HomeMy WebLinkAboutN2017-0507City of Newport Beach
100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 5 0 7
Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov / Online
Services
Job Address:
3000 BREAKERS DR NB
Description :
REPLACE SEWER LATERAL AND BUILD CLEAN OUT PER STD 406-L.
Parcel # :
0521-207-2 -
Legal Desc :
P BK 314 PG 23 PAR 2
Owner:
PETERS MICHAEL
Phone:
Address :
3119 ESTUARY PL k
MAUMEE OH 43537
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 :
$250.00
Agreement Fee :
$0.00
4TT Box Cover:
$64.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$0.00
Inspection Fee :
$495.00
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
Date
Date
Date
Date
Permit No: N2017-0507
Project No : 2076-2015 SCANNED
Inspection Requests Phone (949)644-3255 `
Thomas:Guide: 919E3
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, 2019
Business License :
BT96014951
Business Expire :
12 31, 2017
Workers' Compensation Insurance - -
Carrier :
STATE COMP INS FUND
Policy No :
9087110
W. C. Expire:
10 30, 2017
Total Fee $1,050.00
Paid : $1,050.00
Balance : $0.00
Receipt No
Other Department : Date
Permit Denied Date
- 7
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LEGEND
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PROPf ARTY LINE �
CITY OF NEWPORT BEACH
ENCROACHMENT PERMIT
HERMIT No. N
ADDRESS 42.^.. A AL i_
AppucAr�r IK i l.AR., c*cv%
OWNER
DESCRIPTION OF
Newport Seach Police Dispatch ty a eW Orr Beach
Phone. 849-644-3717 Public Works Department
AI PLICATt eft-F-C phone: 949-644,3311 Fax- 949--644-3318
,. R`i�►R�Y:�Tt2€f� f�SlD�yya�4�$UR�.�;���`�'EE� FhaACE�IVT
City of Hea pOft Beach Alu?lcFpal Cade 12.6ZO1 o pe
rimrt for Temporary Street closure
Name. MIKE KILBRIDE APPLlcxlvr INFORMATION
Company Name_ COAST WATER & POWER
Address: g��i^ Renee vo
CrtY2�p' N WPORT BEACH, CA 92659-834'1 Phone_ Da 94 - 3341
BT9$014951
Y 9 2$9-0�78 Nigh{
Exact Locatio of Encroachment:
(LISP Vreei address or app,- ate amber 4`
f>3��ftDm �(Iaarest nLrsactiarl)
eason for Encroa hment: UTILITY IMPROVEMENTS - Generally one day between
NOTE: No work on h� liday(s) or weekends. Y dates below.
Date Closure to Begin: ;
Date Closure to t=nd-
(Nfaximullye Days}
Time of Closure: 7:00 AM to 5; 00 pM
DIAGRAM LOCATION OF i=NCROAC!-iMENT WELOW:
VIIA
A coA of this errnit must 6e rsible on the dash of each vehicle thori2ed to park in reserved Parkin The applicant is responsib for notifying Po/ice Qis afch of any r d closure. detour, or reserUdd spots -
See rev rse side of this perrrlif far regulations Cove use oft —
AD is ennit arking.
DRIONAL CONDITION OF APPROVAL FOR THIS PERMIT ARE AS F LOWS:
1 Flagman o oration p r 2006 W,A.T_C.H, Manual, Pages 47-0.
2) Provide access to ergency vehicles it needed. 3) Notify adjacent resident 4$-hl•S floc
4) Place delineators p to closure.
toeand construction area. 5 Plate and backfill excavations t.rincr
1, (Permitee) hereby certify the information provided is true and corn vr�e UK MUp1FY CONDITIONS AT ANY TIIWJE
conditions on the front and hack of this perFYlit. �'ermitee guarantees two �rdemnify and o d the kh t o Nems and EncTacn��t rermi: w.
ha s gains any claims, liabili of, d Y wPort Beach
gme 5 fcif amages arising out of permitee's activities.
Date: • )�
Approved by_
Date:
C)Coc:meem ana Se ineroi• tip, �g6lTemp�r! i.�tef! Bl Flies�onieti rE31F JJL199G
Y1-e"� Street C�vzrre gG➢'�'+Cn •.KiICfrOe+�b9"�.xlciQett�
ii�
1Qf3/2017 City of Newport Beach Page 9 of 9
•4: 30:;6PM INSP150 - Daily Inspection Request Report
OWNER: PETERS MICHAEL Phone :
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:
10/4/2017 12:00:OOAM Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
AM -
Assigned to:
77777777777*
Inspector: Date: l0 �'( 1 Time: AM PM
Comments: ST PfL /v 12
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
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3/18/2019 City of Newport Beach Page 12 of 24
6:30:43AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 03/18/2019
Inspection Type: ENCROACH
Inspection Area : PW
Site Address: 3000 BREAKERS DR
A/P/D Information:
Activity :
N2017-0507
SubType :
NEW
Status :
APPROVED
OWNER:
PETERS MICHAEL 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.
BUILD SEWER MAIN TERMINAL CLEANOUT PER STD-400-L.
Inspection(s)
Item:
10250 FINAL - P
Requested Time:
3/18/2019 Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
AM -
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