HomeMy WebLinkAboutPA2022-007_20220110_Encroachment Permit ApplicationWORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT
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jlPROJECT ADDRESS: · 207 Evening Canyon Road II DETAILED DESCRIPTION OF PROPOSED WORK:
Encroachment into front yard Riqht of Way with existinq hardscaoe and landscaoe imorovements
This includes low planter walls and low growing vegetation and two driveway approaches.
The driveway approaches are separated by at least 20 feet per Council Policy L-2.
An entry pedestrian walkway is also within the right of way with steps leading down to the entry court.
APPLICANT: C.J. Light Associates Phone: (949) 851-8345
Email Address: alex@cjlight.net
Mailing Address:
1401 Quail St. #120
City/State/Zip: Newport Beach, CA 92660
OWNER: Marshal and Amy Senk Phone:
Email Address:
Mailing Address: 207 Evening Canyon Road City/State/Zip: Corona Del Mar, CA 92625
ALL CONTRACTOR INFORMATION 15 REQUIRED-PLEASE COMPLETE
CONTRACTOR: Office Phone:
Company (if different): Jobsite Phone:
Other Phone: Email Address:
Mailing Address: City/State/Zip:
State License Number & Class: City Business License Number: Expires: Expires:
WORKERS COMPENSATION INSURANCE -Certificate of Insurance (Section 3800 Labor Code)
Company: Policy No: Expires:
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FOR OFFICE USE ONLY
Special Conditions of Per"}4: .
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ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities: [===:) Traffic: I I Fire: ._I __ ___.IGeneral Services: [===:J Other:
Engineering Technician: Publ� Specialist: Date:uJpJ� Permit No.
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Public Works Department 949-644-3311
PA2022-007