HomeMy WebLinkAboutN2017-0412QJ.City
of Newport BeachPermit
Civic Center Drive, Newport Beach, CA 92660 f N 2 0 1 7
Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov / OnlineServices
No:N'2017-041�100
0 4 1 2
Project No: 1410-2017
Inspection Requests Phone (949)644-3
Job Address:
305 CORAL AVE NB
Thomas:Guide: 919C1
Description :
REPLACE SEWER LATERAL AND BUILD CLEAN OUT PER STD 406-L.
Parcel # :
0501-322-1 -
Legal Desc :
BALBOA ISLAND SEC 3 BLK 15 LOT 33
Owner:
VITALE JAMES
Contractor : COAST WATER & POWER
Phone:
Phone: 949-548-0106 949-289-0078
Address :
305 CORAL AVE
Address : P O BOX 3341
NEWPORT BEACH, CA 92662
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
Applicant:
COAST WATER & POWER
License Expire : 07 31, 2019
Phone:
949-548-0106 949-289-0078[
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, 2017
Permit Processing Fee :
$241.00
Sewer Connection :
$250.00
Total Fee
$1,050.00
Agreement Fee:
$0.00
4TT Box Cover:
$64.00
Paid :
$1,050.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$0.00
Balance:
$0.00
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:
Date : _/_/
Other Department: Date
Utilities Approval :
Traffic Approval :
Date : _/_/
Date : _/_/
Permit Denied Date
Issued Permit : L z' Date
General Services Approval : Date : _/_/
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY ''''`'
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
august '7, 2017 3:04:21 PM PDT 126 4 Received
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INFORMATION
ROJECT ADDRESS:
ETAILED DESCRIPTION OF PROPOSED WORK:
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PL ICANT: MikA.LTA
Phone: SYA. oje)(,p
Email Address: '
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ailing Address:
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fate License Number & Class;
City Business Licemb Number:
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ORKERS COMPENSATION INSURANCE - Certificate of insurance (Section 3800 Labor Code)
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Special Conditions of Perm
6111
Utilities: Traffic:
Fb,*:
Municipal operations Other.
Engineering Technician: Pemlit ist
Date Permit No.
Iv l 114201i�> �r
f Public Works DepartmeOt 9494K4.;311
I L f (L• - 7 100 Civic Cellar 0*40, Newport Beach, CA 92660
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= SEWER CLEANOUt`
= WATER METEP BOX
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CENTER! INE OF
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PROPER 1 Y LINE
CM OF NEWPORT BEACH
ENCROACHMENT PER -MIT
PERMIT No.
ADDRESS S
APPLICANT � ILui ,
OWNER r`E C.
DESCRIPTION OF WvOR.
Newport Beach Police Dispatch City of Newport Beach
Phone: 949-644_3717 Public Works Department
APPLICATI Phone: 949.644-3311 Fax:949-644.331g
OR`�MPORARY-g ItEET i'sIDEMtatI�.Ct.OS1JRl= UR_ .DYdNfpS- . Cityof Newport Beach AI" FiClpal Code f262.010 Permit for Tam TAR P�ACEIYI> NT
porary Street Closure
Name:
MIKE KILBRIDE APPLICANT INFOR1MA-nON
Company Nama7 COAST WATER S POWER Ci r NewForr seecd suainess License vu,
Address- P.O. BOX 3341
CWip: N WPORT BEACH, CA 92669-8341 Phone: Day 949-289-0 8 Night BT96014951
Exact Llocation o Encroachment: r
iv9e Street atltlreas pr ap xin>ate mum or feet nearest lntersertapn;
Y eason for Encroach nt: UTILITY IMPROVEMENTS - Gen er y one day between dates below.
NOTE: No work on holi (s or weekends.
Date Closure to Begin_
D Closure to End:
(Maximum 74 pays).
e of closure: 7:00 AM to 5:00 PM
DIAGRAM LOCATION OF ENCROA MFNT m nur.
A cop of this 12errnit MyEt be visible on the dash of each vehicle au oozed to part
The applicant is res nntih/o for—tif..:...
1 Fla oral
2) Provide
4) Place dt
reverse side of this DOM# for rkqatationS co
verin a of t1
D IONS OF APPROVAL FOR THIS PERMIT ARE AS FOLL
n Per 2006 W.A-T.C.H. Manual, Pages 4748.
to emergency vehicles if needed. 3) Notify adjacent residents
% around construction area. 5) Plate and backfill excavations
ufu
Or
rS prior to closure.
non-constructioh.
mvutr T GUNUITIONS AT ANY TI
[oonditions
Panrnuee) MbY certify the information provided is trus and corn,
on the front and back of this permit. Permitee gl:aranteao inemnify and hod thett of Ne ha Sand s gains any claims, liabili , or 'udgme fry arnages ansing out a` perm itee s a: tivitiesyrt seacnL )V
Dale: -
Approved by:
Date
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9/213/2017' City of Newport Beach Page 2 of 12
4:31:01PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 09/29/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Addr-ess =—305_CORA' AVE
Activity : N2017-0412
SubType : NEW
Status : APPROVED
OWNER: VITALE JAMES Phone
APPLICANT: COAST WATER & POWE Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description: REPLACE SEWER LATERAL AND BUILD CLEAN OUT PER STD 406-L.
Item: 10215 ROUGH UTIL
Requested Time: 9/29/2017 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777*
Inspector: y Date: ? Time: AM PM
Logged
Refiie
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\Insoectorsheet.doc
REPT131 Run Id: 4018
10/2/2017 City of Newport Beach Page 3 of 3
6:34:38AM INSP15O - Daily Inspection Request Report
Requested Inspection Date: 10/02/2017
Inspection Type: ENCROACH
Inspection Area : PW
Site Address: 305 CORAL AVE
Activity : N2017-0412
SubType : NEW
Status : APPROVED
OWNER: VITALE JAMES 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.
Item: 10250 FINAL - PW
Requested Time: 10/2/2017 12:00:OOAM Requestor: WEBUSER
9495480106
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777`
Inspector: �V\., Date: to LZ Time: AM PM
Comments: A40 P/q r%- l it eS. fiL/i S" - Pi'�u/ �+
SLO l I F!`' FV-6 Al tQo gM4 P/L .
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc