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" INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY
"'"
TIME RECEIVED
REMOTE CSID DURATION
PAGES
STATUS
September 12, 2017
10:14:41 AM PDT 118
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Received
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PLEASE COMPLETE THE FOLLOWING INFORMATION
PROJECT ADDRESS:
2 LINOA ISLE
WORLL
EDFSCRIPTION
SEWER CILEAN-OUT PER 406-L
APPLICANT: MIKE KILBRIDE
Phone: 949-289-0073
Mailing Address:
PO BOY 3341
City/StatelZlp:
NEW PORT BEACH CA 92659
Phone:
EOWNER:
iling Address:
City/State/Zip:
CONTRACTOR: MIKE KILBRIDE
Office Phone: 949-548-0106
Company (if different): Jobsite Phone: 949-289-0078
COAST WATER AND POWER Other Phone: FARM: 949-548-1616
Mailing Address: City/State/Zip:
PO BOX 3341 NEWPORT BEACH, CA 92659
State License Number & Class: City Business License Number:
738400 A, B, C-10 BT9601491 EXP: 12-31 2017
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Com an : STATE FUND Policy No:9087110-14-2 Ex Tres: 10/1/2017
REFUNDABLE DEPOSIT INFORMATION (it Applicable)
Made Payable To: MIKE KILBRIDE Vender No: 9833
Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659
Special Conditions of Perml:
Utilities: Traffic:
General Services: Other:
Engineering Technician:
Pub' rk5 Specialist:
D�I,e:
Cal Z
Permit No.
N2017- O(f i U /
N1-- C 11-7 y.-,
Permit Processing Fee:
�
Inspection Fee:
Public Works Only
$241.0Qt LJ
Public Works Field Inspection
$165,0
Other Department
$275.0
Utilities Field Inspection
$121.
General Services Inspection
$165.00
Agreement Fee:
Water Quality/Artificial Turf Inspection
$108.00
Preparation of ReporUAgreement
Document Recordation Fee
$817.00
$192.00�
Refundable Deposit:
TBDP
Monitoring Wells
$502,00
Improvements
TBD
Street/Alley[Walk Closure:
$65.000
Newspaper Rack Inspection
$108.00 0
Traffic Control Plan Check
8-1/2" x 11"
$65-00
Sewer Connection Fee
$250 00
24 x 36"
$143 00
4TT Box & Cover
$64 00
Additional
t i Tt}�6ZLy7flFJt3 t�Ef�SiitYEGlf1-4 ikt �R
��0�{I l Revenue; rvisrru+ 1
lPruval....
.1�t
I:. ::. REVENUE:DIVIStOnt.:PRIWTOJ*. 'at" PFEES ..
1
(fN�terMe�ep
H1s�lipti4n Charge.
$(#28 00::.1
13i4 M®ter ..
. • $54.25
;1iYaiei Meter 614xias: �
;.: ,1
[3". Meter
1i 1/2 Meter.'
$ [2450
$2$5 flQ
FOKiy$1?LWar& Srcfewaik 4rea (BAX ! CQti9C �o
: 1 Mefer. 13.00 37 OQ $509 :1
7lifbiga M&3ar
$70d"4d
Met�Y 27 00 + 6125
$86 205
_
1
[2'Tiir. 14 lEte[
$8010
; P4fiTa a 4Aliayareasl$ox+CcNtr="CclSt� 1
k3u Meter
4 hneter :
$3 390 0
1` 6fl$ter t3 ♦30 "+ 38 00
Meter. 2700r:t6200
$5? 0
".$189V0 1
.:
1,
$47$0.p0
.$
1
t6'•' Meter •.; ,.` ;' :
' '_$7_190:04i
.','
: ......: • t
Certificate of Compliance Fee (+100% of hdy over 3 his) $288.00
Development Services Fee (Plan check hourly) $155.00
Final Tract Map Checking Fee $2,438.00
Final Parcel Map Checking Fee - Moderate $2,488.00
Lot Line Adjustment Fee $1,079.00
Park Dedication Fee Zane TBD
Street Easement(Vacation Fee (+100 % of hriy over a hrs) $1,022.00
Street Tree Fee ($700 Planting Fee) TBD
5200-5029
5200-5015
5200-5026
5200-5027
5200-5028
405-470
5200-5031
030-2284
0
LEiiEND
POWER POLE
=SEWER i--LEAlJOUT
WATER DJETF-R 13OX
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CENTERLINE
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CITY OF NEWPORT BEACH ADDRESS 1
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9 ENCROACHMENT PERMIT APPLICANT ,UWFlbe
OWNER
DESCRIPTION OF WORK
Permit No.N2017-�C)L(V
0
9/18/2017 City of Newport Beach
6:34:97AM ' INSP15O - Daily Inspection Request Report
Requested Inspection Date :
09/18/2017
Inspection Type:
ENCROACH
Inspection Area :
PW
Site Address :
2 LINDA ISLE
A/P/D Information:
Activity :
N2017-0467
SubType:
NEW
Status:
APPROVED
Page 8 of 15
OWNER: MAAT INVESTMENTS LLC Phone :
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : INSTALL SEWER CLEAN OUT PER STD 406-L.
Requested Inspection(s)
Item: 10030 CLEAN -OUT
Requested Time: 9/18/2017 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to : zzz`\zzzz�'zzzz'
Inspector:y `i' Date: / 1 % Time: AM PM
Comments: SCE M/$'(. [ Q7/V PIr.11l�Q-7L CDi�'i►MN�iTyl
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet doc
9/19/2017 City of Newport Beach
6:34•40%M INSP150 - Daily Inspection Request Report
Requested Inspection Date : 09/19/2017
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 2 LINDA ISLE
AIP/D Information:
Activity : N2017-0467
SubType: NEW
Status : APPROVED
Page 16 of 19
OWNER: MAAT INVESTMENTS LLC 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: 10255 FINAL - Utilities
Requested Time: 9/19/2017 12:00:OOAM Requestor: WEBUSER
9495480106
Entered By: WEBUSER
Comments: AM -
Assigned to : zzzz\zzlzzzzz`
Inspector: Date: °� A % Time: AM PM
Comments:
�i---
F: \Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc