HomeMy WebLinkAboutN2017-0568City of Newport Beach
100 Civic Center Drive, Newport Beach, CA 92660 II N 2 0 1 7 0 5 6 8
Permit Counter Phone (949)644-3311
` w Online Inspection Request - www.newportbeachca.gov / Online
e• ��. Services
Job Address:
315 ANADE AVE NB
Description :
REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L.
Parcel # :
0480-512-5 -
Legal Desc :
EAST NEWPORT BLK A LOT 59
Owner:
BUTLER GREGORY & COLEEN
Phone:
609-462-9427
Address :
315 ANADE AVE
NEWPORT BEACH, CA 92661
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
Thomas:Guide:
Permit No: N2017-0568
Project No: 1640-2016
Inspection Requests Phone (949)644-3255
919B1
Contractor: COAST WATER & PQWER
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 01, 2018
Total Fee $1,050.00
Paid : $1,050.00
Balance : $0.00
Receipt No:
Date : —/—/ Other Department: Date: —/—/
Date : / / Permit Denied Date:
Date : —/_/ Issued Permit 6E11 Date : —/—
Date
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
November 6. 2017 at 9:11:11 AM PST 107 4 Received
w E 10E'1' F4F C. V oia 1 tt -
,
CO .1E Ti: THE
110
PROJECT ADDRESS: 7�
DETAILED DESCRIPTION OF PROPOSED WORK:
o U�-
NRA
PUCANT: L-rb
Pam.
Emafl Address: f.4., f,' do
Mailing Address: 33
City/S • p: Q
'1
OyIINER:
Phone:
ail Address:
ailing Address:
CCiity/Stateimp:
Mpg" WRO
ONTRACTQR: Y LTC)
ompany (If dlffarent):
Office Phone: Q q • o 0
Jobsite Phone:
Other Phone:
Email Address: '
470 , t-0-
ailing Address:
u
City/SiatefTp:
fate Ucense Number &
O E res:�•�!•j•7
City Business Liceftio Number:
E irw1:: •/'7
ERS COMPENSATION INSURANCE - Cerfificato of Insurance (Section 39001abor Code)
om anSimi&ALPollq No: OS 711 (p Expires: 0 - f /
aRiC • • ti0rts: • $49:6.4��55 , • : • • • . • , • -
!it[es:. >i4�8,8t-3tlf1
UrbenF�-:948-ii4:�-;3043.•.•.•.•'•.•.-:-:"
'i�i-� .ia•�.'.:x,�:'..F,�"�". °l�s::.1+" '� f v -�r•'�
..� ..;� E_....Y.- k ..
'�h7 y J� pr'. ^"y i� "' �. f � � �.
Special Condltions of Permit
y
Utilities: Traffic:
Municipal Operations � Other:
l Fire:
Engineering Technician:
Permit 5peolaillst
Date:
Permit No.
rn,.rabbwlf�a aQkneroechimast+s.p.�ataal f.ale `/t n duo r -* 98-4 3 '
Iy�!• J?L► �(� 1 Public works DepaAment "S—W331,
100 Civic Cenilur [rive, Newport Mach. CA 92660
f
a• �� ,.see., e'
gGEND
r
ti TREE
+ = POWER POLE
G = SEWER CLEANOUT
71, WATER METER BOX
1
3i5 f
f f
O
z 4-A�.Q --
1 (ate � � ��w�•C•c•(
CEN EPUNE OF
PROPERTY LINE
I
CITY OF NEWPORT BEACH
ENCROACHMENT PENT
PERMIT No. N 2, GI-7-0c7,1^,S
Qol 9,73�
APPLICANT
OWNER
DESCRIMON OF WOO.
City of Newport Beach
Newport Beach Police Dispatch Public Works Department
Phone. 949444-3717 Phone- 949444-3311 Fax: 949-644-3318
APPLICA71F()R4SMPQ;RARY$TWET1$IDEiNACKCLOSUR4:ORiu�hIPS�ER•P)::ACfIrENT
Clty of Newport Beach Munlerpei Code f 2 &2010 Pewrirt for Temporary Street Gasure
MIKE KILBRIDE
Name: COAST WATER & POWER C!iy of Newcon R*aar auarneaa uesras No.
P.O. BOX 3341 BT96014951
NEWPORT BEACH, CA 92659-8341 Phone: Day 949-289-0078 Night
Location of Encroachment.
awrws or air,wmate number pf f68t Iram
I for Encroachment: [UTILITY IMPROVEMENTS - Generally one day between dates below.
No work on holidayis) or weekends.
Date Closure to Qegin:
!Ntaxrmum It Llays}
LOCATION OF ENCROACHMENT
Date Closure to End:
Time of closure: 7:00 AM to S-00 PM
N o t I% l-dL,P j 4CULO
of this permit must be visible on the dash of each vehicle authorized
fcr
or reserved
-- , duct ac �ruc ut ims perms Tor regurartons covering use of this permit.
ADDITIONAL CONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS FOLLOWS:
1) Flagman operation per ZOOS WA.T_C.H. Manual, Pages 47-48.
2► Provide access to emergency vehicles if needed. 3) Notify adjacent residents 48-f1rS prior to closure.
4) Place delineators around construction area. 51 Plate and backfill excavations during non -construction.
iPerm tee) hereby certify the information provided is true and correct. and I agree to comply nith the teens andd+r..mr ftm.h No,
mditions on the front and back of this petmt. Permitea gr:arantees 'o indemnity and hold the City of Newport Beach 2 t -7
trMsrVainsitany claims, liabili , or judgm" fry ckameges arising out of permitee's activities.
Date; I t • LO 0
Approved by: _ Date:
C:�bccm•rca aro se-�'tlitL'wr�r�OW Set7'ops�.T•m�r nsy r:.emn=rat+�teWl�E!!N;EII?BG.Tamp �h..el Wos�e axi�eaGar .R+t!:�s+a:m�+.•si8w•n M
C'
315 ARIA DE A vE
S PT.
2
°ol\
1411512017 City of Newport Beach Page 3 of 4
• 4:30:16PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 11/16/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 315 ANADE AVE
Activity : N2017-0568
SubType : NEW
Status : APPROVED
OWNER: BUTLER GREGORY & COLEEN Phone •
609-462-9427
APPLICANT: COAST WATER & POWER Phone: 949-548-0106
949-289-0078 mikekilbride@live.com
)escrintion : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L.
Item: 10250 FINAL - PW
Requested Time: 11/16/2017 12:00:OOAM Requestor: WEBUSER
9495480106
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777'
Inspector: \� Q Date: ( 1 U 1 Time: AM PM
Comments: 0-+ y JEA&ZAL I z E
_ ..,i ctED
COIN
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\Insoectorsheet.doc
REPT131 Run Id: 4018