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N2012-0198
0 Sn !' Ll O o v e �'i NFZ QN N LUm UZ w �Z o Y U d N W I ` Q' O v c UJ C co O J M N F 0i U) N rn U Q2 W Z M m J v Z d Y m 3 U rn Z A z Z m J a 0 z O tr m N # O LL m(D Y 2 W L) LLI ¢ ONLU i ❑wg U9Y� Q . Z 2 ov Z ¢rte¢ O F- 0 0 o U)LU a u� ❑ J U) Q 2 — W UJ F o F M m P: d) W m W a O�O UyJ Lb o Z 0 Z m LL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 f w w Vi fA fR �000moo N 4i fA N Vi to .. _m o • Ha0aa �d)0 U LL O`LL ❑ LL a`d)oCc U �- N C �N CL Q �w U) ll; «« N « 76 15 ❑ ❑ ❑ ❑ Lk U QZ W Z [D WLL J Z z J p 2 co W Z W U' Uo O J LL m O J O N V M CD YC. U W N co M N W N Q 0 ca v W U M N C p O ' M m ❑ O r O p m c U O O< o Z N Q w 2 - O ❑ a Z QI��Q o JO y d •• C .. am v �' 0C i� O OW JWU d>W yyN V .w am c A „ c m-d AS oE c cxL)IL r ovou>`t >OU c)aQ UJ mm3 O v c UJ C co O J M N F 0i U) N rn U Q2 W Z M m J v Z d Y m 3 U rn Z A z Z m J a 0 z O tr m N # O LL m(D Y 2 W L) LLI ¢ ONLU i ❑wg U9Y� Q . Z 2 ov Z ¢rte¢ O F- 0 0 o U)LU a u� ❑ J U) Q 2 — W UJ F o F M m P: d) W m W a O�O UyJ Lb o Z 0 Z m LL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 f w w Vi fA fR �000moo N 4i fA N Vi to .. _m o • Ha0aa �d)0 U LL O`LL ❑ LL a`d)oCc U �- N C �N CL Q �w U) ll; «« N « 76 15 ❑ ❑ ❑ ❑ Lk WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT ' COMPLETE THE BELOW iNFnRMATIQN:: PROJECT ADDRESS: DETAILED DESCRIPTION OF PROPOSED WORK: N10 k12S_ " 5:t/6> Z167 Crr �lGOa5 l/JG ✓ 4IAv1 T4,16 APPLICANT: ��s Lj/iy�j G, Phone: jZ/� ���•U�D Email Address: Mailing Address: /-,40 f City/State/Zip: l4M/Ly� /ov/ C��/!T�Zi✓//9' c L G�1 �� /�" v OWNER: 1V4--kj/oG,2T Email Address: Mailing Address: 150 %6 rf��CT City/State/Zip: Xl,, J G�/�.✓Lic//�I zC-� ALL CONTRACTOR INFORMATION IS REQUIRED-PLEASE COMPLETE CONTRACTOR:�/ n, ' /�{[_ `(/lir �C� Office Phone: Company (if different): 0,0"- M645,1-� Gvfv% Jobsite Phone: Other Phone: Email Address: A Mailing Address: City/State/Zip: 14A4kAr .N State License Number & Class: C 3L Expires: City Business License Number: j p0�� ,. Expires:7✓e? WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: Policy No: Expires: ............................................................ e)....................................................... REFUNDAALE.DEPOSITiNFORMATION (If.ApPBcablg): "` . ... .. .. .... .. . Refund Payable To ` .. Mail: RefuniJ Td. FOR OFFICE USE ONLY Special Conditions of Permit: - (,01AS `+o(U" w 1e1N -tu.�al . ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: Fire: Other: Engineering Techician: Public Works Specialist: Date: tZ Permit No. N2012- [01 Use A�;Sf J f fusers/pbwlshamdMn&oactVmasterslepwomsheel.xis Public Works Department 949.644.3311 3300 Newport Boulevard, Newport Beach, CA 92663 FEE WORFCSHEET FOR ENCROACHMENT PERMITZ. CITYOF NEWPORT BEACH - r PUBLIC WORKS DEPARTMENT All Fees ,4.re;IVon.R.efunclsble Unless.Otherw►se:atated ..'.. PROJECT ADDRESS: y PERMIT is -01 e • W� S C \ NUMBER: N2012Ole- APPLICANT: S 10.5 VJV71�t Permit Processing Fee: Public Works Only Qty. $236.00( I ') Inspection Fee: Public Works Field InspectionOther Department $311.00 Utilities Field Inspection $188.00 P,-� Rev. 1-13-2012 5200-5015 General Services Inspection $150.00 Agreement Fee: 5200-5026 Final Parcel Map Checking Fee - Simple Preparation of Report/Agreement $879.00 Refundable Deposit: TBD= Document Recordation Fee $204.00 Monitoring Wells $484.00 Improvements TBD= Street/Alley/VValk Closure: $53.000 Sewer Connection Fee $250.00 Traffic Control Plan Check 4TT Box & Cover $54.72 8-1/2" x 11" $53.00 4310-470_ 24" x 36" $136.00 F-1 Additional Street Tree Fee ($700 Planting Fee) TBD Certificate of Compliance Fee (+100% of hriy over 3 hrs) $281.00 For Finance use only 5200-5029 Development Services Fee TBD Receipt No. Rev. 1-13-2012 5200-5015 Final Tract Map Checking Fee $3,406.00 5200-5026 Final Parcel Map Checking Fee - Simple $365.00 5200-5027 Final Parcel Map Checking Fee - Moderate $2,243.00 5200-5027 Final Parcel Map Checking Fee - Complex $3,406.00 5200-5027 Lot Line Adjustment Fee $1,063.00 5200-5028 Park Dedication Fee Zone _ TBD 4310-470_ Street Easemt/VacationFee (+1o0%ofhriyover 4hrs) $959.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBD 030-2284 Engineering Tech: Total Amount Due: For Finance use only -'42� -00 Public Works pecialist: Receipt No. Rev. 1-13-2012 fausers/pbw/shared/encroach/masters/epfeesheat.xls-revisetl Jan 20li y a .,c_ E w EEE 0 c0oo mo wt 'wO O J ¢'0 E C w C w T c N N v a E d w Q T a O O- .L„ m J mcl _ °o coE 't m' - .0 5 _;�;oy Ua `o in w d m mU O ¢ U E cL� N °� `-° m1Ov _NO do o_°• ° 3 °@ 'O L N w° N N �- L C O_ O O U« N m w - mw-- tj E.1> v_ 3 >N T« aE c EN naDio °o 0 0.- o c«o v v v c �.-�`oo 000 5a du"i `o nU AEU °w z 0 +L'a ac!° t/i LL>• y_o. m„_; 4.w co< cy Ja�3L.. 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Ew w wE... q._ u w"O w >, `m ms"o mn :n om L nm`mc ENvo-.-F-N m -N cD wa w N caN o,a ❑ mcLU">L c Oo 3 LD mvi@nc w E'° m�@o`m 'awNccE - m�u w..N.vt o�aoc�ws�om3 m°c >omDm mEo' >""'vLc aw N°�cm w>¢ oUD nim oom�b E DNONwL mwm OCCTn(nCi�U�I@6�L_..`>'O>=N(n❑ m wCN�LF'T�N��Co EZ,E J>=� LocIII _wEw m Nwu� o=o:cw N_ol-_ oD o.c 3Uwo-� m o«�.d-smco� 3 E ai•-;.,vo°or i XI w 2'E III c o w w �E.° 3L Eoum Nc �t�.o mm¢cv0i'm�o mko ff.�L.ODwC>•QNc wa �N �m_V5 m?T E wunm mi-w`o¢`oa nQa.$$Qo>��mEIL-oro «Q oaxi uv Cl aa�3�Q omS o«3r EQE InG ° r o ro r ro ori .- Department of Consumer Affairs Contractors State Lise Board Contractor's License Detail - License # 877273 aDISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. '>? CSLB complaint disclosure is restricted by law (B&P 712216) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. -» Per B&p 7071,17 , only construction related civil judgments reported to the CSLB are disclosed. '>? Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. "» Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number Extract Date 6/27/2012 DBA SPLASH PLUMBING Business Information Business Phone Number: (714) 688-0804 1401 N KRAEMER BLVD #B License Status This license is current and active. All information below should be reviewed. This license filed a Contractor's Bond with WESTERN SURETY COMPANY. Bond Number: 61294434 Bond Amount: $12,500 Bonding Effective Date: 04/06/2012 Co,.tractor's Bontl His_to_ry o • r • • r r 1. The Responsible Managing Officer (RMO) GRATZ DANIEL WILLIAM certified that he/she owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 05/04/2006 This license has workers compensation insurance with QLD -REPUBLIC -GENERAL INSURANCE CORPORATION Workers' Compensation Policy Number: ATW00087600 Effective Date: 01/01/2012 Expire Date: 01.1.11 Personnel listed on this license (current or disassociated) are listed on other licenses. Condilons of Use I Privacy Policy Copyright© 2010 State of California February 4, 2010 HOYLE, JACK 1501 E. 16TH ST NEWPORT BEACH, CA 92663-5924 Account Number: 2350560 5 Meter Number: 1092276 Service Address: 1501 16TH ST 1 UTILITIES DEPARTMENT / L NOTICE OF UNAPPROVED SINGLE CHECK VALVE In accordance with Title 17 of the California Administrative Code, fire protection systems must have an approved backflow prevention device. The type of protection that shall be provided to prevent backflow into the public water supply shall be commensurate with the degree of hazard that exists on the consumers premises. . Currently your single check valve is an UNAPPROVED VALVE in the meter vault, which has never been tested or maintained. This valve is in disrepair and needs to be removed and an above ground approved DOUBLE CHECK_DETECTQR.ASSEMBLY needs to be installed seed PI 7- 4, This work needs to be comp%ted when any improvements are made to the property, unless your property meets one of the following conditions. If your property meets any of these conditions, the work will need to be done as soon as possible. 1. ---The single check valve is leaking 2. Buildings served by the fire service are 3 stories or more 3. There are pumps on the fire system 4. There are chemicals being injected to the fire system 5. There are any unapproved connections on the. fire system The City of Newport Beach has the primary responsibility of protecting the potable water system from actual or potential cross connection, by requiring approved backflow preventors be installed. Upon installation completion the device will need to be tested, and then annually thereafter. A list of certified/ licensed backflow installer/ testers is enclosed. If you have any questions pertaining to this matter, please contact me at (949) 718-3428. Your cooperation is greatly appreciated. Casey Parks Cross Connection Specialist Attachments: STD -517-L & List of Testers/ Installers 949 West 16th Street • Post Office Box 1768 • Newport Beach, California 92658-8915 TPlr nhnne• (QdQI Add. 4M 7 . F'w, MAW C.aF-aona ..,..,.... m ,....... —�.I b`• jy am valve snuc—Oris (test COCKS) y 3 a as . 0 Plan View: not to scale CONSTRUCTION NOTES: OApproved double check valve assembly, Contact CNB Utilities Capt. (644-3011) for list. O Long radius 90' band, FExFE, cement lined D.I. OResilient wedge gate valve, OS & Y w/flanged ends, O O.I.P.mortar lined spool place (FE). O 150 lb. ANSI rated flange. Fabricated integrally with spool. © 6" thick concrete slab. Reinforced with W1.4 x W1.4 weld wire mesh. Concrete shall be C-560-3250 mix. LJ Long radius 90bend, cement lined D.I., FE x FE or FE x MJ ends w/ retainer glands. O C-900 PVC Class 200. ��Ili°7�I�I►°�D�[U •I Dlr[fMl.7.ieki valve shut—offs (test cocks) O Consumer piping AWWA approved potable water pipe material, C-900 PVC Class 200. 10 Adjustable steel pipe support, hot dip galvanized after .fabrication per STD -522—L. Paint to match piping and valving. 11 Bypass double, apring loaded, poppet check valve assembly with multiple test clocks. 12 Assembly must be matched to the main line assembly to provide lower head loss. 13 Bronze body, rubber seated ball valve shut—off with lever operator. - 14 Magnetic drive, low head loss, bypass meter capable of readln? flows from A to 20 gpm. Register shall record flows n units of cubic feet. 15 Install thrust block per SIO-510—L—A. GENERAL NOTES: 1, All aboveggrade piping shell be pointed with an Alkyd Enamel paint system consisting of a 2 mil primer coat and two (2) coats of 2 mils (each) high gloss enamel, Calor shall be white, blue, red, or green. 2, All below grode ductile iron fittings and piping shall be encased in accord with AWWA standard in an 6 mil polyethylene wrap. 3. All flange bolts shall be type 316 stolnless steel. Mechanical joint bolts shall be manufactured from either malleable iron or self—weathering Cor Ten Steel. 4, Back flow device shall be installed In easement granted to City. Minimum size is 5' wide x 10' long. CITY OF NEWPORT BEACH APPROVED: i PUBLIC WORKS DEPARTMENT 3" and Up Double Check Detector RCE NO. 36106 PUBLIC WORKS DIRECTOR Backflow Prevention Assembly Date' fan. 20010d6Scslc: N.T.S. P:1FSF�. W�OAW SEwe,PC�A4 Atli DRAWING NO. STD -517— HUNTINGTON BEACH CONTINUE: Robert Peres 92498 (899)342-5104 i Isional Testing & Repair William Horsky #2592 (714)964-3519 (714)717-0313 (cell) Pipedream Plumbing Jason Whitecotton # 2597 (714)502-9729 Debbie Burris # 2510 (888)356.9222 IRVINE Fire Safety First Backflow Prevention Service Manny Solaria 41397 (714)836-4800 La Cresta Enterprises Chuck Swenzy 0979 (949)369-6335 AA Backflow Testing & Maintenance Henry DeCambru 9605 Craig Dukes 92551 (800)342-5104 Dynasty Plumbing, Inc. Bill Palmquist 91603 (949)4pp50-0495 )For & Sons Plumbing Peter Fer #1614 (310)831-0737 (800)354-2705 Orange County Backflow Top Notch Plumbing Co. Alberto Santos N1969 (949)355-.0198 Madrid Landscape & Backnosv Vince Madrid # 2377 (714)329-0713 Superior Backflow Justin Laframboise #2496 (949)295-2143 Craftsmen Plumbing Inc, William Combe 92603 (714)972-8054 Anderson Commercial Plumbing William Quevedo # 2404 (800)449-8201 Kelly Kieswetter # 2502 (714)956.1419 LAGUNABEACH Ia Check Backflow Services Ivan Bullutn 42519 (888)855-5696 Joe Buslillos #2569 (949)548-2722 Heritage Custom Landscape Inc. Dan Peters #2672 (951)9664499 LAGUNA HILLS Morrow Plumbing & Construction Service Mark Morrow #2228 (949)291-2228 John Hodges # 959 Backflow Testing Service (949)548-5558 David Price M2601 (949)642-4111 (949)330-3937 -- Spectrum Backflow _-„- _ ,LAGILISLA UEL Testing David Sptnogho#1766 A.C. Landscape (714)508-6742 Dan Reynolds 41343 (949)636-2101 Superior Rooter & Plumbing Dan Johnson 01401 (714)267-6071 Pacific Backflow Testing Kevin Donovan #1284 (714)501-3062 Calif. Coast Plumbers, Inc. Brad Kester #2016 (714)632-0170 Flow & Safety Services Brad Griffith 42445 (714)475-8040 Br+an Southwick 91979 1 -42-7531 (. 1089-7021 Mitch Tipton 91142 (800)458-3492 Greg Purzycki #1608 (800)458 3492 Top Water Backflow Testing & Repair Casey DiPietro # 2508 (949)365-0172 Superior Plumbing Contractors, Inc - Joe Vaninetti # 1461 (949)295-2143 (949)470-1686 Nationwide Fire Protection William Robitaille 42289 (949)495-1928 DPR Landscaping Dean Radia #1814 (562)697-6803 VIS Gary Verholtz 41976 (909)392-5676 (909)772-6650 (cell) LAKE FOREST Intrepid Certified Backflow and Plumbing .ion Peratt 4999 (949)859-8801 All Star Plumbing & Fire Sprinkler Edward Sirignauo 41904 (949)470-0072 Peltier Bacletlow David Peltier #2563 (949)413-1060 (cell) (949)380-7015 f/6\7T1fu71 Greene Backflow Eugene Greene #1053 (877)473-3631 LOS ALAMITOS Joe Herrera 42364 (562)594-4196 (562)243-6324 (cell) MISSION VIEJO Pacific Backflow Company Bill Coulter #950 (800)603-4467 Rich Moody 41083 (800)464-9287 Sagona's $34.50 Testing Ron Sagona 42061 (877)2225357 (949)369-7801 PSI Certified Backflow Testing & Repair Jarret Blum #2509 (949)525-7245 American Plumbing & Backflow Jessie Quinonez #2630 (949)6433333 Michael Bilka.#2652 (949)678-3172 AJ Backflow James Glover Y2457 (949)461-7893 NEWPORT BEACH N.B. Property Services Dave Black 91109 (949)5747BKFO D.C. Drain Cleaning & Plumbing David Cleveland #2055 (949)642-7531 (949)689-7021 Flowtech Certified Backflow Tony Usher N1441 (949)246-3220 Bayfrout Backflow Mary Price #2196 (949)533-0885 R.A. Hart Plumbing Randy Hart 91638 (714)761-1368 Smith & Son Chris Smith #2605 (714)412-9634 The Backfellow Joe Cavalier 92616 (800)244.3533 Casey Peters 02673 (951)966-5090 ORANGE Btard & Crockett Plumbing Eric Nofziger #1772 (714)639-4400 Tom Moffett Plumbing Michael Moffett #1950 (714)541-6407 Richard Juarez #2356 (714)329-7098 (cell) (714)836-4800 x112 Philip Pira 02238 (818)342.4744 Villa Park Landscape Jose Noyola 42554 (714)497-5885 Daniel Bonaventure #2559 (714)357.4048 General Underground Fire Protection John Slockbower #2618 (714)974-6055 Donnie Smith Plumbing Donnie Smith # 2628 (714)639.2878 PLACENTIA Mike's Plumbing Service Mike Lotz #2131 (714)528-4903 Hazzard Backflow Rolando Hazzard 92497 (714)709-6215 SAN CLEMENTE Popeo Irrigation Pete Postal #482 (949)498-2338• Mission Plumbing & Heating Chris Garcia #1041 (949)492-4303 Crown Plumbing Inc. George Spraker #2606 (949)412-9811 Casco Fire Protection Adam Tousley # 2059 (323)321-5155 Hans Sylstra # 2635 (949)493-4604 (949)678-4416 (cell) SAN JUAN CAPISTRANO South Coast Fire Protection Eric Johnson #799 (949)493-4604 Safeguard Backflow Services Larry Fregin #1559 (949)240-4943 M&P Plumbing Co. Brian Michael 02372 (800)664-5762 Capo Valley Plumbing Anthony Romero 9572 (949)493-3075 (949)678-6613 Eric Baum #2684 (949)412.9887 SANTA ANA Pacific Plumbing Jose Pintor#2084 (714)542.3915 Russell & Sons Plumbing David Hiebert#1093 (714)545.5597 California Precision Backflow Norm Knippelberg 41285 (714)836-0683 Tony & Son Plumbing Tony Nunez #1548 (714)543-1736 Orange Coast Plumbing Morgan Flynn 91909 (800)953-1110 (714)953-1111 Vogels's Plumbing & Backflow William Vogel #2220 (951)734-3617 (office) (951)545-4436(cell) Meier Plumbing Gary Meier #1543 (714)505-1955 Coast Plumbing Raymond Sturm 41759 (714)241-1414 P&M Plumbing Frank Howard 42466 (714)972-9662 JDM Backflow Testing & Certification Julie Markowitz# 2624 (714)929-1059 Real Green, Inc, Diego Del Real #2325 (714)850-1440 Eric Oceguera 42675 (714)575.0083 SANTA MARGARITA Charles D. Pbeifer #1738 (949)412-7855 Backflow Specialties Testing & Repair Patrick McEv81y #1629 (949)347-1158 Jane Webb #2144 (949)766-3226 Your Neighborhood Plumber Gary Hull 91051 (949)858-3818 TUSTIN B.K. Plumbing Alfred Knudsen 91258 (949)433-7340 Joe Backnow, Co. Jeff Jacobs 92477 (714)558-8444 YORBA LWDA AAA BNekflow, & Meter Testing Bryan Blowney #1752 (714)52&0214 (909)534-3757 (cell) Integrity Backflow Co. Hans Borg 42132 (714)223-1780 (714)423-9399 (cell) Irri-Care Plumbing & Backflow Testing Larry Salvndor 92437 (626)419-8001 Bncicflow Testing & Maintenance Matthew Parry 92423 (714)514-7066 William Vogel 11192550 (951)734-3617 Javier Plazola 92660 (951)249-6689 LONG BEACH Advanced Mechanical Richard Hixon 062 (562)426.1725 LOSANGELES COUNTY Fire SafetyFirst Backflow Prevention Services Manny Salorio #1397 (714)836-4800 C.H. Stone Paul Drissel #2304 (626)962-5001 SPEC11FRCATION SUBMITTAL SHEET FEATURES Sizes: ❑ 4" 1161' ❑ 8" ❑ .10„ Maximum working water pressure •175 PSI Maximum working water temperature 140°F Hydrostatic test pressure 350 PSI End connections (Grooved for steel) AWWA C606 (Flanged) ANSI 816.1 Elastomers Class 125 OPTIONS Buna Nitrite (FDA approved) (Suffixes can be combined) ❑ - with OS & Y gate valves (standard) ❑ L - less shut -oft valves (grooved body connections) ❑ LM - less water meter ❑ with remote reading meter ❑ with qpm meter (standard) ❑ with ou it/min meter ❑ G - with groove end gate valves ❑ FG - with flanged inlet gate connection and grooved outlet gate connection ❑ FS - with cast iron wye type strainer (flanged only) ❑ FSC -with epoxy coated wye type strainer (flanged only) ❑BGVIC - with grooved end butterfly valves ❑ PI - with Post Indicator Gate Valve (3"-10") ACCESSORIES ❑ Repair kit (rubber only) ❑ Thermal expansion tank (Model XT) ❑ Valve setter (Model FLS or MJS or MJFS) ❑ Gate valve tamper switch (OSY-40) ❑ Flange by groove adapter (FLA) ❑ QT -SET Quick Test Fitting Set ❑ Test Cock Lock (Model TCL24) DIMENSIONS & WEIGHTS (do not Include pkg.) APPLICATION Designed for installation on potable water lines in fire sprinkler systems to protect against both backsiphonage and backpressure of polluted water into the potable water supply. Assembly shall provide protection where a potential health hazard does not exist. STANDARDS COMPLIANCE (Unless otherwise noted, applies to sizes 4" thru 10") ASSEO Listed 1048 CSAOa Certified (4" & 6") m AWWA Compliant 0 510 u ULO Classified C-ULO Classified FMOApproved ® NYC MEA 26-00-M VOL 3 Approved by the Foundation for Cross Connection Control and Hydraulic Research atthe University of Southern California MATERIALS Main valve body Ductile Iron ASTM A 536 Grade 4 Access covers Ductile Iron ASTM A 536 Grade 4 Coatings FDAApproved fusion epoxy finish Fasteners Stainless Steel, 300 Series Elastomers EPDM (FDA approved) MODEL Buna Nitrite (FDA approved) Polymers NORYLT"", NSF Listed Springs Stainless steel, 300 series re• Page 1 of 2 WILKINS a Zum company, 1747 Commerce Way, Paso Robles, CA 03446 Phone:806/236-7100 Fax:8051238-5766 In Canada: ZURN INDUSTRIES LIMITED, 3544 Nashua Dr., Mississauga, Ontario IAV 11-2 Phone:905/406.8272 Fax:905/405-1292 Product Support Help Line: 1 -877 -BACKFLOW (1-877.222.5356) • Website: http:llwww.zurn.cmn DIMENSIONS (ar oroximate)WEIGHT MODEL 4500A E 8 C C LESS OS&Y SIZE A WITH GATE LESS GATE OS&Y OS&Y D GATE GATE VALVES VALVES OPEN CLOSED VALVES VALVES in. mm in. mm in. mm in, mm in. mm in. I mm in. mm lbs. I kq lbs. I k 4 100 18 5116 465 30 1 762 21 22 314 578 18 1 /4 460 803[R:1�076489 295 134 6 150 1811116 475 35112 902 25 301/8 765 233/4 60310 254474 215 8 200 29 737 46 1168 347/1615113 373/4 959 29 1/4 743 13 330 8710 250 29 737 47 1!2 1207 347/16 45 314 1162 -353/8 899 13 330 re• Page 1 of 2 WILKINS a Zum company, 1747 Commerce Way, Paso Robles, CA 03446 Phone:806/236-7100 Fax:8051238-5766 In Canada: ZURN INDUSTRIES LIMITED, 3544 Nashua Dr., Mississauga, Ontario IAV 11-2 Phone:905/406.8272 Fax:905/405-1292 Product Support Help Line: 1 -877 -BACKFLOW (1-877.222.5356) • Website: http:llwww.zurn.cmn FLOW CHARACTERISTICS MODEL 450DA 4" & 6" (STANDARD & METRIC) FLOW RATES (1/s) 0.0 25.2 50.5 75.7 15 N a H 10 100.9 103 d a 15 N a y 10 w 69 Q J W tt 34 � N W lY 0 a 0 400 800 1200 1600 FLOW RATES (GPM) MODEL 450DA 8" & 10" (STANDARD & METRIC) FLOW RATES (1/s) 0.0 63.1 126.2 189.3 252.4 a 0 1909 z000 FLOW RATES (GPM) 0 Rated Flow (Established by approval agencies) TYPICAL INSTALLATION Local codes shall govern installation requirements. To be installed in accordance with the manufacturer's instructions and the latest edition of the Uniform Plumbing Code. Unless otherwise specified, the assembly shall be mounted above adequate drains with sufficient side clearance for testing and maintenance. The installation shall be made so that no part of the unit can be submerged. Capacity thru Schedule 40 Pipe (GPM) Pipe size 5 ft/sec 7.5 ftlsec 110 fusee 15 ft/sec 21/2" 75 112 149 224 3" 115 173 230 346 4" 198 298 397 595 61" 450 675 900 1351 8"" 780 1169 1559 2339 10"' 1229 1843 2458 3687 WILKIN5 8E ER 103 a Y W 69 p J W tt 34 N W W K 0 a 3000 4000 I PROTECTIVE OUTDOOR INSTALLATION SPECIFICATIONS The Double Check Detector Backflow Preventer shall be ASSEOO Listed 1048 and supplied with full port OS & Y gate valves. The main body and access cover shall be epoxy coated ductile iron (ASTM A 536 Grade 4), the seat ring and check valve shall be NORYLM, the stem shall be stainless steel (ASTM A 276) and the seat disc elastomers shall be EPDM. The checks shall be accessible for maintenance without removing the device from the line, The Double Check Detector Backflow Preventer shall be a WILKINS Model 450DA. WILKINS a Zurn company, 1747 Commerce Way, Paso Robles, CA 93446 Phone:8051238.7100 Fax:806/238-5766 IN CANADA: ZURN INDUSTRIES LIMITED, 3544 Nashua Dr., Mississauga, Ontario 1-4V 11-2 Phone:9051405-8272 Fax:9051406-1292 Page 2 Of 2 Product Support Help Line: 1 -877 -BACKFLOW (1-877.222-5356) - Webslte: http:/1www.zum.con1 DIMENSIONS approximate) MODEL SIZE Al SETTER Al SETTER END TO END TO END END FLS MJS in. mm in. I mm in. I mm 4 1 100 31 5/161 795 29.313 745 6 150 343/4 884 32.75 832 8 200 47 1194 44.625 1133 10 250 51 1295 47 1194 SPECIFICATIONS The Double Check Detector Backflow Preventer shall be ASSEOO Listed 1048 and supplied with full port OS & Y gate valves. The main body and access cover shall be epoxy coated ductile iron (ASTM A 536 Grade 4), the seat ring and check valve shall be NORYLM, the stem shall be stainless steel (ASTM A 276) and the seat disc elastomers shall be EPDM. The checks shall be accessible for maintenance without removing the device from the line, The Double Check Detector Backflow Preventer shall be a WILKINS Model 450DA. WILKINS a Zurn company, 1747 Commerce Way, Paso Robles, CA 93446 Phone:8051238.7100 Fax:806/238-5766 IN CANADA: ZURN INDUSTRIES LIMITED, 3544 Nashua Dr., Mississauga, Ontario 1-4V 11-2 Phone:9051405-8272 Fax:9051406-1292 Page 2 Of 2 Product Support Help Line: 1 -877 -BACKFLOW (1-877.222-5356) - Webslte: http:/1www.zum.con1 S�PLAS�H30 M June 20, 2012 City of Newport Beach RE: Letter of Authorization Business License #BT30039828 To Whom It May Concern: I, Daniel Gratz, owner of Advanced Backflow and Rooting, Inc. dba Splash Plumbing, give Fran adilla authorization to pull any required permits with the City of Newport Beach r f 877 -HEY -SPLASH O: 714-688-0804 F: 714-688-0814 1401 N. Kraemer Blvd. Unit B, Anaheim, CA 92806 www.SPLASHplumbing.com City of Newport Beach Quest Business License Application - eReceipt Page 1 of 1 Calendar I Subscribe to News & Alerts 1FAQs 1 Contact Us Quest Online'$ervice nequests welcome DanieldE It Info 1 91 Quest Home 6/20/2012 Congratulations Daniel! Your Business License Application has been submitted and your payment has been received. Your application will now be reviewed by a staff member and then approved accordingly. Please wait 10 business days to receive your Business License Certificate via Postal Service. You may login to Quest at any time to view the status of your request. Receipt No: 369869154 Business License ii: BT30039828 Total Amount: $233.00 Please help us improve our services: Jake a 30 second Survey View reOuests Please print this receipt for your records. I. Pont Recept,] City of Newport Beach 0 3300 Newport Blvd a Newport Beach, CA 92663 a 949-644-3309 I Contact the City 02004 Privacy Policy & Disclaimer I bim map I Website Created by Vision Internet I Technical Questions/ Difficulties For optimal performance, this website recommends using IE7+, FireFox 3,0+or Safari 3.0+ . https:Hhvww5.newportbeachea. gov/quest/bus_license/receipt. aspx?receipt=369869154&lic... 6/20/2012 4 � �f. t. Y' m F LIQ ^ U O�0 WICO W o ± _t 1 • '-"4J it,�'� =�,�i�J�' �:P_ 1'7''(1 �� ��lt 06-27-2012 Inspection Request Reporting Page 4 4:57 pm NEWPORT BEACH - CITY Requested Insoection(s Item: 10220 PRE JOB - UTIL Requested Time: 12:00 AM Requester: WEBUSER Phone: N2012-0198 Comments: AM -am pre -job with Alex Soto Assigned To: zzzzzzzzzzz* Entered By: WEBUSER WB Action: p� Time Exp: Inspector: Date: Time: AM PM Comments: F:\Users\PBW\Shared\ENCROACHWASTERS\FORMS\InsoeclorS heel doe REPT\ ....__..... ..._. REPT131 Pik& IAd: 4-071-A Requested Inspect Date: Thursday, June 28, 2012 Assigned To: zzzzzzzzzzz* Inspection Type: ENCROACH Inspection Area: PW Site Address: 1501 E 16TH ST NB 1501 16TH ST E A/P/D Information Activity: N2012-0198 Type: ENCROACH Sub Type: NEW Status: APPROVED Const Type: Occupancy: Use: Insp Area: PW Owner: SKELLERN Phone: 9496400943 Applicant: ADVANCED BACKFLOW & ROOTING Phone: 714-688-0804 PLUMBING INC Description: Remove 4" single check backflow, device in vault, extend to above grade & install new double check detector assembly per 51 D 517-L and abandon vault. Requested Insoection(s Item: 10220 PRE JOB - UTIL Requested Time: 12:00 AM Requester: WEBUSER Phone: N2012-0198 Comments: AM -am pre -job with Alex Soto Assigned To: zzzzzzzzzzz* Entered By: WEBUSER WB Action: p� Time Exp: Inspector: Date: Time: AM PM Comments: F:\Users\PBW\Shared\ENCROACHWASTERS\FORMS\InsoeclorS heel doe REPT\ ....__..... ..._. REPT131 Pik& IAd: 4-071-A 12-18-2014 Rey okl or' 3:57 prn NEWPORT 13e CT CATV Page 2 Reauested Insoectionfs Item: Requested Inspect Date: Friday, December 19, 2014 WEBUSER Assigned To: zzzzzzzzzzz Assigned To: Inspection Type: ENCROACH Time Exp: Inspection Area: PW Site Address: 1501 E 16TH ST NB 1501 16TH ST E A/P/D Information Activity: N2012-0198 Type: ENCROACH Sub Type: NEW Status: APPROVED Const Type: Occupancy: Use: Insp Area: PW Owner: SKELLERN Phone: 9496400943 Applicant: ADVANCED BACKFLOW & ROOTING Phone: 714-688-0804 PLUMBING INC Description: Remove 4" single check backflow device in vault, extend to above grade & install new double check detector assembly per STD 517-L and abandon vault. Reauested Insoectionfs Item: 10250 FINAL - PW Requestor: WEBUSER Comments: ANY -FINAL -OFFICE REQUEST Assigned To: zzzzzzzzzzz' Action: Time Exp: Inspector;� Comments: Requested Time: 12:00 AM Phone: Entered By: WEBUSER WB Date: Time: AM PM r r.:.,`t\���;` tet:• F:\Users\PBMShared\ENCROACHIMASTERS\FORMS\InsoectorSheet doc 'PT. 31. Run Id: 4018