HomeMy WebLinkAboutN2017-0524City of Newport Beach
IIII II2IIIIII1IIIII
II III I
I2I III III N2017-0524
Permit No:
�Civic each, CA 92660
Permit Counter Phone (949)644-3311
Project No : 2272-2016 -
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Online Inspection Request - www newportbeachca
gov / Online
'_:)CANNED
Services
S
Inspection Requests Phone (949)644-3255
Job Address:
2912 BROAD ST NB
Thomas:Guide: 888H6
Description :
PLUG EXISTING DRIVEWAY PER STD 165-L, CONSTRCUCT NEW CURB PER CITY STD AND REMOVE ALL STONE PAVERS AND GRAVEL IN PARKWAY;
NEW STREET TREE.
Parcel # .
0490-210-2 -
Legal Desc :
FIRST ADDITION TO NEWPORT HEIGHTS
BLK 22 LOT 2 AND POR ABAND
STIR
Owner:
DAVIS CHARLES & ELIZABETH
Contractor : MY BOTANICA INC
Phone:
Phone: 949-715-7557
Address :
20763 E RIM LN
Address : 2495 LAGUNA CANYON RD
DIAMOND BAR CA 91789
LAGUNA BEACH CA 92651
it ONPL f T f O
Contractor State Lic: 823182
Applicant:
MY BOTANICA INC
License Expire : 05 31, 2018
Phone:
949-715-7557 [
Address :
2495 LAGUNA CANYON RD
LAGUNA BEACH CA 92651
Business License : BT30045503
Business Expire : 11 30, 2017
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier : EVEREST NATIONAL INS CO
Policy No: 7600016712
W. C. Expire: 09 01, 2018
Permit Processing Fee : $241 00
Sewer Connection :
$0.00
Total Fee $406.00
Agreement Fee .
$0 00
4TT Box Cover:
$0.00
Paid : $406.00
Traffic control Plan Check $0 00
Total Water Meters :
$0.00
Balance: $0.00
Inspection Fee
$165 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:
Date:
Issued Permit Date
Traffic Approval :
—/_/
:
General Services
Approval :
Date . —/_/
,
6,11 'lam
QiAmi
COMPL ETS: :. I
PROJECT ADDRESS: s-1-Qc om—?'
DETAILED DESCRIPTION OF PROPOSED WORK:
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APPLICANT: vy�
Phone:
Email Address: �i Ca4 • Co
Mailing Address:
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City/State/Zip:
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OWNER: 5-j YI+^J ins Phone:
Email Address:
Mailing Address:
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City/State/Zip:
;ALL CONTRACTOR INFORMATION IREQUIREERTWS
CONTRACTOR: tly�pT-� J(� ��
Office Phone:
Company (if different):
Jobsite Phone: - -}
Other Phone:
Email Address: qr't-t �.q , Co.?
Mailin Address:
City/State/Zip:
L Ahw#/+t- rhebc CjW �ZG .►� /
State License Number & Class:
i
8y 1 a Expires:
City Business License Number:
�� 3 Expires: �-
�T � S S
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: Expires:
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Mail:eliind:To::.=. .:" -: : . ::.
FOR OFFICE USE ONLY
Special Conditions of Permit:
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPART, MENTS ;
Utilities:
General Services:
Traffic: Fire:
Other:
Engineering Technician:
Pu Works Specialist:
Date:
I Permit No.
P/users/pb%v/shared/encroach/masb�epvorksheeLAS - r
N,
Public Works Department 949-644-3311
G z7 0 U i &,,t
Permit Processing Fee:
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:
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/AIIeyNWalk Closure: $65.00Newspaper 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
_ _ _
THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE
1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES
TBD
TBD
$108.00 0
$ $64.00
64.00
Revenue Division 1
1
ta!ty.
Q
(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 $50.008
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)
13" Meter
$3,310.00
1
1" Meter: 13.00 + 38.00 $51.00 1
4" Meter
$4,730.00
2" Meter: 27.00 + 162.00 $189.00B
6" Meter
$7,190.00
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 EasementNacation Fee (+100% of hrfy 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 cialist Receipt No.
f /users/pbw/shared/encroactVmasters/ep front and back masters/
Rev 1/5/2017 apfeesheetAs-revised 10/21/2016
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
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 fob site at all times Work, which has been done prior to issuance of
a permit, is subject to refection/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
1 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
3 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 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
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
3 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 tie 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
3 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
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
I I 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 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
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 La Code) .
I certify that I have a Certificate of consent to self -insure, C icate of Worker's
Compensation Ipsur4nce, or a Certified Copy thjrteof.
Signature
f — - CERTIFICATE OF EXEMPTION (S@151 3$011 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 Encroachmeq(t Permit spec ' is required by calling
Public Works at 949-644-331�1. /
15 Any above ground utility faciliCtes will quii9 documented approval from the adjacent
affected property owner(s) ,
16 Homeowner, contractors, and subcontracolrs 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 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.
No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereby ckno led s he/she has read and un a 1:an�a-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 _ no A nature: .
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CITY OF NEWPORT BEACH PRESCRIPTIVE COMPLIANCE REQUIREMENTS
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RESIDENCE
DESIGN
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2912 Mood SNeef.
Newport DoWL GA
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PLANTING PLAN
-Rem No mY•
L-3.0
LAID 1INLI JUINI
CRACK, OR BREAK
EXIST AC
FULL DEPTH SA WCUT TO A
VERTICAL PLANE ALL AROUND
---- ------- ---
REMOVE AND REPLACE
IF 5' OR LESS (TYP) Q
4'-17' DRIVEWAY WIDTH 4'-0'
MIN. MIN.
REMOVE EX. DRIVEWAY AND DEPRESSED CURB.
REPLACE WITH STANDARD CONCRETE CURB,
GUTTER & SIDEWALK OR MATCH EXISTING.
AT A XT
2' OR MATCH
EXIST. DRIVE
CONST. STD. R
CURB & GUTTER
TO MATCH EX. CONST. STD. CONC. SIDEWALK
AC ABOVE GUTTER 318' TO MATCH EXISTING
�1 COLD JOINT OR WEAKENED PLANE JOINT
MIN, t
I' WIDE BY 1' DEEP
AC PATCH BACK
NOTE.,
1. CONCRETE SHALL BE 560-C-3250.
`- 4' P.C.C.
FILL OLD DRIVEWAY AREA WITH
COMPACTED AGGREGATE BASE
REMOVE EXIST. DRIVEWAY APPROACH
SECTION A -A
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
PLUG FOR
ABANDONED DRIVEWAY
APPROVED:
RCE NO 36106
Drawn: M.Gracia
Date- Sep. 1993
DRAWING NO.
EXIST. CURB
EXIST, GUTTER
3LIC WORKS DIRECTOR
Scale. N T.S.
h ISERti PBW Sh-'d C 1D SIU
S I D D—lk 5003 Sld -
STD- 165-L
6' 24'
1/2' R
3/8' LIP
Q Q : a. : ° 6' OR 8' �v
CURB FACE
m 3.12
v BAT ° TER I/2' R °
0 0 R•° � ° •..
'v a ° ° .
° .
LEVEL
1' WIDE BY 1' DEEP
AC PATCH BACK
TYPE A P.C.C. CURB AND GUTTER
(CURB FACE SHALL BE 6' UNLESS OTHERWISE NOTED)
6'
1/2' R
W Q :° L
Q Q o
3:1L
BATTER
°•
0 0 °
°
1' WIDE BY 1' DEEP
AC PATCH BACK
TYPE B P.C.C. CURB
(LUKIS f ALL . HALL !SL b- UIVLLJJ UI f1LKWi3L NUI LU/
NOTES:
1, GUTTER SURFACE WITHIN 4' OF FLOWLINE SHALL BE GIVEN A STEEL TROWEL.
(APPLIES TO TYPE 'A' CURB)
2. PREFORMED 3/8' THICK EXPANSION FILLER SHALL BE INSTALLED IN ALL
TYPES OF CURB AT THE B.C. AND E.C. OF RETURNS, AT INTERVALS OF 60'
BETWEEN RETURNS AND AT THE ENDS OF DRIVEWAYS. SIMILAR EXPANSION
JOINTS SHALL BE INSTALLED IN ALL GUTTERS ADJOINING CURB. WEAKENED
PLANE JOINTS SHALL BE FORMED AT INTERVALS OF 20' BETWEEN RETURNS.
(APPLIES TO TYPES 'A', 'B', AND 'C' CURBS).
3, CONCRETE SHALL BE 560-C-3250.
4. SMOOTH TROWL THE TOP 4-INCH OF THE BACK OF CURB,
CITY OF NEWPORT BEACH APPROVED:
PUBLIC WORKS DEPARTMENT r�
RCE NO 36106 BLIC WORKS DIRECTOR
STANDARDCURB SECTIONS Drawn: M.Grac,a Scale. N T S
TYPES"A" „ AND "BDate- Nov 1993 S 11)I)vill'003_Sid)
DRAW ING NO. STD-182-L
10/23/2017 City of Newport Beach Page 2 of 7
4:30:49PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 10/24/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 2912 BROAD ST
Activity : N2017-0524
SubType : NEW
Status : APPROVED
OWNER: DAVIS CHARLES & ELIZABETH Phone :
DAVISCS@GTLAW.COM
APPLICANT: MY BOTANICA INC Phone: 949-715-7557
Description: PLUG EXISTING DRIVEWAY PER STD 165-L, CONSTRCUCT NEW CURB PER CITY
STD AND REMOVE ALL STONE PAVERS AND GRAVEL IN PARKWAY; NEW STREET
TREE.
Item:
Requested Time:
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector:
Date: 10 L-z--�17
9493387984 — kWAe o
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Time: C"M
Comments: ^✓Lj�- J 4C,66
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F:\Users\PBV\I\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018
11/16/2017 City of Newport Beach Page 2 of 11
4:30:27PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 11/17/2017
Inspection Type : ENCROACH
Inspection Area : PW
Site Address : 2912 BROAD ST
Activity : N2017-0524
SubType : NEW
Status : APPROVED
OWNER: DAVIS CHARLES & ELIZABETH Phone:
DAVISCS@GTLAW.COM
APPLICANT: MY BOTANICA INC Phone : 949-715-7557
Description : PLUG EXISTING DRIVEWAY PER STD 165-L, CONSTRUCT NEW CURB PER CITY STD
AND REMOVE ALL STONE PAVERS AND GRAVEL IN PARKWAY; NEW STREET TREE.
Item: 10110 CONCRETE PUBLIC WORKS
Requested Time: 11/17/2017 12:00:OOAM Requestor: NBIVR
9493387984
Entered By: NBIVR
Comments: AM
Assigned to: t
Inspector: '`-' VDate: �� /7 / Time: lam` M
Comments: l—�' Gf/3 - G, � � L? G 1-5
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F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018
11i20/2017 City of Newport Beach Page 4 of 15
•• 6:34:48AM INSP150 - Daily Inspection Request Report
Requested Inspection Date:
11/20/2017
Inspection Type:
ENCROACH
Inspection Area :
PW
Site Address :
2912 BROAD ST
IIIC
Activity:
N2017-0524
SubType :
NEW
Status:
APPROVED
OWNER: DAVIS CHARLES & ELIZABETH Phone :
DAVISCS@GTLAW.COM
APPLICANT: MY BOTANICA INC Phone : 949-715-7557
Description: PLUG EXISTING DRIVEWAY PER STD 165-L, CONSTRUCT NEW CURB PER CITY STD
AND REMOVE ALL STONE PAVERS AND GRAVEL IN PARKWAY; NEW STREET TREE.
Item: 10110 CONCRETE PUBLIC WORKS
Requested Time: 11/20/2017 12:00:OOAM Requestor:
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector:\I
Comments:
NBIVR
9493387984
Date: t L 'Lb Time:
G
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
S'S/AM) PM
1
• 11/30/2017 City of Newport Beach Page 1 of 8
4:30:19PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 12/01/2017
Inspection Type : ENCROACH
Inspection Area: PW
Site Address: 2912 BROAD ST
Activity : N2017-0524
SubType : NEW
Status : APPROVED
OWNER: DAVIS CHARLES & ELIZABETH Phone:
DAVISCS@GTLAW.COM
APPLICANT: MY BOTANICA INC Phone : 949-715-7557
Description : PLUG EXISTING DRIVEWAY PER STD 165-L, CONSTRUCT NEW CURB PER CITY STD
AND REMOVE ALL STONE PAVERS AND GRAVEL IN PARKWAY; NEW STREET TREE.
so
Item: 10250 FINAL - PW
Requested Time: 12/1/2017 12:00:OOAM Requestor: NBIVR
Entered By: NBIVR
Comments: AM
Assigned to:
Inspector:
Comments:
Date:
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\Inspectorsheet.doc
9493387984
Time: AM PM
r
REPT131 Run Id: 4018
12/13/2017 City of Newport Beach Page 2 of 14
4:30:05PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 12/14/2017
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 2912 BROAD ST
Activity : N2017-0524
SubType : NEW
Status : APPROVED
OWNER: DAVIS CHARLES & ELIZABETH Phone:
DAVISCS@GTLAW.COM
APPLICANT: MY BOTANICA INC Phone : 949-715-7557
Description : PLUG EXISTING DRIVEWAY PER STD 165-L, CONSTRUCT NEW CURB PER CITY STD
AND REMOVE ALL STONE PAVERS AND GRAVEL IN PARKWAY; NEW STREET TREE.
Item: 10250 FINAL - PW
Requested Time: 12/14/2017 12:00:OOAM Requestor: NBIVR
87984
Entered By: NBIVR
Comments: PM
Assigned to:
Inspector:
Comments:
Date:
7�
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
Time: AM PM
01
REPT131 Run Id: 4018