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119 35TH ST
®' W O O O N Z E d a M to ONi a U U R m 0 0 a d Z a CO C 0 o. N z 0 0 M A'VIC, F. c� CO CO 00 Contact of the Utilities Department 48 hours in 6 advance at 949-644-3011 to arrange for .5 Inspection of all connections to Clty owned utilities. w A e 0 F L N N C O g 6 J N C y Cca d 'a ` E .a `o y 'c •• y `0 UJ u x -i W o 0 U .. Z x w U O U d m N a m d N : U a c o s c N N 3 0 c0�iia ci - m'm' Y J Q W 0 U z Q F � O m N z WJ J J O �- w m O z z W O U WM m o M c M ❑ z F W a W> z W 1 ❑ Q �. N W m 0¢ O CO �I zJ Ln M g NO "a ❑ ❑W m> N� rn cS� > oN0 >a W v z m m a Q O 0 0 d 0CL C U a U U A C C C U 0 0 an d 3 t v a Lo Mc 0 0.J 0n. a0.a m lOO 0 0 0 0 0 0 O N 0 0 0 0 O 4 0 0 0 0 N � fA to f9 fA rfl c C O U o .. m XO > n CO o 0 m m m U oE N m N N N j COv�03:< O O O N N O O O ry O m O CJ O N N N O rn es r�avl» 0 o y .. _� :2 0 00 U LL j � Y � ❑ o c 0 o ZM a aEi�3 Nc Oda-w EL ¢na'Z)x WORKSHEET FOR ENCROACHMENT PERMIT CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT PLEASE COMPLETE THE FOLLOWING INFORMATION.< PROJ ECT, ADDRESS: 112 35 - t: f� DESCRIPTION OF WORK: APPLICANT: 1,- u n Wof l d • Phone: Mail' Address: C' /Stat /Zip: tx,3 R: a Phone: g Address: FMai City/State/Zip: CONTRACTOR: Office Phone: Company (if different): Jobsite Phone: Other Phone: Mailing Address: City/State/Zip: State License Numbe &-CI s (� 7 �4 / 4LV City Business License Number: WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: I'/ /PL— Policy No: Expires: REFUNDABLE DEPOSIT INFORMATION (if Applicable): Made Payable To: Iq tv-,- Pam/ Mailing Address: 18 ¢ woodba✓" Or, fl&qc�rjfM /VV e O/ f' FOR OFFICE USE ONLY { Special Conditions of Permit: . 5' B L S —/Of;' —L. ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: Other: Engineering Techician: Permit Technician: Date: O? - ZG -O2 Permit No. IN ZOOZ-COU i users1pbw1SmareWencfWCn nysers/epwarxsneet XIS Public Works Department 949-644-3311 A - L34- c42 3300 Newport Boulevard, Newport Beach, CA 92663 ?�2e •.:• s �+"$4:3iwi.6A-`eJ�Ir TI`��� a~i `r�t�N Fl`Z�F'AWs Gi LWbl� Iil aLBIIM'tl cilL..' t 7� I ^`' l� �`.'y.+f� �'r tn•3t �, to F pp°m�<ta!-„n,(,�i�t."7�i c�PzeS.h�Oy'wfECRY5S47aL7-�I''Pi`vMLE•'C�Ar•�C-aGHct€N1 in({24� ��"�.L3+';�•i:i '�' �rr�y � �f� �r+-�i'ro r�':`?-_. 'Wa®I "/iYpP°�x'6 N fi p rr4�rS A;Irt1�G'H9':`kFF1,=�`S: �s+a:a'S'�.'IFi'£slipn,��OA�'L'2tl Vr4:i!'�PW��iJ'jC a.,t�5r-i4 PRO.iE".CT ADDRESS. PERMIT NUMBER, � �_/ � l R 35 c5'fVee I'APPt_IC-ANT: j TC �E C04M TESTED BY PFUBLNLCgiyWORKS�DEP- RW MEN T :<�;_ Qty. Permit Processing Fee: Public Works Only $102.00� Other Department $193.00 P Qty. Inspection Fee: Public Works Field Inspection $42.95� Utilities Field Inspection $42.95 Agreement Fee: Refundable Deposit: Preparation for Council Approval $236.00 Underground Utilities $544.00 Preparation for Recorded Doc $81.00H Improvements TBD Street/Alley/Walk Closure: $32.20© Sewer Connection Fee $250.00 4TT Box & Cover $44.20 THE4FOLLOWINGITEMSREQUIRE¢APPROVAL FROMK E Revenue Division Approval: �x�i� r�RE,UENUE DINISIONtPRIOR�TO PAY�MENiftOF4F�EES ��,�'�-,��� City. Qty. Water Meter: 3/4" Meter 1" Meter 1 1/2" Meter 2" Meter $145.00 $210.00 $390.00 $505.00 Connection Charge: 3/4" Meter Connection Charge V Meter Connection Charge 1 1/2" Meter Connection Charge 2" Meter Connection Charge 3" Meter Connection Charge 4" Meter Connection Charge 6" Meter Connection Charge $50.00 $50.00 $75.00 $100.00 $150.00 $200.00 $300.00 Water Meter Boxes: For Parkway & Sidewalk Area (Box + Cover = Cost) For Traffic & Alley Areas (Box + Cover = Cost) iv'etsr: $8.65 + 7.60 = $16.25 3/4" Meter: $8.65 + 18.45 = $27.10 1" Meter: $15.20 11.95 = $27.15 1" Meter: $15.20 + 59.00 = $74.20 2" Meter: $17.35 + 18.45 = $35.80 2" Meter: $17.35 + 78.00 = $95.35 Final Tract Map Checking Fee $2,271.00 5200-5026 Final Parcel Map Checking Fee $681.00 5200-5027 Lot Line Adjustment Fee $647.00 5200-5028 Certificate of Compliance Fee $307.00 5200-5029 (Plus 100% of hourly over 3 hrs) Street EasemWacation Fee $341.00 5200-5031 Development Services Fee TBD 5200-5015 Total Amount Due: lJr V V r 30 Receipt No. 1� For Finance Use Only PRIn FEB $ 6 2002 CITY Of mwruri t Ise +vy C/users/phw/shared/encroach/m slersrepleesheel.xls CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT SKETCH FOR ENCROACHMENT PERMIT NO. Iy ZC70Z—COY LEGEND = TREE Jab Address`�� ff = POWER POLE Owner = SEWER CLEANOUT Telephone No. 0-&Q 0 = WATER METER BOX II I r I I II I II I I II I I I II I II II � I -- - - - - - - - - - - - - - -- -- -- =A - - - - - - - - - Existing Curb and Gutter - N k Center line of street �_ — _ — _ — — Please make a sketch of the street names, location of tre other existing Improvements w (SEE REVERSE SIDE) Works shall be done according 4W can igna ure cae Immediate vicinity showing all property lines, dimensions es, light standards, fire hydrants, parking meters or hlch might be affected by the proposed encroachments. to City Specifications and Is subject to City inspection. 3 46 pm NEWPORT BEACHt Crp CA Page 2 Requested Inspect Date: Thursday, June 13, 2002 Assigned To: Inspection Type: ENCROACH Inspection Area: Site Address: 35TH ST NB AIP/D Information Activity: N2002-0060 Type: ENCROACH Sub Type: NEW Status: PENDING Const Type: Occupancy: Use: Insp Area: PW Owner: BAY RUSSELL Owner/bldr: BAY RUSSELL Phone: 702-303-4099 Description: REPLACEMENT OF SEWER CLEAN OUT AND CITY SIDEWALK. Requested Inspection(s) Item: 10210 INSPECTION - PW Requested Time: 41111 Requester Phone: Comments: HAS WORK BEEN UNDERTAKEN -PERMIT NOT APPR Assigned To: Entered By: MLOCEY K Action: Time Exp: r Vi Inspector: . Comments: Date: Time: AM PM —t ytof W6*;f% REPT131 Run Id: 341 Good morning Ed I have a question about an encroachment permit. I denied a permit because the owner wanted to connect in an angle and do it himself. He was a licensed contractor but did not have a C license. Any way after few weeks I called him to find out what he wants to do. He said he hired a plumber and finished the job with in his lot without a permit and he wants a full refund. I was wondering even if his claim was true and the sewer was connected with in the lot, doesn't utility have to inspect it. I am forwarding the permit to you. Please let me know ASAP what I should do with it. The permit is #2002-0060 Thank you Maryam Wagner 7T, ok/-V-- - 5 7/-- fLzlz� 1,d l d C , CV IT. 14