\
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~ ~~ ~ ~
~
~
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SURFACE RESTORATION:
SURFACE TYPE 0 Unimproved 0 Gravel ~sphalt 0 PCC 0 Other
Work Order # .5 ~ .) q; -0( )--
o COMPLETE
)L( INCOMPLETE
//~~~~ .
I ' ______ _ '___n._______._
o Repaired by City
D Repaired by Permittee
o No Damage Found
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