HomeMy WebLinkAboutN2018-0014iyo Newport Beach ortB"111pli11111111111111111111111111111111111111111 ivcach, CA 92660 11111111
i; Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov / Online
Services
Job Address : 620 GARY PL NB Thomas:Guide
Description : NEW DRIVEWAY APPROACH PER CITY STD 162-L, 2 NEW CURB CORES PER STD 184-L.
Parcel # :
4251-012-7 -
Legal Desc :
N TR 4691 LOT 5
Owner:
MACMASTER SCOTT & JENNIFER
Phone:
949-244-0805
Address :
620 GARY PL
NEWPORT BEACH, CA 92663
Applicant: MACMASTER SCOTT
Phone : 949-244-0805 [
Address : 620 GARY PL
NEWPORT BEACH, CA 92663
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
0
Permit Processing Fee :
$241.00
Sewer Connection :
$0.00
Agreement Fee:
$0.00
4TT Box Cover:
$0.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$0.00
Inspection Fee :
$330.00
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
Contractor:
Phone:
Address
Permit No: N2018•-00'14,;
Project No: 0409-2017SCAN � J ��,
Inspection Requests Phone (949)644-3255 C��
�.J
888J6
SHEAR CONSTRUCTION
714-615-6108
31 BLAKEMORE DR
LADERA RANCH CA 92694
Contractor State Lic: 760853
License Expire: 07 31, 2018
Business License: BT30049686
Business Expire :
01 31, 2018
Workers' Compensation Insurance - -
Carrier :
STATE FUND
Policy No:
9095806
W. C. Expire:
04 11, 2018
Total Fee $571.00
Paid : $571.00
Balance : $0.00
Receipt No:
Date :
_/_/
Other Department :
Date
Date :
_/_/
Permit Denied
Date
Date :
_/_/
Issued Permit:
-Date:,/ X>
Date
+�
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: O Z &any aG�.
DETAILED DESCRIPTION OF PROPOSED WORK:
yo�i`Za✓%� � 1 � �%b c � �' y-o
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APPLICANT: </)i9 f ei Phone:
Email Address: s'iofl'@ .lhco�Cti•�lI/�?d °��'� .��
Mailing Address: OO / !/✓ �
City/State0p-
13esrh C
OWNER:
Phone:
Email Address:
Mailing Address:
City/State/Zip:
_ JkLL CON Rlk F .I*WWTION W , . COMPLETE
CONTRACTOR: S Uf% �t /�j P!
Office Phone:
Company (if different):
S'heA- Gd��/,��GJ 'rah -
Jobsite Phone:
Other Phone:
Email Address: feoo;4/'w f{,Nj/:I- . /✓�f
Mailing Address3/
City/State/7` p: �1-4 q q
State License Number & Class:
60 L3 Expires:7 1 0
City Business License Number:
Expires:
WORKERSJACOMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: Expires:
Municipal Oerations: 949-644-3055
Utilities: 949. "-3011
Urban Forestry: 949-644-3083
f= OFFICE USE ONLY
Special Conditions of Permit:
—oof If
ADD1110NAL APPROVAL REQlNRED FROM THE FOLLOW NG DEPARTMENTS
Utilities:
Municipal Operations
Traffic: 0 Fire: 0
Other:
Engineering Technician:
Permit Sp ' list
Date-
j g
Permit No.
N2018-
f:/users/pbw/shared/enaoadUmasters/epwarksheet.xls 4 /
Public Works Department 9494"-3311
100 Civic Center Drive, Newport Beach, CA 92660
All Fees Are (Yon -Refundable Unless Otherwise Stated
PROJECT ADDRESS:
PERMIT
W-0 % L
LAC
NUMBER: N2018-
APPLICANT:
Permit Processing Fee:
Inspection Fee:
Qty-
Public Works Only
$241.00
Public Works Field Inspection
$165.00
Other Department
$275.00Rn
Utilities Field Inspection
$121.00
General Services Inspection
$165.00
Agreement Fee:
Water Quality/Artificial Turf Inspection
$108.00
Preparation of Report/Agreement
$817.00
Document Recordation Fee
$19,2.00
Refundable Deposit:
TBDB
Monitoring Wells
$502.00
Improvements
TBD
Street/AlleylWalk Closure:
$65.00
Newspaper Rack Inspection
$108.00 0
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
THE FO_ _ _ _ _
1 LLOWING ITEMS QU REIRE APPROVAL FROM THE Revenue Division
]Approval:
L REVENUE DIVISION PRIOR TO PAYMENT OF FEES
1
1
City
Q 1
(Water Meter:
Installation Charge
$528.00
13/4" Meter
$50.25
11" Meter
$121.50
Water Meter Boxes:
11 1/2" Meter
$285.00
1" DFW Meter Box
$96.66
11 1/2" Turbine Meter
$700.00
2" DFW Meter Box
$203.24 B
12" Meter
$425.00
12" Turbine Meter
13" Meter
$845.00
$3,310.00
1
1
�4" Meter
$4,730.00
6" Meter
$7,190.001 11
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 Amount Due:
For Finance Use Only
Permit S ecialist
Receipt No.
f:/users/pbw/shared/encreach/masters/ep front and back masters/
Rev. 12/18/2017
epfeesheet xls-revised 11017
`)LiQq -2,1,`7
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
4.
5.
6.
8
10.
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, indemnity 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 Stale law. Walls and faces of all
excavations over 5 feel 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 (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
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 limes 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 self4nsure, Certificate of Worker's.
mpensation Insurance, or a Certified Copy thereof.
l�I r
te: 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 Pe unit Inspection is required by calling
!P blic Works at 949-644-3311. 5.."f
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 Works
Department or corrections will be required (i.e. removals, exposing connectiorls,
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 u � !' 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 Issue e.
Permit fees are nonrefundable. Date: 1/1—AITSignature: L _
FINISH SURFACE. 5LOPE TC DRAB
PER GRADING -PLAN
1—>
4"0 DRAIN PIPE
U.N.O. PER PLAN
Drain @ Hardscape NO 5"`LZ
`� 3 50A
4" CONCRETE OR 6" TOPSOIL
FILTER CLOTH
LAP 6" AT TOP
4"m A55, 5DR 35, DRAMLINE
MIN. 15 LONG W/ FILTER FABRIC
PERFORATION AT 50TTOM
SLOPE O 1% MIN.
NOTE:
FRENCH DRAIN OCaft FROM
BUILDING LINE TO PROPERTY
LNE- 50 GRADING PLAN FOR
SPECIFICATIONS
N°SCALI!�4
51TE01
AREA 3
D�
Tyr,G1
NEIGH5ORIN6
RE5VENGE
in
} '
r
6-0"
� '
W
�.
IL
I I
494E
\\ \ (n).� Gara e
5F�\
\ GARAGE FFE SHALL 5E\
MIN. ABOVE GUTTER FLOW L
i
I�
2nd Floor
Addition
Ni�//543 SF��� /
1st Floor
r�
4" m A55 5DR 35
P>3�FORATED
V�!
DRAINLINE, La 1 � '. . • :. .. ••
15' MIN LENGTH •- - , _:`�. : M) 4•' GONG:.
SLOPE 1% MIN. TYP ... :. •. Z%-
2 'fYFr •� �'.... (N) DRNIWY . - .. :. I i J
PLUG UNUSED PORTION OF G1 AREA DRAIN CONSTRUCT
. PRI'VEHAY APPROACH CITY STD-162-L . : SPLA5H `BLOCK . 005 (N)
PER GITY65-L-L (N) FLANTIN6. PLANTING'
o GRADE MIN
BOI'WMLE55 I (e)
:.. TRENGN VKM �:� �° MIN I i
' , - Dwelling
FF=100.0
PL ` . I ❑ ❑
R = 40' I REMODELED
L = 58�0' �� `♦� 15T FLOOR 1304 5F
Nm CURB 0 = 85"21'38" .�y► 2ND FLOOR 810 5F
PER CITY 5TANDARD 184-L ��� ♦ i TOTAL 2114 5F
Y1.60 INV ti/.{� ♦♦
♦♦
(E) WATER METER + 5MVIGE A �♦
PROTECT IN PLACE
� I
(N) 56" 50X 5TREET TREE 1 ��
MAGNOLIA GRAI�IDIFLORA ♦ (E) GRA55 V5
'LITTLE 60M"
PER NBMG-
Gary Place a-ay:FrAC
O&R
80' DIAMETER R.O.W.
GARY PLAGE IS ON 5TREET-GIS UT MORATORIUM LT CURB, +GUTTER
NEW 0UR5 DRAN
PER CITY STANDARD 184-L
M.60 NV
•
Y'1
b 4 WV AM, 5DR 35
PERFORATED 0KAI"LIN
G1 15. MIN LENGTH SLOPE %MIN. TYP
1
NEIGHBORING RE51DE —
Site Plan
-City of Newport Beach Public Works Dept.
PUBLIC WORKS PRE -JOB CHECKLIST
Public Works Inspector: JULIO VELASCO
Date: 11 11 I U'
Permit: N2018-0 O it Address: 6) 2 UIV, /1 r / rz
Mobile 714-315-4860 Email: )avelasco@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
(0/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 0/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 ll: 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 949444-3197 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/govemment/departments/public-
works/resources/standard-drawings/view-all-standards#Public_Works_Department
j
/Y
1/1.9/2018 City of Newport Beach
'0:34:38AM INSP150 - Daily Inspection Request Report
Page 18 of 18
Requested Inspection Date: 01/19/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 620 GARY PL
Activity : N2018-0014
SubType : NEW
Status : APPROVED
OWNER: MACMASTER SCOTT & JENNIFER Phone : 949-244-0805
STMMAC79@GMAIL.COM
APPLICANT: MACMASTER SCOTT Phone : 949-244-0805
STMMAC79@GMAIL.COM
Description : NEW DRIVEWAY APPROACH PER CITY STD 162-L, 2 NEW CURB CORES P -R TD
184-L. Lw
Item: 10200 PRE =PW(vt. �Requested Time: 1/19/20112: estor: WEBUSER
949-244-0805 --5,�- ,E%
Entered By: WEBUSER
Comments: AM -
Assigned to:
Inspector:
Comments: ✓w C-f" k�--
Date: « P
-1- 4 1eq
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
Time: li - Ls AM PM
REPT131 Run Id: 4018
)124/2018 City of Newport Beach Page 16 of 17
4:30:49PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 01/25/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 620 GARY PL
Activity : N2018-0014
SubType : NEW
Status : APPROVED
OWNER: MACMASTER SCOTT & JENNIFER Phone : 949-244-0805
STMMAC79 a@GMAIL.COM
APPLICANT: MACMASTER SCOTT Phone : 949-244-0805
STMMAC79 a@GMAIL.COM
Description : NEW DRIVEWAY APPROACH PER CITY STD 162-L, 2 NEW CURB CORES PER STD
184-L, INSTALL NEW 36" BOX STREET TREE (SPECIES TO BE DETERMINED BY
URBAN FORESTER)
Item: 1 TIL
Requested Time: 1/25/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER LFT ✓,'V1 (? 13: SZ-A
9492440805 - 4L a 77'
Comments: AM -Please call in the AM
InsoM®iced to: 77777777777* -IV Date: 47-419 Time: ��� AM PM
Comments: ` M ,4- c_r-o/a ) z32
eln/l�> '
ie
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\Insi)ectorSheet.do
REPT131 Run Id: 4018
• • ' 125/2018 City of Newport Beach Page 9 of 14
4:30:58PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 01/26/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 620 GARY PL
kr''N axT�
Activity : N2018-0014
SubType : NEW
Status : APPROVED
OWNER: MACMASTER SCOTT 81 JENNIFER Phone : 949-244-0805
STMMAC79 a@GMAIL.COM
APPLICANT: MACMASTER SCOTT Phone : 949-244-0805
STMMAC79 a@GMAIL.COM
Description : NEW DRIVEWAY APPROACH PER CITY STD 162-L, 2 NEW CURB CORES PER STD
184-L, INSTALL NEW 36" BOX STREET TREE (SPECIES TO BE DETERMINED BY
URBAN FORES
t ,.... i+' ,7.:i�g—Qy ■■ 1 1r 1 Ki'^) i:'i T Y {i .!'Y7n� 7♦
Item: 1010 FORMS WITH COMPACTION - P
Requested Time: 1/26/2018 12:0 : ue r: WEBUSER
Entered By: WEBUSER
Comments: AM-10:00-11:00 please
Ins,~ed to zzzzzzzL* Date: Zia 6
Comments: C.� , t>zw 4
`'rV /& Z -- L z
2 —
F:\Users\PB\MShared\ENCROACH\MASTERS\FORMSUnsoectorSheet.doc
9492440805
Time: D -'oc-> AM PM
REPT131. Run Id: 4018
.1/29P..018 City of Newport Beach Page 8 of 20
4:30:31PM INSPI60 - Daily Inspection Request Report
Requested Inspection Date: 01/30/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 620 GARY PL
Activity : N2018-0014
SubType : NEW
Status : APPROVED
OWNER: MACMASTER SCOTT & JENNIFER Phone 949-244-0805
STMMAC79 a@GMAIL.COM
APPLICANT: MACMASTER SCOTT Phone : 949-244-0805
STMMAC79@GMAIL.COM
Description : NEW DRIVEWAY APPROACH PER CITY STD 162-L, 2 NEW CURB CORES PER STD
184-L, INSTALL NEW 36" BOX STREET TREE (SPECIES TO BE DETERMINED BY
URBAN FORESTER)
Item: 10060 PIPE INSTALLATION - UTIL
Requested Time: 1/30/2018 12:00:OOAM Requestor:
Entered By: WEBUSER
Comments: AM -Please call in the AM
InspbidtWed to: =zzzzzzzz` Date:
Comments:
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
WEBUSER
949 244 0805
Time: AM PM
REPT131 Run Id: 4018
6/6/2018 City of Newport Beach Page 8 of 13
4:31:01PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 06/07/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 620 GARY PL
Activity : N2018-0014 Cc a�,C�j��c/`Ca Ks�r✓�Fo.1.
SubType : NEW > h
Status : APPROVED
OWNER: MACMASTER SCOTT & JENNIFER Phone : 949-244-0805
STMMAC79@GMAIL.COM
APPLICANT: MACMASTER SCOTT Phone : 949-244-0805
STMMAC79@GMAIL.COM
Description : NEW DRIVEWAY APPROACH PER CITY STD 162-L, 2 NEW CURB CORES PER STD
184-L, INSTALL NEW 36" BOX STREET TREE (SPECIES TO BE DETERMINED BY
URBAN FORESTER)
Item: 10250 FINAL - PW
Requested Time: 6/7/2018 12:00:OOAM Requestor: WEBUSER
9492440805
Entered By: WEBUSER
Comments: AM-pl'�ecase call in the AM c�
InsplalVed to: 777777777' Date: Time: 0 30 I►& PM
Comments: DA)�- APR 2, Lx,P!z Y' ri:4 �, I
��a � t t�� o u �e✓� n � G�,���boa� c� ?� � �.� / fret.
F:\Users\PB W\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018