HomeMy WebLinkAboutN2017-0066City of Newport Beach 11pi1111111111111111111111111111111111111111111
100 Permit Permit No: N2017-OOs6
s ad Civic Center Drive, Newport Beach, CA 92660
� Permit Counter Phone (949)644-3311 Project No : 1502-2014
u Online Inspection Request - www.newponbeachca.gov / Online SCANNED
Services
Inspection Requests Phone (949)644-3255
Job Address : 2671 CRESTVIEW DR NB Thomas:Guide: 889137
Description : INSTALL SEWER CLEAN OUT PER STD 406-L.
Parcel # :
0491-813-0 -
Legal Desc :
N TR 1014 LOT 69
Owner:
PANG,SHEANNA
Contractor : COAST WATER & POWER
Phone:
Phone: 949-548-0106
Address :
2671 CRESTVIEW DR
Address : P O BOX 3341
NEWPORT BEACH, CA 92663
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i✓ NEWPORT BEACH CA 92659
i
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
1 $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 : _/_1
Traffic Approval :
Date : _/_/
Issued Permit :
Date 1- � 01
General Services Approval : Date: _/ /
TIME RECEIVED REMOTE CSID
February 7, 2017 11:35:55 AM PST
DURATION PAGES STATUS
120 3 Received
fl
H,'N
PLEASE CbMPIFETE
THE FOLLOWING INFORMATION
PROJECT ADDRESS:
2671 CRESTVIEW
DESCRIPTION OF WORK:
INSTALL SEWER CLEAN OUT 4 O 6 - L
i
i
I
PPLICANT: MIKE KILBRIDE
Phone: 949-289-0078
Mailing Address:
PO BOX 3341
City/State/Zip:
NEWPORT BEACH CA 92659
OWNER: Phone:
1
Mailing Address:
i
City/State/Zip:
CONTRACTOR: MINE KILBRIDE
Office Phone: 949-548-0106
Company ('d different):
COAST WATER AND POWER
Jobsite Phone: 949-289-0078
Other Phone: FAX: 949-548-1616
Mailing Address:
PO BOX 3341
Citylstate/Zip:
NEWPORT BEACH, CA 92659
State License Number & Class:
7384Q0 A, B C-1D
City Business License Number:
BT9601491 EXP: 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 (ifAppffcable
Made Payable To: MIKE KILB16DE Vendor No: 0833
IMalling Address: PO BOX 3341; NEWPORT BEACH, CA 92659
Special Conditions of Permit:
Wtd . l
Utilities: Traffic:
General Services: Other:
Engineering Technician:
Public e; Specialist:
Date:
Permit No..
N2017- 6C (Ol
1:02-2D14
LEGEND
7 = TRFE
� = POWER POLE
zL =SE VER CL.EANOUT
J = WATER METER BOX
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ENCROACHMENT
Permit N4.017�
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APPLICANT I L K Irie
OWNER
DESCRIPTION OF WORK
2/14/2017 City of Newport Beach
4:30:17PM INSP150 - Daily Inspection Request Report
Activity
SubType
Status
OWNER
APPLICANT
Description
Item:
Requested Time:
Requested Inspection Date :
02/15/2017
Inspection Type :
ENCROACH
Inspection Area:
PW
Site Address:
2671 CRESTVIEW DR
AIP/D Information:
Page 4 of 5
N2017-0066
NEW
APPROVED
PANG,SHEANNA Phone:
COAST WATER & POWER Phone : 949-548-0106
mikekilbride@live.com
INSTALL SEWER CLEAN OUT PER STD 406-L.
Requested Inspection(s)
10250 FINAL- PW -jO ZI5- -
2/15/2017 12:00:OOAM 0-kµ .1-ke
uestor- WEBUSER
Entered By: WEBUSER
Comments: PM -
Assigned to : zzzzzzzzzzz•
Inspector:
Comments:
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G,tfv /,7 9495480106
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Date: Z I S- lZ Time: 00 AM
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02/16/2017 City of Newport Beach
INSP150 - Daily Inspection Request Report
Requested Inspection Date : 02/16/2017
Inspection Type : ENCROACH
Inspection Area : PW
Site Address: 2671 CRESTVIEW DR
A/P/D Information: I
Activity :
N2017-0066
SubType:
NEW
Status :
APPROVED
OWNER:
PANG,SHEANNA Phone:
APPLICANT:
COAST WATER & POWER Phone : 949-548-0106
mikekilbride@I ive. corn
Description :
INSTALL SEWER CLEAN OUT PER STD 406 L� rr sp�af
Requested Inspection(s)-
Item:
10250 FINAL - PW WEBUSER
12:00:OOAM Requestor:
Requested Time:
02/16/2017
9495480106
Entered By:
WEBUSER
Comments:
PM -
Assigned to:
zzzzzzzzzzz*
Inspector: _�' ' j Date: f 4 7 Time: 2. I -,;-AM
Comments: 42
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F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc
RE'PT131 Run Id: 4018