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HomeMy WebLinkAboutN2017-0289City tyo Newport Beach 11111111111111111111111111111111111111111 II vcDoBach CA 92660 111111111 Permit Counter Phone (949)644-3311 online Inspection Request - www.newportbeachca.gov / Online eServices `iir6a]AµRt Job Address : 4501 WAYNE RD NB Description : REPLACE SEWER LATERAL PER STD 406--L. Parcel # : 4750-320-9 - Legal Desc : N TR 3519 LOT 110 Owner: BROWN RICHARD P Phone: 949-290-7240 Address: 4501 WAYNE RD CORONA DEL MAR, CA 92625 Applicant: COAST WATER & POWER Phone: 949-548-0106 949-289-00781 Address : P 0 BOX 3341 NEWPORT BEACH CA 92659 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Permit Processing Fee : $241.00 Sewer Connection: $250.00 Agreement Fee: $0.00 4TT Box Cover: $192.00 Traffic control Plan Check : $65.00 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 Permit No: N201 T-0289 Project No: 1095-2016 S CAN N E®- ' " Inspection Requests Phone (949)644-3255 Thomas:Guide: 919G3 Contractor : COAST WATER & POWER Phone: 949-548-0106 949-289-0078 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 Total Fee Paid: Balance: Receipt No: $1,078.00 $1,078.00 $0.00 Date : / / Other Department : Date : Date: _/ /_ Permit Denied Date : Date : / / Issued Permit : Date: Date: / / INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY THE RECEIVED REMOTE CSID DURATION PAGES STATUS May 30, 2017 2:18:48 Pm PDT 129 4 Received 7.7750—A =. PROJECT ADDRESS: DETAILED DESCRIPTION OF PRO -POSED WORK: Le L— PPLI NT: i Email Add Phone:, N. Mailing Address: Ip- .41 11;11Y/7 'r cat q OWNER: 9011111iiiiiiiiii .44I.A210 Email Address:Mailing Address: IP: TRACTOR, . Go Phone: 9q 00 MPWW (if dtifferent): CbAdk+ bate phone-, 4?q!q. vtt =2t— 1A + tA IeL+A-,rM. Otherl'itone.• 5YA.jAgo Email Address; Mailing Address: Citylata p: State License Number & law: City Business Lt a Number- 0 Eli Tres: I 2. t 7 WORKERS COMPENSATION INSjjpANCE Certificate of Insurance (Section 3800 Labor Code) . . . . . . . . . . . . . . . . . . . . . ... . . . . .. . . . . . . . . . . itions of Permit. - Utilities! raffiC:Flrs. Municipal operations Engineering Technician: permit 8 Penn it No. Wst N2ntl$__ 1)2 �1 loq'5 -Yolb( Public Works Dep,,bnem 949.644.33.f I 11OPCIVic Center Drive, Newport Bch, cA92668 iE— GFdv? 0 =2EE = P )WER POLE = WATER PvE pRB0X 1 � E ysoi I ( I o7 I MWv© C'jRs t CITY OF NEW ENCROACHMENT PERMIT (ann€ u BEACH $ 5 Sb ( (e uwT � t L�s� 1 CR♦.` .MKS I OWNER DESCRIPTION OF WORK Permit No.4201 l/6017 City of Newport Beach Page 3 of 7 " "fo 6:34:32AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 07/07/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 4501 WAYNE RD Activity : N2017-0289 SubType: NEW Status : APPROVED OWNER: BROWN RICHARD P Phone : 949-290-7240 CDMLIVING@ME.COM ` APPLICANT: COAST WATER & POWER Phone: 949-548-0106 949-289-0078 mikekilbride@live.com Description : REPLACE SEWER LATERAL PER STD 406--L Item: 10215 ROUGH UTIL Requested Time: 7/7/2017 12:00:OOAM Requestor WEBUSER Entered By: WEBUSER Comments: AM, Assigned to: zz\`zzzzzzzzz" ! 7 1 l tb Inspector: v1 Date: Time: AM Comments: ! 'i5� G �d Refill: F:\Users\PBW\Shared\ENCROACH\k4ASTERSXFORMS\Insi3ectorSheet.do 0 8/7/2017 6:34:43AM Activity : SubType: Status : OWNER: City of Newport Beach INSP150 - Daily Inspection Request Report Requested Inspection Date : 08/07/2017 Inspection Type: ENCROACH Inspection Area : PW Site Address : 4501 WAYNE RD A/PID Information N2017-0289 NEW APPROVED BROWN RICHARD P Phone Page 3 of 11 949-290-7240 APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@live.com Description : REPLACE SEWER LATERAL PER STD 406--L. Requested Inspection(s) Item: 10000 EXCAVATION & PIPE INSTALL-UTIL .Requested Time: 8/7/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: AM - Assigned to: zzuzzzzzu' Inspector: J U Date: 1-7 1-7 Time: /-`cab AM� Comments: 7-57 A P- IU D 1- c,>A) -52-TE , V--1 ,eF-1 c, L,oA .T- 5ek4ci2 L.A-i Ee-/4I_ Reflle, F:\Usem\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc REPT13'1- Run Id 40188� I a / I 1 I Y I I � I 1 I; i 8/28/2017 City of Newport Beach Page 5 of 10 6:34:32AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 08/28/2017 Inspection Type: ENCROACH ; Inspection Area: PW Site Address : 4501 WAYNE RD Activity : N2017-0289 SubType: NEW Status : APPROVED OWNER: BROWN RICHARD P Phone : 949-290-7240' CDMLIVING@ME.COM APPLICANT COAST WATER & POWER Phone 949-548-0106 949-289-0078 mikekilbride@live.com Description: REPLACE SEWER LATERAL PER STD 406--L Item: 10250 FINAL - PW Requested Time: 8/28/2017 12:00:OOAMRequestor: WEBUSER 9495480106 Entered By: WEBUSER Comments: AM - Assigned to : zzzzzzzz z* Inspector: Date: 28 Time: Z CAM PM Comments: i 5 NA 1345© L, P L IvT�9=,y tor-ly P le, ? 4EED t-0 'V Ele4 F y I F SM,)(,U'?T nN R-OCJG P=o,-t7 . i S lct t_�.r2t t�'s Pagllousyo7E Llt,,yiz_A-ram' t-7-s 17¢Gt4�49' /f/0 r7 r-y 041 re s o FnElcE . a Logged R -Ae F:\Usem\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc 8/30/2017 City of Newport Beach Page 3 of 9 6:34:07AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 08/30/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 4501 WAYNE RD AIPID tnformatton: Activity: N2017-0289 SubType: NEW Status: APPROVED OWNER: BROWN RICHARD P APPLICANT: COAST WATER & POWER Phone : 949-290-7240 CDMLIVING@ME.COM Phone : 949-548-0106 949-289-0078 mikekilbride@live.com Description: REPLACE SEWER LATERAL PER STD 406--L. Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 8/30/2017 12:00:OOAM Requestor: WEBUSER 9495480106 Entered By: 'VYEBUSER Comments;,,:_PM,- Assigned to : zzzzzz'7�zzz. Inspector: Jet' Date: Time: AM PM Comments: r-0 ,CULL/ F: \Users\PBW \S h a red\ENCROACH\MASTERS\FORMS\I n soectorSheet. doc