HomeMy WebLinkAboutN2018-0027r�rr� City of Newport Beach
d 100 Civic Center DriveNewport BeachCA 92660 III IIII �I III IIII IIII IIII IIII I�IIIII�IIIIII� II , , fl ,, Nzei6 e02z
?, Permit Counter Phone (949)644-3311
c"x Online Inspection Request- www.newportbeachca.gov/Online
-,ro- Services
Permit No: N201$-0027
Project No:2262-2017 SCABS E111D
Inspection Requests Phone (949)644-3255
Job Address : 1033 W BALBOA BLVD NB Thomas:Guide:
Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L; REPAIR EXISTING WATER SERVICE PER STD 502-L.
IEL®
Parcel # Legal Desc :
Owner: DEMOREMICHAEL
Phone: 602-410-4151
Address : 8711 E. PINNACLE #304
SCOTTSDALE, AZ 85255
Applicant: COAST WATER & POWER
Phone: 949-548-0106 949-289-00781
Address: P O BOX 3341
NEWPORT BEACH CA 92659
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
afar
Permit Processing Fee:
$241.00
Sewer Connection:
$250.00
Agreement Fee:
$0.00
4TT Box Cover:
$64.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$649.50
Inspection Fee :
$495.00
Water Meter Connection :
$528.00
Refundable Deposit:
$0.00
Total Water Meter Box:
$193.32
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By :
Date :
Utilities Approval :
Date:
Traffic Approval :
Date
General Services Approval :
Date
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, 2019
Business License:
BT96014951
Business Expire :
12 31, 2018
Workers' Compensation
Insurance - -
Carrier :
STATE COMP INS FUND
Policy No:
9087110
W. C. Expire:
10 01, 2018
Total Fee
Paid :
Balance
Receipt No:
$1,892.82
$1,892.82
$0.00
Other Department: —Date: _/_/
Permit Denied Date: �/
Issued Permit : Date :3/5J /�l®
" IN50UND NOTIFICATION : FAX RECEIVED SUCCESSFULLY "°
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
7 anuary 16, 2018 at 10:09;42 AM PST 140 5 Received
PLEASE COMPLETE THE FOLLOWING INFORMATION
L�[C"(Qd -- 01-01 1
CITY OF NEWPORT BEACH
APPLICATION FOR WATER METER OR HYDRANT METER
REQUESTED BY -lbe-+ e1
(entity who is requestlnq meter and/or would get h,
MAILING ADDRESS RECEIPT#
CITYISTATEIZIP
PHONE #
SERVICE ADDRESS
Io 3 O?)
W'•
a (Va
) Hydrant Meter
Deposit required
(tapping order)
( ) New Meter
New service address
(tapping order)
( } New Meter at existing service address
(tapping order)
(Meter Upgrade
Existing service address
(work order)
() Irrigation only
( ) Commercial Location (v} Residential Location () Fire Connection Fee $
(
M
atter Size 111 Fee $ I2� o (%�4TT Box Fee $ �O
(y) 4ter box & Lid - Alley/Traffic Area Fee $,143.32or Parkways/Sidewalk Fee $
Total Fees $ Encroachment Permit Number: N wi e
Customer Name (property owner} 1 a AAe��
Billing Addresses id- &boa �/vd • _ citylzip .0
Residence Phone # Business Phone #
E-Mail Address
Social Security # or CA Drivers License
FOR OFFICE USE ONLY
CLERK PATE BUS LIC # MID#
DATE UTILITIES COMPLETED DATE HYDRANT METER CLOSED
NEW ACCOUNT NUMBER NOTES
WORKITAPPING ORDER NUMBER
r/users/rev/shared/water/water meter sere app 05/23/16
3/15/2018 City of Newport Beach Page 15 of 16
6:34:21AM INSP15O - Daily Inspection Request Report
Requested Inspection Date : 03/15/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address: 1033 BALBOA BLVD W
Ail?/D7nforma6or4:
Activity : N2018-0027
SubType: NEW
Status : APPROVED
OWNER: DEMORE MICHAEL Phone : 602-4104151
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L; REPAIR
Item: 10250 FINAL - PW
Requested Time: 3/15/2018 12:00:OOAM Requestor: WEBUSER
Entered WEBUSER
Comments:
ANY-
Assigned to: uzzuzzzzz'
IVAAJ P4.
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