HomeMy WebLinkAboutN2017-0557100 City of
cDrive,enter Newport Be8 Beach, CA 92660 IIIIfIIIIIIIIIIIIIIIIIIIIIIIIIIIIullllllllllllllllllllllll
n Permit Counter Phone (949)644-3311
ram:. r Online Inspection Request - www.newportbeachca.gov / Online
Services
Job Address : 2815 EBBTIDE RD NB
Description : INSTALL SEWER CLEAN OUT PER STD 406-L.
Parcel # : 4586-610-7 -
Legal Desc : N TR 3660 LOT 50
Owner: JOHNSON SCOTT A
Phone :
Address: 15201 PIPELINE LN #B
HUNTINGTON BEACH CA 92649
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
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
Thomas:Guide:
Permit No: N2017-0557
Project No : 0001-2012 �.�" .ej�,iL
1
Inspection Requests Phone (949)644-3b55
919F1
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
Total Fee $635.00
Paid : $635.00
Balance: $0.00
Receipt No:
Date :
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Other Department : Date:
Date :
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Permit Denied Date:
Date:
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Issued Permit: Date : L/ �
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ORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3900 Labor Code)
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Engineering Technician: Permit Speclakst
Date:
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Permit No,
N201 '—C,i;�4j
1 Public Works Department 0"444-3311
�% ) 100 Civic Caller Drive, Newport Beach, CA 92660
TIME RECEIVED REMOTE CSID DUURATION PAGES STATUS
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11/6/2017
City of Newport Beach Page 7 of 11
6:34:07AM
INSP150 - Daily Inspection Request Report
Requested Inspection Date: 11/06/2017
Inspection Type : ENCROACH
Inspection Area : PW
Site Address: 2815 EBBTIDE RD
Activity :
N2017-0557
SubType :
NEW
Status :
APPROVED
OWNER:
JOHNSON SCOTT A 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:
11/6/2017 12:00:OOAM Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
AM -
Assigned to:
77777777777`
Inspector:
J Y
Date:
I Ao //-7
Time: C� PM
Comments:
5C-4> /yST;TLL-
40A,,iJL�1Z
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F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
i 1/8/2017 City of Newport Beach Page 4 of 12
6:U:19AM INSP150 - Daily Inspection Request Report
" Requested Inspection Date: 11/08/2017
Inspection Type : ENCROACH
Inspection Area : PW
Site Address: 2815 EBBTIDE RD
.. .. Alk:a
Activity : N2017-0557
SubType : NEW
Status : APPROVED
OWNER: JOHNSON SCOTT A 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: 11/8/2017 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to:
Inspector:
77777�777777*
,�V
9495480106
Date: g Time: 1 - A PM
Comments: dAOKT Z-) / Z e;;'
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COMPLETED
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc