HomeMy WebLinkAboutN2017-0550l l •�. l'1
..w"•T`j4� City 00 Civic Center
Newport Beach rive, NewportBeach, CA 92660 IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIBIIIIIIIIIIIIIIIII19IIII
Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov / Online
�•, " ��. Services
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Job Address: 2914 OCEAN BLVD NB
Description : REPLACE CTV AND TELECOM CONDUIT.
Parcel # - 0520-621-5 -
Legal Desc : RESUB OF CORONA DEL MAR LOT 4 BLK 35 POR OF LOT(AND POR OF
LOTS 5/ 6
Owner: 2908 OCEAN BLVD
Phone:
Address : 2520 SAINT ROSE PKWY #110
HENDERSON NV 89074
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
COMPLETED
Thomas:Guide:
Permit No: N2017-0550
Project No : 2687-2015 SCANNED
Inspection Requests Phone (949)644-3255
919E3
Contractor : COAST WATER & POWER
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
Permit Processing Fee :
$241.00
Sewer Connection :
$0.00
Total Fee
$571.00
Agreement Fee:
$0.00
4TT Box Cover:
$0.00
Paid:
$571.00
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
Z1/ c;� 17
General Services Approval : Date : _/ /
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City Business Licenab Number:
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ORKERS COMPENSATION INSURANCE - Cer0cate of Insurance (Section 3800 Labor Code)
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Public Works Department 949-644-3311
100 Civic Center Drive, Newport Beach, CA 92660
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PROP : 75 110 25 146
VOLTAGE DROP : 0 SM
FUCKER FACTOR : Z14X
PROJECT RECIL'!R-AIENT5 (Y/N)
EDISON EASEMENT REQUIRED
oWRD AB REQUIRED
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OUTAGE REQUIRED
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- HUNT,NOIT.W BEACH I*" IP40M 7T4-00-0327 1DOMWCUEL MARVI
RESDIENMAL NEW M&S
2914 OCEAN
NEWPORT BEACH, CA 92525
City of Newport Beach
Newport Beach Police Dispatch Public Works
Phone:949-644-3717 Phone:949-644-3311 Fax:
APPLICATION FOR TEMPORARY STREET 1 SIDEWALI(,CLOSURE OR D1dpI MT.ER PLAGEN
City of Afewport SeaM Municipal Code 12.62010 Permit for Temporary S&eef Closure
APPLICANT WFORMA,TIQN
Name MIKE KILBRIDE
Nam cr, E
Company r:art,e: COAST WATER & POWER City ef
Address P.O. OX 3341 BT9601
cityrzip- NEWPO T BEACH, CA 9265"341 Phone Day 949-289-0078 N. t
EExactLocation of En cr chment:� t i
just, sireet aodress a app-A; ate n„maer er :ret in sniersecticn)
eason for Encroachment: ILITY IMPROVEMENTS • Generally one ay between dates below.
NOTE: No work on holidays) weekends.
Bate Closure to Begin_ Date Clo to to End.
(intuurr, in Days; Time of C ure: 7:00 AM to 5:08 PM
ADDITIONAL
1) Flagman o
2) Provide ac
nit must& visit le on the dash of each vehicle autho -ed to park in reso
Mesible foe notJfyJng Police Dispatch of any road c ure, detour, or
SBe everse side of this permit for regulations covenr;2 a of this perm
T NS OF APPROVAL FOR THIS PERMIT ARE AS FOLL07.
per 2006 W.A.T.C.H. Manual, pages 4748.
emergency vehicles if needed. 3) Notify adjacent residents -11
around construction area. 5) Plate and backfiil excavations duri
u6,ra58 L._erSe No
4951
fS prior to closure.
CITY RESERVES THE RIGHT TO REVOKE OR MODIFY CONDITIONS AT ANY
I, %Permitee) ereby ceritfy ttie information provided is true ano correct, and I agree to wrr,ply with the terns and ' emjl No
conditions n the front and back of airs ptnnit Pen-nitee guarantees to indernnil} and hurl the City of Ne:vpori Beach r 7
he . S gains ny claims, liabd' , or udgme fqr amap°s arising oui of �+rmitee s activities.
x �- bate. l/• • / 7
Approved by. Date.
C [u,..ens a,w Seo.ys.ti.re(l',CC�1 Bel'NarTenG•.ay nro„Hl �lecCmtt�uE71'iJi..e1v:1o•,p S. e.i : bs...,U�arl,a� fiIGW-f aDmn. e•K�een
• 11/1/2017 City of Newport Beach Page 9 of 9
'4:30:10PM INSP150 - Daily Inspection Request Report
Requested Inspection Date:
11/02/2017
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
2914 OCEAN BLVD
Activity: N2017-0550
SubType : NEW
Status : APPROVED
OWNER:
2908 OCEAN BLVD
Phone
APPLICANT:
COAST WATER & POWER
Phone : 949-548-0106
949-289-0078
mikekilbride@live.com
Description :
REPLACE CTV AND TELECOM CONDUIT.
Item:
10215 ROUGH UTIL
Requested Time:
11/2/2017 12:00:OOAM
Requestor:
WEBUSER
Entered By:
WEBUSER
Comments:
AM -
Assigned to:
z7777777777*
Inspector:
�+ Y Date:
1� Z
Time: $ . `�� AM PM
Comments: TV
/ T / /1/ S- Y
PGA
1_4
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
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