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HomeMy WebLinkAboutN2017-0018AywvoP� City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Permit No: N2O1 1-0018 o� 6 100 Civic Center Drive, Newport Beach, CA 92660 II N 2 0 1 7 0 0 1 a II F Permit Counter Phone (949)644-3311 Project No : 0838-20S"CAN N ED Online Inspection Request- www.newportbeachca.gov/Online Services Inspection Requests Phone (949)644-3265 Job Address: 202 EMERALD AVE NB Thomas:Guide: 919C1 Description : Install new sewer clean out per Std 406-L. Parcel #: 0500-220-7 - Legal Desc : BALBOA ISLAND RESUB SEC 1 BLK 4 LOT 19 Owner: STONEWOOD HOMES Contractor : HOGAN PLUMBING Phone: 714-904-8994 Phone: 949-689-9224 Address : 22 LARCHWOOD Address : 25826 LAS VEGAS AVE STE 204 IRVINE CA 92602 DANA POINT, CA 92624 Contractor State Lic: 138350 Applicant: HOGAN PLUMBING License Expire : 01 31, 2018 Phone: 949-689-9224 [ Address : 25826 LAS VEGAS AVE STE 204 DANA POINT, CA 92624 Business License: BT30057689 Business Expire : 01 31, 2018 Special Cond.: Pre -job inspection required Workers' Compensation Insurance - - Carrier : STATE COMP Policy No : 1857567 W. C. Expire: 08 01, 2017 Permit Processing Fee: $241.00 Sewer Connection : $0.00 Total Fee $635.00 Agreement Fee: $0.00 4TT Box Cover: $64.00 Paid : $635.00 Traffic control Plan Check : $0.00 Total Water Meters: $0.00 Balance : $0.00 Inspection Fee : $330.00 Water Meter Connection: $0.00 Receipt No: Refundable Deposit: $0.00 Total Water Meter Box: $0.00 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 : _/_/ WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT_BEACH PUBLIC WORKS DEPARTMENT COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: DETAILED DESCRIPTION OF PROPOSED WORK: LI/� '' LG APPLICANT: Phone: % % (gib-7. yZZ Email Address: Mailing Address: City/State/Zip: OWNER: 0' VV jPhone: Email Address: Mailing Address: City/St to/Zi ®Z 77 2p, .'�?w ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE CONTRACTOR: �1 Sri / ,7 Office Phone: 717 - 7 yZ 7 Company (if different): as Jobsite Phone: Other Phone: Email Address: Mailing Address: � r City State/Zip: State License Number & Class: lZegJr� (� "(�'-%LEx ires: City I Business License Number: v5j ' LA L Expires: 131 WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: .sue/-e Policy No: 1'0_5 % �,Expires: ee -/vc Munici alO erations: 949-644-3055 Uti I ides: 949-544-3011 Urban Forestry: 949-644-3083 FOR OFFICE USE ONLY Special Conditions of Permit: 01\ ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS - Utilities: Municipal Operations Traffic: Fire: Other: Engineering -Technician: Perm.Ialist Date: j 13' f"7 Permit No. N2017- V CArl: f/users/pbw/shamd/encroach/masters/epwoMsheet As l'� Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 92660 FEE WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT All Fees Are Non -Refundable Unless Otherwise Stated PROJECT ADDRESS: PERMIT NUMBER: N2017- APPLICANT: I U UtziUUMPLETED BY PUBLIC WORKS DEPARTMENT Permit Processing Fee: ,� Inspection Fee: Q Public Works Only $241.001((I j I Public Works Field Inspection $165.0 Other Department $275.00 Utilities Field Inspection $121.0 General Services Inspection $165.00 Agreement Fee: Water Quality/Artificial Turf Inspection $108.00 Preparation of Report/Agreement $817.00 Document Recordation Fee $192."0 Refundable Deposit: TBD Monitoring Wells $502.00 Improvements TBD StreeUAlleylWalk Closure: $65.000 Newspaper Rack Inspection $108.00 Traffic Control Plan Check 8-1/2" x 11" $65.00= Sewer Connection Fee $250.00 24" x 36" $143.00 4TT Box & Cover $64.00� Additional •---------------------------1------------ i I THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division (Water Meter: 13/4" Meter $50.25 11" Meter $121.50 11 1/2" Meter $285 00 11 1/2" Turbine Meter $700 00 12" Meter $425.00 12" Turbine Meter $845.00 13" Meter $3,310.00 14" Meter $4,730.00 c1ry. Q, ty. Installation Charge $528.00 I Water Meter Boxes: For Parkway & Sidewalk Area (Box + Cover = Cost) 1" Meter: 13.00 + 37.00 $50.00� 1 2: Meter: 27.00 + 61.25 $88.25 1 For Traffic & Alley Areas (Box + Cover = Cost) 1" Meter: 13.00 + 38.00 $51.00 2" Meter: 27.00 + 162.00 $189.00" Certificate of Compliance Fee (+loofa of hriyover3 hrs) $288.00 Development Services Fee (Plan check hourly) $155.00 Final Tract Map Checking Fee $2,488.00 Final Parcel Map Checking Fee - Moderate $2,488.00 Lot Line Adjustment Fee $1,079.00 Park Dedication Fee Zone _ TBD Street EasemenWacationFee (+100%ofhrlyover4hrs) $1,022.00 Street Tree Fee ($700 Planting Fee) TBD 5200-5029 5200-5015 5200-5026 5200-5027 5200-5028 405-470_ 5200-5031 030-2284 Engineering Tech: Total Amount Due: For Finance Use only Permit Specialist Receipt No. t/users/pbwlshared/encroach/masters/ep front and back masters/ Rev. 1/5/2017 epfeesheet xls-revised 10/21/2016 ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR I Contact"Underground Service Alert" At Least 413-Hours In Advance of Any Excavation at 1.800.227+ZQg TERMS AND CONDITIONS OF ENCROACHMENT PERMIT WORKER'S COMPENSATION INSURANCE on 3600 Laborgode) Encroachment Permits may be taken out by the owner of benefited property or a licensed contractor. A licensed I certify that I have a Certificate of consent t elf -ins re, Ce tIn of Worker's contractor must provide a "Letter of Authorization" to allow another party to pull a permit. An approved copy of the Compensation Insurance, or a Certified Copy ere f. permit and construction plan shall be kept at the job site at all limes. Work, which has been done prior to issuance _ 3 a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 3 Date: — Signature: after date of issuance. CERTIFICATE OF EXEMPTION (Section 3900 Labor Code) The Permitlee agrees to defend, indemnity and hold the City, Its authorized agent, officers, representatives an employees harmless from any responsibility, liability, suit or action of any description arising out of any accident, loss I certify that in the performance of the work under this permit, I shall not employ or damage to persons or property occurring as a result of work undertaken under this permit. any person so as to become subject to California Worker's Compensation Laws. If, All work shall be done in accordance with the approved plans, Standard Special Provisions and Standard Drawings after signing this certificate I become subject to the Worker's Compensation of the City of Newport Beach, and in compliance with all applicable State laws and City ordinances. provisions of the State Labor Code, I must comply with the provisions of Section guarantees all work performed under this permit to be free of and latent deftor, s. Any failures shall 3700 or this permit shall be deemed revoked. be corrected Public 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 Date: Signature: 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. CONTRACTOR LICENSE EXEMPTION All trenching and/or resurfacing shall conform to City Standard 105-L for parkway/roadway and City Standard 140-L, As the Owner of the benefiting property, I certify I am personally performing all in the alley, where a minimum half -alley width resurfacing shall be provided, unless otherwise directed by the Public work in the Public Right -of -Way. Works Dept, Contractors shall obtain permits to perform excavation or trench work from the California Division of Date: Signature: 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. HOLD HARMLESS STATEMENT The Public Works Department Inspectors must inspect all work in the Public right-of-way. Forms and subgrade must I understand that I am locating minor encroachments within the City Right -of - be Inspected and approved before concrete is ordered/poured. Sewer, pipelines, and subgrade construction must be Way/Easement. As property owner it is my responsibility to maintain the inspected and approved before backfilling, or applicant may be required to excavate site. Separate inspections by encroachments. I will be responsible for replacing the improvements if the City the Municipal Operations Department may be required depending on scope of work performed. removes them for maintenance of utilities or other public need. I shall indemnify All trench restoration must be inspected by the Public Works Department. No utility installation(s) shall be allowed and hold the City harmless for any liability associated with the minor over or within 5 feet of any City utilities, unless approved by the Public Works Department. Locate and pothole encroachments. existing City -owned utilities (ie: 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 SDR36 be used with a Date: Signature: 4TT box over the riser. Inspections should be requested by calling th....11/hh�1I orks Inspection 'Tz✓ Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructionAt "Man signs, flags, lights and other warning and safety devices shall conform to the requirements of the current Line 949.644.3255. INITIALS: Warning Signs, Sights and Other Devices for me Use in Performance of Work Upon Highways", issued bRequest at: California Department of Transportation. If needed, barricades can be obtained from the City at a charge of All above ground facilities shall comply with the Municipal Code, including but not limited per barricade per day, with a minimum charge of $35.00. It is the responsibility of the applicant to place barricad15. protect the general public. Access to fire hydrants must be maintained at all times. to Chapter 13.20. Work within or near beach sensitive areas will not be allowed during, City holidays, spring break, Memoria16. Homeowner, contractors, and subcontractors may each be liable for violations of Water weekend, summer between June 15 and September 15, and during the holiday season from December 19 to Quality Laws. Best Management Practices will be enforced. It is against the law 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 discharge construction debris into the gutter and storm drain. Felony violations of Water acquire a Temporary Street Closure Permit from the Public Works Department. Access for fire, police and 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. emergency vehicles must be maintained at all times. Traffic Control must be per Work Area Traffic Control 17 If a refundable deposit was paid, applicant must submit a Soils Compaction Certificate or Handbook (WATCH). No nighttime traffic lane closures, unless prior approval has been granted. Any lane(s) closure Evidence of a Slurried Backfill and request a final inspection from the Public Works on a major street will only be allowed between 9:00 a.m. and 3:00 p.m. (Monday thru Friday), unless approved by Department. Monies may be held for six months after final inspection before a refund will the Public Works Department. Any work affecting the State Highway's traffic or within the State Highway right-of-way be processed. will require a Celtrans Perms. All vehicles shall be lawfully parked. This permit does not authorize the closure of sidewalks, streets, or alleys for construction access, storage of i6, No trees in the public right-of-way shall be planted, removed, trimmed, or relocated materials, or parking of construction vehicles unless detailed on an attached Temporary Street Closure. without approval from the Municipal Operations Department, Parks and Street Trees Applicant must notify USA at 1-600-227-2600 2 days before starting any underground construction. Applicant Division. 19. All work in the public right-of-way must meet the approval of the Public Works Department must notify all affected residents 24 hours in advance of restricted access and any inconveniences. All USA marks or corrections will be required (i.e. removals, exposing connections, etc.). Additional shall be removed prior to Final Public Works Inspection. inspection fees may be required. Refuse or unused materials shall be removed within 24 hours after completion of the work. If not removed, the City 20. Permit is for standard materials in the public right-of-way only, unless previously approved may remove and bill the applicant. Coordinate alley closures with City's refuse pick-up days by calling 949-644-3066 by Public Works and an Encroachment Agreement has been processed. for the collection schedule so service is not interrupted. To place a dumpster or materials in the public right-of-wa 21. Permit is valid for "description" of work noted on front only. Additional work performed Temporary Street Closure Permit must be obtained from the Public Works Department, - may require issuance of a separate permit and/or additional fees. i',has reed a ridendends the to and werirrafabd te,th ,rimeresehnIs tpamiltshafl,beeperfemna until the Public Works Deparbrrm has Issued this psrmlC Applicant hereby aoknewlM M idklons of thle,pannitan*hNaM-agraaato sbldeft then Permit Is void N work Is not commenced within 301days after Issuance, unless otherwise app ovatiby tM,Pirbih Deparkmwft mk fessirwnonrefundaele. PlaaN+noh: Preparation of Encroachment Agreement fee Is no_n-r@fundablei Date: '/.3-/1_-_SlDnatUra..,E, Chisel "S" on face of concrete curb over lateral. 3" high 1 letter. Y4" deep. Curb & gutter 7 1 Sidewalk (or alley surface) Finished street Riser, Coulder or Fernco coupling & stopper to be installed 6" below finshed grade. Minimum Slope: J'4" per linear foot SPECIAL NOTE: Under 0o circumstances shall ABS pipe or fittings be allowed! All sewer laterals shall be inspected by the Utilities Dept. and be replaced if necessary to meet current city stanSewer lateral connection per STD-405—L CONSTRUCTION NOTES: GENERAL NOTES: OInstall sewer cleanout cover per applicable 1. For slope less than Y4" per foot a 6" lateral shall be used with a minimum portions of STD-511—L. Triangular cover with slope = Jb" per foot. S" on top. O2 4" (or 6") SDR-35 PVC sewer pipe with gasketed, integral bell and spigot joints. 3O 4" (or 6") SDR-35 PVC 45' bend. O 4"x 4' (or 6"x 6") SDR-35 PVC wye branch fitting. OS 4" (or 6") ABS stopper (where laterals are stubbed) © 4" (or 6") short piece, SDR-35 PVC, 6" long. O4" (or 6") rubber mechanical banded seal clamp. Femco or City approved equal. ® 4" (or 6") private sewer pipe. O9 8"x 4" (or 6") wye branch fitting. SDR-35 PVC. 2. A cleanout shall be installed on all sewer lateral connections. 3. Cleanout shall be installed at property line. 4. Sewer cleanout covers shall be Brooks products No. 4TT or J.&R. No. 4T marked sewer. 5. Cleanout covers placed in sidewalks may be Brooks Products No.1 —RB and No.1—R (concrete cover) or J.&R. No. 1—R by special permission only. 6. Sewer cleanout riser pipe material shall be SDR-35 PVC except where existing sewer main is VCP in which case VCP pipe and fittings shall be used. 7. PVC shall be SDR-35 per ASTM 3034. 8. PVC pipe and fittings shall be bedded with % crushed rock material. In areas of ground water or tide water %" crushed rock. 9. Where VCP materials are used, bedding shall be standard. 10. Single family residences shall be 4" diameter all others shall be 6'. 10 Install ABS stopper in rubber coupling. Use 11. Saddle type connections to sewer mains are prohibitied, except by special Mission Clay Products stopper or approved permission from the Utilities Superintendent. (Then only on old concrete equal. mains with heavy flows.) 11 Sidewalk replacement shall be in full panel. 12. Glue or solvent joints are prohibited. CITY OF NEWPORT BEACH APPROVED: PUBLIC WORKS DEPARTMENT SEWERLATERAL WITH RCE NO.36106 PUBLIC WORKS DIRECTOR CLEANOUT DRAWING NO. areas the, maximumby toconstruction shall be retained on ailshall properly Cnr oieQio s, drainage facilities ndtominimize sediment tr€ Or adjacent properties via runoff :'s for construction -related materials, wastes, spills stI 'ni y wind Or runoff. art Pram b s by the site to streets, drainage or uipment and vehicle washing shallbe contained at con reduce or remove sediment and other pollutants. ,on.ractor and subcontractor personnelore to be mo igement ated ices and good housekeeping measures ich day of construction coniactiviton g staging debris ollected and properly disposed in trash or recycle bii s sholl be maintained in such a condition that on anti, ;tes or pollutants off the site. Discharges of material, en necessary for performance and completion of cor they do not: cause or contribute to a violation of use or threaten to cause pollution, contamination, or- ; substance in a quantity reportable under FederalRe._ 302. s include but are not limited to: solid or liquid chemici stains, sealants, glues, limes, pesticides, herbicides, we oivents. asbestos fibers, point flakes or stucco frogm tydroulic, radiator or battery fluids: fertilizers, rsh water and concrete wash water; concrete, detergl >tes from any engine/equipment steam cleaning or rchlorinated potable water line flushing. permittee shall dispose of such materials in a specifi® area on site, physically is from potentiolst, disposolin accordance with local, state and federal ttaminated groundwater, or discharging contaminated ohibited. Dewatering of ; non -contaminated groundwatee Mutant Discharge Elimination System Permit from th, ionoi Water Quality Control Board. he permitted area perimeter must drain away from ion of each workin d TION AND RE RE% WPORT BEACH, CA g ay. Drainage is to be directed tcontroctor shallbe responsible and Public trespass onto shell take neces5 contractor shallareas where impounded water` inspect the erosion control work and, once with the approved plans. tnatify all general contractors, subcontractors, m owners: that dumpin hed is g of chemicals into a#eriq i prohibited. the storm do cers for emergency work shallbe m ade ,n° �ecessor It locationsY materials shallbe available available at a® T to faailitate rapid construction site and eminent. n protective devices of tempo eas d sttuarbedr bability Forecaslin peaxoeeds the end of t ft 0sion and sediment shollbe retainn' f#es of Sa(I shall controls to the on sit I - tO streets oe properly contain maximum ex drainage facilities or contained to minimize sea -- tamed t aa. 'related p opertie; -- on site miter als, wastes, -- ring property b minimize trans spills or r it-- Y win I Port fro the esi or runoff. m site t --i NOTE" V1 i IS REQUIRED FOR ALL WORK AC '4PR0V1 k.h._ SORROUNDING Y/STREEy YTHE SITE THE Tin � __ EMENT. a (E)6' HIGH WOOD GATE ®... PROPERTY LINE .............. u.... u....... o GARAGE ADDITION 32A0 S.Fe EXISTING TWO CAR GARAGE 372.65 S.F NEW 2ND F02,1 1 ! ADDITION - 102,17 S.F. (" ';SIDE SETBACK J1-0'' 1118/2017 City of Newport Beach Page 6 of 11 4:30:12PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/19/2017 Inspection Type : ENCROACH Inspection Area : PW -- Site Address :- —202 EMERALD -AVE— A/P/D Information: Activity : N2017-0018 SubType: NEW Status : APPROVED OWNER: STONEWOOD HOMES Phone : 714-904-8994 APPLICANT: HOGAN PLUMBING Phone : 949-689-9224 loshogans@aol.com Description : Install new sewer clean out per Std 406-L. Requested Inspection(s) Item: 10200 PRE JOB - PW Requested Time: 1/19/2017 12:0O:OOAM Requestor: WEBUSER 714-809-0955 Entered By: WEBUSER Comments: AM - Assigned to : zzz�u/zzzzu' Inspector: J 7 Date: / 1 ! 7 Time: 17.00 pM Comments: f I Ie F:\Users\PBWkShared\ENCROACHkMASTERS\FORMS\InspectorSheet.do REPT131 Run Id: 4018 111812017 City of Newport Beach Page 5 of 11 4:30:12PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/19/2017 Inspection Type : ENCROACH Inspection Area : PW -- -Site Address 202--€-ME-RALD-AVE A/P/D Information: Activity : N2017-0018 SubType: NEW Status : APPROVED OWNER: STONEWOOD HOMES Phone : APPLICANT: 714-904-8994 HOGAN PLUMBING Phone : 949-689-9224 loshogans@aol.com Description : Install new sewer clean out per Std 406-L. Requested Inspection(s) Item: 10030 CLEAN -OUT Requested Time: 1/19/2017 12:00:OOAM Requestor: Entered By: WEBUSER Comments: AM - Assigned to : zzzzzzzzzzz* Inspector: "i V Comments: Date: WEBUSER 714-809-0955 Time: AM PM P -moo D - (A7-1PrAJ41 /7— F:\Users\PBW\Shared\FNCROACH\MASTERS\FORMS\Ins ectorSheet.doc REPT131 Run Id: 4018 1/18/2017 City of Newport Beach 4:30:12PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/19/2017 Inspection Type : ENCROACH Inspection Area: PW - Site Address-:---282-EMERALD-AVE A/P/D Information: Activity : N2017-0018 SubType: NEW Status: APPROVED Page 7 of 11 OWNER: STONEWOOD HOMES Phone : 714-904-8994 APPLICANT: HOGAN PLUMBING Phone : 949-689-9224 loshogans@aol.com Description : Install new sewer clean out per Std 406-L. Requested Inspection(s) Item: 10220 PRE JOB - UTIL Requested Time: 1/19/2017 12:00:OOAM Requestor: WEBUSER 714-809-0955 Entered By: WEBUSER Comments: AM- Assigned to : zzzzzzzzzzz" Inspector: ,� Date: ( i 1 /17 Time: a/: oo A PM Comments: 421477- 3_ /l/C�- w/ .J/s-1 Z,4::',, .e�_,,n, 1 tsc ss�D wee L/n>sr L cQ r�S. GIS67 t/GI' "-? .4T test c A% /"-v 4t�2 /mod/ .QtJh� FAUsers\PBW\Shared\ENCROACH\MASTERS\FORMS\I nsoectorSheef doc REPT131 Run Id: 4018 V23/2017 City of Newport Beach Page 6 of 8 4:30:21PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/24/2017 Inspection Type : ENCROACH Inspection Area: PW - - - Site Addr ss : 202 EMERAl D AVF AIPID Information: +fsAN W']%�ivBh!�'��.i=4-...:12`�5-l�+�sa•_; Activity : N2017-0018 SubType: NEW Status : APPROVED OWNER: STONEWOOD HOMES Phone : 714-904-8994 APPLICANT: HOGAN PLUMBING Phone : 949-689-9224 loshogans@aol.com Description : Install new sewer clean out per Std 406-L. MOM M .� Requested Inspection(s) Item: 10030 CLEAN -OUT Requested Time: 1/24/2017 12:00:OOAM Requestor: WEBUSER 714-809-0955 Entered By: WEBUSER Comments: PM - Assigned to: zzzzzzzzzzz` Inspector: Date: Time: AM PM Comments: F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc REPT131 Run Id: 4018 1/23/2017 City of Newport Beach Page 5 of 8 4:30:21PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 01/24/2017 Inspection Type : ENCROACH Inspection Area : PW --- __ Comte Address_:- 202 EMERALD AVE — AIP/D Information Activity : N2017-0018 SubType : NEW Status : APPROVED OWNER: STONEWOOD HOMES Phone : 714-904-8994 APPLICANT: HOGAN PLUMBING Phone : 949-689-9224 loshogans@aol.com Description : Install new sewer clean out per Std 406-L. Requested Inspection(s) Item: 10000 EXCAVATION & PIPE INSTALL-UTIL Requested Time: 1/24/2017 12:00:OOAM Requestor: Entered By: WEBUSER Comments: PM- Z Assigned to : zz777 zzzu` Inspector: J V Date: l - -q 17 Comments: WEBUSER 714-809-0955 Time: AM PM PC,eH14 r- �.) o b- WIV Y' 15 w6-0 ..ter E 7- C-o , 4r o I-- T74-L9- ccosc0� Refile -e s i,- F:\Users\PB\MShared\ENCROACH\MASTERS\FORMS\InsoectorSheel doc REPT131 Run Id: 4018 NZDlZ-00Is Z AA)'( - -&A-rn l d 010 - Q/F / Goo" /. - O&V a 100 — FAw" s N-/ comyp - rw 100 70 - wk 7VA 'Jose # ARopt. /.ovaafr Inspector: J Date: 21 i -7 Time: —LO ! AM PM Comments: 44C T wj � o6%/LYUY 2o-z e7�&;W4-t> A VC— t 7—/ 5 777 _ / tl,5� — I F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc REPT131 Run Id: 4018 0 M 1 Ill-�t; Inspector: Comments: Date: d 2 I % Time: 10 ! ylJ qM PM AS iG A-3ou T 14,, = , 45�ec [a /ti ZAJ : - t-o ,• i . � ♦ - Sr 11 -� i s �- i Dlc T-D r!/V.4�L . 4- 401vrz l.,ry le i W-eH-got✓ 7-e- 6 y pc� F:1Users\PBMShared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc REPT131 Run Id: 4018