HomeMy WebLinkAboutN2017-0540N', �k1 00 Ci�ofic �NeWenter CpOrt Beach
Citrive, NewportBach, CA 92660 I IIIIIIIIIII IIIII IIIII IIIII IIII III�I IIIII IIIIIIIIIIIIIIIIII
� Permit Counter Phone (949)644-3311
�.. Online Inspection Request - www.newportbeachca.gov / Online
r•�'" �,- Services
Permit No: N2017-054G_
Project No : 0160-2017 S CA v r � r '•.
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Inspection Requests Phone (949)644-3255
Job Address:
1830 HIGHLAND DR NB
Thomas:Guide: 889C4
Description :
INSTALL SEWER CLEAN OUT PER STD 406-L.
Parcel # :
1174-250-1 -
Legal Desc :
N TR 3057 LOT 48
Owner:
ROTHBARD JEREMY
Contractor : COAST WATER & POWER
Phone:
' '
Phone: 949-548-0106 949-289-0078
Address :
1830 HIGHLAND DR
Address : P O BOX 3341
NEWPORT BEACH, CA 92660
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
Applicant:
COAST WATER & POWER
License Expire: 07 31, 2019
Phone:
949-548-0106 949-289-0078[
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, 2018
Permit Processing Fee :
$241.00
Sewer Connection :
$0.00
Agreement Fee:
$0.00
4TT Box Cover:
$64.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$0.00
Inspection Fee :
$330.00
Water Meter Connection:
$0.00
Refundable Deposit:
$0.00
Total Water Meter Box:
$0.00
Street Tree Fee :
$0.00
Adjustment:
$0.00
Processed By:
Utilities Approval :
Traffic Approval :
General Services Approval
Total Fee $635.00
Paid : $635.00
Balance: $0.00
Receipt No:
Date : —/ / Other Department : Date: —/—/
Date : / / Permit Denied Date:
Date: —/—/ Issued Permit :e4f TIK I Date
Date: / /
ki
" INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY
• / TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
October 27, 1101' at 11:30:44 PHI PDT 89 3 Received
-COMPLETE-THEL INFORMATION
PROJECT ADDRESS:
DETAILED DESCRIPTION OF PROPOSED WORK:
Phone: 91 . ()
PLICANT: i i740
mall Addresss: 41. �, •
r
iling Address:
33 f
Cityl3tateTLip:
ER: Phone:
Email Address.
iling Address:
City/State/Tp.
L~._ �RtMh RC3N CJIFED-1!
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ONTRACTOR: LT b
Office phone: q • Ord
omparry (if different): Jobsite Phone
Other Phone:
',Vf 4TO • CAP �
ddress:
CitylSta�p:
Statense Number & Class:
{� Expires: 7• �J(• y
City Business Licens Number:
i -W Expires: 7
VmaAress:
S COMPENSATION INSURANCE - Certificato of Insurance (Section 3W Labor Code)
Poll No: OB %/ ��• (.D E 'rss:
{ions: 89.6e.......................
nes 9�-E�4.4-�b�3. •
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Special Conditions of Permit
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Utilities: Traffic: Fire: l�
Municipal Operations Other:
Engineering Technician:
Permftarreciallist Date:
I Ll� jC 7
Permit No.
N20
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Wt, 100 Civic Cen6Pr Drive, Newport Beach, CA 926M
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CITY OF NEWPORT BEACH 4DORESS
.. '` ENCROACHMENT PERMIT ; APPUCANT
OWNER —
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DESCRIPTIoPJ OF '•1vORK
Permit No. - _
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11/8/2017 City of Newport Beach Page 8 of 11
4:30:17PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 11/09/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 1830 HIGHLAND DR
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Activity : N2017-0540
SubType : NEW
Status : APPROVED
OWNER: ROTHBARD JEREMY Phone:
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : INSTALL SEWER CLEAN OUT PER STD 406-L.
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Item: 10215 ROUGH UTIL
Requested Time: 11/9/2017 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to: 7777777777z*
Inspector: ,A / Date: Gl Time: /`4 •' LqA3 PM
Comments:
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMSYnspectorSheet.doc
REPT131 Run Id: 4018
J
_ 1217/2017 City of Newport Beach Page 8 of 15
4:30:53PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 12/08/2017
Inspection Type.- ENCROACH
Inspection Area: PW
Site A{dadress : 1830 HIGHLAND DR
7.��.,.�...-.. ,MY�
Activity : N2017-0540
SubType : NEW
Status : APPROVED
OWNER: ROTHBARD JEREMY 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: 10215 ROUGH UTIL
Requested Time: 12/8/2017 12:00:OOAM Requestor: WEBUSER
9495480106�1�
Entered By: WEBUSER
Comments: AM-8:3 am sewer sleeve a pointment ; 'CAI d
Assigned to: zzz77777_7
(71 `f - 77,3 z - 0 7/�
Ix G
bogged
Refile
12113/2017 City of Newport Beach Page 13 of 14
4:30:05PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 12/14/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 1830 HIGHLAND DR
Activity: N2017-0540
SubType : NEW
Status : APPROVED
OWNER: ROTHBARD JEREMY 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: 12/14/2017 12:00:OOAM Requestor: WEBUSER
9495480106
Entered By: WEBUSER
Comments: AM -
Assigned to : Z7777777777*
Inspector: Date: t2- l Time: j A PM
Comments: KQrA-orkv,y. 6f, a S-e ✓ cl eajayv ," SIC,111,4
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F:\Users\PBMShared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018
11
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