HomeMy WebLinkAboutN2017-0417BeachBp a
C� tyVof Newportic
IIII I III2IIIIIIIIII
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NA 1I 7-o417,
Center ortBeach, CA 92660
Permit No:
r
1�
Permit Counter Phone (949)644-3311
Online Inspection Request - www newportbeachca
gov / Online
Project No
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Services
.
Inspection Requests Phone (949)644-3255
Job Address:
126 ABALONE AVE NB
Thomas:Guide: 919131
Description :
Install 43 LF of 4-inch conduit, 1 above ground conduit, 1 ground bed, and
relocate above ground conduit on Park Avenue adjacent to the address.
Pavement restoration per City Standards.
Parcel # :
0501-822-3 -
Legal Desc :
BALBOA ISLAND SEC 5 BLK 2 LOT 17
Owner:
HOLMES JEANNE G
Contractor
Phone:
0
Raw
Phone:
Address :
126 ABALONE AVE
Address
NEWPORT BEACH, CA
Contractor State Lic:
Applicant:
AT&T CALIFORNIA
License Expire:
Phone:
714-618-9132 [
Address :
3939 E CORONADO ST, 2ND FLOOR
ANAHEIM, CA 92807
Business License
Business Expire:
Special Cond.:
Pre -job inspection required.
Workers' Compensation Insurance - -
Traffic control per WATCH
Carrier :
Policy No
W. C. Expire:
Permit Processing Fee : $241.00
Sewer Connection
$0 00
Total Fee
$1,066.00
Agreement Fee :
$0.00
4TT Box Cover:
$0.00
Paid :
$1,066.00
Traffic control Plan Check . $0.00
Total Water Meters :
$0.00
Balance :
$0.00
Inspection Fee
$825.00
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
7
Processed By-
Date : _/_/
Other Department
Date
Utilities Approval
:
Date : _/ /
Permit Denied
Date
Traffic Approval
Date : _/_/
Issued Permit :
Date
General Services
Approval .
Date
A
LE(11) A00GWTB **GIGAPOWER**
WORKSHEET FOR ENCROACHMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
COMPLETE THE BELOW INFORMATION
PROJECT ADDRESS: NEARr440-PARXA E XST ABALONE AVE 12to kv-'*w z A�
DETAILED DESCRIPTION OF PROPOSED WORK:
EXCAVATE 33 LIN FT IN CONCRETE 8 SQ FT IN DIRT TO PLACE 1 864-PFP CABI N El
(1) 3-ELECTRODE GROUND BED, (43') OF 2-4" CONDUIT & RELOCATE (1) SAI 2'
WEST OF CURRENT LOCATION
APPLICANT: AT&T CALIFORNIA
Phone: (714) 618-9132
Email Address: vk3921 @attcom - %`�- l Valentina Gipson, AT&T Liaison
Mailing Address:
3939 E CORONADO ST. 2ND FLOOR
Icity/statelzip:
ANAHEIM CA 92807
OWNER:
Phone: ` ocA c1 K 4 13SO
Email Address:
Mailing Address:
9 21 Z, l R YA S I-rc.tF �r(4
City/State/Zip:
C
ALL CONTRACTOR INFORMATION IS REQUIRED -PLEASE COMPLETE
CONTRACTOR: V, C -1 C�Tvw>
Office Phone: OLUIt 4001 1350
Company (if different):
Jobsite Phone: 'j C. c, q 1 ct C. 2 !. _
Other Phone:
Email Address: 4 vC v
Mailing Address:
City/State/Zip:
State License Number & Class:
Expires:
City Business License Number:
Expires:
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: Expires:
REFUNDABLE DEPOSIT INFORMATION (1fApplicable):
Refund Payable To:
Mail Refund To:
FOR OFFICE USE ONLY
Special Conditions of Permit: t?fe- job ''w% cvw* + r ite-8 .
covv+vo" Pce w4'tc'+-t.
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic: Fire:
Other:
Engineering Technician:
t?ad;
Public Works Specialist:
t2ocfV;
Date:
_1�-r-t"7
Permit No.
M20o-041i
(i >_I_', c:, , 'J -CIC: CI,f 1y'rf V? r,Otk It, •'-,
Public Works Department 949-644-3311
w
•
"DRAWING NOT TO SCALE"
EXCAVATION A DTA
OWNER CONCRETE DIRT
clrY of I} L FT
NEWPORi BEACH
— " --- — - --
OPL
1-664 PFP CABINET A PAD
(PROPOSED CONCRETE PAD FOR SA k PFP 1A91NE1
TO BE SAME DINENSIONS AS EXISTING CONCRETE PAD)
OPL
16 TR F! / 6 GROUND WIRE
INSl— } COPPER GROUND RODS
5/6- DIAMETER tl MINIMUM LENGTH
NO PM - PROTECTION PRECAUTION
GROUND BED TO BE PLACED IN THE SAME
TRENCH AS PROPOSED DUCT
OIL
AJ' 2 a" DUCT
TYPE
C (�PM
A} MM }�87 i0 I -864 PFP CABINET VERIFY
IO
RELOCATE SA 2 TO WEST
REARRANGE GABLES AND CONDUIT TO ACCOMMODATE
NEW SI LOCATION
(PROPOSED CONCRETE PAD FOR SAI A PFP CABINET
TO BE SAME DINLNNQNS AS EXISTING CONCRETE PAD)
47 R"
l Q
N
PFP-B64 CAEIINET
GROUND BED SYMBOL = T
7J 51 3 33
10FO000 C/L OF ABALONE AVE PARK AVE. TO- RASED MEDIAN
t04% 00 C L OE PARK AVE (CONCRETE) a
ELECTRIC -
CURVE DATA 41 I I I�'�
R 0 L
A 12 5 1 90'00'00' 1 1963"
Z116 R 4 C-PC
O Sw
J _ WA
�(nx� -_ - ._ m _la• 6
00
p €�
1160J PARK AVE ��
L v�W
-( n
�nR-TCURB
CURB
CURB
R/W
7' A -A' C-PC
x �
i'
ran 2 DETAIL A
A- E
AWG RE
S' ptOUNO AHRONEO
�L
/E• DIAMETER oRMEcroR
CORKER CLAD STEEL - --
NOTE I
MINIMUM DEPTH - 12 INCHES
CONSTRUCTION NOTES
I MINIMUM COVER FOR STRUCTURE 36' BELOW EXISTING
GRADE OR 30' BELOW GUTTER FLOWLINE
2 ALL SUBSTRUCTURE INFORMATION SHOWN WAS TAKEN
FROM RECORDS AVAIAELE AND IS APPROXIMATE
VERIFY LOCATE AND PROTECT AS REQUIRED
BEFORE EXCAVATING CALL
} U G SERVICE ALERT dll
A ALL TRAFFIC CONTROL TO BE IN ACCORDANCE WITH
THE WATCH AND THE CALIFORNIA MUTCO
TRAFFIC CONTROL MANUAL
5 THIS PROJECT REQUIRES EXCAVATION CONSTRUCTION
URLIZE AND IMPLEMENT ALL BEST MANAGEMENT
PRACTICES (BMP'a AS REQUIRED TO ENSURE COMPLIANCE
WITH SS POLICY LETTER ISSUES FEBRDAEY 21, 200}
BY ENNROWMENTAL MANAGEMENT CONCERNING
STORM WATER PERMITTING AND STORM WATER
POLLUTION PREVENTION PUNS (SWPPP.) AND IN
ACCORDANCE WITH THE CLEAN WATER ACT (1965) AND
EPA REGULATIONS PUBLISHED IN 1990 AS MODIFIED
BY THE PHASE II RUIE IN 1999
REcD WTE T,ES OF EYI9 w /I MT OM 1 B"N
RBLECT NCTWL CO EONS FOUW WwNG na-aw .
CORRECT RRILMEM RECOImS
.4
SCALE I'- 2C
E FUJIMORI (71A) 669-22a1 SCALE I"= 20' NEWPCIRT BEACH E \CHnNGE
D GALVERY (714)618-91}1 TOM 919,D-I —NUIT c o NSTRLJ(;TICIN
C CASTANEDA (71.) 669-2226 MAP /
ouL TOLL FREE - - - DRAWING TO SCALE _ PRE! Du a MRmRmu _
�H'CKED 1
A IE"San ° °" DO NOT REDUCE at&t "'H"' Pc (T �j) Consulting, LLC "/" RDrO
DURING REPRODUCTION 1645 w O... q....6 A.., a.t. 300-
°"°�"° °I°� California
a.o9., CA 92e6e LE(I 1 ) AOOGWTB
(R19) 250-000a /FAX (949) 250-0006 nAN t DWG L' i
FEE WORKSHEET FOR ENCROACHMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
All Fees Are Non -Refundable Unless Otherwise Stated
PROJECT ADDRESS:
120 Rbo�c�r►e Ave✓n�
PERMIT N2017-
NUMBER: O'-� 1�1
APPLICAN
T l� ra rn ; o
Permit Processing Fee:
Public Works Only
Other Department
Agreement Fee:
Preparation of Report/Agreement
Document Recordation Fee
Monitoring Wells
Q Inspection Fee:
$241 00 Public Works Field Inspection
$275.00 Utilities Field Inspection
General Services Inspection
Water Quality/Artificial Turf Inspection
$81' .00
$192.00 Refundable Deposit:
$502.00 Improvements
Qty.
$165.00
$121 00
$165.00
$108.00
TBD
TBD
Street/Alley/Walk Closure: $65.000 Newspaper Rack Inspection $108.00
Traffic Control Plan Check
8-1/2" x 11" $65.00 Sewer Connection Fee $250.00
F::�
24" x 36" $143.00 4TT Box & Cover $64.00
Additional
•------------------------- — — — —
THE FOLLOWING ITEMS REQUIRE APPROVAL FROM TH—E Revenue Division 1
REVENUE DIVISION PRIOR TO PAYMENT OF FEES ]Approval:
Qty.
Qty•
(Water Meter:
. ,
Installation Charge $528.00 I
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
12" Turbine Meter
3" Meter
$845.00
$3,310.00
For Traffic & Alley Areas (Box + Cover = Cost)
1" Meter 13.00 + 38 00 $51.00�
14" Meter
$4,730.00
2" Meter 27.00 + 162 00 $189.00
16" Meter
$7,190.00
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 My 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
r2od�
s I, o(0lo. - -
Per cialist
Receipt No.
T,,!
flusers/pbw/shared/encroach/masters/ep front and back masters/
Rev 1/5/2017
epfeesheet )ds-revised 1021/2016
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 00 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-insur ertificate of Worker's
contractor must provide a "Letter of Authorization" to allow another party to pull a permit An approved copy of the
Corr)pen ation Insurance, or a Certified Copy th reof.
permit and construction plan shall be kept at the fob site at all times Work, which has been done prior to issuance of
tt
a permit, is subject to refection/fine City reserves the right to void permit it work does not commence within 30 days
Date. 7 Signature:
after date of issuance
CERTIFICATE OF EXEMPTION (Section 00 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
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 backfillmg, 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 ne 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 Permi n ectio .s 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 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 1.
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 r re 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
er
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 t is against the law to
1 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 a Temporary Street Closure Permit from the Public Works Department Access for fire, police and
fines
s up to $25,000 and/or up to three years in Stale
prison plus the full cost to clean Quality Laws are punishable by fneup 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, applic
plic ant must submit a Sods 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 Slurred Ba and request a final inspection from the
the Public Works Department Any work affecting the State 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, or relocated
materials, of 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 dumpster 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 $hall be performed until the Public Works Department has issued this permit. Applicant hereby acknowledges he/she he read and erstan s the terms 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.
Permit fees are nonrefundable.
Date ��`Y11Signature: __-
142 P. A. v
�, Nenpw•Beacn. CaMlwnia
� - &,e V.-C 2015
9
GOO le
1002017 City of Newport Beach Page 2 of 11
6:34:25AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 10/09/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 126 ABALONE AVE
Activity : N2017-0417
SubType : NEW
Status : APPROVED
OWNER: HOLMES JEANNE G Phone : 0
APPLICANT: AT&T CALIFORNIA Phone : 714-618-9132
Description : Install 43 LF of 4-inch conduit, 1 above ground conduit, 1 ground bed, and relocate above
ground conduit on Park Avenue adjacent to the address. Pavement restoration per City
Standards.
Item: 10210 PUBLIC WORKS G. A -
Requested Time: 10/9/2017 12:00:OOAM Requestor: NBIVR
Entered By: NBIVR �j AC ko
Comments: AM
Assigned to: J Date: /U ,� %
Inspector: 7
Comments: 0 rz
iE
F \Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
7609106252
qo f -zz
Time: f AM PM
DI -L
10/919017 City of Newport Beach Page 2 of 8
4:30:26PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 10/10/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 126 ABALONE AVE
Activity : N2017-0417
SubType : NEW
Status : APPROVED
OWNER: HOLMES JEANNE G Phone : o
APPLICANT: AT&T CALIFORNIA Phone : 714-618-9132
Description : Install 43 LF of 4-inch conduit, 1 above ground conduit, 1 ground bed, and relocate above
ground conduit on Park Avenue adjacent to the address. Pavement restoration per City
Standards.
Item: 10210 PUBLIC WORKS
Requested Time: 10/10/2017 12:00:OOAM Requestor: NBIVR
9093228631
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector: �.�� Date: L9 IA2 /17Time: �S AM M�
�pypv�tT
Comments: O �C7 1'e6 % 01"y V61 7
RPfile
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018
BTOV :pI ung T£Tsdau
1011IIJ2017 City of Newport Beach Page 4 of 6
: 4:31:21PM INSP150 - Daily Inspection Request Report
ooP'laH0-A\RH7 i SVW\1 U n ecimasnu
Requested Inspection Date - 10/12/2017
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 126 ABALONE AVE
Activity -
SubType : NEW
OWNER: HOLMES JEANNE G Phone: 0
APPLICANT: AT&T CALIFORNIA Phone : 714-618-9132
Description : Install 43 LF of 4-inch conduit, 1 above ground conduit, 1 ground bed, and relocate above
ground conduit on Park Avenue adjacent tot e address. Pavement restoration per ity
Standards.
Item: 10210 PUBLIC WORKS
Requested Time: 10/12/2017 12:00:OOAM Requestor: NBIVR
9093222631
Entered By: NBIVR
n............a... AID
Assigned to:
Wd WV :quail
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:stuawwoa
:aotoadsul
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Refile
10117/2017 City of Newport Beach Page 1 of 10
4:30:24PM INSP1 SO - Daily Inspection Request Report
Requested Inspection Date: 10/18/2017
Inspection Type : ENCROACH
Inspection Area : PW
Site Address : 126 ABALONE AVE
Activity : N2017-0417
SubType : NEW
Status : APPROVED
OWNER: HOLMES JEANNE G Phone: 0
APPLICANT: AT&T CALIFORNIA Phone : 714-618-9132
Description : Install 43 LF of 4-inch conduit, 1 above ground conduit, 1 ground bed, and relocate above
ground conduit on Park Avenue adjacent to the address. Pavement restoration per City
Standards.
Item:
Requested Time: 10/18/2017 12:00:OOAM Requestor: NBIVR
9093228631
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector: Date: [0 /tt3 11-7 Time: ivy I�AM PM
Comments: S T-W- -`T-61—� T> PC-C S 7— RJE r7 �v(-Z- :;;7-- P,4 r t5ll-z- /0' T-- '/— -
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doe
REPT131 Run Id: 4018
• 10/18/2017 City of Newport Beach Page 6 of 21
4:30:10PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 10/19/2017
Inspection Type : ENCROACH
Inspection Area: PW
Site Address : 126 ABALONE AVE
Activity : N2017-0417
SubType : NEW
Status : APPROVED
OWNER: HOLMES JEANNE G
Phone : o
APPLICANT: AT&T CALIFORNIA Phone : 714-618-9132
Description : Install 43 LF of 4-inch conduit, 1 above ground conduit, 1 ground bed, and relocate above
ground conduit on Park Avenue adjacent to the address. Pavement restoration per City
Standards.
Item: 10080 SERVICE CONNECTION - UTIL
Requested Time: 10/19/2017 12:00:OOAM Requestor: NBIVR
7145991852
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector: Date: Time: ATIJP�
Comments: � ��� 1�� P15/f "IV L ,
i noneri
RQfile
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018
1/1312022 City of Newport Beach Page 5 of 15
"�.30:54PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 01/14/2022
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 126 ABALONE AVE
A/P/D Information:
Activity : N2017-0417
SubType : NEW
Status : APPROVED
OWNER: HOLMES JEANNE G Phone: 0
APPLICANT: AT&T CALIFORNIA Phone : 714-618-9132
Description : Install 43 LF of 4-inch conduit, 1 above ground conduit, 1 ground bed, and relocate above
ground conduit on Park Avenue adjacent to the address. Pavement restoration per City
Standards.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 1/14/2022 12:00:OOAM Requestor: WEBUSER
11
Entered By: WEBUSER
Comments: 'ANY-'
Assigned to : TZZLZWZ*
Y_ T
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loo.- 144 itted