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HomeMy WebLinkAboutN2017-0138wv{,� City of Newport Beach II IIIIII IIII IIIIIIIIIIIIIIIIIIIIIIIII IIgII Permit No: N2017-©13$ to o 100 Civic Center Drive, Newport Beach, CA 92660 II N 2 0 1 7 0 1 3 8 Permit Counter Phone (949)644-3311 Project NO : 1240-2016 a Online Inspection Request- www.newportbeachca.gov/Online SCANNED' orgs,. `, Services 1z+ - Inspection Requests Phone (949)644-3255 Job Address: 606 POINSETTIA AVE NB Thomas:Guide: 919F3 Description: INSTALL SEWER CLEAN OUT PER STD 406-L. REVIEWED Parcel # : 4592-310-4 - Legal Desc : CORONA DEL MAR BLK 643 LOT 8 Owner: MALERBE SUZANNE E �� �ja Contractor : COAST WATER &POWER Phone: Phone: 949-548-0106 Address: 207 18TH ST Address: P 0 BOX 3341 HUNTINGTON BEACH CA 92648 NEWPORT BEACH CA 92659 Contractor State Lic: 738400 Applicant: COAST WATER & POWER License Expire: 07 31, 2017 Phone: 949-548-0106 [ Address: P 0 BOX 3341 NEWPORT BEACH CA 92659 Business License: BT96014951 Business Expire: 12 31, 2017 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance -- Carrier : STATE COMP INS FUND Policy No: 9087110 W. C. Expire: 10 01, 2017 Permit Processing Fee : $241.00 Sewer Connection: $0.00 Total Fee Agreement Fee: $0.00 4TT Box Cover: $64.00 Paid: Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Balance: 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 Processed By : Date: Utilities Approval : Date: Traffic Approval : Date General Services Approval: Date Other Department : Permit Denied Issued Permit $635.00 $635.00 $0.00 Date Date r �`1Y�`E'17 INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY TIME RECEIVED REMOTE CSID DURATION PAGES STATUS 'March 17, 2017 2:40:33 PM PDT 102 3 Received L•E'f � i A � _ PROJECT ADDRESS: _ a^ DETAILED DESCRIPTION OF PROPOSED 1N4CRK: LAO (a .� PLICANT: i L) () Phone: M. Email Address: fh;6 t T Mailing Address: Citylstate2ip: 3 ' NER: Phone: Email Address: fling Address: City/Stats2ip: "�, C��Faf wg' . °' �i � Y T p'�O Office phone: Company (ff different): Jobsits Phone CQASf l]ther Phone: Email Adcfi.' 4: ' , 4.TD • e.o A%- MailingAddress: City/state/Nip: 2 fate License Number & lass: ! City Business Licari Number: 1%.4400 Ex irel.7-Sf•(% l res: Z: 7 ORKERS COMPENSATION INSURANCE - Certificate of Insurance (SecOon 3800 Labor Code) om an . PolicyNo: d %IIC�• (p Ex ices: �'�'�� Me`a1.CF...,.ns:'�1li=8.43�3d63.•:,•.•.•.-..•.•:•:•:..•:•.•:•.�.•,•.*.•.•.•:•.•:-_-:•:•:•.':�_�..•.•...•.•.•.-. 3iGties:: Ari9;Bari:3o1'1•:•:•:-;-'•:•:•:•:•:;•:�:•:•:':-:•:•:•:•:�::•:•:•:•::•:•:•:-:•:•:•:•:�:•i:•:'::•:•:•:•' :.:.}:. tirtmn�orze_'.843�44,39ti3.'.':'.".'.'.'.'..".•.'.'.:':•.'.'.'.' ................•....:'.'.'.'.'.•.,..•_.._. r3 F. Special Conditions of ermit „r-� till llSes: Traffic: Fire: Municipal Operations Other; Engineering Technician: Perrnl Ilst Date} - Pefmit No, l� •1I N201 -j Vtndor-40 1833 Owe..—. tU Public Works naparbnent 040-6443311 100 Civic Center Driya, Newport Beach, CA 92660 LEGEND �� TREE • = POWER POLE = SEWER CLEANOi1T WATER METER BOX i lQ 0� i kHe.z o . 8-72 noQLj { e�ea�. w- CENTERLINE OF , OA&� PROPERTY LIME , I CITY OF NEWPORT BEACH ENCROACHMENT ,MIT PERMIT No. N 19 — r ADDRESS APPLICANT OWNER DESCRIPTION OFVVOR. 4/6/2017 City of Newport Beach Page 4 of 11 N ASOMPM INSP150 -Daily Inspection Request Report Requested Inspection Date : 04/06/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 606 POINSETTIA AVE Activity : N2017-0138 SubType : Status: NEW APPROVED OWNER: MALERBE SUZANNE E Phone APPLICANT: COAST WATER & POWER Phone : 949-548-0106 mikekilbride@live.com OWNER: JOHNSON DAVID G Phone: 0 Description : INSTALL SEWER CLEAN OUT PER STD 406-L. Item: 10215 ROUGH UTIL j Requested Time: 4/6/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: AM - Assigned to: Inspector: =77777777� - Date: V% Time: °1' M PM Comments: IGI1-twk,5 -V7-+'✓. s ® -L -r '0 tW P,*-Z- two 57V-06"---1- _ %Z Lo 1.j Reffle F:\Users\PBW \Shared\ENCROACH\MASTERS\FORMS\I nsoectorSheet.doc - REPT131. Run Id: 4018