HomeMy WebLinkAboutN2017-0333ao Newport Beach
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oogcoBeach, CA 92rG0 11111111
t^ Permit Counter Phone (949)644-3311
s Online Inspection Request - www.newportbeachca.gov / Online
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Services
Job Address: 412 PIAZZA LIDO NB
Description : TRENCHING FOR EDISON UNDERGROUND CONDUITS
Parcel#:
4231-831-1 -
Legal Desc :
N TR 907 LOT 788
Owner:
THOMAS CHRISTOPHER/DIANA
Phone:
Address :
3419 VIA LIDO #137
NEWPORT BEACH, CA 92663
Applicant: GALLAGHER SHAWN
Phone : 714-642-0105 [
Address : 670 W 17TH STREET #F3
COSTA MESA CA 92627
Special Cond.: PRECON METTING REQUIRED WITH PW
INSPECTOR
Permit No: N2017-0333.-
Project No: 0169-2017
Inspection Requests Phone (949)644-3255
Thomas:Guide: 888J7
SCANNED
Contractor: KISLING DONOVAN M
Phone: 949-374-2941 949-374-2941
- Address : 25571 VESUVIA AVE
MISSION VIEJO CA
Contractor State Lic: 873678
License Expire: 03 31, 2018
Business License: BT30056485
Business Expire :
09 30, 2017
Workers' Compensation Insurance - -
Carrier :
STATE FUND
Policy No:
91747727
W. C. Expire:
12 19, 2017
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
U
Processed By :
Date : _/ /
Other Department: Date
Utilities Approval :
Date : _/_/
Permit Denied Date
Traffic Approval :
Date: _/_/
Q
Issued Permit Date : (0
&-L
General Services Approval :
Date:
WORKSHEET FOR ENCROACHMENT PERMIT
CITY OF NEWPORT BE-AGH
PUBLIC WORKS DEPARTMENT.
: ..
PROJECT ADDRESS: 4el2 / Z Z / c7
DETAILED DESCRIPTION OF PROPOSED WORK:
—T
APPLICANT: SjAav ,1 ( 1 e T- Phone:
Email Address: S �i-((a e ,�� s oCa (, r/-, c oL4
Mailing Address:
Co-7v w lief S . F 3les�<�
Ci /State/2i
9z� 27
OWNER: ' b, exeAa h arm a 5 Phone: % 9_ 9 Y� - 3
Email Address:
Mailing Address-
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City/St telZip• yr � Z 66 3
Pe e `�
ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE
CONTRACTOR: S
Office Phone:9 - 3 - 2`I'I/
Company (if different):
Jobsite Phone: 7/ &/-& 4/2 -o ! o
Other Phone: '?- 3 - 2 9 /
Email Address: ono ✓ �� oa�oy
Mailing Address:
City/State/Zip:
Lf�t >t V a A OA v 40
State License Number & Class:
JL /0 7 Expires:
City Business License Number:
Expires:
ORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: Expires:
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Mail:
FOR OFFICE USE ONLY
tions of Permit:
Special CTe
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic: Fire:
Other:
Engineering Technician:
Public Works Specialist:
3-49-
Date:
Permit No.
1
t.
Public Works Department 949-644-331 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
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 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
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 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.
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. Locale 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 lhe—
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.
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.
1'1. 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 nightlime 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 Slate Highways traffic or within the State Highway right-of-way
will require a Callrans 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 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 Workers
C1omp/ ton% �s—u�rance, or a Certified t�Iireo�fpate{-('- L1 Si nature.
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:
hour notice for Encroachm rmit Inspection is required by calling
lic Works at 949-644-331`
115 Any above ground utility facilities will require documented approval from the adjacent
affected property owner(s).
16 Homeowner, contractors, and subconlracotrs may each be liable for violations of Walef
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 Wa!er
Quality Laws are punishable by fines up to $25,000 and/or up to three years in Slate
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, cr relocated
without approval from the General Services Department.
19. All work in the public right-of-way must meet the approval of the Public Work
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.
I No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereby a kn wledges he/she hl!.7so a 7110V
erstands the terms and I
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 c �
Permit fees are nonrefundable. Date: /-7. signature: /
FEE WORKSHEET FOR ENCROACHMENT PERMIT
CITY OF NEWPORT BEAN
PUBUC WORKS bEPARTMENT
All Fees Are Non -Refundable Unless Otherwise Stated
PROJECT ADDRESS:
I
Z (Matta Ll d 0
PERMIT 0333
N2017-
NUMBER:
APPLICANT:
Permit Processing Fee: Q
Public Works Only $241.00
Other Department $275.00
Agreement Fee:
Preparation of Report/Agreement $817.00
Document Recordation Fee $192.00
Monitoring Wells $502.00
Inspection Fee: Qty.
Public Works Field Inspection $165.00
Utilities Field Inspection $121.00
General Services Inspection $165.00
Water Quality/Artificial Turf Inspection $108.00
Refundable Deposit:
Improvements
Street/Alley/Walk Closure: $65.000 Newspaper Rack Inspection
Traffic Control Plan Check
8-1/2" x 11" $65.00 Sewer Connection Fee
24" x 36" $143.00 4TT Box & Cover
Additional
_ _ _
1
THE FOLLOWING ITEMS REQWRE APPROVAL FROM THE
I REVENUE DIVISION PRIOR TO PAYMENT OF FEES
TBD
TBD
$108.00 0
$.00 $64B
64.00
Revenue Division 1
QtY•
1
(Water Meter:
Installation Charge $528.00 �
13/4" Meter
$50.25
Water Meter Boxes:
11" Meter
$121.50
For Parkway & Sidewalk Area (Box + Cover = Cost
11 1/2" Meter
$285.00
1" Meter: 13.00 + 37.00 $50.00
11 1/2" Turbine Meter
$700.00
2: Meter: 27.00 + 61.25 $88.25
12" Meter
$425.00
1
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
14" Meter
$4,730.00
2" Meter: 27.00 + 162.00 $189.00
16" Meter
$7,190.00
1
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 EasementtVacation Fee (+100% of hry over 4 hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
.......................................................
TBD
030-2284
Engineering Tech:
Joe,
Total Amount Due:
$ c I 0 o
For Finance Use Only
�,d
4114/11
Permit Specialist
Receipt No.
�fJusers/pbw/sharedlencroach/masters/ep
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front and back masters/
Rev. 1/5/2017
- J �
epreesheet.xis-revised ionsnale
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PROI -T R O IIR u ITS (Y/N)
EDISON EASEMENT REQUIRED
m
PROD M REQUIRED
PERM? REQUIRED
PERMIT TYPE: ENCROACHMENT
OUTAGE REQUIRED
Q
OUTAGE DATE: Timc
TRAFNC CONTROL REQUIRED
Q
PEO. TRAFne CONTROL REO'D
CONVEYANCE LETTER REO'D
Q
ENVIRONMENTAL CLEARANCE REO'D
CSO 140 (TLM) REVO
• tl .w wMM
T.L.M. DATA : 5100053
512E
KVA
COST ROAD
EXIST : 75
78.7
25 104.9
PROP : 75
81.4
25 108.5
VOLTAGE DROP :
2.242
FLICKER FACTOR
3.511
RM: I- CNN BAR INS LT DUTY )B-350 IP B-WAY
RM 100- 2-12 1-/4 CUP (NOO52 TO EX PW)
IN: 1- CNN BAR INS Lf DUTY P-350 IP 5-WAY
CF. BO- 3' ONCT (M0032 TO P/L)
CF: W ON DUCT FOR EXCAVATION
IN: 105- 2-4/0 1-I/0 OP (1,10052 TO NEW PNL)
IB: 20- 2-4/0 1-1/0 QP
IN: I- CNN PTAL STRT FOR 100A NEW 4/0 IP
U0052 TO P/L cv
IN: 4/0 CLP /
W
EX: 312. 1-3' DUCT /
(V0053 TO M0 CLP)/
RM: 312' 4/0 CLP
IN: 312' 8350 CLIP
A
Aw m wpwar. N( SOE/w. kft- ... Pr oak aRaa PUN)
A. Ir.r Y nq.wW b 4wN b q. Nlurr. rirrvw
:w•rl..iaterw�de.rrw.r.•yuta•.�irw.Ya�rw ar.w.
RM: 100' /2 CLP
(MOOS2 TO EX PNL)
3' EASEMENT
SECURED
CO: 25' 1-3* Du
(PA TO NEW PNL)
IN: 4/0 CLP /
MM
BION sm
/
'12P1AaALX 8IF=E ACHCAI=I= 4,
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b
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5'e10'v.r TIR STYLE
OC 75KVA 12KV 120/NO 1P
RN. I- CNN BM INS LT MM A-350 IP B-WAY
RN. 312- 2-4/0 1-1/0 O P (VOOS3 TO MODS2)
RA 1- CNN BA2 ILLS LT DUTY A-350 IP B-MAY
RL 312- 2-jMO 1-4/0 CUP (VOOSS TO W0052)
Y 20- 2-/350 1-4/0 OP
RM I- MIR KMI 30A 120/240 IP 31,
k I- MIR KBM 30A 1201240 IP 3111
MSR* 7876159
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sly / SCALE: 1' - 20'
/ 0 20 40
2 PIAZZA LIDO
WPORT BEACH. CA 92663
CONSTRUCTION NOTES:
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mar. rlm •.a r.0
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r.Yp. r raw .t .rr aw .wr..M r •�1 r aw rrrr
rarer stra w = A..ra
aaryar r.aww . rw paw r r r r r rrmr.
r .row an..or r awes r .I.aaa fw4 r rllrb r.ra.ls M W.
raw r awry r raw. r rw w ~ wr...b
n aralaw All nmmY
r aror w p.Ar a.I.lr wr r awry arr r rw maw .aft raw r
rrw•w M awe b peI r.rw Y W Iwall.r.lsrit. errrr awwaw.frw r Wrir. rwrr rr.rrw 1 r wpa.rAr �.Y+r
r molrc r eta ~forme
r law. pM. r aw m .b r ar r rwr r M rrrr. r aw 1Yr aaar.r
=raw aft ra.rr. wr.y raw. r Y rwr I.Irr r .raw r r...rwr
r brbwr . b rx b r 1— Osy r row r. •rsl w.l r r...Yr awll
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�r r.rr.
raw .r r e.rr� r w r r raw.• elrw
ad a a*-ala..•w. Y •wrt r ar..w..r.l Ixlr•.r alalwY II r r.sr
r ri wr f. r aw raw yarY w. b e.Ial 1. r rl.star.\ l..raw.
rrxywlwrYafM a1r.yf l•Ils.rr! wbarrr Yw.q
aW M.rr allow ram rrrrr r a.rw. r ilrwr lay ry a.tw M r
wl.+r raw
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Oust and SMrOfr NW10: TOM SHEPPARD Pl aIr 714-825-0448
Gaup emomam C.wdrdar Fla
wANNNo
Willman rt ra Y 410r rmrr w Ar
UNDERGROUND SERVICE ALERT
mlba wr l.rmarm fared rMI raw YLf r
Oial B11
raw w I_r m.rrw w rr4e r raw Yu
Cm USA
Al ovum AV "Am L ramAMY'O 14
raw Ur.Orfr
MIN, rwrrra w Oftf LMIM all, MOW f
2 r.IrMO 0•1• 41er. feu
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FINAL DESIGN
0PROVED FOR CONSTRUCTION
CONNECTING TO EXISTING SCE STRUCTURES
. P. ox e.er.rrr wYwra r Iw lb.w 1. W. ae1...1
. Ib-r r .rla l am .In.ea..a, .rtwwt . rrrlWr raw
aw aw .raw r r.wl.J by WL falllrl IM w.r..aMa ]m
r•.wl...ra.rft w gr.M _ eraw.. eery ..a..l b w
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ar o.arw 160"0— (.+Iw. awl aw .rl.r b. m —1
a11rr. rW rxr cabal r wr r..IIII..I. bWr.yW-M
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r.4 r rllblr W-./OW r raw ...rb r arw.rY14.).
rrmw b Imommou w .a..r rww.<.l
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WORKSPACE
SURFACE -MOUNTED OR SEMI -FLUSH
METER INSTALLATION
SEE ESR 5-25
w r (Q lave l)
IOL f am
a/m v m
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awls
L raw -010 a @La-M sr raw clam O raw ma w rt WAM maw waa m arm imeld r.0 i
M Itla YYYI a Illrrml OtYYC Itll It Om u M ma rAm A fr mw w a sec v r0_t
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Ym raw. amm ell t a o rr4 m wsa •O ww w rea Imresal 0e1 r rlml[ OY r raw
lewt.a comas 4 YM m m�A N.mmrmr Q O arrt f-.Orm Yf0
L • am err Ar rl.me vaR rllr r Iramio, mfmt m M lrrmw raw rum Sol m
Im.Im w tt urr �flO m[Om/Q maw/m i.ma wmra. NlmD rum Mlm was
vR raw wrrr.OM rtOua .t coaY r YdQ raw v i rya r w mler rat me0 r a emtl v corm
M mean, raw o K mvrm ■ rwlo maw M ft earl m mml tm roar
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ru r .yrA.
TYPICAL CONDUIT BANK SECTION
SEE UOS CD 120
A
rc
mmrn
r �f
r
mtY rteMl%wra � cbdw
a.. r .m,.
PROSCT REQUIREMENTS (Y/N1
CNN EASEMENT MUM
PIRG N WALWO
PERmT R mom
POW IN% ENCROACHMENT
OUTAGE REWNIED
OUTAGE DATE: TIME:
TRARIC DONTROL REUVO
PED. TRAFFIC WWntOL Min
00"NAMCE LEVER REWD
E"WIw nAL O mum wwo
.11a r --Ak11
T.L.Y. DATA: 510000
SIZE KVA DUST ROAD
EMS? : 75 787 25 104.9
PROP : 75 $1.4 25 IOLS
VOLTAGE OROP : 2.942
FUCKElt FAC70R : 1512
RN: I- OM &A Ls LT OLIPf 0-350 0 9-WAY
RM IDD• 2-R 1-0 CLP M Ell Pm)
m 1- co w N8 LT Wff ♦ -350 IP $-my
CF,. R0- r W (YOR2 TO PA)
CF. W 01 W FOR EWAVATNNU
IN: 1W 1-4/0 I -IA CLIP (1106i2 M mY PNL)
It W 2-4/0 1-1/0 CLP
NA 1- ON PTAL SIR FOR NKM WM 4/0 IP
EX: 312' 1-3' DUCT
(VO053 TO M0052)
RM: 312' 4/0 CLP
IN: 31Z 9330 CLP
M TO P/L/
M:: 4 4/0 Cl6 /
/
ea
r bM.r• M oft
M r6irW. �Vr1
rwwrw 7.a rl..lar r r .n.W 1. ,,ir .r e..lrei
RM: 100' /2 CLP
\\ (M0052 TO EX PNL)
/ 3' EASEMENT
SECUREO
CO,. 23' 1-3' DUCT
tPA TO NEW
ft 4/0 CLP PNL) /
40 MMIMM WERPaEr9WaMG�01b0 {
6
V
I
EX: V5100053 VAULT
1
/
5'910v.r TIM SM
EX MM 12n 120AG 1P
&L 1- ON lM N8 LT WRY 0-3S0 M $-MT
RY 312- 2-41t I -IA OP (VOOS7 ID MMS*
K I- DINT MA to u WIIY a-= IP 6-MY
IN 312- 2-pm 1-4/0 CLP (vam.T TO M2E62)
m 20- 2-OM I-4/0 OP
RY I- YIN KM WA 120/N0 V M
of I- MIR KM MA 120/2401P 39
Milt 70156
l
/
Man
r .Z.. 4e•.r
e
wf u
a' A.
tY i Lr. U
Ila.
l
EDISON
waver a.,.w
A SGAE: I' . 20'
/
2 PIAllA L100
.PORT BEACH. CA 92993
6120,2017 City of Newport Beach Page 4 of 18
6:34:37AM INSP160 - Daily Inspection Request Report
Requested Inspection Date: 06/20/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 412 PIAZZA LIDO WOO 151-#()
Activity : N2017-0333
SubType :
Status: APPROVED
APPLICANT: GALLAGHER SHAWN Phone : 714-642-0105
OWNER: THOMAS CHRISTOPHER/DIANA Phone.
Description : TRENCHING FOR EDISON UNDERGROUND CONDUITS
Ite 10200 PRE JOB - PW l ��
Requested Time. 6/20/2017 Requestor: NB1
9493742941 Od /l/ d V -1v
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector: %A Date: 1-7 Time: l0:3c,3 A PM
Comments: Wl,i;�, - / D 0/V U yPt'V
e AA (o 1 Z3l I
/ ' Adw,
LA. S A- a�e 717 * v LI / Z
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F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
�17-,--0333
�v
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Inspector: date:
Comments:
F:1Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
Time: AM PM
REPT131 Run Id: 4018
< 6129/2017 City of Newport Beach Page 1 of 6
4:30:13PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 06/30/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 412 PIAZZA LIDO
Activity : N2017-0333
SubType :
Status : APPROVED
APPLICANT: GALLAGHER SHAWN Phone : 714-642-0105
OWNER: THOMAS CHRISTOPHER/DIANA Phone:
Description : TRENCHING FOR EDISON UNDERGROUND CONDUITS
Item: 10050 EXCAVATION- PW
Requested Time: 6/30/2017 12:00:OOAM Requestor: NBIVR
9493742941
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector: Date: Time: AM PM
Comments:
7 U
F:\Users\PB*Shared\ENCROACH\MASTERS\FORMS\Insoectorsheet.doc
REPT131
Run Id: 4018
7/5/2017 City of Newport Beach Page 4 of 9
6:34:47AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 07/05/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 412 PIAZZA LIDO
AM hdo i mHof1:
Activity : N2017-0333
SubType :
Status : APPROVED
APPLICANT: GALLAGHER SHAWN Phone : 714-642-0105
OWNER: THOMAS CHRISTOPHER/DIANA Phone:
Description : TRENCHING FOR EDISON UNDERGROUND CONDUITS
Requested inspec�ion(s�
Item: 10080 SERVICE CONNECTION - UTIL
Requested Time: 7/5/2017 12:00:OOAM Requestor: NBIVR
Entered By: NBIVR
Comments: AM
Assigned to:
9493742941
ho
yV,k) DVAI4
Inspector: \ Date: -1 SI I Time:
Comments:
7Vr`
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
AM PM
?Zk, i r- wv2u. 15
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7/10/2017 City of Newport Beach Page 2 of 3
6:34:09AM INSPI60 - Daily Inspection Request Report
Requested Inspection Date: 07/10/2017
Inspection Type: ENCROACH
Inspection Area : PW
Site Address: 412 PIAZZA LIDO
AIPlID IIaw- on C
Activity : N2017-0333
SubType :
Status : APPROVED
APPLICANT: GALLAGHER SHAWN Phone : 714-642-0105
OWNER: THOMAS CHRISTOPHER/DIANA Phone:
Description : TRENCHING FOR EDISON UNDERGROUND CONDUITS
/00 d0 — 9ER'V1(�r y�ursllyd Iusprclio�yN
Item
Requested Time: 7/10/2017 12:00:OOAM
Entered By: NBIVR
Comments: AM
Assigned to:
Requestor: NBIVR
9493742941
t7v/VO V^ f
Inspector: Date: A 0 % Time: / `� AM M
Comments: ��'yJ/dG �i--J 7 G'���� ��, �,t/ --5-7`,oV-Z- G
ogle
F:\Users\PBW\Shared\ENCROACH\ MASTERS\FORMS\InsoectorSheet.doc
' I
7N 1/2017 City of Newport Beach Page 6 of 12
6:34:26AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 07/11/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 412 PIAZZA LIDO
Activity: N2017-0333
SubType :
Status : APPROVED
APPLICANT: GALLAGHER SHAWN Phone : 714-642-0105
OWNER: THOMAS CHRISTOPHER/DIANA Phone:
Description : TRENCHING FOR EDISON UNDERGROUND CONDUITS
Item: 10020 PERMANENT PAVING- PW
Requested Time: 7/11/2017 12:00:OOAM Requestor: NBIVR
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector:
9493742941
Date: I / i'l 4 / Time: % - IS— M PM
Comments: tv,5%-Uz�
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10/3/2018 City of Newport Beach Page 5 of 16
4:30:37PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 10/04/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 412 PIAZZA LIDO
Activity : N2017-0333
SubType :
Status : APPROVED
APPLICANT: GALLAGHER SHAWN Phone : 714-642-0105
OWNER: THOMAS CHRISTOPHER/DIANA Phone:
Description : TRENCHING FOR EDISON UNDERGROUND CONDUITS
Item: 10250 FINAL - PW
Requested Time: 10/4/2018 12:00:OOAM Requestor:
Entered By: WEBUSER
Comments: AM-
Assigned to 77777777777*
ov,12t'
tj�nx�e,
WEBUSER
949-673-9309