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HomeMy WebLinkAboutN2017-0215City of Newport Beach ��il111111111111111111111111111111111111111111 II 100 Civic Center Drive, Newport Beach, CA 92660 II N 2 0 1 7 0 2 1 5 Permit Counter Phone (949)644-3311 ss. Online Inspection Request-www.newportbeachca.gov / Online Services Job Address : 1836 PORT SHEFFIELD PL NB Description: INSTALL SEWER CLEAN OUT PER STD 406-L Parcel # : 4581-130-7 - Legal Desc : N TR 6620 LOT 7 Owner: PORT SHEFFIELD 1836 TRUST Phone: Address: 16430 BAKE PKWY IRVINE CA 92618 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: N2017-0215 Project No: 0197-2016 SCANNED -- Inspection Requests Phone (949)644-3255 Thomas:Guide: 889G5 Contractor: COAST WATER & POWER Phone: 949-548-0106 Address : P 0 BOX 3341 NEWPORT BEACH CA 92659 Contractor State Lie: 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 Total Fee $635.00 Paid: $635.00 Balance : $0.00 Receipt No: Other Department: Date : _/ /_ Permit Denied Date : Issued Permit : Date E4,,) " q INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY ** TIME RECEIVED REMOTE CSID DURATION PAGES STATUS April 28, 2017 12:54:33 PM PDT 121 3 Received PLEASE COMPLETE THE FOLLOWING INFORMATION PROJECT ADDRESS: 1836 PORT SHEFFIELD DESCRIPTION OF WORK; INSTALL SEWER CLEAN -OUT PER 406-L APPLICANT: MIKE KILBRIDE Phone: 949-289.0078 Mailing Address: PO BOIL 3341 y/Stato/Zip- CitNEWPORT BEACH CA 92659 OWNER: Phone: Mailing Address: City/State/Zip: CONTRACTOR: MIKE KILBRIDB laffice Phone: 949-548.0106 Company (if different): lJobsite Phone: 949-289-0078 COAST WATER ANT) POWER 10ther Phone: FAX: 94%548-1616 Mailing Address: City/State2lp: PO BOX 3341 NEWPORT BEACH CA 92659 State License Number & Class: City Business License Number: 738400 A, B, C-10 DT9601491 EXP: 12-31 2017 WORKERS COMPENSATION INSURANCE -Certificate of Insurance (Section 3800 Labor Code) Com an : STATE FUND Policy NO: 9087110.14-2 Expires: 10/1/2017 REFUNDABLE DEPOSIT INFORMATION ffApplicable) Made Payable To: MIKE KILBRIDE Vendor No: 9833 Mailin Address: PO BOX 3341 NEWPORT BEACH CA 92659 Special Conditions of Permit: r z `b`f1 Ir Utilities: Traffic: General Services: Other. rin Engineeg Technician: Publi o Specialist: [)it-. Permit No. 4 �✓� �� N2017- CIQ7 Jo fir? LEGEND = TREE = POWER POLE =SEWER CLEANOUT = WATER METER SOX I i I it i i I i �I 1 i I ! it I I clew, o� CURB & GUTTER. CENTERL]NE CITY OF NEWPORT BEACH ENCROACHMENT PERMIT Permit No.20�7_©2�s ADDRESS lW f` rt APPLICANT j<ILS $kne OWNER DESCRIPTION OF WORK r' '9131/2017 City of Newport Beach Page 9 of 19 4:30:16PM INSP150 - Daily Inspection Request Report' Requested Inspection Date: 06/01/2017 Inspection Type : ENCROACH Inspection Area : PW Site Address : 1836 PORT SHEFFIELD PL Activity : N2017-0215 SubType : NEW Status' APPROVED_ OWNER: PORT SHEFFIELD 1836 TRUST Phone APPLICANT: COAST WATER & POWER- Phone : 949-548-0106 mikekilbride@live.com Description : INSTALL SEWER CLEAN OUT PER STD 406-L Item: 10215 ROUGH UTIL Requested Time: 6/1/2017 1200:OOAM Requestor: WEBUSER- Entered By: WEBUSER Comments: AM - Assigned to: zzzzzzzzzzz' Inspector: V Date: G% Time: AM<jf� Comments: _, �Y Q �f <iyi� t z,, / c5�rz .ram r:> `5 I Logoe., i F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet-doc I REPT131. Run Id: 4018 I t