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Project No: 2477-2014
Online Inspection Request vwvw.newpoftueouxuuguv/onnne
Services
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Inspection Requests Phone (s s� )$44'ua ss
Job Address:
1518 ANT|GUAVVAY NB
Thomaa:Gu|6m: 889C5
Description
REPLACE SEWER LATERAL AND BUILD CLEAN
OUT PER STD4DG'L
Parcel #:
1176'848'4 '
LmQm|Ommc:
NTR4224LOT 2G8
Owner:
WILLIAMS BRENDANTRUST
Contractor: COAST WATER &POWER
Phone:
Phone: 949'548'0108 949-289'0078
Address
1518ANT|GUAWAY
Address POBOX 3341
NEVVPORTBEACH, CAQ2GGO
NEVVPORTBEACH CAQ2G5Q
Contractor State Liu: 738400
Applicant:
COAST WATER &POWER
License Expire :8731.2O18
Phone:
040'548'0106 949-289'0078[
Address
POBOX 3341
NEVVPORTBEACH CAQ2G5Q
Business License: 8T96014851
Business Expire: 1231.2017
Gpmcim|Cmnd.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance ''
Carrier: STATE COMP INS FUND
Policy No: 9887110
W. C.Eupi,e: 1081.2017
Permit Processing Fee *241.00
Sewer Connection
$250.88
Total Fee $1.115.00
Agreement Fee:
$0.00
4TTBox Cover:
$84.00
Paid : $1.115.00
Traffic control Plan
Check $65.80
Total Water Meters
$8.00
Balance: $0.00
Inspection Fee :
$485.00
Water Meter Connection
$8.00
Receipt No:
Refundable Deposit: $0.00
Total Water Meter Box:
$0.00
Street Tree Fee
$0.00
Adjustment
$0.00
Processed By:
Date :/1
Other Department: Date�___�__�_____
Utilities Approval
Date: �L/
Permit Denied Date�
Traffic Approval
Date ://
Issued ahu� v �
General Services
Approval
Dote:___/__��____
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INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY ,r,r
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
August 18, 2017 9:02:21 AM PDT 126 4 Received
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CENTERLINE OF ,,&_
PROPERTY LINE
CITY OF NEWPORT BEACH
ENCROACHMENT PERMIT
PERMIT No. N (,�(;3��
AbDRE�g /5
APPLICAi�
OWNER
DESCRIPTION OF WOR.
a'
Newport Beach Police Dispatch City of Newport Beach
Phone: 949-w-3717 Public Works Department
APPI-ICAT1( 1 Phone: 949-644-3311 Fax: 949-644-3318
���MP(�R'rRR'IP:S,TR1=�T r•cr.c.u..:.r w. �—.--- _
C of New v ..,., w...n .v�.LMrd .Mr1FRPLAGEINE�MT
/t1' porr Beach bfunicl al Code f2.6Z010 Permit for Temporary Shwr Closure
Name:
MIKE KILBRIDE APPLICANT INFORMA'ItON
company Name: COAST WATER & POWER cro or Ncv •sort g h gVSi^•EB:::cenft No
4ddress: P.O. BOX 3341
::ityiZv NEWPORT BEACH, CA 92669-8341 phone: Day 949-289-007811 Night BT96014951
Location of Encroachmer.*. r I I. L )-,. L, J.- 14r I c, A. ) 1
atree, aadress or apprcximatE n r of feet from nearest irNe _ rsettionj
eason for Encroachment: UTILITY IMPROVEMENTS - Generally one day between dates below.
NOTE: No work on holiday(s) or weekends.
Data Closure to Begin:
(Maximum 73 Days; Date Closure to End:
Tints of Closure: 7:00 AM to 5:00 PM
I
uus permff must be visible on the dash of each vehicle authorized to ark in re
The aserved arkinq spots.
applicant IS res nsibto for notrfyin Police Dispatch of any road closure, detnur, or reserved parKing.
See reverse We of this permit for regulations Coverin use of this permit.
ADDITIONAL_ CONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS FOLLOWS:
1 Fla man operation per 2006 W.A.T.C.H. Manual, Pages 474a.
2) Provide acceas to emergency vehicles if needed. 3) Notify adjacent residents 48-his prior to closure.
4 Place delineators around construction area. 5) Plate and backfill excavations during non -construction.
[(Pel "itee' here ce p %rUiFVU11 IU11f$ AT J
by �y the information rovided is true and correct, and I agree to Comply with the terms and
nditions on the front and back of this permit, permiteeguarantees to indemnify and hold the City of Newport eea
gams any cairns, liabif or'ud me s f m r
9 4r ages erisinoout o, perrnitee's act,vities.
L
Date:
Approved by: rrlr,
Date:
.M s*airgn�a.n•�I 2s. Po�e•Y nnertkr fl
yfk:crxem,rESw�sva9G�.me emeM prima �pgl�icn �tdoroa m.�.rs: .n
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9/141:!017 City of Newport Beach Page 6 of 10
6:34:58AM INSP150 - Daily Inspection Request Report
a
Requested Inspection Date: 09/14/2017
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 1518 ANTIGUA WAY
Activity : N2017-0430
SubType : NEW
Status : APPROVED
OWNER: WILLIAMS BRENDAN TRUST 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:
9/14/2017 12:00:OOAM Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
AM -
Assigned to :
77777777777*
Inspector: j V Date: l Time: AM PM
I t5T4LE
Comments: v
L
Rfitp.
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
9/2,§/2017 City of Newport Beach Page 7 of 16
4:31:16PM INSP150 - Daily Inspection Request Report
1
Requested Inspection Date: 09/26/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 1518 ANTIGUA WAY
Activity : N2017-0430
SubType : NEW
Status : APPROVED
OWNER: WILLIAMS BRENDAN TRUST 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:
9/26/2017 12:00:OOAM Requestor: WEBUSER
9495480106
Entered By:
WEBUSER
Comments:
AM -
Assigned to:
77777777777*
Inspector: Date: Time: tOkdO �)7MPIVI
Comments: PD /5l/Ve-f'L /
SGo
na
F:\Users\PBMShared\ENCROACH\MASTERS\FORMS\I nsoectorSheet.doc
0
REPT131 Run Id: 4018