HomeMy WebLinkAboutN2018-0235>oCity
a of ic Center Drive,
Bp a ortBhach, CA 92660 IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIg1111 Permit No: N 2018-0235
f% Permit Counter Phone (949)644-3311 Project No: 1242-201, C..
i Online Inspection Request - www.newportbeachca.gov / Online +. c )r�
�• " �> Services
91 1'A, Inspection Requests Phone (949)644-3255
Job Address: 2271 MESA DR NB Thomas:Guide: 889E2
Description : INSTALL 2 NEW 36" BOX STREET TREES, PLUG DRIVE APPROACH AND RECONSTRUCT PORTION OF EXISTING SHARED DRIVE APPROACH PER STD,
CONSTRUCT NEW SIDEWALK PER
STD 180-L.
Parcel # :
4393-720-4 -
Legal Desc :
TR 706 LOT 164 ALL -EX SELY 82.5 FT -
Owner:
PRIMM GARY E
Phone:
Address :
7000 TOMIYASU LN
LAS VEGAS NV 89120
Applicant: CAPACI ENTERPRISES INC
Phone : 949-945-8362 [
Address : 11841 KENSINGTON RD
LOS ALAMITOS CA 90720
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
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 :
$495.00
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: CAPACI ENTERPRISES INC
Phone : 949-945-8362
Address : 11841 KENSINGTON RD
LOS ALAMITOS CA 90720
Contractor State Lic: 868248
License Expire : 07 31, 2018
Business License: BT30040251
Business Expire:
07 31, 2018
Workers' Compensation
Insurance - -
Carrier :
STATE COMP
Policy No:
9126663
W. C. Expire:
03 06, 2019
Total Fee $736.00
Paid : $736.00
Balance : $0.00
Receipt No:
Date : _/ / Other Department : -Date:
Date : _/_/ Permit Denied Date
Date : / / Issued Permit: Date aL'
Date
PROJECT ADDRESS:
ESCRIPTION OF PROPOSED WORK:
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APPLICANT-4 Phon �(
Email Addr -
Majilog Address:
City/Stat p- n
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OWNER: A--
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Email Address:
Mailing Address: n n
IC=erz /jam
_ =r'ALL--00 T 2TOR INFOWATION JO REQU REikP4E/ SE' QMPf •w.:.:.
CONTRACTOR `
Office Phone•
Company (if different):
]Other
Jobsite Phone:
Phone:
Email Address:
Mailing Address:
City/State/Zip:
State icea Num
b
Expires:
usiness License Number:
Expires:
WORKERS COMPENSATION INS NCE -Certificate of Insuran a (Sect'o 8 Labor Code)
Company: �� Uw Policy No: / Expires:
:..................................................
000.06.. ' :E:DEP'7S1T: iN'ORM�?►"' 0.' ' �:(1f::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ...........
......... . _ .; .:.:::.::::.'.:.::.::.:.............:.....:.:.:.:..:.:.:.:.:...:.:..........:.,.:.:..:.:.::.:.;.:.:.;:;.:.;..;`.:.:.......................:..-.:.
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FOR OFFICE USE ONLY
Special Conditions of Permit:
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic: Fire:
Other:
Engineering Technician:
Pub li rks Specialist:
Dade-••, / g
Permit No.
tlusetsgW"remena"ftVwsWSftawQ*ftet-*
t2q ?, w to
Public Works Department 949444-3311
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
8-1/2" x 11"
24" x 36"
Additional _ _ _
THE FOLLOWING IT
Inspection Fee:
Public Works Field Inspection
Utilities Field Inspection
General Services Inspection
Water Quality/Artificial Turf Inspection
192.0011 Refundable Deposit:
502.00 Improvements
$65.000 Newspaper Rack Inspection
Sewer Connection Fee
4TT Box & Cover
$108.00
venue Division I
I
QtY.
{Water Meter:
Installation Charge $528.00
13/4" Meter
$50.25
11" Meter
$121.50
Water Meter Boxes:
11 112" 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
$845.00
13" Meter
$3,310.00
4" Meter
$4,730.00
6" Meter
$7,190.00
.A
FEES
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 EasementNacation Fee (+100% of hriy over 4 hrs) $1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee) TBD
•-------------------------------....._....._.._.._........--------
030-2284
ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR
Contact "Underground Service Alert" At Least 48-Hours in Advance of Any Excavation at 800422-4133
TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
WORKER'S COMPENSATION INSURANCE ion Labor de)
1
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 to If-i C rtifi of Worker's '
contractor must provide a Letter of Authorization" to allow another party to pull a permit. An approved copy of the
Compensatiop I surance, or a Certified Copy t re
permit and construction plan shall be kept at the lob 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
Date* Signature:
after dale of issuance.
CERTIFICATE OF EXEMPTION (Section 3800 abor Code)
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
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,
3
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
4
Permittee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall
3700 or this permit shall be deemed revoked.
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
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
CONTRACTOR LICENSE EXEMPTION
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,
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
7
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 Utilities
encroachments. I will be responsible for replacing the improvements if the City
Department or General Services Department inspections may be required depending on scope of work performed.
removes them for maintenance of utilities or other public need. I shall indemnify
8
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 fie. 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
Date: Signature:
4TT box over the riser.
24-hour notice for Encroachment Perm' Inspection is required by calling
9 Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions. All
"Manual
signs, flags, lights and other warning and safely devices shall conform to the requirements of the current of
Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by the
Public Works at 949-644-331
L
California Department of Transportation. If needed barricades can be obtained from the City at a charge of $10 00
(/)
15. Any above ground utility facilities will require documented approval from the adjacent
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.
affected property owner(s).
10.
Work within or near beach sensitive areas will not be allowed during, City holidays, spring break, Memorial Day
16. Homeowner, contractors, and subcontracotrs 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
11.
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
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
Certificate or Evidence of a Slurried Backfill and request a final inspection from the
the Public Works Department Any work affecting the Slate Highway's traffic or within the State Highway right-of-way
Public Works Department. Monies may be held for six months after final inspection
will require a Caltrans Permit All vehicles shall be lawfully parked
before a refund will be processed.
12
This permit does not authorize the closure of sidewalks. streets, or alleys for construction access, storage of
18. No trees in the public right-of-way shall be planted, removed, trimmed, er relocated
materials, or parking of construction vehicles unless detailed on an attached Temporary Street Closure
without approval from the General Services Department.
13.
Applicant must notify USA at 1-800-227-2600 2 days before starting any underground construction. Applicant
19. All work in the public right-of-way must meet the approval of the Public Work
must notify all affected residents 24 hours in advance of restricted access and any inconveniences.
Department or corrections will be required (i.e. removals. exposing connections.
14
Refuse or unused materials shall be. removed within 24 hours after completion of the work. If not removed, the City
etc.). Additional inspection fees may be required.
may remove and bill the applicant. Coordinate alley closures with City's refuse pick-up days by calling 949-644-3066
20. Permit is for standard materials in the public right-of-way onl , unless previously
for the collection schedule so service is not interrupted. To place a dumpster or materials in the public right-of-way, a
approved by Public Works and an Encroachment Agreemen a been processed.
Temporary Street Closure Permit must be obtained from the Public Works Department.
21. Permit is valid for "description" of work noted on fr o y. Additional work
performed may require issuance of a separate per d/or dditi 1 fees.
No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereby ac n wledges he/she has a nd ridst e sand
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: / _^Signatur _
111110-111
PROP. BLDG
FF=66-50
PA D=65_42
SEE ADD'L NOTE #2
ON SHEET Cl
ua
c� j ���s F po
C14 2
4,
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s\ .jr
C14
67.33 TW 67.33
/
/64477 64.67 TF.;!
/V\
Im
V. V
64.50 TG
63.25 1%
��u 10 INV
00 Tw
33 TF
,,,-�,2* MAX., E*OSED
BHT IM-FRONT
YARD SETBACK
65.90 T/GRATE
1 10 2-3 PIPE
20
�tV2)
65.20 INV 30 FM IN x
V-Y-' CORE THRU
cc
w
EXIST. PORTION OF
64.50 INV. 3- OUT (4)
CURB AT
NEIGHBOR'S SHARED
-64.33 IW
DRIVEWAY TO REWN
RECONSTRUCT PORTION
OF EXIST. SHARED
ORKWAY PER CITY. OF
MESA DRIVEN.B.
51D
S49*22'1 9"E 1158.92'
.
INFORMATION SHOWN HEREON PER
3T (IRWD) ATLAS MAP AND COSTA MESA
S-BUILT PLANS.
SURVEY NOTE:
TOPOGRAPHIC INFORMATION SHOWN HEREON PER TOPOGRAPHIC
SURVEY PREPARED BY: LOREN K. TOOMEY, P.L.S. 4459 ON MAY 2014
PROP. 6' MAX. —
SED HEIGHT
WALL (TYP.)
MATCHLINE
0 8 16
SCALE: 1/80= l'—O"
8
C
i
(TOUR
PAD
ONTOUR
T/SLAB
ON
FS
)NCRETE PAVING
FG
ANG
F.F.
%PE PLAN)
INV
GRANITE OR
(SEE LANDSCAPE PLAN)
TG
MAIN
P.L.
ORM DRAIN
TW
41N
TF
IILDING RETAINING WALL
BW
ILDING STEM WALL
W.F.
� E SCREEN WALL
E RETAINING WALL
JNE
TP
PA
F.P.
HP
CTOR:
ATIONS /APPROVALS
F
PROPOSED PAD ELEVATION
PROPOSED TOP OF SLAB
PROPOSED FINISHED SURFACE
PROPOSED FINISHED GROUND
PROPOSED FINISHED FLOOR
INVERT OF PIPE
TOP OF GRATE
PROPERTY LINE
TOP OF WALL
TOP OF FOOTING
BOTTOM OF WALL
WATER FEATURE
TOP OF PILASTER
PLANTER AREA
FIRE PIT
GRADING UMfTS
HIGH POINT
ions required by the agencies ha,:nq JurisC ctior
ring a-c c,3.s ,r,', -'yineer of recorry are
prcver'7en►s — C .. a required:
;,cos s raG�:Ynd prior to
L
I
CONSTRUCTION NOTES PLANS PREPARED BY:
tD- CONSTRUCT CONCRETE DRIVEWAY. SEE DETAIL ON SHEET C3.
OZ -- CONSTRUCT CONCRETE HARDSCAPE. SEE DETAIL ON TOAL
SHEET C3.
3O--INSTALL 4" DIA. SCHEDULE 40 PVC PIPE DRAIN SYSTEM. (ASTM D1785) ENGINEERING, INC.
O4 — INSTALL 6" ATRIUM DRAIN NDS TYPE 90 W/ RISER & ADAPTOR OR EQUAL SEE DETAIL ON SHEET C3.
O5 — INSTALL 6" DECK DRAIN NDS TYPE 40 W/ RISER & ADAPTOR OR EQUAL SEE DETAIL ON SHEET C3.
klft�wop ka �T/
O6 — INSTALL 9" DECK DRAIN NDS TYPE 980 W/ RISER & ADAPTOR OR EQUAL SEE DETAIL ON SHEET C3. CIVIL ENGINEERING
To- INSTALL 12" DECK DRAIN NDS TYPE 1214 W/ RISER & ADAPTOR OR EQUAL SEE DETAIL ON SHEET C3. LAND S U R V E Y I N G
STORM WATER QUALITY
8 INSTALL 18" SQ. DRAINBOX (BROOKS CB-1818 OR EQUAL) W/ TRAFFIC RATED GRATE.
139 Avenida Navarro
9 INSTALL PERVIOUS PAVER DRIVEWAY PER LANDSCAPE PLAN. SEE DETAIL ON SHEET C3. s a n Clemente CA 92672
9 4 9 4 9 2 8 5 8 6
10 CORE DRILL PIPE THRU EXIST. CURB PER CITY OF NEWPORT BEACH STD-184-L. w w w t o a l e n g i n e e n n g c o m
(a —PLUG EXIST. DRIVEWAY APPROACH PER NEWPORT BEACH STD-165—L
12 INSTALL STORM WATER SIMPLEX PUMP SYSTEM FOR FLOW = 20 GPM. PUMP SYSTEM TO BE DESIGNED BY OTHERS.
INSTALL PVC FORCE MAIN. SIZE PER PUMP SUPPLIER'S RECOMMENDATIONS. 6 RI c 13
O�P�'�"�U �\
&-INSTALL SUBDRAIN BEHIND WALL PER SOILS REPORT RECOMMENDATIONS AND DETAIL ON SHEET C3.
15 INSTALL SEWER CLEANOUT ON SEWER LATERAL PER C.P.C. 2013.�` No. 57587 �+
16 INSTALL STORM WATER LIFT STATION DESIGN FOR FLOW = 100 GPM. DESIGN FOR PUMP SYSTEM TO BE DESIGNED BY OTHERS. s9�F :1v1t_
17 CONTRACTOR TO CCTV EX. 6" VCP SEWER LATERAL AND PROVIDE DVD TO CMSD. DEFICIENCIES IF ANY, SHALL BE REPAIRED.
18 CONSTRUCT 4" PVC SOR 35 SEWER LATERAL PER 2013 C.P.C. (IF REQUIRED BY CMSD)
19 INSTALL BACK WATER VALVE AND SPLIT PLUMBING SYSTEM PER C.P.0 2013.
(FOR PLUMBING FIXTURES BELOW ELEVATION 64.88 ONLY)
20 INSTALL 12" SQ. ORAINBOX (SEE CONST. NOTE #8) W/ OLOCASTLE FLOGARD SHALLOW CATCH BASIN CALEB RI
C.E. 5 587
STYLE FILTER INSERT (MODEL #FG-M1212). INSTALL PER MANUFACTURER'S SPECIFICATIONS. DATE: �p -l7 /G
PREPARED FOR:
h of ai! rain !Ines or BRIAN BARSON
r . aCK 1i1.
5/1/2018 City of Newport Beach Page 1 of 19
4:30:15PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 05/02/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 2271 MESA DR
Activity : N2018-0235
SubType : NEW
Status : APPROVED
OWNER: PRIMM GARY E Phone:
APPLICANT: CAPACI ENTERPRISES INC Phone : 949-945-8362
Description : INSTALL 2 NEW 36" BOX STREET TREES, PLUG DRIVE APPROACH AND
RECONSTRUCT PORTION OF EXISTING SHARED DRIVE APPROACH PER STD,
CONSTRUCT NEW SIDEWALK PER STD 180-L.
Item: 10100 FORMS WITH COMPACTION - PW
Requested Time: 5/2/2018 12:00:OOAM Requestor: NBIVR
7143459371
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector: SNP-`�� Date: 2 �Z� Time: f�1 A PM
Comments: C �' le C I L-,_op4 Co v'rn �O vM G
4 ,
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMSMnspectorSheet.doc
REPT131 Run Id: 4018
r 6/3/2018 City of Newport Beach Page 1 of 17
4:30:04PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 05/04/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 2271 MESA DR
. r . ..±_': ,r, .. �;. i .,. :C.. .a tab , .aw..�ityZ't7P".. .G��'^ea:'i. v,� ••r a..:.�w �h 'lsl�'F�.. . ..
Activity : N2018-0235
SubType : NEW
Status : APPROVED
OWNER : PRIMM GARY E Phone :
APPLICANT: CAPACI ENTERPRISES INC Phone : 949-945-8362
Description: INSTALL 2 NEW 36" BOX STREET TREES, PLUG DRIVE APPROACH AND
RECONSTRUCT PORTION OF EXISTING SHARED DRIVE APPROACH PER STD,
CONSTRUCT NEW SIDEWALK PER STD 180-L. C yr
° �'"'-'asi�"� w•p}paS, r ... . .. .- .ro^'..
Item: 10250 FINAL - PW
Requested Time: 5/4/2018 12:00:OOAM Requestor: NBIVR
7143459371
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector: V25 L%(- j Date: (e Time: M PM
Comments:
-f eif.
��t. Lj•
F:\Users\PB W\Shared\E NCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018
6/25/2018 City of Newport Beach Page 6 of 15
4:30:30PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 06/26/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 2271 MESA DR
Activity : N2018-0235
SubType : NEW
Status : APPROVED
OWNER: PRIMM GARY E Phone:
APPLICANT: CAPACI ENTERPRISES INC Phone : 949-945-8362
Description : INSTALL 2 NEW 36" BOX STREET TREES, PLUG DRIVE APPROACH AND
RECONSTRUCT PORTION OF EXISTING SHARED DRIVE APPROACH PER STD,
CONSTRUCT NEW SIDEWALK PER STD 180-L.
Item: 10250 FINAL - PW
Requested Time: 6/26/2018 12:00:OOAM Requestor: WEBUSER
714-345-9371
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777'
Inspector: IC_, S (b)I Date: Time: - S� PM
Comments:
N/" T-1 V" I
r
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018
%/1212018 City of Newport Beach Page 6 of 15
4:30:41PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 07/13/2018
Inspection Type : ENCROACH
Inspection Area: PW
Site Address : 2271 MESA DR
Activity : N2018-0235
SubType : NEW
Status : APPROVED
OWNER: PRIMM GARY E Phone:
APPLICANT: CAPACI ENTERPRISES INC Phone : 949-945-8362
Description : INSTALL 2 NEW 36" BOX STREET TREES, PLUG DRIVE APPROACH AND
RECONSTRUCT PORTION OF EXISTING SHARED DRIVE APPROACH PER STD,
CONSTRUCT NEW SIDEWALK PER STD 180-L.
Item: 10250 FINAL - PW
Requested Time: 7/13/2018 12:00:OOAM Requestor: WEBUSER
702-528-7724
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777'
Inspector: J/
/2s��. ✓� Date: Time: J`� � � PM
Comments: CI
i
F:\UsersXPBW\Shared\ENCROACH\MASTERS\FORMSMnspectorSheet.doc
REPT131 Run Id: 4018