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N2017-0544
C���� K������ '-� '--�— U� ` ��*����N°� �� ' �������: �v�;��� 1ouCivic cen�,Drive, Newport Beach, u*ousau |mmN-2'w 1 / 05*4nmm ��^�Y� � � =� pennuCoum�,pxune�*y�**oo1� OnnneInspection Request 'vwww.newpu�ueacxcaoov/Onnna Pn�e��No�M ����[` ��� .���i`�\^�'—��'� . Services ����' Inspection Requests Phone (e4e)6«4-3oys Description INSTALL Z'WATER SERVICE WITH 11/2^ METER PER STD5O3'L Parcel #: 0471'510'1 ' Lo0m| Oemc : NEVVPORTBEACH CITY BLIK21 LOT 14 Owner: MC FADDEN PLACE LLC ` Contractor: COAST WATER &POWER Phone: ' ` ' Phone: 949'548'0106 949'288'0878 Address 3334ECOAST HVVY#418 Address POBOX 3341 CORONA DEL MAR CAQ2G25 "°�� NEVVPORTBEACHCA02G50 Contractor State Lic: 738408 Applicant: COAST WATER &POWER License Expire :O731.2O1Q Phone: 949'548'0106 940'289'0078[ Address POBOX 3341 NEVVPORTBEACH CA02G59 Business License: BT80014851 Business Expire: 1231.2017 Specim|Cmmd. PRE-CONSTRUCTION MEETING REQUIRED Workers' Compensation Insurance '' Carrier: STATE COMP INS FUND Policy No: 9087110 W. C.Gxp|re: 1001.2018 Permit Processing Fee $241.80 Sewer Connection $0.00 Total Fee $1,738.00 Agreement Fee: s0.00 4TTBox Cover: $0.00 Paid : $1,738.00 Traffic control Plan Check $0.00 Total Water Mah*m $813.00 Balance $0.00 Inspection Fee : $495.00 Water Meter Connection o528.00 Receipt No: Refundable Deposit: $0.00 Total Water Meter Box: $189.00 Street Tree Fee $0.00 Adjustment $0.80 Processed By: Date �/� Other Department: Date Utilities Approval Date ���/ Permit Denied Date� Traffic Approval Date �/� Issued Permit Date: J ^" General Services Approval Date: if FRNOT, IA ET-E•'ME EL INFORMATION PROJECT ADDRESS: Z 1 TAILED DESCRIPTIOROF PROPOSED WORK- I z rl 150 3 L- PLICANT: L-rZ Phone: Email Address: ' I ailing Address: City) telLip: 'R 3 WNER: Phone: mail Address: ailing Address: Etty/statemp: ONTRACTOR: M.,Ity--i ILA LTD Office Phone: 9y ' a10 ompany (if dffierent): • �. Jobsite.Phone: Other Phone: mail Address: iling Address: City/State/Zip. Late License Number & Class: C? Ex Tres• 7• S(,1 City Business 1-kmhsb Number: ires• 7 ORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) �l om an : Pollc No: $ % ! O • It unit' al; ris; I48.64d��Q'S'.4. .............................................................. titles -9494"43011 riian fibres t4 OQ3. . . . . 1.- � fs� PT 4 - .. mow Special Conditions of I % !n t-C tyi �trw +Iryl tlmlgh" _ ADA1-ice. ..........�....:,iRfD•;P.R 1=i�•L- � �'$:..` .:%' Utilities: Traffic: Fire:. Municipal Operations Other: Engineering Technician: Permit m Date: n 3j Pemllt No. IN20197, - �- fhAra/pbwhharedfano'vad�M�an�rdR�J�'saer/.�]ds� v01 ,Gn Public Works Department 949-644-3311 100 Civic Center Drive, Newport Beach, CA 926$0 pan}a3ab S t1ZT 1 d Wb' 9S'SZ'OT 1p ZTOZ 'T£ Jagol:)0 Sf IVIS S3!)Vd NOI1"nG 0IS3 31aUld 03AI3�3b 3WI1 .l11fldSS33DnS 03AI333b XVJ ' N0IIHJI3I10N MOGNI LEGEND TREE = POW POLE = SEWER 'C r-&MLI" = WATF_R ` uE-rM BOX --- �to Co. �'a�oc 1 � . 2-1 t W _ L CEfT£R-1NE OF PROPERTY LINE ADDRESS /�44 APPLICANT 10,06M, OWNER DESCRIPTION OF WOP. CITY OF NEWPORT BEACH ENCROACHMENT PEik-MIT PERM T No. {fit 2 6l • 1111/2017 City of Newport Beach Page 3 of 9 4:30:10PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 11/02/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 2121 BALBOA BLVD W Activity : N2017-0544 SubType : NEW Status : APPROVED OWNER: MC FADDEN PLACE LLC Phone: APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@Iive.com Description : INSTALL 2" WATER SERVICE WITH 1 1/2" METER PER STD 503-L. 3i Item: 10215 ROUGH UTIL Requested Time: 11/2/2017 12:00:OOAM Requester: WEBUSER Entered By: WEBUSER Comments: AM - Assigned to: 77777777777* Inspector: j l! Date: 1t/Z-11-7 Time: A� Comments: %,-e;- -7 ./L HOC f11el5, � Z " ".v72L- 0r 11/G c- e Z- K NQ" n- �ilic%T��.� `� ��'7/ �—it-aT2P,r— S 10-0— F:\Users\PB W\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018 • 11/16/2017 City of Newport Beach Page 7 of 11 4:30:27PM INSP1 SO - Daily Inspection Request Report Requested Inspection Date: 11/17/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 2121 BALBOA BLVD W Activity : N2017-0544 SubType : NEW Status : APPROVED OWNER: MC FADDEN PLACE LLC Phone : APPLICANT: COAST WATER & POWER Phone: 949-548-0106 949-289-0078 mikekilbride@live.com Descriotion : INSTALL 2" WATER SERVICE WITH 1 1/2" METER PER STD 503-L. Item: 10250 FINAL - PW Requested Time: 11/17/2017 12:00:OOAM Requestor: WEBUSER 9495480106 Entered By: WEBUSER Comments: AM - Assigned to: 77777777777* Inspector: NDate: I I Time: 10- S'S Gt.M M U!� AcRz � Comments: O"V TZ) F1AJo4-/,/Z,45' -71 o 1 S � 4 -Z Wooed Refile F:\Users\PBMShared\ENCROACH\MASTERS\FORMS\Insc)ectorSheet.doc REPT131 Run Id: 4018 11/30/2017 City of Newport Beach Page 6 of 8 4:30:19PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 12/01/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 2121 BALBOA BLVD W A .. M.5' '.%.•. affix" S::l-0tlI'[X• Activity : N2017-0544 SubType : NEW Status : APPROVED OWNER: MC FADDEN PLACE LLC Phone: APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@live.com Description : INSTALL 2" WATER SERVICE WITH 1 1/2" METER PER STD 503 L s i.7r y.' ,qw s �«��Y� a s 9,.Y i t •., (E�7��'-�.,/�e S ypQ"^Mc ;, z " it � ��w .�,A':?K ���,Y yr ; i '! r''' Item: 10250 FINAL - PW Requested Time: 12/1/2017 12:00:OOAM Requestor: WEBUSER 9495480106 Entered By: WEBUSER Comments: AM - Assigned to: 7777777777 Inspector: /� Date: 17- % Time: AM PM Comments: LETED F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsnectorS heet.doc REPT131 Run Id: 4018