HomeMy WebLinkAboutN2017-0096City of Newport Beach IIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111III 11
o� O 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 0 9 6
ti Permit Counter Phone (949)644-3311
u Online Inspection Request- www.newportbeachca.gov/Online
niter Rom. Services
Job Address : 2531 BLACKTHORN ST NB
Description : BUILD CLEAN OUT PER STD 406-L.
Permit No: N2017-0096
Project No : 0238-2016
SCANNED
Inspection Requests Phone (949)644-3255
Thomas:Guide: 889E4
REVIEWED
Parcel#:
4400-441-2 -
Legal Desc :
N TR 4893 LOT 89
Owner:
ROSENCRANTZ MARCUS & EMILY
Contractor : COAST WATER & POWER
Phone:
Phone: 949-548-0106
Address :
2531 BLACKTHORN ST
Address : P O BOX 3341
NEWPORT BEACH, CA 92660
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NEWPORT BEACH CA 92659
V
Contractor State Lic: 738400
Applicant:
COAST WATER & POWER
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License Expire: 07 31, 2017
Phone:
949-548-0106 [
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, 2017
Permit Processing Fee:
$241.00
Sewer Connection: $0.00
Total Fee
$635.00
Agreement Fee:
$0.00
4TT Box Cover: $64.00
Paid :
$635.00
Traffic control Plan Check :
KOO
Total Water Meters: $0.00
Balance :
$0.00
Inspection Fee :
$330.00
Water Meter Connection : $0.00
Receipt No
Refundable Deposit:
$0.00
Total Water Meter Box: $0.00
Street Tree Fee :
$0.00
Adjustment : $0.00
Processed By:
Date: _/_/
Other Department : —Date:
Utilities Approval :
Date : _/ /
Permit Denied Date
:
Traffic Approval :
Date : _/_/
I
Issued Permit : o/ Date
�3
General Services Approval : Date: _/_/
OW -SHEET FOR ENCRGACHMENT PERPUr. .
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
-COMPLETE THE BELOW.INFORMATION
PROJECT ADDRESS: ZS1
DETAILED DESCRIPTION OF PROPOSED WORK:
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PLICANT: iV.Ji6y,"L'rz Phone: y • S
Email Address: �• .r
Mailing Address: 3 3 I
City/State0p:
9 s-
WNER: Phone:
Email Address:
Mailing Address: City/Sfate/zip:
;14t ClT rrTOR fNIFORMATtON IS REY3i3
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Office Phone: q y yg. Q'O
CONTRACTOR: lt Y LT a
Company (if different):
CD as +fib.
Jobsite Phone: g
Other Phan.:
Email Address: LTL Go 1M
Mailing Address: �� City/State0p:
fate Ucense Number & Class: City Business UcensL Number:
U Expires: 1[- /7 Tr Q to Olr-( Tres: 2 •/'J
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
om any: S44A &ng< Polic No: 20T %/ IO Co Ex ires10 4• 0
unit' Q tlonst 99-6.44.3Q55 .......................... . ..............
i lities;. 9+19,Cf =30.11................................................
tiitian Fore§ i .944 fid4 0&3.......... ....r .. . . .. ... . . ........ • . .. . _ : • : • _ :.:. _ .
FOR OFFICE tSE ONLY
Special Conditions of Permit.
1t ih�rrllRtaf APPROVAL REQLIUM FROM THE F.OLLOVANG•DEPAFrrME*#-'
Utilities: Traffic: E== Fire:
Municipal Operations Other.
Engineering Technician: Perrni ialist Date: Permit No.
1 N201 V
\/tnd,or''* y6133 b238-Zoi47
Public Works Deparhnent 949-6443311
100 Civic Center Drive, Newport Beach, CA 92660
Permit Processing Fee: Inspection Fee: Qty..,
Public Works Only $241-00� . Public Works Field Inspection $165.00
Other Department $275.00 Utilities Field Inspection $121.00
General Services Inspection $165-00
Agreement Fee: Water Quality/Arti icial Turf Inspection $108-00
Preparation of Report/Agreement $817-00
Document Recordation Fee $192-00 Refundable Deposit- TBD
Monitoring Wells $502.00 Improvements TBDP
StreetfAlley/Waik Closure: $65-00= Newspaper Rack Inspection $108.00
Traffic Control Plan Check
8-1/2" x 11" $65.0� Sewer Connection Fee $$64-0�
24" x 36" $t43-00 4TT Box 8 Cover $64-0
Additional
f iti�E r�Tt'LovYttdcierENts i3 Quil2E A�P�Ro1(Att OM TFtE ., Re�,ue tuvision., :t
f..'.'. - .. REVENt1�DiylSt(1N.P-t2tOfkt6]PAYWR&T-OPFEES JAppm
ar)s%NaSgm:Clia_Us........ $�28:D0 •1
F3/41':Mete'r::::::.::::: : $SQ.:.RY3feCMeteri3kzes:::.:::::::::::::::::1
I1r'14Aete[ :::::: . . ::::::::Focf2aiicvdayBShlewafkArea(Box_tCoJers ::1
}1 .. -:- --- ....... ...... .:-_: i. Meter..... Tf ...
}1.1t2"7htbiFleMetet- :-:-_-:-._$700. - 2aMeteG'-_27.D4}6'125-
.'$4 -D..: :' :...'......:1
[2"TurbneMefe� : : _ .$8F¢FTraifc.-kyArea
}3" 31 D :..:.:....ter : 9 3-40:+. }.-..... :: i }4".Meter---------- - - - --$4,730.00-.--.-:2":P1leier-.-.271iQ:f62.48:-.'
Qty. Budget Number
Certificate of Compliance Fee (+t00% of hry over 3 hrs) $288.00 52005029
Development Services Fee (Plan check hourly) $155-00 5200-5015
Final Tract Map Checking Fee $2,488.00 5200-5026
Final Parcel Map Checking Fee - Moderate $2,488-00 52005027
Lot Line Adjustment Fee $1,079.00 5200-5028
Park Dedication Fee Zone _ TBD 405-470_
Street Easement/Vacation Fee (+100% of hry over 4 hrs) $1,022.00 5200-5031
Street Tree Fee ($700 Planting Fee) TBD 030-2284
•---------- ----------.—_.__._._,.__------
Engineering Tech: Total Amount Due: For Finance Use Only
Permit Speclaust Receipt No.
tluses�„Ts�.areai� �t aw taac nuse�v
Rev. 101212016 ee�.tlsv¢ea iorn2ols
LEGEAD
= TREE
= POWER POLE
=SEWER CLEANOUT
= WATER METER BOX
h4AH 02 - DGI
II i
�T-A�LL
Lit
MIRB (!U-r=,-R
-CENTERLINE-
CITY OF NEWPORT BEACH
ENCROACHMENT PERMIT
Permit No. NMT�
ADDRESS
APPLICANT I LB
OWNER
DESCRIPTION OF WORK ':7/1,0
NEW
FROM NW P/L.
2531 BLACKTHORN
3/2/2017 City of Newport Beach
4:30:20PM INSP150 - Daily Inspection Request Report
Activity
SubType
Status
OWNER
APPLICANT
Page 10 of 11
Requested Inspection Date :
03/03/2017
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address:
2531 BLACKTHORN ST
AIP/D Information. r.
Phone:
Phone : 949-548-0106
mikekilbride@live.com
Description : BUILD CLEAN OUT PER STD 406-L.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 3/3/2017 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER 9495430106
Comments: AM -
N2017-0096
NEW
APPROVED
ROSENCRANTZ MARCUS & EMILY
COAST WATER & POWER
Assigned to : z\zz/zzzzzzzz`
Inspector: J Y Date: C A 7 Time: oo �M PM
Comments: O/L 7-0
.
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F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc
REPT131 Run Id: 4018