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N2017-0405
,iyy,WlYn�; d N sr - City of Newport Beach 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3311 Online Inspection Request- www.newportbeachca.gov/Online Services II�II���I��IIIIIII�II��VI���I�����I��II II Permit No: N2017-0405 N 2 0 1 7 0 4 0 5 Project No: 0850-2015 ppN Inspection Requests Phone �9��2 ED Job Address : 601 IRIS AVE NB Thomas:Guide: 919F2 Description: NEW ADA CURB RAMP PER STD 181-L-B CASE "E", 4 NEW STREE TREES, STD GRAY CONCRETE CARRIAGE WALK PER CITY STD, NEW SIDEWALK PER STD 180-L, CURB CORE PER STD 184-2, CONSTRUCT DRIVEWAY APPROACH PER STD 162-L, PLUG EXISTING DRIVEWAY APPROACH PER STD 165-L. Parcel # : 4590-521-2 - Legal Desc : CORONA DEL MAR BLK 635 LOT 1 Owner: ADG INVESTMENTS, LP Contractor : AHA DEVELOPMENT GROUP INC Phone: Phone: 949-612-9170 Address : 3700 NEWPORT BLVD, STE 102 >� Address : 3700 NENEWPORT PORT BLVD #102 NEWPORT BEACH CA 92663 �4 CA 92663 a/ Contractor State Lic: 931225 Applicant: AHA DEVELOPMENT GROUP INC License Expire : 04 30, 2019 Phone: 949-612-9170 [ Address : 3700 NEWPORT BLVD #102 NEWPORT BEACH CA 92663 Business License: BT30048935 Business Expire: 10 31, 2017 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance - - Carrier: STATE COMP Policy No: 9058784 W. C. Expire: 06 01, 2018 Permit Processing Fee : $241.00 Sewer Connection : $0.00 Total Fee $736.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid: $736.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Balance : $0.00 Inspection Fee : $495.00 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 : C'1 ( -)J 7 General Services Approval : Date: _/ / `k PP 1 SMYL-�T' a � 3 � vu ,B �1�'3i {(4�rTVIF��1, I��Y COMPLETE THE, BELOW INFORMATION t -- DETAILED DESCRIPTION OF PROPOSED WORK: N it -�i ► a�w� �m�► r u , c n 'r APPLICANT: Phone: 1 Z I Z7 Email Address: �p , -�j J yU Vq 0 [ (-D VIA Mailing Address: .Z V tom; IT City/State/Zip: r— Ul'� �z kbo OWNER: yj - t6&m 113hone: -1,91Z - l Email Address: Mailing Address: City/State/Zip: W r:,ki4 0 Phone: '941 tel7- 11110 CONTRACTOR: A4-k I*Gv LD4 AR—&uvp Jdffice Company (if different): Jobsite Phone: Other Phone: .- b ' Email Address: p�{v /� ,� i ('O Mailing Address: 2 p I a,Q0F, gull- - Z City/State/Zip: -L State License Number & Class: 7iL Expires: City Busine s License umber: I Expires: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: Munici al orations: 949.644-3068 Utilities; 949-644-3011 Urban Forestry: 949-644-30�83 aYyj �yjiya y Special Conditions of Permit: ' ;`s C( 4ii� ALAi�}�I€pi7ALi [W1iiE ;F'sRO1 NO — Utilities: Traffic: Fire: 0 Municipal Operations Other: Engineering Technician: Permit S all J Date: & Permit No. N2017- f./users/pbw/shemcVencmach/mastem/epmrksheetxls Public Works Department 949-644.3311 100 Civic Center Drive, Newport Beach, CA 92660 j- Ponca rr g ree: Public Worksks only $241.0 Other Department . $275.00 Agreement Fee: Preparation of Report/Agreement $817.00 Document Recordation Fee $192.00� Monitoring Wells $502.00 Street/AlleylWalk Closure: $65.00= Traffic Control Plan Check 8-1/2" x 11" $65.00 24" x 36" $143.00� Additional Inspection Fee: Public Works Field Inspection $1650 Utilities Field Inspection $121:00 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: Improvements Newspaper Rack Inspection Sewer Connection Fee 4TT Box & Cover TBDBTBD $108.00 $250.00 $64.00 Certificate of Compliance Fee (+t00%ofhrlyover 3hrs) $288.00 City. Budget Number5200-5029 Development Services Fee (Plan check hourly) $155.00 Final Tract Map Checking Fee $2,488.00 5200-5015 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/VacationFee (+t00% of hrly over 4 his) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) ._.._.._.._•._• TBD 030-2284 ngmeermg Tech. Per list Rev. � Finance masters/ TERMS AND CONDITIONS OF ENCROACHMENT PERMIT 1. 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. 2. 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. 3. 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. 4. 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. 5. 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 Slate Contractor License Class C-34 is required, For construction or connection to sewer lines a valid State Contractor License Class C-42 is required. 6. 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 maybe expected. 7. 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. 8. 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 (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 SDR35 be used with a 4TT box over the riser. 9. 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 Califomia 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. 10. 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. 11. 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. 12. 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. 13. 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. 14. 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 daysbycalling 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),- certify that I have a Certificate of consent to self -insure, Certificate of Worker's Compensation Insurance, or a Certified Copv thereof. n Signature: CERTIFICATE OF EXEMPTION (Section 3800 Labor Cone) 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 Encroachmpot Permit Inspection is required by calling Public Works at949-644-3311. 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 Wafer Quality Laws are punishable by fines up to $25,000 and/or up to three years in Stale prison plus the full cast 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 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 is valid for "description' of work noted on front only. Additional work performed may require issuance of a separate permit and/or additional fees. utt,momCIVI InJrtwium, Ir ANT yr Int LAIJIIIYI>- ruouv ImriwnmrnIJ Junnuumulrvu Inr SITE IS DAMAGED, NEW CONCRETE SIDEWALK, CURB AND GUTTER, AND ALLEY/STREET PAVEMENT WILL BE REQUIRED AND 100% PAID BY THE OWNER. SAID DETERMINATION AND THE EXTENT OF THE REPAIR WORK SHALL BE MADE AT THE DISCRETION OF THE PUBLIC WORKS INSPECTOR. A CITY ENCROACHMENT AGREEMENT IS REQUIRED FOR ALL NON-STANDARD PRIVATE IMPROVEMENTS WITHIN THE PUBLIC RIGHT-OF-WAY. 3�-AN APPROVED CITY OF NEWPORT BEACH ENCROACHMENT PERMIT IS REQUIRED FOR ALL WORK ACTIVITIES WITHIN THE PUBLIC RIGHT-OF-WAY. �4 --SURVEYOR OR ENGINEER SHALL PERMANENTLY MONUMENT PROPERTY CORNERS OR OFFSETS BEFORE STARTING GRADING. o-SURVEYOR TO FILE A CORNER RECORD OR RECORD OF SURVEY WITH THE OFFICE OF THE COUNTY SURVEYOR. EVIDENCE OF FILING SHALL BE SUBMITTED TO BUILDING INSPECTOR PRIOR TO FOUNDATION INSPECTION. (6 -ALL WORK RELATED TO DOMESTIC WATER IN THE PUBLIC RIGHT -OF -WRY SHALL BE PERFORMED BY A C-34 LICENSED PIPELINE CONTRACTOR OR A LICENSED GENERAL ENGINEERING ~ CONTRACTOR. To- ALL WOR1ELdtTED TO WASTEWATER IN THE PUBLIC RIGHT-OF-WAY SHALL BE PERFORMED BY A C-42 LICENSED SANITATION SEWER CONTRACTOR OR A LICENSED GENERAL ENGINEERING CONTRACTOR. O- AN ENCROACHMENT AGREEMENT IS REQUIRED FOR ALL NON-STANDARD IMPROVEMENTS WITHIN THE PUBLIC RIGHT OF WAY. ALL NON-STANDARD IMPROVEMENTS SHALL COMPLY WITH CITY COUNCIL POLICY L-6 AND L-18. CONSTRUCTION NOTES 1t�- CONSTRUCT CONCRETE DRIVEWAY. SEE DETAIL ON SHEET C-03. 2O-CONSTRUCT CONCRETE HARDSCAPE. SEE DETAIL ON SHEET C-03. 0-CONSTRUCT CONCRETE DRIVE APPROACH PER CITY OF NEWPORT BEACH STD-162-L. 4&-INSTALL 4" DIA. SCHEDULE 40 PVC PIPE DRAIN SYSTEM. (ASTM D1785) 5&-INSTALL 6" ATRIUM DRAIN NDS TYPE 90 W/ RISER & ADAPTOR OR EQUAL _INSTALL 6" DECK DRAIN NOS TYPE 40 W/ RISER & ADAPTOR OR EQUAL. 0-INSTALL 9"x9" SQUARE DRAIN NOS TYPE 960 W/ RISER & ADAPTOR OR EQUAL. @ - INSTALL 12" SQUARE PRECAST CONCRETE BOX. BROOKS PRODUCTS D13-1212. CORE DRILL 4" 0 THRU EXIST. 6" CURB FACE PER CITY OF NEWPORT BEACH STD-184-2. SAWCUT & REMOVE 18" WIDE AC SECTION. REPLACE W/ FULL DEPTH ASPHALT. (18" MIN. THICKNESS) CONSTRUCT 6" CURB TYPE B PER CITY OF NEWPORT BEACH STD. 182-L (TYPE B) INSTALL SEWER CLEANOUT ON EXIST. LATERAL PER CITY OF NEWPORT BEACH STD-406-L INSTALL SUBDRAIN PER SOILS ENGINEER'S RECOMMENDATION. CONSTRUCT 15' SECTION OF PERF. DRAIN TRENCH PER DETAIL ON SHEET C-03. INSTALL STORM WATER SIMPLEX PUMP SYSTEM WITH ALARM. CONNECT DOWNSPOUT (LOCATION PER ARCH'L PLAN) TO THE STORM DRAIN SYSTEM. SEE DETAIL ON SHEET C-03. S SET IN CRETE. SEE S-hd J" cto-,o� eaht.w,& Owk SEWAGE EJECTOR. DESIGN & SPEC'S PER SEPARATE PLAN. CONSTRUCT CONCRETE CURB RAMP'PER CITY OF NEWPORT BEACH STD-181-L-B CASE "E". INSTALL WATER SERVICE AND METER PER CITY OF NEWPORT BEACH STD-502-L PLUG ABANDONED DRIVEWAY PER CITY OF NEWPORT BEACH STD-165-L. INSTALL NEW SEWER LATERAL ANDCLEANOUT PER CITY OF NEWPORT BEACH STD-406-L. CONSTRUCT NEW SIDEWALK PER CITY OF NEWPORT BEACH STD-180-L INSTALL OPEN BOTTOM TRENCH DRAIN PER DETAIL ON SHEET C-03. X W a - EASEMENT NOTES EASEMENT NOTE PER TOPOGRAPHIC SURVEY DATED 5/21/2014 PREPARED BY APEX LAND SURVEYING, INC. STATES: NO TITLE REPORT PROVIDED. TOAL ENGINEERING, INC. SEARCHED AND FOUND NO EASEMENTS OF RECORD IN THE TITLE REPORT PREPARED BY CHICAGO TITLE COMPANY, DATED NOVEMBER 5, 2013, ORDER NO. 00195880-997-CF. M1 -- PROPOSED EASEMENT TO CITY OF NEWPORT BEACH FOR STREET PURPOSES. SCOPE OF WORK nrkjn11TIAAI nr CYIMIAI/l CIAIPI C rA1111 V or0lnrunr Aun ^An.n- u.n nn.......un4..... ....... �.. y 8/10/2017 City of Newport Beach Page 3 of 8 4:30:33PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 08/11/2017 Inspection Type : ENCROACH Inspection Area : PW �. slut Site Address: 601 IRIS AVE Activity : 'N2017-0405 SubType: NEW Status : APPROVED OWNER: ADG INVESTMENTS, LP Phone: APPLICANT: AHA DEVELOPMENT GROUP INC Phone 949-612-9170 Description : NEW ADA CURB RAMP PER STD 181-L-B CASE "E", 4 NEW STREE TREES, STD GRAY CONCRETE CARRIAGE WALK PER CITY STD, NEW SIDEWALK PER STD 180-L, CURB CORE PER STD 184-2, CONSTRUCT DRIVEWAY APPROACH PER STD 162-L PLUG EXISTING DRIVEWAY APPROACH PER STD 165-L. Item: 1 020PREIOB-PW 61:S0'A Requested Time: 8/11/ Requestor:° 714-837-8430 _- l�ir!-e/� Entered By: WEBUSER #tL 6vov i Comments: AM - Assigned to: mzzzzmz* Inspecto: `IV Dater S 11 /%/� Time: �` PM Comments:f t4// © A 4L.t, L �Owc SG�/'i l i73 r r-- O u r �jr c A P- QM,7,� 41� 46-cose�'J GIST Load Refile F:\Users\PBW\Shared\ENCROACH\MASTERS\F RMS\IhsoectorSheetdoc e ? � �0 III - L Ll.1/,6-, :. awx !VtV OF REPT131— - ---� Run Id: 4018 i rfiao17 City of Newport Beach Page s of s c :aa o9AM INSP150 - Daily Inspection Request Report a. Requested Inspection Date : 09/07/2017 Inspection Typed ENCROACH Inspection Area: PW Site Address: 601 IRIS AVE Activity : N2017-0405 SubType: NEW Status : APPROVED OWNER: IGANT ADG INVESTMENTS, LP Phone: Au A D€VELOPTnGENT-CRQUP PP INC ' Phone . Description : NEW ADA CURB RAMP PER STD 181-L-B CASE "E', 4 NEW STREE TREES, STD GRAY CONCRETE CARRIAGE WALK PER CITY STD, NEW SIDEWALK PER STD 180-L, CURB CORE PER STD 184-2, CONSTRUCT DRIVEWAY APPROACH PER STD 162-L, PLUG EXISTING DRIVEWAY APPROACH PER STD 165-L Item: �?B1'19 GL]Q GfFETE RdBEl6 W^��c ` Requested Time: 9/7/2017 12:00:OOAM> Requestor: NBI V Entered By: NBIVR Comments: AM Assigned to Inspector: \ Date: I'� �� Time:PM Comments: _ {�G G �i _��✓ A- 2 P&O44 .tom �4 GLt�S S rart�(�S%1i S O eW Ta mo o- c-32X6 rrrr®rl �I Refile i F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc eet.doc 0 REPT131. ......-- --.. Run Id. 4018 9120/2917 City of Newport Beach Page 21 of 23 6:34:19AM INSP150 - Daily Inspection Request Report OWNER: ADG INVESTMENTS, LP Phone: APPLICANT: AHA DEVELOPMENT GROUP INC Phone : 949-612-9170 Description : NEW ADA CURB RAMP PER STD 181-L-B CASE "E", 4 NEW STREE TREES, STD GRAY CONCRETE CARRIAGE WALK PER CITY STD, NEW SIDEWALK PER STD 180-L, CURB CORE PER STD 184-2, CONSTRUCT DRIVEWAY APPROACH PER STD 162-L, PLUG EXISTING DRIVEWAY APPROACH PER STD 165-L. Item: 10020 PERMANENT PAVING- PW Requested Time: 9/20/2017 12:00:OOAM Requestor: WEBUSER 714-837-8430 Entered By: WEBUSER Comments: AM -Paving patch, alley concrete panel Ins~ed to : zz=zzzzzz* JV Date: Time: AM PM Comments: Gi-f l�� P�-Wzc— F:\Users\PBW\SharedkENCROACH\MASTERS\FORMS\InspectorSheet.doc 10/3%201 i °6:34:32AM City of Newport Beach Page 13'of 13 INSP150 - Daily Inspection Request Report ` Requested Inspection Date: 10/03/2017 Inspection Type: ENCROACH Inspection Area : PW Site Address: 601 IRIS AVE Activity : N2017-0405 SubType: NEW Status : APPROVED OWNER: APPLICANT: Description : i ADG INVESTMENTS, LPPhone: AHA DEVELOPMENT GROUP INC Phone`; 949-612-9170 NEW ADA CURB RAMP PER STD 181-L-B CASE "E' , 4 NEW STREE TREES, STD GRAY CONCRETE CARRIAGE WALK PER CITY STD, NEW SIDEWALK PER STD 180-L, CURB CORE PER STD 184-2, CONSTRUCT' DRIVEWAY APPROACH PER STD 162-L, PLUG'EXISTING DRIVEWAY APPROACH PER STD 185-L. Item: 10250 FINAL -PW Requested Time: 10/3/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER- 714-837-8430 r DAVd- Comments: AM -Please call Dave with a time frame Inspkf&ped to: zz777777777* Date: Time: AM PM Comments -TACO A/4512fe4t to Mhy o c 6$e 7'&0" &*A;" ca, Al F=xP4_0 fop tJ F.\U - - sers\PBVV\Shared\ENC ROACHIMASTE. - RS\FOR MS\Ins D ectorShe et.doc h/312017 City of Newport Beach ? 4:30:36PM INSPI60 - Daily Inspection Request Report Requested Inspection Date: 10/04/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 601 IRIS AVE Page 8 of 9 Activity : 'N2017-0405 SubType: NEW Status : APPROVED OWNER: APPLICANT: Description : I ADG INVESTMENTS, LP Phone AHA DEVELOPMENT GROUP INC Phone : 649-612-9170 " NEW ADA CURB RAMP PER STD 181-L-B CASE "E", 4 NEW STREE TREES, STD GRAY CONCRETE CARRIAGE WALK PER CITY STD, NEW SIDEWALK PER STD 180-L, CURB CORE PER STD 184-2, CONSTRUCT DRIVEWAY APPROACH PER STD 162-L, PLUG EXISTING DRIVEWAY APPROACHPER STD 965-L. Item: 10250 FINAL -PW Requested Time: 10/4/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER 714-837-8430 Comments: AM -Call Dave with time. Assigned to: Inspector: zzzzzzzzz Z Date: 10 //_7 Time: LZ A PM Comments: ©/i MP 6 y t-_ /r� F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InseectorSheet doc REPT131 Run Id: 4018