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HomeMy WebLinkAboutN2017-0452City of Newport Beach Permit No:N2011-0452100 Civic Center Drive, Newport Beach, CA 92660 1111111111111111111111111111111111111111111111111111111111 N 2 0 1 7 0 4 5 2 Permit Counter Phone (949)644-3311 Project No : 0218-2016 `x fz Online Inspection Request - www.newportbeachca.gov / Online Services rl ��NED e•` "" '`'► �w'`�` Inspection Requests Phone (949)644-32 5 Job Address: 1521 SEACREST DR NB Thomas:Guide: 919G1 Description : INSTALL SEWER CLEAN OUT PER STD 406-L. Parcel # : 4582-220-7 - Legal Desc : N TR 6152 LOT 112 Owner: YORK V KELLEY Contractor: COAST WATER & POWER Phone: Phone: 949-548-0106 949-289-0078 Address : 1521 SEACREST DR Address : P O BOX 3341 NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92659 f .fi t �✓ ?• `� 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 : $0.00 Total Fee $635.00 Agreement Fee: $0.00 4TT Box Cover: $64.00 Paid : $635.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Balance : $0.00 Inspection Fee : $330.00 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 : Date : _!_/ Permit Denied : Date Permit: Date Traffic Approval : Date: _/_/ Issued General Services Approval : Date INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY 7IVE RECEIVED REMOTE CSID DURATION PAGES STATUS September 1, 2017 1:24:16 PM PDT 101 3 Received 5w�ti'I J �'F; .Ii'u+ [ i"+}R �< tR E [ +1��h'fijlf R'\ YY 4 l .,.A.1 `f� G :I'.' ? S •1'!�f)����1'�� i:4..M1 r Yj .iS •�1..3L �Yvf'Y FJ 1v:f3t. n-v �.. f. )� � J Y.. •fAi S"` � ) - J ,. � r J 1•r 'V .4 ._iti.. 3 ;x}.f .. try .1 � y_;1.. J INFORMATION PROJECT ADDRESS: S ETAILED DESCRIPTION OF PROPOSED WORK: ---•r PLICANT: 47,4 mail Address: �,' Phone: qjD TN. i!'mg Add s: 3 CitylSta p: NER: phone: mail Address: ailing Address: CitylStaterzp: MapA .► �_ _ JV ONTRACTOR: LT b Mice Phone: • O O ompany (if different): coas+.�. Jobsiee Phorw: Q Other Phone: Email Address: M • <A 0-p- Malting Address: City/Statemp: State Ucsnse Number & Class: v Ives•-7 City Business Licansit Number: :wes- iz.3 ? ORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) m n Poi' Nv: 087/10• Cp ices: 0 • �• % 7 ?ric' ai:O Elyria: 949-sAd-4s: i(`itres : �49-64�di3Qti lbanEyries . Jltl,ti4it-3083.. Special Conditions of Permit: � v Utilities: Traffic: Municipal Operations Other. © Fire: Engineering Technician: fPermftjfflecWivt % Da ZX' I Permit No. N20 %� V - 3 2 (� �! V-' PuNle Works Department "9•6"4 3311 `% 100 Civic Center Drive, Newport 9each• CA 92660 PenratProo"sft Fee. Petit: Works 0* Comer Depetvn tat AgnmamK Fea: Prk)araf= of PAVaVAVwmeW DOcts>eglt R, at1 Fee wkxAwmft $Mfad'k Cbsum: Tom@ Cottbtot Plan Check a_tw x tl* ZC x 3W Fw $241.00 Pubbe Works Field WapmOm 5278_ Lasses Feed kapecko GerOV4 SWAO s k"ecam Water QuabAArwxu Ttfff k1rpeown $817.00 $10100 dabie DePosltr $m_OQ hgprnvetFre $65-00[= MaWMpapdW Rack �. ° •..:. •��'i�9+�A+�!mac-:•:•:•:-:•:-:-:•:-:-:-:5�4�. - Sewer Connection Fee 4 T Sox Z 40~ - - x -:•Frar�*arlcs�y�:�7e£ear+�iNc%)ssra•j8�i^•s-L'i�ae�i•- -:3 -1':Aae�: •:t3.8Ct � 3TOQ •: -: -: -: -: -:-: -�O. 1� •:2':iii�:•:2i.tiET� t�2.€18:•:_ .•..:-;S�18g� COMPOOSie of C.ampeante Fee (+lows of nay o,w 3 tits) Ckvetoprrle awvwm Fee (Pit dwAdc hmrfy) Rost Tiad flap ChecklV Pe® Find Parud MW C edmV Fee - Moderate Lot Lime Adjuskroad Rae Park Dedcadont Fee Zone Street Fee i lw* or tsty over 4 res)~ StreetTtse Fee ($700 Pbutuig Fee) j 52OD-6135200-sacs 5200-SM s200.6W $1.079-520p-SM T405-170$1,022 52p©.� T 0.30-22t3� Dorm: /' -, 0Z- LEGEAD `. J E -*- - POWER POLE =SEV ER CLE.ANOUT ❑ = WATER UETER BOX 1 l5v I I I i �IHKo2-23S ,lam ` � fe � CURB GU- TITER 'J CITY OF NEWPORT BEACH = ADDRESS l SZ l� ENCROACHMENT PERMIT APPLICANT Y.: LB &jZe OWNER DESCRIPTION Or WORK Permit No.WMV 9/21/2017 City of Newport Beach Page 3 of 5 4:30:32PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 09/22/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 1521 SEACREST DR Activity : N2017-0452 SubType : NEW Status : APPROVED OWNER: YORK V KELLEY Phone: APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbdde@live.com Description : INSTALL SEWER CLEAN OUT PER STD 406-L. Item: 10215 ROUGH UTIL Requested Time: 9/22/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: AM - Assigned to: 77777777777* Inspector: J V Date: 47-i7 Time: 'l=SOAM PM Comments: L/L al1267 ZSC-O F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsmtorSheet.doc eon REPT131 Run Id: 4018 9/29MM7 City of Newport Beach Page 9 of 11 6:34:33AM INSP15O - Daily Inspection Request Report Requested Inspection Date: 09/25/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address: 1521 SEACREST DR AM1in on Activity : N2017-0452 SubType : NEW Status : APPROVED OWNER: YORK V KELLEY Phone: APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@live.com Description : INSTALL SEWER CLEAN OUT PER STD 406-L. Item: 10250 FINAL - PW Requested Time: 9/25/2017 12:00:OOAM Requestor: WEBUSER 9495480106 Entered By: WEBUSER Comments: AM- Assigned to: 77777777777* Inspector: ���/ Date:/Z-1P-//'7 Time: e) U AM M Comments: �: ��41� �� F 1A1 ^ L 17 � P F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc a