HomeMy WebLinkAboutN2017-0210�vr,$ City of Newport Beach Il�lll�ll�l���ll�l��ll���ll��u�l��lllll���
�4 Ga 100 Civic Center Drive, Newport reach, CA 92660 N 2 0 1 7 0 2 1 0
Permit Counter Phone (949)644-3311
ar Online Inspection Request - www.newportbeachca.gov / Online
Services
Job Address : 2912 ALTA VISTA DR NB Thomas:Guide:
Description : INSTALL SEWER CLEAN OUT PER STD 406-L.
Parcel # :
4400-820-1 -
Legal Desc :
N TR 5018 LOT 19
Owner:
HSU JACK/ ANITA TRUST
Phone:
Address:
2912 ALTA VISTA DR
NEWPORT BEACH, CA 92660
Applicant:
COAST WATER & POWER
Phone:
949-548-0106 [
Address:
P O 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:
Date:
Utilities Approval :
Date:
Traffic Approval :
Date : _/ /
General Services Approval :
Date: _//
Permit No: N2017-0210-'
Project No: 286ANNED
Inspection Requests Phone (949)644-3255
889F3
Contractor : COAST WATER & POWER
Phone: 949-548-0106
Address: P O 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
Total Fee : $635.00
Paid : $635.00
Balance: $0.00
Receipt No:
Other Department : —Date: _/_/
Permit Denied : Date : _/_/
Issued Permit : AC_- Date : 1� /to / 7
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
April 28, 2017 10:49:29 AM PDT 115 3 Received
PLEASE COMPLETE THE FOLLOWING INFORMATION
PROJECT ADDRESS:
2912 ALTA VISTA
DESCRIPTION OF WORK:
.INSTALL SEWER CLEAN -OUT PER 406-L
Conditions of Permit-
Services:
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Traffic:
Other:
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CITY OF MEWPORT BEACH 'DDRESS ct
ENCROACHMENT PERMIT APP; - fr.,N;
I5/iOIZ017 City of Newport Beach Page 9 or 20
4:30:1`1PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 05/1112017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 2912 ALTA VISTA DR
Activity : N2017-0210
SubType NEW
Status : APPROVED
OWNER: HSU JACK/ ANITA TRUST Phone:
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
mikekilbride@iive.com
)ascrintion : INSTALL SEWER CLEAN OUT PER STD 406-L.
Item: 10030 CLEAN -OUT
Requested Time: 5/11/2017 12:00:OOAM Requestor: WEBUSER
949-289-0078
Entered By: WEBUSER
Comments: ANY -
Assigned to : zzzzzzzzzu"
Inspector: Date: Time
Comments:
ft
F:\UserskPBWXShared\ENCROACH\MASTERS\FORMS\InspectorSheet.do
AM PM
REPT131 Run Id: 4018
5/15/2017 City of Newport Beach Page 6 of 13
6:34:19AM INSP150 - Daily Inspection Request Report
Requested Inspection Date :
05/15/2017
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
2912 ALTA VISTA DR
A/P/D Information:
Activity :
N2017-0210
SubType:
NEW
Status:
APPROVED
OWNER: HSU JACK/ ANITA TRUST Phone :
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
mikekilbride@live.com
Description: INSTALL SEWER CLEAN OUT PER STD 406-L.
RequestedInspection(s)
Item: 10215 ROUGH UTIL
Requested Time: 5/15/2017 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to: zzzzzzzzzzz'
Inspector: Date: / S� /� Time: �Z, w' AM PM
Comments: 1l�/`S`r/�GL d� SC ct4j 7 e,�--� 6 Gam-! s `S/
d?) !D `s Inyam-_ . �_
F:\Users\PBW \Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet. doc
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5/16/2017 City of Newport Beach Page 17 of 20
4:31:04PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 05/17/2017
Inspection Type; ENCROACH
Inspection Area : PW
Site Address : 2912 ALTA VISTA DR
Activity : N2017-0210
SubType : NEW
Status : APPROVED
OWNER: HSU JACK/ ANITA TRUST Phone:
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
mikekilbride@iive.com
)escrintion : INSTALL SEWER CLEAN OUT PER STD 406-L.
Item:
10250 FINAL - PW
Requested Time:
5/17/2017 12:00:OOAM
Entered By:
WEBUSER
Comments:
AM -
Assigned to :
zzzuzzzzu'
Inspector: (/ Date
Comments:
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
Requestor: WEBUSER
9495480106
Time: 1- 36 AM
REPT131 Run Id: