HomeMy WebLinkAboutN2017-0126J )1.lt.;V0zv
City of Newport Beach I II I IIIIIII II IIII IIIIIII III
100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 1 2 6
r I� Permit Counter Phone (949)644-3311
Online Inspection Request - www newportbeachca gov / Online
„,- Services
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Job Address : 3 TIBURON BAY DR NB
Description : INSTALL SEWER CLEAN OUT PER STD 406-L
Permit No: N1017-01 26
Project No : 2964-2016 _
Inspection Requests Phone (949)644-3255
Thomas:Guide: 889H7
Parcel # :
4584-821-0 -
Legal Desc :
N TR 7510 LOT 46
Owner:
LANE JOHN & JENNIFER
Contractor : COAST WATER & POWER
Phone:
Phone: 949-548-0106
Address :
3201 ONY PLZ
Address :
NEWPORTBEACH CA 92660
NEWPORT BEACH CA 92659
COMPLETED
Contractor State Lic: 738400
Applicant:
COAST WATER & POWER
License Expire : 07 31, 2017
Phone:
949-548-0106 [
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:
Traffic Approval :
Date: _/ /
Issued Permit Date:
General Services Approval Date : _/_/
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY 'r'"
•TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
March 14, 2017 2:52:20 PM PDT 119 3 Received
PLEASE COMPLETE THE FOLLOWING INFORMATION
PROJECT ADDRESS:
3 TIBURON BAY
DESCRIPTION OF WORK:
INSTALL SEWER CLEAN -OUT PER 406-L
APPLICANT: MIKE KILBRIDE, Phone: 949-289-0078
Mailing Address:
PO BOX 3341
Gity/State/Zip:
fVEWPORT BEACH, CA 92659
OWNER:
Phone:
Mailing Address:
City/state/Zip:
CONTRACTOR: MIKE KILBRIDE
Office Phone: 949-548-0106
Company (If different):
COAST WATER AND POWER
Jobsite Phone: 949-289-0078
Other Phone: FAX: 949-548-1616
Mailing Address:
PO BOX 3341
City/StatelZlp:
NEWPORT BEACH, CA 92659
State License Number & Class:
738400 A, B, C-10
City Business License Number:
13T9601491 LXP_ 12-31 2017
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Com an : STATE FUND Policy No: 9087110-14-2 Expires: 10/1/2017
REFUNDABLE DEPOSIT INFORMATION f if A plicable )
Made Pd able To: NTIKE KILBRIDE Vendor No: 9833
Mailing Address: PO BOX 3341, NEWPORT BEACii, CA 92659
Special Conditions of Permit:
Utilities: Traffic:
General Services: Other:
Engineering Technician:
d :
Publi orks Specialist: Date; 7
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Permit No
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CITY OF, NEWPORT BEACH ADDRESS,
ENCROACHMENT PERMIT , APPLICANT j<I L-B
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DESCRIPTION O3= WORK
:; Permit No.
5110/2017 . City of Newport Beach Page 10 of 20
4:30:11PM INSPI60 - Daily Inspection Request Report
Requested Inspection Date: 05/11/2017
Inspection Type : ENCROACH
Inspection Area: PW
Site Address : 3 TIBURON BAY DR
Activity : N2017-0126
SubType : NEW
Status : APPROVED
OWNER: LANE JOHN & JENNIFER Phone:
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
mikekilbride@live.com
Description : INSTALL SEWER CLEAN OUT PER STD 406-L.
Item: 10030 CLEAN -OUT
Requested Time: 5/11/2017 12:00:OOAM Requestor: WEBUSER
949-289-0078
Entered By: WEBUSER
Comments: ANY -
Assigned to: 77777777777"
Inspector: Date: Time
Comments:
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
ap
Ul Ma's
REPT131 Run Id: 4018
-.000`7
:11/12/2020 City of Newport Beach Page 4 of 15
4:30:21PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 11/13/2020
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 3 TIBURON BAY DR
A/P/D Information:
Activity : N2017-0126
SubType : NEW
Status: APPROVED
OWNER: LANE JOHN & JENNIFER Phone:
APPLICANT: COAST WATER & POWER Phone: 949-548-0106
mikekilbride@live.com
Description: INSTALL SEWER CLEAN OUT PER STD 406-L.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 11/13/2020 12:00:OOAM
Entered By: WEBUSER
Comments: 'ANY-'
Assigned to : zzzzzzzzzzz* TL
000,11,
/00, 4 14 rp
Requestor: WEBUSER
'9492890078'