HomeMy WebLinkAboutN2017-0382of Newport Beach�ilIII111111111111111111111111111111111111111111
IIII�
Permit No:N2017-0382100
Civic Center Drive, Newport Beach, CA 92660
N 2 0 1
7 0 3
8 2IIIIIPermit
9�.City
Counter Phone (949)644-3311
Project No : 0760-2016
Online Inspection Request - www.newportbeachca.gov
/ OnlineAA''Services
Inspection Requests Phor�$C"WED
Job Address:
541 HAZEL DR NB
Thomas:Guide: 919F3
Description :
INSTALL SEWER CLEAN OUT PER STD 406-L.
Parcel # :
4591-220-9 -
/w
Legal Desc :
N TR 673 BLK B LOT 16
V
Owner:
EDWARDS STEVE/KELLI
Contractor: COAST WATER & POWER
Phone:
Phone: 949-548-0106 949-289-0078
Address :
541 HAZEL DR
Address : P 0 BOX 3341
CORONA DEL MAR, CA 92625
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
Applicant:
COAST WATER & POWER
License Expire: 07 31, 2017
Phone:
949-548-0106 949-289-0078[
Address :
P 0 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 : $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:
$0.00
Processed By :
Date : _/_1
Other Department : Date
Utilities Approval
:
Date : _/_/
Permit Denied Date:
Date
Issued Permit: Date : _7 T,�&
Traffic Approval :
: _/_/
-
General Services
Approval :
Date:
-L.
Address-—: tl1i�� a. r�n�ti �ilbridL LrL. earti.
Addnm:
rV,v I WM; cr 6 OWMe Phone• 9 4 • D10
any (if different): Jobsite Phone: ge
tjtrvrre:
Address: ' �., 4T0 . („p lllti
g Address: Citylaftlefzip;
.icense Number b lass: City Business Liceff8b Number:
O E ices:1- S • / ? 1,4 Irks• '7
'ERS COMPENSATION INSURANCE. Cardreate of kwurance (Section 38a0 Labor Code)
an Pool' NO• 057110• A 0 • �• l '7
s:: •�aa:tti�ioir•i • ' - -
ll Conditions Of . Permit: - � `T"1�iJ r. •w. ,,,}'Y; _ ,t ...�:'°, '*
\
..U'Fuss: Traffic: Fire: ��_�
Municipal Operations Other
Engineenlclan: Pent _ r 'allst pate: o.
1J �. 1 fJnN20j
f,uurm",du humWe G98
n cLor -*A
) Public worts. t@parbnent g49-e44-3311
C . � "cc
- - C ( �� 100 civic cat"r Dwe, Newport eeach, CA MrA
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY **
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
July 25, 2017 3:38:07 PM PDT 127 4 Received
.
381
��aMjr r
mmm 0C)Lt) MA
}ire
)0*2zo.1$
ms }��•s
OWl �'�i
1 Y J• IO � io %ooLii 00=1 u0sm 'ofoloulamma
PeAs
_�G
�y�
00 pa ft--Z$
WDo-e W
�p � ` *A u.1 fpv ou l Ng
estj md_r-tea`d"t
J
ft-gs t
Op"95l4
001 ".PP0 .
don M.Li Wqj
i� moq WOW mod) 80A
DO sgz'3
tie a Jal o 4m so %ml-) esi SOUNK ewoo
jo efmgpoo
1- .... --: .:•--OQ=Z£t pETg}*:: J.
e
rff a;- -:
t { xnja�aiQ,sia�f8,+?f�t Am -me bo
[ 00-sm
D=
8Ots
99t�
"1EiS
jaAcko *-06 JJL*
eezi aoqoouuoo aw kft
IWOulsmuduq
aesodea &Fq"nM
�m.L M.0 Wb'!AVerLo AqeM
u0poeclaw soomaa5 "Joeree
i p!3
Wqwd" ppUM"M
- :ay �
(=00-ws
00'Z09$
00-zUt
00-L 6S�
�t1 w.
:4rA
�t1 X.7Jl�d
= 13 XW
:iO3
SUQAA uON
uopodeQ
.":I fie,
LEGEND
= TREE
= POWER POLE
Q
=SEWER CLEANOUT
Q
= WATER METER BOX
I I I I K 4L-' O' a'
II I I
f I I 5(4)
I
II I i
II I i
I ( I I P/i.
II f I
CURB & GUT?ER '
Newport Beach Police Dispatch City Of Newport Beach
Phone: 949-644-3717 Public Works Department
APPLCATI(�111 f¢ fi p Phone: 949.6"-3311 Fax: 949-bgq_3318
I�Y:TR.T•7SIDEVIt,It�t GI:OSiiRE .
City of Mewport Beach Municipal Code f2 62.0fo . � S1 RpuCEiTAENT
Pwmlt ►or Temporary, sbew Cloxure
Name: MIKE KILBRIDE APPUCdW7 fNFCRMgT10N
Company Name: COAST WATER & POWER
Address: P, Crb of Newmn 86ach 8ue.neer, Ljoe.•ue O. BOX 3341
CityZp. NEWPORT BEACH, CA 92659-8341 Phone: Day 949-289-0078 Night BT96014951 No.
Exact Location of Enc roachment:
(use street 9ddlegs O' aPP►o L111bQi
ry� n.g�
Reason for Encroachment. UTILITY IMPROVEMENTS - Generally one day between dates }
NOTE: No work on holiday(s) or weekends. es below.
Date Closure to Begin:
bate Closure to End:
DIAGR,gty a_OCATION OF EtucRneruur..� .._. _-_ - Time of Closure: 7:00 AM to 5:I)0 PM
A coeyof #)is err»it must be visible on
ADDITIO N
1) FIs Man operatioi
2) Provide access to
Place delineators
4
Pak, h, ..._.
to
re
....,.` ,.•,�No�cn or all road
verse side of tttls permit for ulations coven use of this
fS OF APPROVAL FOR THIS PERMIT ARE AS FOLLOWS:
2006 W.A.T.C.H. Manual, Pallas 47-48.
rgency vehicles if needed 3 "-- -
construction area. 5) Plate
y auiacent residents
backfill excavations
oxg
or reserved
rS prior to closure.
non -construction.
I, (Permitee) hgta - "— '"""' 'v RCVUKE OR MODIFY ...... IONS AT
by certify the information prpyided *true and correct. and' agrtte to comply with the terns and AHY TEmro. e? a P
eOnditionS on the front and back of this pemt)t Penttitee guarantees to indemnify and ++ottl the City of New
ha gams any Uaims, tiabil' `""'" r1Q
or' dgm f rages arising ou, of Port Beacn s j Z O' 7
X L � � 9 permitee's activities. JV
Date: ()JI
Approved by:
C-Ok am qa Date:
•'O>�wnloca Sea:'9sTAnoory, Inl.mn F "ram � ' Jam_
ktM1Cpfl 6eG'{T�g1RlI CY.S.srs ACOIii110ft-KUlna!-F 1^r`
I.ynen.,yl51w9':
10/4/2017 City of Newport Beach Page 4 of 11
•4V4:30:36PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 10/05/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 541 HAZEL DR
Activity :
N2017-0382
SubType :
NEW
Status :
APPROVED
OWNER:
EDWARDS STEVE/KELLI Phone
APPLICANT:
COAST WATER & POWER / Phone : 949-548-0106
949-289-0078 mikekilbdde@live.com
Description :
INSTALL SEWER CLEAN OUT PER STD 406-L.
Item:
10215 ROUGH UTIL
Requested Time:
10/5/2017 12:00:OOAM Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
AM -
Assigned to: 77777777777*
Inspector: Date: 1W /Z,,/—,7
Time: AM M
Comments: �crlG
LM�o
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\Insoectorsheet.doc
REPT131 Run Id: 4018
.AA
Ir
'`� `• (,r� sail -- :�-
.x ~ TT
g
Wir
:�� w�•�. 1. to "
�Z a
10/9/2017 City of Newport Beach
Page 7 of 11
.' 6:34:25AM INSP160 - Daily Inspection Request Report
Requested Inspection Date:
10/09/2017
'
Inspection Type:
ENCROACH
Inspection Area :
PW
Site Address:
541 HAZEL DR
Activity :
AIRR! Mio1C
N2017-0382
SubType :
NEW
Status :
APPROVED
OWNER: EDWARDS STEVEXELLI Phone
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description: INSTALL SEWER CLEAN OUT PER STD 406-L.
Item: 10250 FINAL - PW
Requested Time: 10/9/2017 12:00:OOAM Requestor: WEBUSER
9495480106
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777"
Inspector: Date: 17 Time: A M
Comments: �'IN� L 1°E��/� L, 5�G✓ .��5�-� t' ���>
�c v FT ie-101%-7 /act+
wmed
Refiie
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMSMnspectorSheet.doc
10/12/2017 City of Newport Beach Page 7 of 11
• 4:30:37PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 10/13/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 541 HAZEL DR
Activity : N2017-0382
SubType : NEW
Status : APPROVED
OWNER: EDWARDS STEVE/KELLI Phone:
APPLICANT: COAST WATER 8 POWER Phone • 949-548-0106
949-289-0078 mikekilbdde@live.com
Description : INSTALL SEWER CLEAN OUT PER STD 406-L.
Item: 10250 FINAL - PW
Requested Time: 10/13/2017 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: ANY -
Assigned to: 77777777777*
Inspector: Date: 10 / / — Time: y�� PM
Comments: �lL� ,�I' f l�i4-Z -.
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018