HomeMy WebLinkAboutN2017-0092City of Newport Beach II���II�II�III���II�III����l�ul������ll�l�l�ll� II
' 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 0 9 2 Permit No: N2�1 T-U�92�7•
E, Permit Counter Phone (949)644-3311 Project No:
sa. Online Inspection Request- www.newportbeachca.gov/Online
nw�r�o Services
Inspection Requests Phone (949)644-3255
Job Address : 1927 PORT WEYBRIDGE PL NB Thomas:Guide: 889G6 � C' A ,��
Description: Remove and replace existing driveway approach, remove and replace any damaged curb, gutter and sidewalk, and install sewer cl n �V
Standards. Pavement restoration per City Standards. ft"V'i C," -fe@E lt3St14CCAfi1N CF
PA**VA^+ �oalu� tt t�� i1U1S CF �oYY� SCANNED
Parcel # : 4580-940-8 -
Legal Desc : N TR 6623 LOT 112
Owner: QUINLAN REAL ESTATE LLC Contractor: CHASE GENERAL ENGINEERING CONTRACTOR INC
Phone: 0 Phone: 714-914-6345
Address : 17 INVERNESS LN COMMAddress: 15332 NEWCASTLE LANE
NEWPORT BEACH, CA E HUNTINGTON BEACH CA
Applicant:
CHASE INC
Phone:
714-914-6346 [
Address:
16835 ALGONQUIN ST #329
HUNTINGTON BEACH, CA 92649
Special Cond.: PRE -JOB INSPECTION REQUIRED
Permit Processing Fee:
$241.00
Sewer Connection :
$0.00
Agreement Fee:
$0.00
4TT Box Cover:
$64.00
Traffic control Plan Check :
$0.00
Total Water Meters:
$0.00
Inspection Fee :
$660.00
Water Meter Connection:
$0.00
Refundable Deposit:
$0.00
Total Water Meter Box:
$0.00
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By:
Utilities Approval
Traffic Approval :
General Services Approval:
Date :
Date
Date
Date: —1—/—
Contractor State Lie: 906147
License Expire : 11 30, 2017
Business License: BT30054273
Business Expire: 03 31, 2017
Workers' Compensation Insurance - -
Carrier : STATE COMP INSURANCE
Policy No: 9047185-16
W. C. Expire: 03 01, 2017
Total Fee $965.00
Paid: $965.00
Balance : $0.00
Receipt No:
Other Department :
Permit Denied Date :
Issued Permit Date:
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' ml tiej
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, sub 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 106-L for parkway/roadway and City Standard 140-L,
in the alley, where a minimum ha0-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 Safely 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 Was 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 inspections by
the Municipal Operations Department 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. Locale and pothole
existing City -owned utilities (is: 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.
Property 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 $36.00. 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. Amass 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 Stale 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. All USA marks
shall be removed prior to Final Public Works Inspection.
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, Certificate of Worker's
r `Compensation Insurance, or a Certified Copy th
Date: to �� 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:
INITIALS:
15. All above ground facilities shall comply with the Municipal Code, including but not limited
to Chapter 13.20.
16. Homeowner, contractors, and subcontractors 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 Stale
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 Cenificate 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 Municipal Operations Department, Parks and Street Trees
Division,
19. All work in the public right-of-way must meet the approval of the Public Works 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 invalid for "description" of work noted on front only. Additional work performed
may require issuance of a separate permit and/or additional fees.
r�
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COMPLETE THE BELOW INFORMATION'
PROJECT ADDRESS:
DER ILED DESCRIPTION OF PRQPOSED WORK.
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APPLICANT:
Phone: /(
Email Address:
Mailing Address:
Ci / tate/Zip:
OWNER: v Phone:
Email Address:
Mailing Address: City/State/Zip:
AL`LC¢ON RAFT R;'INF RMA710N,'I�a REi CJkREQ_PLf ASE'' CIMPL IE ., • `.
NTRACTOR: 5 Office Phone:
mpany (if different): Jobsits Phone:
Other Phone:
Address:
[Emall
iling Address: e 3�
Ci estate/Zip:
te License mb & Class:
Ex ires: T
City Business License Number:
5 Ex ires- 3
RKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3600 Labor Code)
Policy No: Expires:
Munici al0 erations: 949-644.3066
Utilities: 949-644.3011
Urban Forestry: 949-644-3063
F R"OFFIGE•USEONLY
Special Conditions of Permit: v'c ui"ed.
ADDITIOMAh•APPR61/AL'RQUIRED PROM4, FOL, OWING DEPARTMENTS" °- '
Utilities:
Municipal Operations
Traffic: 0 Fire: 0
Other:
Engineering Technician:
Permit Specialist
Date:
Permit No.
tlusers/phw/shamdlencmach/masters/epworksheetAS
E2
I
Public Works Department 949-644.3311
100 Civic Center Drive, Newport Beach, CA 92660
Permit Processing Fee:
Q
Inspection Fee:
Qt .
Public Works Only
$241.00 t I
Public Works Field Inspection
$165.00 2
Other Department
$275.00
Utilities Field Inspection
$121.00
General Services Inspection
$165.00
Agreement Fee:
Water Quality/Artificial Turf Inspection
$108.00
Preparation of Report/Agreement
Document Recordation Fee
$817.00
$192.00
Refundable Deposit:
TBDB
Monitoring Wells
$502.00
Improvements
TBD
StreeNAlleylWalk Closure:
$65.00=
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 I
Additional
---TME FQLL.OWING ITEMS REQI�RE kPPRQUAL FRtlM THE �Revenue;Division
............,.,,—......,,....,.
cr «�� . ar..
wtso.uu
i Ivtwer.
- IJ.VV T a/.GU
pvv.uu
Meter $700.00
:
2: Meter:
27.00+61.25
$88.25
$426.00
er $845.00
For Traffic & Alley Areas (Box +
Cover W Cost)
$3,$10.00
T'
Meter;
13.00+ 38.00
$51.00�
$4,730.00
2"
Meter:
27.00 + 162.00
$189.00
R71on
on
Certificate of Compliance Fee (+t00% 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 (+l00%ofhdyover4hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBDI
030-2284
Engineering Tech:
Total Amount Due:
For Finance use only
mod;
k 9- --
-=",I h,
Permit Specialist
Receipt No.
,-1 .--L. ,. ,:-.'
f/users/pbw/sharedlencmach/masters/ep fmnt and back masteml
Rev. 1/5/2017
epreesheat.xls-revised 10/2112016
C.L. PORT WEYBRIDGE PLACE
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1927PORT�EIBRIDGF.
-NEWPORT BEACH. CA
RE
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316/2017
City of<Newport Beach Page 4 of 9
6:34:39AM
INSP150 - Daily Inspection Request Report
Requested Inspection Date : 03/06/2017
Inspection Type: ENCROACH
Inspection Area: PW'
Site Address: 1927`PORT WEYBRIDGE PL
Activity :
N2017-0092
SubType:
Status :
APPROVED
OWNER.:
QUINLAN REAL ESTATE LLC Phone: 0
APPLICANT:
CHASE INC - , Phone : 714-914-6346
Description,::.
Remove and.replace existing driveway approach, remove and ,replace any damaged curb,
gutterand sidewalk, and install sewer cleanout per City Standards: Pavement restoration
er Cit 'Standards.
Item:
l
90110 CONCRETE PUBLIC WORKS
Requested Time:
.3%6/2017 12:00:OOAM R ueston WEBUSER
714f914-6346
Entered By:
WEBUSER �� AJ
Comments:
AM-
Assigned to :
.zzzzzzzzzzz*
\
Inspector: 3&ZI i J 7/ Date: Time: 10 A M
Comments: M
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REPT131.
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Run Id: 4018
3503 6 1_6
City ofNew ortBeach3%7/2017 Page 15 of 16
6:34.47AM
INSP150 -Daily Inspection Request Report
Requested Inspection Date : .03/07/2017
Inspection"Type : ENCROACH
Inspection Area: PW
Site Address : 4927 PORT W.EYBRIDGE PL
Activity :
N2017-0092
SubType:
I Status:,
APPROVED
OWNER :
QUINLAN REAL ESTATE LLC Phone : 0
APPLICANT:
CHASE.INC Phone.: 714-914-6346
Description :
Remove;and replace existing driveway approach, remove and replace any damaged curb,
gutter and sidewalk,, and install-sewercleanout per City Standards. Pavement restoration
er Gii Standards.
Item:
1 11.0 KS2.
Requested Time:
"3/7/2017 12:00:OOAM Requestor WEBUSER
714'914-6346
Entered By:
WEBUSER
-Comments:
ANY-,- q/
Assigned to .
9
G
zzzzzzzzzz. ,
Inspector:
`. Date: '� `7 i..% Time: AM PM
Comments;
A-
i
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\I nsoectorS heetdoc -
REPT131
L
Run Id: 4018
3yslo��. City of Newport Beach Page 16of 16
a34:14AM INSP1.50 - Daily Inspection, Request Report
Requests& Inspection Date : 03/08/20.17
Inspection',Tyge : ENCROACH
Inspection -Area : Pw
Site Address : .1927' PORT INEYBRIDGE PL
Activity : N2017-0092
SubType:
Status.:. APPROVED
OWNER : QUINLAN REAL-ESTATE LLC Phone: 0
APPLICANT : CHASE'ING Phone : 714-914-6346
Description : Remove and replace .existing driveway, approach, remove and replace any damaged curb,'
gutter andisidewalk,,and installsewer. cleanout per City Standards. Pavement restoration
er;Clt Standards.
Item. 1'0.1,,10, CONCRETE PUBLIC".WORKS
Requested'Time: 3/812017= 12cQ0>OOAM Requestor: WEBUSER Q• -■
714 914-634A TJ • (
"Entered -By. WEBUSER
Comments: AM-
Assigned to :. zzzzzzzzzzz*
Inspector: Date: 3 ! Time: -!S AM PM
i
Comments: {IR I GL�-9 aw— ` iry yx
LQQWd
efile
F,\UserssjP B W \Shared\ENCROACH\MASTERS\FORMS\I nsoectorS heet.doc
REPT131: Run Id: 4018
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#4 FONVIA- 13792 SLOVER AVE. #14 PASADENA- 1420N.UNCGLNAVE. ', #23 PARAMOUNT -7277E ROSECRANBAVE,
#32 UPLAND-19A.SENSON 441 MOJAVE 140 E. HM58
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#5 POMONA- 2470 POMONA BLVD, #15 VERNON-WS ANGELES-3365 E. 26TH ST. #24 RIALTO -2601 N. ALDER AVE -
MIRAMAR- 569E EVIRGATE OF. #42 WCTORVILLE-16952 NA ST
p6 HEMR75AN JACINTO-1675 STATE ST. #16 ANAHEIM- 201 E. COMMERCIAL ST #25 MFDENA- 301 W. BOSECRANS AVE..
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#7 BEADMONT 452 W. WIS ESTRADA RD. #17 SAWAANA- 310 N. TOWNSEND ST. #25 THOUSAND PALMS -)2460 vARNER RO
435 BIG BEARdAKE- 42925 GARSTIN DR. #44 FT IRWIN- 68825 FOOT IRWIN RD.
#B SUN ON-VDOO WATSON AD. #18 LAKE FOREST- 25931 TOWN CENTRE DR #27 MURAIMA- 26190 ADAMS AVE..
#36 ESCONDIDO- 1310 SIMPSON WAY. #45 BARSTOW-27D0 E. MAIN ST
-. #9: ARROWHEAD;- 29750 HWY.18 #19 ADELANTO - 12203 VIOLET RD ' #28 OTAY M ESA - 7961 AlBWAY RD.
#10 SANl SPRINGS 12311 GREENSTONE AVE. #20 SAN CLEMENTE-116 RINCUN CT #29 EL CAJON-215 CYPRESS LN.
#371RON)- 881119 FARGO CANYON RD, #46 GAL-CRY-7900 MOSS AVE.
#38 FIDGECNEST-21571IMERN Ed. #47'FORT OF LONG BEACH, 16G2 W. PIER D Im
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5: #11 GARPIDPoN AMC APACHE TRNL#211RVINE- 16081 CONSTRUCTION CanWEST #30 CORONA- 1540 SHERBORN$1.
#39 PALMDALE- 37790 Pace ST. FAST #48 EL CENTRO, 1051 N. P DT,..
#12 SAN BERN IN01955W 9111 ST 422 NO HOLLYWOOD-13132 RAYMER ST #31 HESPERIA9861 CAVE
#40 ARTESIA- 13949E STAGE ROAD
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PLANT DATE CUSTOMER NO: SOLD TO
MAPPAGE , TICK T ry0„
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TX CD DELIVEFIY ADDRESS & INSTRUCTIONS
P.O. GJOB OR LOT#
"CCUSTOMER
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1 ORDER NO, 'METER READING TIMETYPED 'i TRUCKLIC NO.
.5l��1 .I e 0 (R, h'a IMI 51 e .1 `J !�3 'era 7i'�( I
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NO SLUMP TRUCKDRIVER
1LOAD
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Job Cylinder, Test:
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I"• (C TIME ON JOB
MIN. CHECK# •''
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y
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MIN. CHECK ❑
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^a/, Ciustorner S req at: ` AMOUNT
START FOUR f :.I i gals to FII{ Ld. RATE OF X$ �: PER MIN. CASH ❑
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'r. rmiler4 PnLIRr Y s gels to 2/3 Ld.
:LEAVE JOB
ARRIVE PLANT
I Signature
/certifying under penalty of perjury that the triton
IBell
SIGNATURE
SIGNATURES, �ra
1 Customeragreesihat,,a described material has been chose
Customer further aQre s that it shall be solely responsible to
location. Customer s review and approval the described mat
r releases and agrees to defend, indemnify and hold Sobertsc
arising from ((i)) material being inappropriate, Incompatible, it
movement of Poberlson's vehicles upon or about the deliver
Customer agrees to pay such reasonable aftorneYla fees inc
i Customer agrees to pay a time Price differential of 1%%per
Robertson's is not responsible for the results of any concrete
LD OTY CUM CITY
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3AN43? I �,
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B to 1/3 Ld. $ OVERTIMECHARGE
.. .4 min per yQ' unload)
ADJ.`Meter ,1. p;� # { { ' -Additional uro odmg I
Additional water added to this concrete well reduce its strength.
written time record is true and correct.
RD OTY PROD CODE!, MIX AND COMMODITY UON
Kt, f 1G5 C7C,:.Vr>Fnjot ., Sir; iic—_�M'.5,', i--Fd;rl1G,'£:7
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PLANT MGR SIG tx e
hire allowed
charged at oLAlyrent,hourly trilok ra0
star added exceading the design water isat customers own risk
UNIT PR
1 13. : rGAL
WEIGHMASTER CERTIFICATE '
THIS IS TO CERTIFY that the following described commodity was weighed
TAXr
measured, or counted by a weighmaster, whose signature is on this certificate
who is a recognized authority of accuracy, as prescribed by Chapter 7
,..
I ,
(commencing with Section 12700) of Division 5 of the California Business and
Professions Code, administered by the Division of Measurement Standards of the
PREVIOUS
BALANCE
California Department of Food and Agriculture
ROBERTSON'S
•WEIGHMASTER
SUB
TOTAL
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GLGALL�NS O=UPNCES CU-METER63 KG KILOGRAM L=LITERS ML=MILL(LARst! T' It to ;j_1 f (1
CQNCRETE DELIVERY TICKET
TOTAL
_
cIVEU BY CUSTOMER
PO BOX 3600 CORONA, CA 92878-3600 -,
1 r.s. _ _.
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Is
April 17, 2017
RE: 1927 Port Weybridge-Tree
To whom it may concern,
The city of Newport Beach planted a round leaf liquid amber tree
in the fall of 2015 in our parkway strip. John Conway approved the
planting and he had Great Scott Tree Service to do the work.
John Conway retired and Kevin Pekar replaced him at your tree division
on 591 Superior in Costa Mesa. Kevin told us that he would email a copy
of proof of planting and even do a site visit if necessary. The tree was
watered by Great Scott Tree Service for one year after planting.
An identical tree was planted by the city next door at the same time
on the parkway strip of 1921 Port Weybridge (Sandra Daley).
I<Pekar@NewportBeachCA.gov 949 644-3197 office
i
Thanks!
Patrick Quinlan `
Owner
4/17/2017 City of Newport Beach Page 16 of 16
6:34:28AM INSP15O - Daily Inspection Request Report
Requested Inspection Date:
04/17/2017
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
1927 PORT WEYBRIDGE PL
A/P/D Information:
Activity :
N2017-0092
SubType:
Status :
APPROVED
OWNER: QUINLAN REAL ESTATE LLC Phone: o
APPLICANT: CHASE INC Phone : 714-914-6346
Description : Remove and replace existing driveway approach, remove and replace any damaged curb,
gutter and sidewalk, and install sewer cleanout per City Standards. Pavement restoration
per City Standards. VERIFY TREE AND REMOVAL OF PARKWAY PAVING AND
INSTALLATION OF SOD
Requestedlnspection(s)
Item: 10250 FINAL - PW
Requested Time: 4/17/2017 12:00:OOAM Requestor: WEBUSER
714 914-6346
Entered By: WEBUSER
Comments: AM -Like to meet Monday @ 9:am
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