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HomeMy WebLinkAboutN2017-0224wr "Port Cityof New Beach I��III�II�III�II�III�IIII�II�III IIp N� Permit No: N2U17-U224 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 2 2 4 H i Permit Counter Phone (949)644-3311 Project No: 1947-2016 s Online Inspection Request - www.newportbeachca.gov / Online Services Inspection Requests Phone (949)644-3255 Job Address: 119 41ST ST NB Thomas:Gutde: Description: INSTALL TWO NEW 1" WATER SERVICES PER STD 502-L, ABANDON EXISTING 3/4" SERVICE AT MAIN. Parcel # : SCANNED Legal Desc: Owner: METRO 41ST STREET LLC Contractor: COAST WATER & POWER Phone: Phone: 949-548-0106 Address: 227 20TH ST #100 Address : P 0 BOX 3341 NEWPORT BEACH CA 92263 ✓ NEWPORT BEACH CA 92659 Contractor State Lic: 738400 Applicant: COAST WATER & POWER License Expire: 07 31, 2017 Phone: 949-548-0106 [ Address: P 0 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 : $2,202.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 Paid: $2,202.00 Traffic control Plan Check : $65.00 Total Water Meters : $1,299.00 Balance: $0.00 Inspection Fee : $495.00 Water Meter Connection : $1,056.00 Receipt No: Refundable Deposit: $0.00 Total Water Meter Box: $102.00 Street Tree Fee : $0.00 Adjustment: $0.00 Processed By: Date: _/ /_ Other Department: —Date: Utilities Approval : Date: _/ /, Permit Denied Date: Traffic Approval : Date : _/_/_ Issued Permit : Date General Services Approval : Date TIME RECEIVED Mai 3. 2017 3:18:14 PM REMOTE CSID DURATION PAGES 170 5 STATUS Received 9 41st ST. ABANDON EXISTING 3W' WATER SERVICE AT MAIN I INSTALL TWO V WATER SERVICES PER 602-L (if different): BOX 3341 Office 738400 ABC-10 1 BT9601491 EXF': 12-31 2U1 I WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) __ . _.— — I-... n..r..., hj_ 9087110-14-2 Fxnires• l e/12017 MIKE PO BC Conditions of Permit: Im Traffic: Services: Other: I vQ`1 . 2,0 IG) PERMIT -1 II — /l 7 711 si ST f NUMBER: IV20if 0 5 ►%br��( Permit Fee: r w� Works Public Works Only my $241.O0 Other Department .�_�I"1J $275.00 Agreement Fee: Preparation of ReportfAgreement $817.00 Document Recordation Fee $102.D0 Monitoring Wells $602.00 9 StreebAlleyfWalk Closure: $65,00 Traffic Control Plan Check 8-112" x 11" $55,00= 24" x 36" $143.n0 Inspection Fee: Public Works Field Inspection $165.0. Utilities Field Inspection $121.00 General Services Inspection $165.00 water QualitylArtificlal Turf Inspection $108.00 Refundable Deposit: TBD Improvements TBDB Newspaper Rack Inspection $108,00 Sewer Connection Fee $250.00� 4TT Box & Cover $64.00 Certificate of Compliance Fee (+100%of Myover 3hra) $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 EasementlVacation Fee (+100% of hrly over 4 hrs) — $1,022.00 Street Tree Fee ($700 Planting Fee) TBD Za? 14, r!) 12 01 R , q,7u14--? 5200-6015 5200-5026 5200-5027 6200-5028 405-470 5200-5031 030-2284 .nd bank masterel LEGEND TREE ✓� = POWER POLE A = SEWER CLEANOUT WATER METER BOX �1 CENTERLINE OF 47 tL_ i A4h4tc% Cos„ � 31V+-- %mKCA cat^ WAS nmix PROPERTY LINE ADDRESS `k / 1 Z,t Ll I S APPLICANT )K (y% OWNER 0 DESCRIPTION OF WOR, CITY OF NEWPORT BEACH ENCROACHMENT PERMIT PERMIT No. N a fst7 — C 224 CITY OF NEWPORT BEACH APPLICATION FOR WATER METER OR HYDRANT METER REQUESTED BY, (entity who is requesting MAILING ADDRESS RECEIPT#� CITYISTATEIZIP NB a � 9 PHONE # ` j &f 4t • 5w,3 - 0 1 Qto fed SERVICE ADDRESS S>F .. .. I•iJ�� �'. 'r!a r c ',�'.3'vr; : �' P t,{£��� 4 �'P:�'".. Y � �1!(�:5�, '� eke �iiM plyl 1'I.� r,�r�;; . () Hydrant Meter ( ) New Meter Deposit required New service address (tapping order) (tapping order) (New Meter at existing service address (tapping order) (V) Meter Upgrade Existing service address (work order) ( ) Irrigation only ( ) Commercial Location (,I/Residential Location O Fire Connection Fee $ r Q) Meter Size f Fee $� ( ) 4TT Box Fee $ (� Meter box & Lid - Alley/Traffic Area Fee $. boa. or Parkways/Sidewalk Fee $ Total Fees $ Encroachment Permit Number: ©I 1 2rL� ame (properly owner) p - I /�, Billing Address o-7 ;lo* 4ioo _ CitylZip �I�+� j w 4?,2 /eta 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 WORKMAPPING ORDER NUMBER flusers/rev/shared/waterAvater meter sery app 05/23/16 Newport Beach police Dispatch Oh...._. — _ Date Closure to begin: (M--li 1 DDaya) City of Newport Beach Public Works Department Data Closure to End: Time of closul 7:00 AM to 5.00 PM ti 4l �ua.i r'� gi:-tau„TR?i' Yff��( EUliq \ �rlr1� Rl S A cop of this permit must be vsible on the.dash of each vehicle authorized to ark in rose rived arkin spots The applicant is responsible %rnoti in police Dispatch of any road closure. detour, or reserved parkin See reverse side of this permit for regulations covering use of this permit. ADDITIONAL GONbIT1ON5 pp ApI AL FOR THIS PERMIT ARE AS FOLLOWS: 1) Close onl the ortion of alley/street adjacent to where work will be done. 2) Provide access to emergency vehicles if needed. 3) Notify adjacent residents 48-hrS prior to closure, 4) Post road Closed barricades on either side of Work area, 5) plate and backfiIt excavations &open alle or street durin non-construCtion. 6) Place delineators around construction area. CITY RESERVES THE RIGHT TO REVOKE OR I, (Permit hereby certify the information pmvlded is true and correct, and t agMaOcompryONDth tne IO s and NS AT qNY TIME conditions again the front claims, back of this permit, Pennitee guafantsag to indemnify and hold the City a terms a Peach harmless ain t any claims, Ilab'lity, orj dgments fnr damages arising out of permitee's activities. X `3�.11i Encroachment P-^y No: Date; (7 3 Approved by: Li c mer,:memeenas.:o Date: gz�a,„emorAi aenfncerremoonry imem> voae�reniem.�_ayvmxa.0 (1"tl'� o`j'remD wear aes,.e �GW¢ollon M11E•r0e xtl$naen 519/201,7 City of Newport Beach Page 14 of 18 4:3017PIM INSP150 - Daily Inspection Request Report Ftequested Inspection Date: 05/10/2017 Inspection Type : ENCROACH Inspection Area: PW' Site Address : 119 41 ST ST Activity : N2017-0224 SubType: NEW Status : APPROVED OWNER: METRO 41 ST STREET LLC Phone: APPLICANT : COAST WATER & POWER Phone : 949-548-0106 mikekilbride@iive.com Description: INSTALL TWO NEW 1" WATER SERVICES PER STD 502-L; ABANDON EXISTING 3/4" SERVICE AT`MAIN. Item: 10215 ROUGH UTIL Requestor: TWEBUSER Requested ,i'me: 5/10/2017 12:0O:OOAM Entered By: WEBUSER Comments: AM - Assigned to: zzzzzzzzzze Inspector: V Dater ljll G% Time Z . A OPM 6 Comments; � PCB p 1(9 F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.do REPT131 Run Id: 4018 511012017 City of Newport Beach Page 19 or 20 4:30:11PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 05/11/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 119 41 ST ST Activity SubType Status OWNER APPLICANT Description Item: Requested Time: N2017-0224 NEW APPROVED METRO 41 ST STREET LLC Phone: COAST WATER & POWER Phone : 949-548-0106 mikekilbride@live.com INSTALL TWO NEW 1" WATER SERVICES PER STD 502-L, ABANDON EXISTING 3/4" SERVICE AT MAIN. 10250 FINAL - PW 5/11/2017 12:00:OOAM Entered By: WEBUSER Comments: AM- Requestor: WEBUSER 9495480106 Assigned to: zzzzzz/zz=* Inspector: Date: Time:$ A PM Comments: F:\Users\PBV\AShared\ENCROACH\MASTERSXFORMS\InspectorSheet.doc REPT131- Run Id 4018