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Home My WebLink AboutN2017-0104City Beach 11pi1111111111l11111111111111111111111111111 0oi Center DBeach, ca s2sso 1111111 ti Permit Counter Phone (949)644-3311 m Online Inspection Request- www.newportbeachca.gov/Online n s Services '�nonw` Permit No: N2017.0104 Project No: 1748-2016 SCANNED Inspection Requests Phone (949)644-3255 Job Address : 2615 BLACKTHORN ST NB Thomas:Guide: 889E4 Description: INSTALL SEWER CLEAN OUT PER STD 406-L, UPGRADE EXIST METER TO 1' ON EXIST 1" SVC AND BOX. Parcel # : 4400-440-9 - Legal Desc : N TR 4893 LOT 86 Owner: 712 K-THANGA LLC Phone: Address : 260 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Applicant: COAST WATER & POWER Phone: 949-548-0106 [ Address : P O BOX 3341 NEWPORT BEACH CA 92659 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED r;EVIEWED Contractor : COAST WATER & POWER Phone : 949-548-0106 r Address : P 0 BOX 3341 R �1 NEWPORT BEACH CA 92659 J Contractor State Lic: 738400 License Expire : 07 31, 2017 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 : $121.50 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 Date: Date: Date : Date: Business License: BT96014951 Business Expire : 12 31, 2017 Workers' Compensation Insurance - - Carrier : STATE COMP INS FUND Policy No: 9087110 W. C. Expire: 10 01, 2017 Total Fee $756.50 Paid : $756.50 Balance : $0.00 Receipt No Other Department : —Date: _/_/ Permit Denied Date Issued Permit: Date /, TIME RECEIVED REMOTE CSID November 22, 2016 3:19:36 PM PsT DURATION PAGES STATUS 111 3 Received gym.' h �.L i�} N✓ !I� h M Fae i� 9 PLEASE COMPLETE THE FOLLOWING INFORMATION PROJECT ADDRESS: 2515 BLACKTHORN DESCRIPTION OF WORK: INSTALL SEWER CLEAN -OUT PER 406-L 1t �� PPLICANT: MIKE KILBRIDE Phone: 949-289-0078 Mailing Address: City/StatelZip: PO BOX 3341 NEWPORT BEACH, CA 92659 OWNER: Phone: Mailing Address: CitylState/Zip: CONTRACTOR: MIKE KILREWIF Office Phone: 949-548-0106 Company (if different): COAST WATER AND POWER Jobslte Phone: 949-289-0078 Other Phone: FAX: 949-548-1616 Mailing Address: PO BOX3341 CitylStatelZip: NEWPORT BEACH CA 92659 State License Number S Class: 738400 A, 8, C-10 City Business License Number: I BT9601491 EXP: 12-31-2015 WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: STATE FUND Policy No: 9087110-14-2 Expires: IW112015 REFUNDABLE DEPOSIT INFORMATION if Applicable) Made Payable To: MIKE KILBRIDE Vendor No: 9833 Mailing Address: PO BOX 3341NEWPORT BEACH, CA 92659 Special Conditions of Permit: a Cpt.1 ,r7Cf1lk�lblsS �(�t c` J E' — Utilities: Traffic: General Services: Other: Engineering Technician: Public VVerks Specialist: Date: J �- ( Permit Na. N2016" I�14° Z OO IIP Permit Processing Fee: Public Works Only $241.00 Other Department $275.00 Agreement Fee: Preparation of Report(Agreement $817.00� Document Recordation Fee $192.00 Monitoring Wens $502.00 Street/Alley/walk Closure: $65.00= Traffic Control Plan Check 8-1/2" x 11" $65.00E--7 2N, x 36" $143.00 N20+0[ Inspection Fee: Public Works Field Inspection Utilities Field Inspection General Services Inspaction Water Quality/Artiflcial Turf Inepeotion Refundable Deposit: Improvements Newspaper Rack Inspection Sewer Connection Fee 4TT Box & Cover Certificate of Compliance Fee (+ioc°% of hrly over 3 hrs) $288.00 Development Services Fee (Plan check hourly) $155.00 Final Tract Map Checking Fee $2,488.00 Final Parcel Map Checking Fee - Moderate $2,488.00 Lot Line Adjustment Fee $1,079.00 ,Park Dedication Fee Zone TBD _ Street Easement/Vacation Fee (+ieoa%ofhrlyover 4hrs) $1,022.00 Street Tree Fee ($700 Planting Fee) TBD $100 $16565.p0 $108.00 TBD TC3D $108.OD = $250A0 $64.00 in- ..- ENKMEM . Ri 5200-6029 5200-6015 5200-5026 5200-5027 5200-5D28 405-470 5200- 31 030-2284 ------------------ En lneeitlYg ech: Tota j mount Due: For Finance Use Only itz("Sb Permit Spec it t o. Receipt N i quserslpbxlshepxdfencmachlmastenlep Fmn! antl beck meatera! R6V+10/21f2019 epfee h [nla�rcvieed 10211201N 1 7 " ;i.-" 11, vi: r: R i 10 1. f.:, V.� Cr-EAN, T V CITY OF NEWPORT BEACH ENCROACHMENT PERMIT APPLICANT OWNER Pelt -III It NO. L,ESr_R!PT;0,N. nF ,vnc, CITY OF NEWPORT BEACH APPLICATION FOR REQUESTED BY V wb F `46 (entity who is requesting meter and/or would get hydrant dep WATER METER OR HYDRANT METER MAILING ADDRESS RECEIPT# CITY/STATE/ZIP 1 1 PHONE # SERVICE ADDRESS d IT 15 SERVICE REQUESTED: Check all that apply ( ) Hydrant Meter ( ) New Meter (0 Meter Upgrade Deposit required New service address Existing service address (tapping order) (tapping order) (work order) ( ) New Meter at existing service address ( ) Irrigation only (tapping order) ( ) Commercial Location M/Residential Location () Fire Connection Fee $ a ( ) Meter Size ` Fee $�_ ( ) 4TT Box Fee $ ( ) Meter box & Lid - Alley/Traffic Area Fee $ Nl� or Parkways/Sidewalk Fee $ Total Fees $ Encroachment Permit Number: / JI L? /,-7—OiO4 Please Complete Owner Info (Hydrant Meter exempt) needed for monthly service billing account Customer Name ((property owner) L L6 -j IL Cv4 Billing Address AeL�Qu" &�41, D( City/Zip Residence Phone # Business Phone # E-Mail Address Social Security # or CA Drivers License FOR OFFICE USE ONLY CLERK DATE BUS LIC # MID# DATE UTILITIES COMPLETED DATE HYDRANT METER CLOSED NEW ACCOUNT NUMBER NOTES WORK/TAPPING ORDER NUMBER f/users/rev/shared/water/water meter sery app 05/23/16 25mtS 31.ALK WAD,toOV N20 1'07 ' Ia- - D/ay lob 3v -COO L"4000wwo �.t y`- �" � F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\I nsoectorSheet doc REPT131 Run Id: 4018 �-_ ram. - Yk ,� ` �;. c : � . . I i4} '�4 I \/ 12/2017 City of Newport Beach Page 11 of 11 4:30:20PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 03/03/2017 Inspection Type: ENCROACH Inspection Area : PW Site Address : 2515 BLACKTHORN ST A/P/D Information: Activity : N2017-0104 SubType: NEW Status : APPROVED OWNER: 712 K-THANGA LLC Phone: APPLICANT: COAST WATER & POWER Phone : 949-548-0106 mikekilbride@live.com Description : INSTALL SEWER CLEAN OUT PER STD 406-L, UPGRADE EXIST METER TO 1- ON EXIST 1" SVC AND BOX. Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 3/3/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER 9495480106 Comments: ANY - Assigned to : zzzzzzzzzzz* Inspector: J V Date: 3�3 Time: _i'oo AM PM Comments: 21Z TO 4- FAUsers\PB1MShared\ENCROACH\MASTERS\FORMS\I nsoectorSheet doc REPT131 Run Id: 4018