Laserfiche WebLink
477. BACKWATER PREVENTION DEVICE FINAL <br /> INSTALLATION CHECKLIST <br /> Installation Company Name and Contact Info: SEATTLE DRAIN SERVICE <br /> Date Backwater Prevention device(BWD)was installed: \lam I 1 f Date this form was completed: <br /> Installation Property Owner Name and Contact Info: JAMES POOR 425-923-0817 <br /> Property Address: 2305 CALIFORNIA ST EVERETT WA 98201 <br /> Pre-Installation Inspection Checklist: <br /> All items must be checked'Yes'in order for a BWD to be considered for installation <br /> Is there a basement or level of the house that is at or near assumed sewer main elevation? Yes Lib <br /> Are there fixtures in the house located below the upstream sewer manhole rim elevation?t es n No <br /> Is the side sewer currently UNPROTECTED from sewer backups (does not have a BWD installed)? es u No <br /> Site Inspection Checklist: <br /> All items must be checked 'Yes before inspection is considered complete <br /> Was side sewer TV inspected from building to sewer main(es cNo Condition: <br /> Does side sewer have at least 1% slope from the building to sewer meines I I No Describe: 1'o 3'Oat <br /> Have all building sewer drain connections to the side sewer been identified and located?prXei n No <br /> Have all property storm drainage connections to the side sewer been identified and locatedes u No <br /> Has property been evaluated for drainage deficiencies with findings ccmmunicated to property owner�Yes I I No <br /> Installation Details: LO ?VC <br /> What type and brand of BWD was installed at this site(Clean Check BWV, Grinderer pump, etc.): n <br /> Where was the device installed (general description, attach map)? V V `ek.ce. '�-�CF' c�P <br /> Was there any other sewer or storm drainage work completed in conjunction with the BWD work? Is so please describe: <br /> r\0 <br /> Installation Checklist: DO c� <br /> Are all downspouts and site drainage disconnected from upstream of to BWD? i YesliJ 7 <br /> o Comments: k <br /> Does BWD positioning meets minimum slope requirement of>1%?'tYes u No Comments: <br /> Can BWD be pulled out for inspection and maintenance after loosening thumb screw?ELYes Colo <br /> Is BWD locked into the proper positi mb screw tightened? es u No <br /> Circle the BWD cover: irrigation coy landscape area) traffic load bearing cover(drive surface) I access hatch(building) <br /> Was property owner shown the location of the installed BWD?)Yes I I No Comments: S hov. {4-ow 1t -S +� <br /> Property Owner's Signatu Date: J L /1 ' c (9 <br /> Installer's Signature: Date: v-"" <br /> /7-- <br /> Revision: 2 1/ Monday, September 15, 2014 <br />