HomeMy WebLinkAboutN2017-0538City Ci of Newport Beach III 1111111111111111IIIIIIII0111111111111111111 II
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100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 5 3 8 I
1r. Permit Counter Phone (949)644-3311
"$ Online Inspection Request - www.newportbeachca.gov / Online
r''v�aavw'A' Services
Permit No: N2017-0538
Project No : 1621-201y� e E--
Inspection Requests Phone (949)6443255
Job Address :
211 GOLDENROD AVE NB
Thomas:Guide: 919E2
Description :
REPLACE SCE CONDUIT
Parcel # :
0520-710-9 -
Legal Desc :
RESUB OF CORONA DEL MAR LOT 1 BLK
133 SELY1/2
Owner:
MONTGOMERY JOHN C
Contractor: COAST WATER & POWER
Phone:
603-809-9793
Phone: 949-548-0106 949-289-0078
Address:
1500 SANTANELLA TER
%� e6 �' � �
Address: P O BOX 3341
CORONA DEL MAR CA 92625
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NEWPORT BEACH CA 92659
Contractor State Lic: 738400
Applicant:
COAST WATER & POWER
License Expire : 07 31, 2019
Phone:
949-548-0106 949-289-00781
Address ;
P O BOX 3341
NEWPORT BEACH CA 92659
Business License : BT96014951
Business Expire: 12 31, 2017
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier: STATE COMP INS FUND
Policy No: 9087110
W. C. Expire: 10 01, 2018
Permit Processing Fee : $241.00
Sewer Connection :
$0.00
Total Fee
Agreement Fee:
$0.00
4TT Box Cover:
$0.00
Paid :
Traffic control Plan Check : $0.00
Total Water Meters:
$0.00
Balance:
Inspection Fee :
$495.00
Water Meter Connection :
$0.00
Receipt No:
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:
Date:
Date:
Date:
Date :
_/
/_
$736.00
$736.00
$0.00
Other Department : —Date: / /_
Permit Denied Date: _/ / / ^� vo��
Issued Permit : —Date/ / 11/c3(-7
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DETAILED DESCRIPTION OF PROPOSED WORK:
PLICANT: LT:�
Small Address:rA& a` r•
Mailing Address: Citylstatel2lp:
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Phone
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aiiing Address:
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ailing Address•
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Utilities: .Traffic: Fire:
Municipal OperationsEEI
Other:
Engineering Technician:
Pe 'alist
Date:
Pemtk No.
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Public Works Department 949.644-3311
100 Civic Center Drive. Newport Beach, CA 92680
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EDISON EASDJENT REWIRE
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PERMIT REQUIRED
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PERMIT TYPE: N/A .
WAGE REQUIRE
ID
OUTAGE' DATE:_ TIME:
TRAFFIC CONTROL REQUIRED
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PED. IRAMC CONTROL REQ-D
CONVEYANCE LETTER REWD
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ENY"MENTAL CLEARANCE fWD
CSD 140 OW) RUP
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CO; 25' 1-3" DUCT
IN: 1/0 CUP
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a wogH.r EXIST : 50 56.8 73 11354 499 Al 03222 N/A
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PROP : 50 67.6 13 135 RESIDENTIAL LINE WEN5ION
i s K VOLTAGE W : DXX 211 GOLDENROD
'IEBMM CORONA DEti MAR. CA 92625
FLICKER FACTOR ; 1.051P
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Newport Beach Police Dispatch City of Newport Beach
Phone:949-6",3717
MIKE KILBRIDE nrrlac:nNTINFORMA
Name: COAST WATER I& POWER
P.O. BOX 3341
NEWPORT BEACH, CA 92659-8341 phone; Day
Location of Encroachment:
Public Works Department
.644-3311 Fax: MQ AAA-' x..o
BT96014951
Night �—
eason for Encroachment: UTILITY IMPROVEMENTS - Generally one day between dates below.
NOTE; No work on holidays) orweeke_nds
Oats Closure to Begin: ^�
(Maximum 1q payg) Date Closure to End:
rme of Closure: 7:00 AM to 5:00 PM
B � -
is
A co of this ®m7it must be v/sible on the dash o each vehicle authoN ed to park to reserved orlon spots.
The a licanf is res 0 ible for nob 'ng Pofice Ois tch of any road closure, detow, or reserved ncin See reverse side of this ermrt for regulations ooverin use of this permit.
)DITIONAL CONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS FOLLOWS:
Flagman o ration per 2006 WA T.C.H. Manual, Pa es 4748.
Provide access to emergenc vehicles if needed- 3) Not
adjacent residents 4$-hCS prior to closure.
Place delineators amunrl
i"niree) nereb ce . _._—.. .r.....r.vrm ql AIYT IrNlk
contlhions on the front and bade of thus PG mit. permitee guaranpaes to indemnify and hold the city of Newport Beach j"I aEnRoacterwn[ P^erfmit NO
„a ss gam any daim8, liabil' orudgme fqr amages arising out of permitee's activities. 'jar O I 'W
x 1 lL
!late: D ' x•
Approved by:
Date;
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