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HomeMy WebLinkAboutN2017-03070 ® W � Z o0o Cb M N a ui fA fR 1I �I O \ Tomba z °'• ?3 Q W n rn ❑ O o 0 c ('�' 00 LOO W " Z 00 M WM � co Z Go w Q a0 a Q o = rn 00 n Z O Z LL ca 2 Q a, O W d U O N C a+ a = W co W a (0� �Hn� N HN d�00 O p w a0 �Oxa' no O]� C V)O)a- d ••Z IL fn a N C O IL d a Q0m% Ow d _ d Op U Obi IL d d •• G .. Fam R' c a .. .. r x J w m d U m Lxu r 0 E d d W H C C c U d d 0 d ❑ ❑ a O c c 0 M C m N d 0 �CL 0 t E p d cia¢ cis MM y —m o a om o00000 o 0 0 0 0 0 — — 0v000d <o v3 va v� er �m J IA —Z V p,.+. .�+� O _ X O NM of GE2 C O .. 0 �I w .e d d I 0d d d O zZQ 3mm�mE W U V'F-2iFQ rn O WW o 0 0 0 0 0 r o ❑ D� C) awm Dm 66» O 3 i m c Z Q W Z N f9 O) Vi U Co M F- 0 o N W t9 N n m op w OJ to M K o 0 W M rn LU M m d a w W g O U O m U p pa�i d'Q >0 2 W ❑2 a� 2 0 ors wNKwNaa w 2wLL CO o�UZ wo m Fy- Z W Oa~o O fq wUF Q0 zW O W Z x ~v0a OU .. > Ka z ❑a do > V � O� Q 9 W d o m� U a 0 m m aW aa' o NW N Z Oa w U 0) a Z a � rn d y C 0LL OLL LL m o 0 N C •• i3 .. V O C C G.O N O. d d ❑ .. .. d c d d N a d 0 0 f6 E U-p h- y N Q U X' Q.n' d W U y N CL o m -pi0 a. OaQ <IL rn a¢F-Sswin a` E`- f?i(l 3F�AAt t�Ytt',f)tkrSJ��j i a1•.�+��;" R ..4 ] ��t';.:.MS iF� N•y,�yt �f2 i� �V•w•:•�,.'�.•'�. �� j-1 '.. � f \C J nY a •'r .. h•, ii . F.,,i ADDR PDETRAILED DESCRIPTION OF PROPOSED WORK: o L LICANT:1,6y',"L-ri� Phone: 94fg..6 Entail Address: 6 r Mailing Atltlress: City/sutelZlp: 3a Phone: Emailress:dress: sty/3 fap: z .. ..� Office Phones 9q O O coNTRACTDR Y omparry (if different): Jobsife Phone: Other phone: Email Address; 476 GD Vk Mailing Address: City/Stateiz-ap: State License Number & Class; City Business Licen umber. Ex ima;'%•3r•1.7 lres: f 2. •1% WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) aman o. Polic No: OT ?1 /p• (p Ewes- • t•/ % nib � ff0(l9G•?td9r6A4•�Q5$'.�.-;�.-.�:•.•.•;•.•;-.-.-:•:•.•.-:-:-.�:•:•.•.-.-.•.•.•.-:".•:•:•.•:�.�.•.•:".-.- ldrhan �i7rss � _ 9�8��d4,308�.•.•.•;-.�;•;-.•;•.•.'.•.-.�.•.•.•.•.•;-.-..•.•.•.•;:-.•;•;•;-.�.-.�.•�•;".�.�; •; •; •;�_• Special Conditions of Permit idUrwA Utilities: Traffic: Fire: Municipal Openations Other: Engineering Technician: Pe lalist Date: Permit No. A Ve—'rider-40 9833 100 CIVIC Can'ier' DrnreNeewppoort Bch, CA 92660 --WINE Y' t,`rj o. c I1MEN •;a �StyyaC CDAI1�, OTI Fr = — �' '-AFC :. .•. ,. "!_ ,. .•. _ _..f.-. •. �—eOF CowsQlrisice Fce <�trmot�t,7 $288,0( Sew Fee (Plan dsecfc hourly} S9S5.4%? Fines Tmd v,mpFee F-F" Pmcd Mw C Fae _ d rite �48S_O[ LOi LimA� F� $�4�?_fH Park Dedco&m Fee $1.07s'm Sh*e,t . ZOree TBE fe@ (+'?00% d [a,y m�+ms3�^ $i,022_tx Sbvet Tres Fee M700 P V Fee} TM oo ,�� 4 Newport Beach Police Dispatch City of Newport Beach Public Works Department - ^•"' a[.rrgTor remporayStreerClosure��— MIKE KIL13RIDE APpLICpN7INFpRMgTION Iny Name- COAST WATER & POWER cny or Newport swab s: P.O. BOX 3341 NEWPORT BEACH, CA 926594341 Phone: Day 949-289-0078 Night 8T8� Location of Encroachment: (Use street address rx approxhnate rlt�bnr of ievr _ frortl near r _reason for Encroachment: UTILITY IMPROVEMENTS - Generally one day between dates below. NOTE: No work on holida (sl or weekends. Date C10rure to Begin: I n i '"I 4ate Closure to End: I ('-7 ( aAmu 14 D s _ Time of Closure: eLZA B 1jq)j-7 e � Provide access to hwiAl if needed. ARE (JR4 residents 48-hrS prior to closure. on the finnt and back of this permit. Permiteetoea Is eand oorrect. and ua antees to ndelI anfy and no- " �h t of News and •'. En<t4xCnnOne percmt No: `Igains any Claims, liabil" g City wport Beach j �j or �udgme s fqr rages arising out of permitae's ac(ivitfea. IY 4 O 1 - L Date- 6. •I'l Approved by: c:nowme.0 am xmn eia —"-~ Date_ 9 ge�dttq 5p[myerT[MA�"+ry �nl[mgr FllnN�ypq�25W191J9BG�rtemq 3bwl CL ..a .. Lr 001 LE-D E7 7 - TREE POWER POLE =SEWER CLEA_NOIJ-, [f = WATER METER BOX fl l(L4aj I I I � I Nl.ul� c7S — I ! l If I I 4aUTITTER —f '$ LITY OF NEWPORT BEACH 1ENCROACHMENT PERMIT I ADDRESS APPUCANT es�q i OWNER_—ei! UFSCRtPT1Ort OF WORK`- -Pei- lit NO.N20 7 < "7 711312017 City of Newport Beach Page 12 of 14 4:31:01PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 07/14/2017 Inspection Type : ENCROACH Inspection Area : PW Site Address : 149 RIVERSIDE AVE AIP/D Information: Activity : N2017-0307 SubType : NEW Status : APPROVED OWNER: MARINERS CENTER LLC Phone: APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@live.com Description : REPLACE SEWER LATERAL AND BUILD CLEAN OUT PER STD 406-L. Requested Inspection(s) Item: 10200 PRE JOB - PW Requested Time: 7/14/2017 12:00:OOAM Requestor: WEBUSER 7142400741 Entered By: WEBUSER Comments: AM - Assigned to : zzzz`zz/zzzzz' Inspector: �Q V Date: Iq Time: !-'36 GPM Comments: �G>� �✓� I11A/� S �r/i Z!j-� l g 0 Go`v, ,0 -7 / / IV - ter, fl k4 — fs "?7 l , 4 L-L "iL 'PEFn , 7-Z-1 u Logged F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorStieet.do c REPT131 Run Id: 4018 7/17/2017 City of Newport Beach 1:30 36PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 07118/2017 Inspection Type : ENCROACH Inspection Area : PW Site Address : 149 RIVERSIDE AVE A/P/D Information: Page 3 of 6 Activity : N2017-0307 SubType: NEW Status : APPROVED OWNER: MARINERS CENTER LLC Phone: APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@live.com Description : REPLACE SEWER LATERAL AND BUILD CLEAN OUT PER STD 406-L. Requested Inspection(s) Item: 10030 CLEAN -OUT Requested Time: 7/18/2017 12:00:OOAM Requestor: WEBUSER 7142400741 Entered By: WEBUSER Comments: PM -night work Matt B & Mike L Assigned to: zzzzzzzzzzz* Inspector: Comments: Date: 7 Time: AM PM F:\Users\PB W\Shared\ENCROACI i\MASTERS\FORMS\I nspectorS heet.doc REPT131 Run Id: 4018