HomeMy WebLinkAboutN2017-0597%t !,4' oo City
,Vof Neic Centewport Beach rive, NewportBach, CA 92660 Illl�llllllzllllllllllllllllllll�lllll IIIII IIIIIIII III Permit No: N2017-0597
Permit Counter Phone (949)644-3311 Project No
v Online Inspection Request - www newportbeachca gov / Online
Services
Inspection Requests Phone (949)644-3255
Job Address -
1820 IRVINE AVE NB
Thomas:Guide: 889C4
Description :
Relocate existing CATV box in bike
lane to parkway area. Pavement restoration
per City
Standards.
3. .. p
Parcel # :
1175-710-6 -
Legal Desc :
N TR 3801 LOT 47
Owner:
KHADEM ABE
Contractor : L & G CABLE CONSTRUCTION COMPANY INC
Phone:
0
Phone: 714-630-6274
Address :
1820 IRVINE AVE
Address : 3776 E. MIRALOMA AVE
NEWPORT BEACH, CA
ANAHEIM
c
n
Contractor State Lic: 637898
Applicant:
CHARTER COMMUNICATIONS
r
CWLETf
License Expire : 02 28, 2018
Phone:
714-709-3390 [
Address :
7142 CHAPMAN AVENUE
GARDEN GROVE, CA 92841
Business License: BT30037502
Business Expire: 11 30, 2017
Special Cond.:
No fee permit per Mark V
Workers' Compensation Insurance - -
Carrier : STATE COMPENSATION
INS FUND
Policy No : 9105662
W. C. Expire: 07 08, 2018
Permit Processing Fee
$0 00
Sewer Connection :
$0 00
Total Fee
$0.00
Agreement Fee -
$0.00
4TT Box Cover :
$0.00
Paid :
$0.00
Traffic control Plan Check .
$0.00
Total Water Meters :
$0.00
Balance :
$0.00
Inspection Fee ,
$0.00
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 : r -'" -!T^_
Date: 11 / Z1 I
General Services
Approval
Date . _/_/
I ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACT
Contact "Underground Service Alert" At Least 48-Hours in Advance of Any Excavation at 800-422-4133
TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
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c ea'an_.._,,Er r1r,•,de' c'us'I^c Maned , r fr , Sewer . ec•To_'> _ P r , _ S F hP :Sod 'Ndr a
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SA at-600-227-2so1 2 days before starting any underground construction. ' pc . ar
2- 8r'] F1r , ni_-_ir.a tie'
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:k :3/. L' -3111^ S' :-N4
c .r•1ftit�r A, ater-3 ;
, r,s' e _.-are_ it
WORKER'S COMPENSATION INSURAN
I certify that I have a Certificate of consent t
Compensation Insurance, or a Certified Copy
Date Signature _
CERTIFICATE OF EXEMPTION (E
I certify that in the performance of the work
any person so as to become subject to Califor
after signing this certificate I become sub
provisions of the State Labor Code, I must c
3700 or this permit shall be deemed revoked
Date Signature: _
CONTRACTOR LICENS
As the Owner of the benefiting property, I c
work m the Public Right -of -Way
Date _ Signature- _
HOLD HARMLESS S
I understand that I am locating minor encr
Way/Easement, As property oNner it is
encroachments I will be responsible for re
removes them for maintenance of utilities or
and hold the City harmless for any If
encroachments
Date Signature _
24-hour notice for Encroachment Permit
Public Works at 949-644-3311
31fe -ted-rcperw owrerl;
rr,eowne _,onrra2•,--; it,ccr's
'l Jai',, L3w5 Best '.Ia'a„-"
CIS�h3'9E �"n StrJC: O'' C>Dt � nL''re g..tle' 3
_eh', La,:s are c,r s' 3t: - 'r'es Jp
or sc o .S ^e '-[I ccs' - -- ar (legal ]
- a retjndab'e dec S caic, Sop is
Cert hcate r Fv'derce _f 3 -,' rnec 33Ctr I
DjCItr /o'-:o Departma^' r tc'J,es —a, ce
re
r,,^ ..-es r :-e ct,ci ;; - _' •-�t- va, s^ai -e
.vi i",e cJt I- ~ � .�a' —,15. ^
�eDarm?^r co"r ct rrS ., ne -e
etc., add t o-al :rspe'., , a,, -e 'eq
oe' starch'. Tit=ra ot,'
nc'T.:.,ay'e,_ _ tasecar=
INo work related to ;his encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereby acknowledges heishe 1-
conditions of this perm t ano neishe agrees to abide ny them Permit is void if 'work is not conimenced with,n 30 days after Issuance.
Permit fees are nonrefundable '*"F Date: j1-Z�6-�� Signature:
I
,I
Googic earth
99 ft 0
1/19/2022 City of Newport Beach Page 6 of 21
4:30:22PM INSP150 - Daily Inspection Request Report
Requested Inspection Date :
01/20/2022
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
1820 IRVINE AVE
A/P/D Information:
Activity : N2017-0597
SubType :
Status : APPROVED
OWNER: KHADEM ABE Phone: 0
APPLICANT: CHARTER COMMUNICATIONS Phone : 714-709-3390
Description : Relocate existing CATV box in bike lane to parkway area. Pavement restoration per City
Standards.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 1/20/2022 12:00:OOAM Requestor:
Entered By: WEBUSER
Comments: 'ANY-'
Assigned to: z z*
6
WEBUSER