HomeMy WebLinkAboutN2017-0048ootyivi CNewenter Dport Beach
rive, NewportBach, CA 92660 III.11lllll llll 111 lull lnllllllll llll 111 II
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u Online Inspection Request - www.newpodbeachca.gov/Online
Services
Job Address:
1112 BERKSHIRE LN INS
Description :
INSTALL SEWER CLEAN OUT PER STD 406-L.
Parcel #
1174-640-3 -
Legal Desc :
N TR 3031 LOT 29
Owner: ROLLINGER M VICTOR
Phone:
Address : 1112 BERKSHIRE LN
NEWPORT BEACH, CA 92660
Applicant: COAST WATER & POWER
Phone: 949-548-0106 [
Address : P 0 BOX 3341
NEWPORT BEACH CA 92659
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
Permit Processing Fee :
$241.00
Sewer Connection:
$0.00
Agreement Fee:
$0.00
4TT Box Cover:
$64.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$0.00
Inspection Fee :
$330.00
Water Meter Connection :
$0.00
Refundable Deposit:
$0.00
Total Water Meter Box:
$0.00
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By:
Utilities Approval
Traffic Approval :
General Services Approval
Date:
_!
/
Date
Date
Date:
Permit No: N2017-UU4&,
Project No: 1931SUAN N E
Inspection Requests Phone (949)644-3255
Thomas:Guide: 889B6
Contractor : COAST WATER & POWER
Phone: 949-548-0106
Address: P 0 BOX 3341
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
License Expire : 07 31, 2017
Business License:
BT96014951
Business Expire :
12 31, 2017
Workers' Compensation
Insurance - -
Carrier :
STATE COMP INS FUND
Policy No:
9087110
W. C. Expire:
10 01, 2017
Other Department :
Permit Denied :
Issued Permit
Total Fee $635.00
Paid : $0.00
Balance: $635.00
Receipt No
Date
Date
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DETAILED DESCRIPTION OF PROPOSED WORK:
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PPLICANT: i A.L74
Email Address: d• i r•
Phone:94IC7.
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Mailing Al(ess: 33
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City/State/zip:
to License Number & lass.
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City Business Livens Number:
E ires: 2.7
ORKERS COMPENSATION INSURANCE -Certificate of Insurance (Section 38001abor Code)
om an : u Polio No: 6`8?l
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Special Conditions of Permit
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Utilities: Traffic:)
Municipal Operations Other:
I� Fire: l�.J
Engineering Technician;
Permit S raft
Date:
Pannit No.
N201 --iio�
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(co Public Works Departmem 9"-W-3311
top Civic Center Drive, Newport Beach, CA 92660
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CURB Se CUTTEp, __ i
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ENCROACHMENT PERMIT 1 AFTUCANT { ��
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OWNER DESCRIPTION OF WORK 172
Permit No.NM7—b�t l
21k/2017 City of Newport Beach
4:30,59PM INSP150 - Daily Inspection Request Report
Activity
SubType
Status
OWNER
APPLICANT
Description
Item:
Requested Time:
Entered By:
Comments:
Page 3 of 4
Requested Inspection Date: 02/03/2017
Inspection Type : ENCROACH
Inspection Area : PW
Site Address : 1112 BERKSHIRE LN
AIP/D Information:
N2017-0048
NEW
APPROVED
F') L&ICI r>C
ROLLINGER M VICTOR Phone:
COAST WATER & POWER Phone : 949-548-0106
mikekilbride@Iive.com
INSTALL SEWER CLEAN OUT PER STD 406-L, UPDATED 1/27/17 - 2 CURB CORES
PER CITY STD.
Requested Inspection(s)
10215 ROUGH UTIL
2/3/2017 12:00:OOAM Requestor: WEBUSER
BUSER
AMW/
Assigned to : zzzzzzzzzzz'
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Inspector: J °' Date: Z( 3i / 7 Time: /Z j OOAM
Comments: lL/1,34410
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REPT131 Run Id: 4018
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Inspector: Y Date: Time: "` AM(�§
Comments: 6,62 3 v F:::7r C5� T—
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REPT131 Run Id: 4018