HomeMy WebLinkAboutN2017-0474�rti.r�r•ks ootcyiVocNe Newport Beach rive, Newportach. CA92660 IIIIIII�I�I�II��I�II������IIIIIII Permit No: N2017-0474
Permit Counter Phone (949)644-3311 Project No : 0772-2017 ��N A �.f1
k.. -t Online Inspection Request - www.newportbeachca.gov / Online V L J
Services
Inspection Requests Phone (949)644-3255
Job Address: 3990 WESTERLY PL NB Thomas:Guide: 859F7
Description : 3990 & 4000 WESTERLY PL - CONSTRUCT NEW CONCRETE PADS FOR ADA ACCESS, NEW CURB DRAIN PER STD 184-L (4000 WESTERKY SIDE), NEW
SIDEWALK @ DRIVEWAY
APPROACH, GRADE LEVEL PLANTER AREA AT FRONT OF BOTH PROPERTY SIDES; RIGHT-OF-WAY INSPECTION.
Parcel # :
4272-210-3 -
Legal Desc :
P BK 39 PG 18 PAR 3
Owner:
ANAHEIM INVESTORS LLC Z �/
Contractor: COASTLINE DEVELOPMENT INC
Phone:
949-253-9511
Phone: 714-265-0250
Address :
2235 FARADAY AVE #O
Address : 13911 ENTERPRISE DRIVE
CARLSBAD, CA 92008
GARDEN GROVE CA 92843
Contractor State Lic: 485187
Applicant:
COASTLINE DEVELOPMENT INC
License Expire: 01 31, 2018
Phone:
714-265-0250 [
Address :
13911 ENTERPRISE DRIVE
GARDEN GROVE CA 92843
Business License: BT30053651
Business Expire: 01 31, 2018
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier : EVEREST NATIONAL
Policy No: 7600014215
W. C. Expire: 01 01, 2018
Permit Processing Fee :
$241.00
Sewer Connection :
$0.00
Total Fee
$571.00
Agreement Fee:
$0.00
4TT Box Cover:
$0.00
Paid :
$571.00
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:
$0.00
Processed By:
Date: _/_/
Other Department :
Date
Utilities Approval :
Date : _/ /
Permit Denied -
Date:
7
Traffic Approval :
Date: _/_/
Issued Permit :
Date :? /�-'5/1
General Services Approval : Date: _/ /
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: ZI Q WO ]F'C IveklPoAtC
TJA
17 DE OF�PROPOSED RIo 73
��
V 1 �� O I I V• - &// 9
V �- 1 V I•
'
APPLICANT: Phone:
Email Address:rAj�j eCpC'o/¢lt- p
Mailing Address:
City/State/Zip:
OWNER: to �,(/R
Phone:
Email Address:
Mailing Address:
City/State/Zip:
ALL CONTRACTOR NFORMAMON LSIRE .L' ME COMPLETE
CONTRACTOR: C g a %i G ✓{ C O %'/yJ1�✓�
Office Phone: 7 y ? s l3 2 G
Company (if different):
Jobsite Phone: Te
Other Phone:
Email Address:
Mailing Address:
15711 ' fc i fe
City/Stat ip: I
e dV I` (' 9
S to License Number & Class:
lir Ex ices: '-3 . /�
Ci Business License Number:
5,1 Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Com an ,r(l#-Res,r �.4 f/Q/!/,,?-1 Pollc No: 74(6) /"NSA ires:
Municipal Orations: 949-644-3055
Utilities: 949-644-3011
Urban Forestry: 949-644-3083
77
Special Conditions of Permit:
AV
ADDITIONAL APPWVAL RECOM PPAN THE POLLOMUG OEPARTMENU
Utilities:
Municipal Operations
Traffic: 0 Fire:
Other:
Engineering Technician:
Permit S •st
/
Date:
lS
Permit No.
N2017- n q 7�
t:/users/pbwlshared/enomacWmasters/epwafthest.As
J 0 `) Public Works Department 949-644-3311
100 Civic Center Drive, Newport Beach, CA 92660
�lsY e
y(' MfiFtla u is
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: OCa R e 7e
ace- lye TrrIfF
"'r-%
DE AI E DES ON OF PROM$ED V)I K:� �
0 /i � G /� (, �r /� ✓ it
dox'11 1/ / 'V TO
eJ'-1' �-Yl/v
APPLICANT: >✓
Phone: 71f
L G
Email AddressjfN,44 C�'iIS'Ir�/Y'G D,� /o �'� f- CdAl
Mailing Add
City/State/Zip:
OWNER:OGQl1,41 41-e:if ffollefrx 4feV'4 "
Phone:
Email Address:
Mailing Address:
City/State/Zip:
ALL-CONTRAMOR'INFORMIiOl
� E COMPLETE
CONTRACTOR:('Q,1st// h" e D e o-c lo%,N t y f
Office Phone:
Company (if different):
Jobsite Phone:
`i 41.3c e G
Other Phone:
Email Address:
Mailing Add":
>3 // GN t �R �?�Sr
City/Sta ip:
C 01L' �Y% C%! y 2 If, y3
State License Number & Class:
43 Expires:
Ci Business License Number:
(I L $ / Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: VllQjtsi /L'R `a/YA Policy No:;?e;6,x1JY21 5171 Expires: - - / k
Municipal Orations: 949-644-3055
Utilities: 949-644-3011
Urban Foresta: 949-644-3083
-FOR`tiFl
1E �-
Special Conditions of Permit:
ADOIT101�W OPQUWAPPUAWAM1
A.RTMENTS
Utilities:
Municipal Operations
Traffic:
Other:
0 Fire:
0
Engineering Technician:
Permit S ialist
Date: f
15
Permit No����,
N2017-
t:lusera/vauiahared/encroa&ftast"epwork~.xis
Public Works Department 9494"-3311
100 Civic Center Drive, Newport Beach, CA 92660
Permit Processing Fee:
Public Works Only $241.00
Other Department $275.00
Agreement Fee:
Preparation of Report/Agreement $81'
Document Recordation Fee $192.00
Monitoring Wells $502.00
Inspection Fee:
Public Works Field Inspection $165.00 IM
Utilities Field Inspection $121.00
General Services Inspection $165.00
Water Quality/Artificial Turf Inspection $108.00
Refundable Deposit: TBDB
Improvements TBD
Street/AlleylWalk Closure: $65.000 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 S Cover $64.00
Additional
1 THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division 1
1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: !
ill•
Qty-
Water Meter:
Installation Charge $528.00
13/4" Meter
$50.25
Water Meter Boxes: 1
11" Meter
$121.50
For Parkway & Sidewalk Area (Box + Cover = Cost 1
11 1/2" Meter
$285.00
1" Meter: 13.00 + 37.00 $50.00 1
11 1/2" Turbine Meter
$700.00
2: Meter 27.00 + 61.25 $88.25
12" Meter
$425.00
12" Turbine Meter
$845.00
For Traffic & Alley Areas (Box + Cover = Cost) 1
13" Meter
$3,310.00
1" Meter. 13.00 + 38.00 $51.00 1
�4" Meter
$4,730.00
2" Meter. 27.00 + 162.00 $189.00
6" Meter
$7,190.00
MISCELLAMEOtIS
FEES
Certificate of Compliance Fee (+100% of My 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 hry 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
`��j 5
Permit S cialist
Receipt No.
f./userWpbw/"edfencroach/masterslep front and back masters/
Rev. 1/5R017
epfeesheetAs-revised 1021/2016
I ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR
Contact "Underground Service Alert" At Least 48-Hours in Advance of Any Excavation at 800-422.4133
TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code)
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 self -insure, Cer 'ficate o Worker's
contractor must provide a 'Letter of Authorization' to allow another party to pull a permit. An approved copy of the
Com en Insurance, or a Certified Copy thereof.
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 d work does not commence within 30 days
Date Signature: ;
after date of issuance
CERTIFICATE OF EXEMPTION (Section 3800 Labor 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.
provprov si
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
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 Slate 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 (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
Date: Signature:
4TT box. over the riser.
24-hour notice for Encroachme t PP PrAt�spection ' e red 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 safety 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 .
California Department of Transportation. If needed, barricades can be obtained from the City at a charge of $10.00
utility 15 Any above ground u
tfacilities ill 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 limes.
affected property ownility
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
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
1
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
acquire a Temporary Street Closure Permit from the Public Works Department. Access for fire, police and
fines
Quality Laws are punishable by fines up to $25,000 and/or up to three years in State
emergency vehicles must be maintained at all times. Traffic Control must be per Work Area Traffic Control
prison plus the full cost to clean illegal discharge or spill.
17. If a refundable deposit was paid, applicant must submit a Soils Compaction
applicant
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 ll and request a final inspection from the
the Public Works Department. Any work affecting the State Highway's traffic or within the Slate 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, or 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 only, unless previously
for the collection schedule so service is not interrupted. To place a dumpsler or materials in the public right-of-way, a
approved by Public Works and an Encroachment Agreement has been processed.
Temporary Street Closure Permit must be obtained from the Public Works Department.
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 ghall be performed until the Public Works Department has Issued this permit. Applicant hereby acknowledges he/she has read and-unders�nds !:e; 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 Issuance. /J / /�S LJ L ��
Permit fees are nonrefundable. Da %L L!._._ Signature: 9 ----- - T.
q/18J201, ' City of Newport Beach Page 1 of 15
6 34:07AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 09/18/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 3990 WESTERLY PL
Activity : N2017-0474
SubType : NEW
Status : APPROVED
OWNER: ANAHEIM INVESTORS LLC Phone : 949-253-9511
EMENDIAZ@OCEANWESTi
APPLICANT: COASTLINE DEVELOPMENT INC Phone : 714-265-0250
Description : 3990 & 4000 WESTERLY PL - CONSTRUCT NEW CONCRETE PADS FOR ADA
ACCESS, NEW CURB DRAIN PER STD 184-L (4000 WESTERKY SIDE), NEW
SIDEWALK @ DRIVEWAY APPROACH, GRADE LEVEL PLANTER AREA AT FRONT OF
BOTH PROPERTY SIDES; RIGHT-OF-WAY INSPECTION
Item: 10200 P_ RE�O6a.0W 1 !
Requested Time: 9/18/2017 12:00:OOAM _* Requestor: NBIV
7144304876 PAr
Entered By: NBIVR
Comments: AM /' `� ��►
Inspector: � \/ Date: Time: 2; aA P
Assignedo
Comments: VAefe-L� S77�)
-1?ofilo
5
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
9/28/2017` City of Newport Beach Page 1 of 12
*31i:01PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 09/29/2017
Inspection Type: ENCROACH
Inspection Area: PW
- Site Add. ess. 3990 W€ST€RLY PL
Activity : N2017-0474
SubType : NEW
Status : APPROVED
OWNER: ANAHEIM INVESTORS LLC Phone : 949-253-9511
EMENDIAZ@OCEANWEST,
APPLICANT: COASTLINE DEVELOPMENT INC Phone : 714-265-0250
Description : 3990 & 4000 WESTERLY PL - CONSTRUCT NEW CONCRETE PADS FOR ADA
ACCESS, NEW CURB DRAIN PER STD 184-L (4000 WESTERKY SIDE), NEW
SIDEWALK @ DRIVEWAY APPROACH, GRADE LEVEL PLANTER AREA AT FRONT OF
BOTH PROPERTY SIDES; RIGHT-OF-WAY INSPECTION.
Item: 10100 FORMS WITH COMPACTION - PW
Requested Time: 9/29/2017 12:00:OOAM Requestor:
Entered By: NBIVR
Comments: AM
Insp;q ti9ned to
fo %t*
NBIVR
7144304876 %
Date: Time: AM PM
Comments: aFw%q qL ryay .S fin' ` � i bo-L
AtTQ 4- ry 9-yo," t Sle-J eftM:- Ceko r74- IVVW
6N pQkU p2A p yoL•
Logged
Refile
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018
1,01912017 City of Newport Beach Page 1 of 8
4:30:26PM INSP1SO - Daily Inspection Request Report
Requested Inspection Date: 10/10/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 3990 WESTERLY PL
Activity : N2017-0474
SubType : NEW
Status : APPROVED
OWNER: ANAHEIM INVESTORS LLC Phone : 949-253-9511
EMENDIAZ@OCEANWESTI
APPLICANT: COASTLINE DEVELOPMENT INC Phone : 714-265-0250
Description : 3990 & 4000 WESTERLY PL - CONSTRUCT NEW CONCRETE PADS FOR ADA
ACCESS, NEW CURB DRAIN PER STD 184-L (4000 WESTERKY SIDE), NEW
SIDEWALK @ DRIVEWAY APPROACH, GRADE LEVEL PLANTER AREA AT FRONT OF
BOTH PROPERTY SIDES; RIGHT-OF-WAY INSPECTION.
Item: 10100 FORMS WITH COMPACTION - PW
Requested Time: 10/10/2017 12:00:OOAM Requestor: NBIVR
i r'�-• '��
Entered By: NBIVR 7144304876
Comments: AM
InsL8�ed to : Date: �G//'-V Time: ;S".t�M
Comments:
/SS I
A4c—.t ""'z to.
C./
r 7' ol"�C-�ss
el
F:\Users\PB W\Shared\ENCROACH\MASTERS\FORMS\Insoectorsheet.doc
c_'CPyC.
Refile
I/
REPT131 Run Id: 4018
�0/23/2017 City of Newport Beach Page 1 of 7
' 4:30:49PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 10/24/2017
Inspection 'Type: ENCROACH
Inspection Area: PW
Site Address : 3990 WESTERLY PL
Activity : N2017-0474
SubType : NEW
Status : APPROVED
OWNER: ANAHEIM INVESTORS LLC Phone : 949-253-9511
EMENDIAZ aQOCEANWESTI
APPLICANT: COASTLINE DEVELOPMENT INC Phone : 714-265-0250
Description : 3990 & 4000 WESTERLY PL - CONSTRUCT NEW CONCRETE PADS FOR ADA
ACCESS, NEW CURB DRAIN PER STD 184-L (4000 WESTERKY SIDE), NEW
SIDEWALK @ DRIVEWAY APPROACH, GRADE LEVEL PLANTER AREA AT FRONT OF
BOTH PROPERTY SIDES; RIGHT-OF-WAY INSPECTION.
( y •r . .ytl.n l
Item: 10100 FORMS WITH COMPACTION - PW
Requested Time: 10/24/2017 12:00:OOAM Requestor: NBIVR
7144304876
Entered By: NBIVR
Comments: AM
Ins igned to : Date: Time: / AM M
Comments:
Loggeo
Refile
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131. Run Id: 4018
12/412017 City of Newport Beach Page 9 of 11
6:34:13AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 12/04/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 3990 WESTERLY PL
AMID Information:
Activity : N2017-0474
SubType : NEW
Status : APPROVED
OWNER: ANAHEIM INVESTORS LLC Phone : 949-253-9511
EMENDIAZ@OCEANWEST,
APPLICANT: COASTLINE DEVELOPMENT INC Phone : 714-265-0250
Description : 3990 & 4000 WESTERLY PL - CONSTRUCT NEW CONCRETE PADS FOR ADA
ACCESS, NEW CURB DRAIN PER STD 184-L (4000 WESTERKY SIDE), NEW
SIDEWALK @ DRIVEWAY APPROACH, GRADE LEVEL PLANTER AREA AT FRONT OF
BOTH PROPERTY SIDES; RIGHT-OF-WAY INSPECTION.
Requested Inspections)
Item: 10250 FINAL - PW
Requested Time: 12/4/2017 12:00:OOAM
Entered By: WEBUSER
Comments: AM -
Assigned to: zzzzzzzzzzz*
2 S_
Z-/9/1 -7
Requestor: WEBUSER
714-743-0227
q co A M
Zo�1� C1s
cf C `l-� 7 Z -
Oil
) Z-1 S c 7 �r�y �r //
e
12/5/2017 City of Newport Beach Page 2 of 12
4:30:40PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 12/06/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 3990 WESTERLY PL
Activity : N2017-0474
SubType : NEW
Status : APPROVED
OWNER: ANAHEIM INVESTORS LLC Phone : 949-253-9511
EMENDIAZ@OCEANWESTt
APPLICANT: COASTLINE DEVELOPMENT INC Phone : 714-265-0250
Description : 3990 & 4000 WESTERLY PL - CONSTRUCT NEW CONCRETE PADS FOR ADA
ACCESS, NEW CURB DRAIN PER STD 184-L (4000 WESTERKY SIDE), NEW
SIDEWALK @ DRIVEWAY APPROACH, GRADE LEVEL PLANTER AREA AT FRONT OF
BOTH PROPERTY SIDES; RIGHT-OF-WAY INSPECTION.
Item:
10250 1 FINAL - PW
Requested Time:
12/6/201 12:0O:OOAM
Requestor:
NBIVR
7147430227
Entered By:
NBIVR
Comments:
InsIk%066,t„ .
AM . J
L,� I Date:
Time: `'I - (i A PM
Comments:
15-� - z (ET
COMPLETED
F:\Users\PB\MShared\ENCROACHVAASTERS\FORMS\Insoectorsheet.doc
REPT131 Run Id: 4018