HomeMy WebLinkAboutN2017-0335Av1t=rp City of Newport Beach
100 Civic Center Drive, Newport Beach, CA 92660 II N 2 0 1 7 0 3 3 5
F Permit Counter Phone (949)644-3311
rr� Online Inspection Request - www.newportbeachca.gov / Online
Services
Job Address : 1842 GALAXY DR NB
Description: REPLACE SEWER LATERAL AND BUILD CLEAN OUT PER STD 406-L.
Parcel # : 1176-411-3 -
Legal Desc : N TR 4224 LOT 27
Owner: FADDOULABDO
Phone: 949-424-4706
Address : 621 LIDO PARK DR
NEWPORT BEACH CA 92663
Applicant:
COAST WATER & POWER
Phone:
949-548-0106 949-289-0078[
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: N2017-0335
Project No : 1806-2016
SCANNED
CAN N E®
Inspection Requests Phone (949)644-3255
Thomas:Guide: 889C4
REVIEWED
Contractor: COAST WATER & POWER
Phone: 949-548-0106 949-289-0078
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 : Date :`� p21 / /
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DETAILED DESCRIPTION OF PROPOSED WORK:
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ORKERS COMPENSATION INSURANCE Certificato of Insurance (Section 3800 Labor Code)
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itiV
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Municipal Operations Other.
Fire:
Engineering Technician:
Permit §pesWist
Date:
11-7
Permit NO-
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�go(o-2D ate Public Works Department 94 4",3311
100 Civic Center Drive. Newport Beach, CA 92000
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6/26/2017
City of Newport Beach Page 5 of 11
'4:30:04PM
INSP150 - Daily Inspection Request Report
Requested Inspection Date: 06/27/2017
Inspection Type: ENCROACH
InspectiouAFen - PW--
Site Address: 1842 GALAXY DR
Activity :
N2017-0335
SubType:
Status :
NEW
APPROVED
OWNER:
FADDOUL ABDO Phone
949-424-4706
APPLICANT:
COAST WATER & POWER Phone : 949=548-0106
949-289-0078 mikekilbdde@live.com
Description :
REPLACE SEWER LATERAL AND BUILD CLEAN OUT PER STD 406-L.
Item:
10215 ROUGH UTIL
Requested Time:
6/27/201712:00:OOAM Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
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Assigned -to :
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Inspector:2
O` Date_ i// Time: AM PM
Comments:,
COM LEW
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F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
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Run Id: 4018