HomeMy WebLinkAboutN2018-0062City of Newport Beach IIII III II IIIIII II IIIII III100 Civic Center Drive, Newport Beach, CA 92660 �11�1111 N 2 0 1 8 0 0 6 2 111�
r,, Permit Counter Phone (949)644-3311
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Job Address : 5501 SEASHORE DR NB
Description : INSTALL SEWER CLEAN OUT PER STD 406-L.
Parcel # : 4244-840-6 -
Legal Desc : OCEAN FRONT TR BLK 55 LOT 1
Owner: RIDGWAY DERRY
Phone:
Address : 5501 SEASHORE DR
NEWPORT BEACH CA 92663
Applicant: COAST WATER & POWER
Phone: 949-548-0106 949-289-0078[
Address : P O BOX 3341
NEWPORT BEACH CA 92659
Special Cond.: PRE-CONSTRUCTON 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
v
Permit No: N2018 A62 ,
Project No : 2960-2016
Inspection Requests Phone (949)644-3255
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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, 2018
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: _/ / Other Department : -Date:
Date : / / Permit Denied Date
Date: _/ / Issued Permit : Date
Date : / /
INBOUND NOTIFICATION . FAX RECEIVED SUCCESSFULLY
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
February 1. 2018 at 2:21:09 PM PST 98 3 Received
PLEASE COMPLETE THE FOLLOWING INFORMATION
PROJECT ADDRESS:
5501 SEASHORE
DESCRIPTION OF WORK:
INSTALL SEWER CLEAN -OUT PER 406-L
APPLICANT: MrKE 113LBRi13F Phone: 949-299-0078
Mailing Address: City/State0p:
PO BOX 3341 NEWPORT BEACH, CA 92659
OWNER: Phone:
Mailing Address: ICIty/Statelzip:
IORKERS
ONTRACTOR: MTKY KILBRfDE Office Phone: 949-548-0106
ompany (if different): Jobsite Phone: 949-289-0078
COAST WATER AND POWER Other Phone: FAX: 949-548-1616
ailing Address: City/State/Zip:
PO BOX 3341 NEWPORT BEACH, CA 92659
ate License Number & Class: City Business License Number:
738400 A B. C-10 BT%01491 EXP- 12-31 2017
COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Con1 an ; STATE FUND Policy No: 9087110-14-2 Expires'. 10/1/2018
REFUNDABLE DEPOSIT INFORMATION /fApplicable)
Made Payable To: MIKE KILBRIDE Vendor No: 9833
Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659
Special Conditions of Permit:
Utilities: � Traffic:
General Services: Other:
Engineering Technician: Public Specialist: Date: O Permit No. f I�L L4 L 1 8 N2018-
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3/26/2016 City of Newport Beach Page 5 of 10
,4:31:01PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 03/21/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 5501 SEASHORE DR
Activity : N2018-0062
SubType : NEW
Status : APPROVED
OWNER: RIDGWAY DERRY Phone:
APPLICANT: COAST WATER 8 POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : INSTALL SEWER CLEAN OUT PER STD 406-L.
Item: 10040 SEWER LATERAL
Requested Time: 3/21/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777*
Inspector:
Comments:
Date:
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
Time: AM PM
REPT131 Run Id: 4018
- - 6/3/2019 City of Newport Beach Page 3 of 5
4:30:35PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 06/04/2019
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 5501 SEASHORE DR
A/P/D Information:
Activity :
N2018-0062
SubType :
NEW
Status :
APPROVED
OWNER:
RIDGWAY DERRY Phone:
APPLICANT:
COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description :
INSTALL SEWER CLEAN OUT PER STD 406-L.
Requested Inspection(s)
Item:
10250 FINAL - PW
Requested Time:
6/4/2019 12:00:OOAM Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
ANY -
Assigned to:
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