HomeMy WebLinkAboutN2018-0033y Hr�, r
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City of Newport Beach
Center pBach, CA92660
Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov / Online
Services
I11pil111111111111111111111Permit No:N201a-0033
11111�1
Project No : 1404-2017
Inspection Requests Phone (949)644-3255
Job Address :
1223 E BALBOA BLVD NB
Thomas:Guide: 919C2
Description :
INSTALL NEW SEWER CLEAN OUT PER STD 406-L, UPGRADE EXISTING 1" METER AND BOX/COVER (HAS EXIST 1" SERVICE) PER STD. NEW 4" CURB
CORE PER STD
184-L.
Parcel # :
0481-631-0 -
Legal Desc :
BALBOA TR EAST SIDE ADD BILK 20 LOT 11
Owner:
ARRACHE RONALD B
Contractor : WEILER DON R
Phone:
_ Phone: 714-842-5800
Address :
PO BOX 2143 r
Address : 17451 GRASS CIRCLE
LANCASTER, CA 93539 ` "
HUNTINGTON BEACH CA
Contractor State Lic: 586459
Applicant:
WEILER DON R
License Expire : 01 31, 2018
Phone:
714-842-5800 [
Address :
17451 GRASS CIRCLE
HUNTINGTON BEACH CA
Business License : BT30060656
Business Expire : 09 30, 2018
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier : EXEMPT
Policy No:
W. C. Expire:
Permit Processing Fee :
$241.00
Sewer Connection :
$0.00
Total Fee
$1,546.16
Agreement Fee :
$0.00
4TT Box Cover:
$64.00
Paid :
$1,546.16
Traffic control Plan Check :
$0.00
Total Water Meters :
$649.50
Balance :
$0.00
Inspection Fee :
$495.00
Water Meter Connection :
$528.00
Receipt No:
Refundable Deposit:
$0.00
Total Water Meter Box:
$96.66
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By :
Date : _/ /
Other Department :
Date
Utilities Approval :
Date : _/ /
Permit Denied Date
Traffic Approval :
Date : _/_/
Issued Permit :
Date :,��✓��
General Services Approval : Date : _/ /
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: —
DETAILED DESCRIPTION OF PROPOSED WORK:
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APPLICANT:
Email Address: e-r
Phone: _
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Mailing Address:
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City/S ate/Zip:
OWNER: In 01 Ckp
jPhone:
Email Address:
Mailing Address:
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City/State/Zip:
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AL.L CONTRACTOR INFORMATHM IS REMERED-PLEASE COMPLETE
CONTRACTOR:
P.r
OfficePhone:
Company (if different):
Jobsite Phone:
Other Phone:
Email Address: oil
Mailing Address:
r
City/State/Zip:
A0
State License Number & Class:
Ex ires: -3('
City Business License Number:
-
Expires:
ORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: Expires:
J,W
Municipal Oerations: 949-644-3055
Utilities: 949-644-3011
Urban Forestry: 949-644-3083
FOR OFFICE USE ONLY
Special Conditions of Permit:
IT-
ADDIT111ONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
Municipal Operations
Traffic:
Other:
0 Fire:
0
Engineering Technician:
Pe rmi cialist
Date:
/� ?h IN2018-
Permit No.
OD-33
f/users/pbw/shared/encroach/masterslepworksheetxls N----
Public Works Department 949444-3311
100 Civic Center Drive, Newport Beach, CA 92660
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All Fees Are Non -Refundable Unless Otherwise Stated
PROJECT ADDRESS:
�G�'l da
PERMIT
NUMBER: N2018-
APPLICANT:
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
Street/Alley/Walk Closure:
Traffic Control Plan Check
$241.00
$275.00
$817.00
$192.00
$502.00
$65.00
Inspection Fee:
Public Works Field Inspection $165.00
Utilities Field Inspection $121.00
General Services Inspection $165.00
Water Quality/Artificial Turf Inspection $108.00
Refundable Deposit:
Improvements
Newspaper Rack Inspection
8-1/2" x 11" $65.00 Sewer Connection Fee
24" x 36" $143.00 4TT Box & Cover
Additional
1
THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE T
I REVENUE DIVISION PRIOR TO PAYMENT OF FEES
TBD
TBD
$108.00
---
venue Division [
1
may-
Zink 1
[Water Meter:
Installation Charge $528.00 1
13/4" Meter
$50.25
=711
11" Meter
$121.50
Water Meter Boxes: 1
11 1/2" Meter
$285.00
1" DFW Meter Box $96.66 1
11 1/2" Turbine Meter
$700.00
2" DFW Meter Box $203.24 1
12" Meter
$425.00
1
12" Turbine Meter
$845.00
[
13Meter
$3,310.00
14' Meter
$4,730.00
1
6' Meter
$7,190.00
Certificate of Compliance Fee (+100% of hrly over 3 hrs)
$288.00
5200-5029
Development Services Fee (Plan check hourly)
$155.00
5200-5015
Final Tract Map Checking Fee
$2,488.00
5200-5026
Final Parcel Map Checking Fee - Moderate
$2,488.00
5200-5027
Lot Line Adjustment Fee
$1,079.00
5200-5028
Park Dedication Fee Zone
TBD
405-470_
Street Easement/Vacation Fee (+100% of hrly over 4 hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBD
030-2284
Engineering Tech:
Total mount Due:
For Finance Use Only
Permit
ialist
Receipt No.
f /users/pbw/shared/encroach/masters/ep front and back masters/
Rev. 12/18/2017
epfeesheetxls-revised 11/8117
I ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR I
Contact "Underground Service Alert" At Least 48-Hours in Advance of Any Excavation at 800-422-4133
3.
4,
5
6.
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12
13
14
TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
Encroachment Permits may be taken out by the owner of benefited property or a licensed contractor A licensed
contractor must provide a 'Letter of Authorization" to allow another party to pull a permit. An approved copy of the
permit and construction plan shall be kept at the job site at all times. Work, which has been done prior to issuance of
a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days
after date of issuance
The Permittee agrees to defend, indemnify and hold the City, its authorized agent, officers, representatives and
employees harmless from any responsibility, liability, suit or action of any description arising out of any accident, loss
or damage to persons or property occurring as a result of work undertaken under this permit.
All work shall be done in accordance with the approved plans, Standard Special Provisions and Standard Drawings
of the City of Newport Beach, and in compliance with all applicable State laws and City ordinances.
Permittee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall
be corrected within two weeks after notification to the satisfaction of the Public Works Director.
A valid State licensed contractor must perform all construction within the public right-of-way, unless waived by the
Public Works Director. A valid State Contractor License Class A can perform any work in the public right-of-way. For
construction or connection to water lines a valid State Contractor License Class C-34 is required. For construction or
connection to sewer lines a valid State Contractor License Class C-42 is required.
All trenching and/or resurfacing shall conform to City Standard 105-L for parkway/roadway and City Standard 140-L,
in the alley, where a minimum half -alley width resurfacing shall be provided, unless otherwise directed by the Public
Works Dept. Contractors shall obtain permits to perform excavation or trench work from the California Division of
Industrial Safety prior to commencing underground construction as required by State law. Walls and faces of all
excavations over 5 feet in depth shall be protected by a shoring system, sloping of the ground, or other equivalent
means. Trenches less than 5 feet in depth shall be guarded when hazardous ground movement may be expected.
The Public Works Department Inspectors must inspect all work in the Public right-of-way. Forms and subgrade must
be inspected and approved before concrete is ordered/poured. Sewer, pipelines, and subgrade construction must be
inspected and approved before backfilling, or applicant may be required to excavate site Separate Utilities
Department or General Services Department inspections may be required depending on scope of work performed.
All trench restoration must be inspected by the Public Works Department. No utility installation(s) shall be allowed
over or within 5 feet of any City utilities, unless approved by the Public Works Department. Locate and pothole
existing City -owned utilities (re: water, sewer, or street lighting conduits) to verify locations. Maintain a one -foot
clearance over or under existing City -owned utilities. Sewer cleanouts require VCP or PVC SDR35 be used with a
4TT box over the riser.
Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions. All
signs, flags, lights and other warning and safety devices shall conform to the requirements of the current "Manual of
Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by the
California Department of Transportation. If needed, barricades can be obtained from the City at a charge of $10.00
per barricade per day with a minimum charge of $35.00. It is the responsibility of the applicant to place barricades to
protect the general public. Access to fire hydrants must be maintained at all times.
Work within or near beach sensitive areas will not be allowed during. City holidays. spring break, Memorial Day
weekend, summer between June 15 and September 15, and during the holiday season from December 19 to
January 1, unless approved by the Public Works Department.
Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to
acquire a Temporary Street Closure Permit from the Public Works Department. Access for fire, police and
emergency vehicles must be maintained at all times. Traffic Control must be per Work Area Traffic Control
Handbook (WATCH). No nighttime traffic lane closures, unless prior approval has been granted Any lane(s) closure
on a major street will only be allowed between 9:00 a.m. and 3:00 p.m. (Monday thru Friday), unless approved by
the Public Works Department. Any work affecting the State Highway's traffic or within the State Highway right-of-way
will require a Caltrans Permit All vehicles shall be lawfully parked.
This permit does not authorize the closure of sidewalks, streets, or alleys for construction access, storage of
materials or parking of construction vehicles unless detailed on an attached Temporary Street Closure.
Applicant must notify USA at 1-800.227-2600 2 days before starting any underground construction. Applicant
must notify all affected residents 24 hours in advance of restricted access and any inconveniences.
Refuse or unused materials shall be removed within 24 hours after completion of the work. If not removed, the City
may remove and bill the applicant. Coordinate alley closures with City's refuse pick-up days by calling 949-644-3066
for the collection schedule so service is not interrupted. To place a dumpster or materials in the public right-of-way, a
Temporary Street Closure Permit must be obtained from the Public Works Department.
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code)
I certify that I have a Certificate of consent to self -insure, Certifi to of Worker's
Compntation Insurance, or a Certified Copy t ereof.
Date: Signature:
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
I certify that in the performance of the work under this permit, I shall not employ
any person so as to become subject to California Worker's Compensation Laws. If,
after signing this certificate I become subject to the Worker's Compensation
provisions of the State Labor Code, I must comply with the provisions of Section
3700 or this permit shall be deemed revoked.
Date:
Signature:
CONTRACTOR LICENSE EXEMPTION
As the Owner of the benefiting property, I certify I am personally performing all
work in the Public Right -of -Way.
Date:
Signature:
HOLD HARMLESS STATEMENT
I understand that I am locating minor encroachments within the City Right-of-
Way/Easement. As property owner it is my responsibility to maintain the
encroachments. I will be responsible for replacing the improvements if the City
removes them for maintenance of utilities or other public need. I shall indemnify
and hold the City harmless for any liability associated with the minor
encroachments.
Date:
Signature:
24-hour notice for Encroachment PeInspection i� requirecy,Cy calling
Public Works at 949-644-3311,. �/,� / J
15 Any above ground utility facilities will require documented approval from the adjacent
affected property owner(s),
16. Homeowner, contractors, and subcontracotrs may each be liable for violations of Water
Quality Laws. Best Management Practices will be enforced, It is against the law to
discharge construction debris into the gutter and storm drain. Felony violations of Water
Quality Laws are punishable by fines up to $25,000 and/or up to three years in State
prison plus the full cost to clean up an illegal discharge or spill.
17. If a refundable deposit was paid, applicant must submit a Soils Compaction
Certificate or Evidence of a Slurried Backfill and request a final inspection from the
Public Works Department. Monies may be held for six months after final inspection
before a refund will be processed.
18, No trees in the public right-of-way shall be planted, removed, trimmed, or relocated
without approval from the General Services Department.
19, All work in the public right-of-way must meet the approval of the Public Vvork
Department or corrections will be required (i.e. removals. exposing connections,
etc.). Additional inspection fees may be required.
20. Permit is for standard materials in the public right-of-way only, unless previously
approved by Public Works and an Encroachment Agreement has been processed.
21. Permit is valid for "description" of work noted on front only. Additional work
performed may require issuance of a separate permit and/or additional fees.
No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereby acknowledges he/she has read and u stands t erms and
conditions of this permit and he/she agrees to abide by them. Permit is void if work is not commenced within 30 days after Issuance. , /��� ,
Permit fees are nonrefundable. Date I�/ ign8ture:
0
15'
THE TIME
kIBIIC
XWALK,
DDmONALLY,
1-INCH
WITH BOX
ME
AT THE
PRIVATE
OVEMENTS SHALL
FOR
OR
OFFICE
BE
' RELEIVE
VS AND
N PLANS. YOU
OF ANY
CONSTRUCTION NOTES
O1 -- CONSTRUCT CONCRETE DRIVEWAY PER CITY STANDARD STD-162-L SEE DETAIL
O2 _ CONSTRUCT CONCRETE HARDSCAPE. SEE DETAIL ON SHEET C-03.
a3 - CONSTRUCT INFILTRATION TRENCH PER DETAIL ON SHEET C-03. LENGTH = 20',
4a- INSTALL 4" DIA. SCHEDULE 40 PVC PIPE DRAIN SYSTEM. (ASTM D1785)
( _INSTALL 6" DECK DRAIN NDS TYPE 40 W/ RISER do ADAPTOR OR EQUAL AND
6D-- INSTALL 3" WIDE MINI CHANNEL DRAIN (NDS 500) W/ GRATE (NDS 552B) OR
7 _INSTALL 3" DIA SCHEDULE 40 PVC DRAIN PIPE SYSTEM. (ASTM D1785)
8�)_ INSTALL 18" SQUARE PRECAST CONCRETE BOX (BROOK PRODUCTS DB-181) WITH
AND SHALLOW DEPTH KRISTAR FLOGARD® CATCH BASIN FILTER INSERT (MODEL JF
PER MANUFACTURER'S RECOMMENDATIONS.
( _INSTALL FLOGARD TRENCH DRAIN AND FILTER FG-TDOF3. SEE DETAIL ON SHEE
10 DEEPEN CONCRETE EDGE PER DETAIL ON SHEET C-03.
11 OUTLET 3"0 THROUGH EXISTING 6" CURB FACE PER NEWPORT BEACH STD-18
12 CONNECT DOWNSPOUT TO DRAINAGE SYSTEM UNLESS NOTED OTHERWISE.
13 PLUG PORTION OF EXISTING DRIVEWAY PER CITY OF NEWPORT BEACH STD-161
MATERIAL TO BE SOD/LAWN PER CITY RECOMMENDATIONS.
14 CONSTRUCT SIDEYARD SWALE WITH MIN. LONGITUDINAL SLOPE OF 0.5% TOWARI
PER DETAIL ON SHEET C-03.
15 CONSTRUCT CONCRETE SIDEWALK PER CITY STANDARD STD-180-L
16 INSTALL SEWER CLEANOUT ON EXIST SEW. LAT. PER CITY STANDARD STD-406-
DISPOSITION NOTES
L J- EXISTING WALL TO REMAIN. PROTECT IN PLACE.
REMOVE PORTION OF EXISTING WALL
Ef- EXISTING SIDEWALK TO REMAIN. PROTECT IN PLACE.
EXISTING TREE TO REMAIN. PROTECT IN PLACE. UNAUTHORIZED TREE REMOVAL( li
TRIGGER SUBSTANTIAL PENALTIES FOR ALL PARTIES INVOLVED.
LJ- ALLOW 1' LONG PORTION OF FULL CURB HEIGHT TO REMAIN BETWEEN NOGHB(
EXISTING CURB CUT AND THE PROPOSED CURB CUT.
EXISTING WATER METER TO REMAIN. PROTECT IN PLACE.
D- EXISTING BUILDING TO REMAIN. PROTECT IN PLACE.
I
I
CITY OF NEWPORT
BEACH SURVEY
OUTLET LINE LINE PER PARCEL
DOWNSPOUT ONTO J/ PM8 16/37
HARDSCAPE
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PROPOSED BD
PROPOSED SCI
PROPOSED RE1
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CENTERUNE OF
STREET PAVING
City of Newport Beach Public Works Dept. Date:
PUBLIC WORKS PRE -JOB CHECKLIST Permit: N2018-0 Address:
Public Works Inspector: JULIO VELASCO Mobile 714-315-4860 Email: javelasco@newportbeachca gov
STANDARD DRAWING (STD) / ITEM REVIEWED
Reviewed (Y /
N)
Mark -out remove and replace (R&R) limts: These areas can include but are not limited to Sidewalk (S/W). curb and gutter (C&G). driveway
(D/W) approach. AC street. PCC alley, and walkways.
STD 105-L-A - Underground Consrtuction Requirements Notes
STD 105-L-B - Trench Resurfacing - Types of Pavement Restoration
STD 105-L-C - Roadway Utility Trench Detail
STD 105-L-D - Parkway Utility Trench Detail
STD 105-L-E - Roadway Utility Pothole and Bore Detail
STD 105-L-F - Moritorium Roadway Trench Detail
STD 105-L-E - Monitoring Well Capping Detail
STD 140-L - Typical Alley Section: -
STD 160-L-A - Commerical Driveway Approach Type I:
STD 162-L- Residential Driveway Approach Type I: Typical D/W Approach
STD 164-L- Residential Driveway Approach Type III: - Rolled Curb
STD 180-L -Sidewalk Details: -
STD 181-L-A - Curb Access Ramp Details I: Case "A" to "G"
STD 181-L-B - Curb Access Ramp Details If: Case "H" to "J"
STD 181-L-C - Curb Access Ramp Notes:
STD 181-L-D - Curb Access Ramp Detectable Warning Surface: Wausau Tile Inc of Wisonsin ADA-2 (U3008) Color A-90
STD 182-L - Standard Curb Sections Types A & B: -
STD 184-L - Curb Drains: -
Tree Planting Detail
Parkway Tree Designation List
Email Arborist, Kevin Pekar 949-644-3197 kpekar@newportbeachca.gov, a photo of your tree (must be actual tree to be planted), before
job -site delivery, for his review.
COPIES OF STDs PROVIDED?
NOTES:
All City stardard drawings can be found in the link below: http //www newportbeachca.gov/governmenUdepartments/public-
works/resources/standard-drawings/view-all-standards#Public_Works_Department
STANDARD DRAWING (STD) / ITEM REVIEWED Reviewed (Y /
N)
City of Newport Beach Public Works Dept. Date:
PUBLIC WORKS PRE -JOB CHECKLIST Permit: N2018-0 Address:
Public Works Inspector: JULIO VELASCO Mobile 714-315-4860 Email: iavelasco(d).newoortbeachca oov
STANDARD DRAWING (STD) / ITEM REVIEWED
Reviewed (Y /
N)
Mark -out remove and replace (R&R) limts: These areas can include but are not limited to. Sidewalk (S/W), curb and gutter (C&G), driveway
(D/W) approach. AC street, PCC alley, and walkways.
STD 105-L-A - Underground Consrtuction Requirements Notes
STD 105-L-B - Trench Resurfacing - Types of Pavement Restoration
STD 105-L-C - Roadway Utility Trench Detail
STD 105-L-D - Parkway Utility Trench Detail
STD 105-L-E - Roadway Utility Pothole and Bore Detail
STD 105-L-F - Moritorium Roadway Trench Detail
STD 105-L-E - Monitoring Well Capping Detail
STD 140-L - Typical Alley Section: -
STD 160-L-A - Commerical Driveway Approach Type I:
STD 162-L- Residential Driveway Approach Type I: Typical D/W Approach
STD 164-L- Residential Driveway Approach Type III: - Rolled Curb
STD 180-L - Sidewalk Details: -
STD 181-L-A -Curb Access Ramp Details I: Case "A" to "G"
STD 181-L-B - Curb Access Ramp Details Il: Case "H" to "J"
STD 181-L-C - Curb Access Ramp Notes:
STD 181-L-D - Curb Access Ramp Detectable Warning Surface: Wausau Tile Inc of Wisonsin ADA-2 (U3008) Color A-90
STD 182-L - Standard Curb Sections Types A & B: -
STD 184-L - Curb Drains: -
Tree Planting Detail
Parkway Tree Designation List
Email Arborist, Kevin Pekar 949-644-3197 kpekar@newportbeachca.gov, a photo of your tree (must be actual tree to be planted), before
job -site delivery, for his review.
COPIES OF STDs PROVIDED?
NOTES:
All City stardard drawings can be found in the link below: http //www newportbeachca gov/government/departments/public-
works/resources/sta nda rd-drawi ngs/vi ew-al I -standard s#Pu bl ic_Works_Department
Page 2 of 2
l;'1212018 City of Newport Beach Page 1 of 14
4:30:48PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 01/23/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 1223 BALBOA BLVD E ram(
Activity: N2018-0033
SubType : NEW
Status : APPROVED
OWNER: ARRACHE RONALD B Phone:
APPLICANT: WEILER DON R Phone : 714-842-5800
Description : INSTALL NEW SEWER CLEAN OUT PER STD 406-L, UPGRADE EXISTING 1" METER
AND BOX/COVER (HAS EXIST 1" SERVICE) PER STD. NEW 4" CURB CORE PER STD
184-L.
Item:
Requested Time:
Entered By: NBIVR
Comments: AM
Assigned to:
PRE JOB - PW
18 12:00:OOAM Requestor:
� 6 - C,6 t+ 60 t/t t, C- 0
TV c2� 6) 1-41—� c..�
NBIVR
7146127915
FbAf.
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T• 1
7/29/2019 City of Newport Beach Page 2 of 18
6:30:04AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 07/29/2019
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 1223 BALBOA BLVD E
A/PID Information:
Activity : N2019-0261
SubType : NEW
Status : APPROVED
OWNER: ARRACHE RONALD B Phone:
APPLICANT: KEEGAN'S CONCRETE Phone : 949-650-6991
949-290-8615
Description : NEW CURB AND GUTTER PER CITY STD'S, INSTALL 2 NEW CURB DRAINS PER
STFD 184-L, NEW DRIVEWAY APPROACH PER STD 165-L.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 7/29/2019 12:00:OOAM Requestor: NBIVR
9494564301
Entered By: NBIVR
Comments: AM
Assigned to:
nz,/�'hf —
COMPLETED
7/29/2019 City of Newport Beach Page 10 of 18
6:30:04AM INSP150 - Daily Inspection Request Report
Requested Inspection Date :
07/29/2019
Inspection Type:
ENCROACH
Inspection Area :
PW
Site Address :
1223 BALBOA BLVD E
AIPID Information:
Activity :
N2018-0033
SubType :
NEW
Status :
APPROVED
OWNER:
ARRACHE RONALD B Phone:
APPLICANT:
WEILER DON R Phone : 714-842-5800
Description :
INSTALL NEW SEWER CLEAN OUT PER STD 406-L, UPGRADE EXISTING 1" METER
AND BOX/COVER (HAS EXIST 1" SERVICE) PER STD. NEW 4" CURB CORE PER STD
184-L.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 7/29/2019 12:00:OOAM Requestor: WEBUSER
310-415-6869
Entered By: WEBUSER
Comments: AM -Contact: Ron
Assigned to: 7777777777z* I
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