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HomeMy WebLinkAboutN2017-0087# wry$ City lVo cNewenter Dport Beacorth CA 92660 Ilfll llllllllllllllllllllllllllllllllllllll�llll II Permit No: N2O1 7-6087 Permit Counter Phone (949)644-3311 Project No : 1620-2fl�§:-�, ci. Online Inspection Request - www.newportbeachca.gov / Online (A n"�<xgu'k Services Inspection Requests Phone (949)644-3255 Job Address : 2815 PEBBLE DR NB Thomas:Guide: 919F1 Description : INSTALL SEWER CLEAN OUT PER STD 406-L, ABANDON EXISTING 3/4" WATER SVC AND INSTALL NEW 1" WATER SERVICE AT MAIN PER STD 502-L. Parcel # : 4586-620-5 - Legal Desc : N TR 3660 LOT 39 OwnePhone: r: ERIC AND ADRIANA OLSEN TRUST Contractor: TBWOAT6ER & POTTC Y-^-` COAST phone OAS �r I EWE® Address: 2815 PEBBLE DR Address: P O BOX 3341 CORONA DEL MAR CA 92625 NEWPORT BEACH CA 92659 (� CU__ Contractor StateLic: 738400 Applicant: COAST WATER & POWER 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 $1,564.50 Agreement Fee: $0.00 4TT Box Cover, $64.00 Paid : $1,564.50 Traffic control Plan Check : $65.00 Total Water Meters : $649.50 Balance: $0.00 Inspection Fee : $495.00 Water Meter Connection : $528.00 Receipt No: Refundable Deposit: $0.00 Total Water Meter Box : $50.00 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 3 1,7 General Services Approval: Date RECEIVED REMOTE CSID ary 22, 2017 3:20:08 PM PsT DURATION PAGES 171 5 PLEASE COMPLETE THE FOLLOWING INFORMATION PROJECT ADDRESS: 2815 PEBBLE DR DESCRIPTION OF WORK: INSTALL SEWER CLEAN OUT 4 0 6 - L INSTALL 1" WATER SERVICE 5 0 2 - L ABANDON EXISTING 314 " WATER SERVICE AT WATERMAIN APPLICANT: MIKE KILBRIDE Phone: 949-289-0078 Mailing Address: PO BOX 3341 City/StatelZip: NEWPORT BEACH, CA 92659 OWNER: Phone: Mailing Address: City/State :lp: CONTRACTOR: MIKE KILBRIDE lOffire Phone: 949-548-0106 Company (if ditferent): COAST WATER AND POWER lJobsite Phone: 949-289-0078 10thor Phone; FAX: 949-548-1616 Mailing Address: PO BOX 3341 Gity/Stata2ip; NEWPORT BEACH CA 92659 State License Number & Class: 73.400 A B C-10 City Business License Number: BT9601491 FRCP=12-31 2017 WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Com an STATE FUND Policy No:90$7110-14-2 Expires: 10/1/201 REFUNDABLE DEPOSIT INFORMATION lfA !/cable) Made Payable To: MIKE KII,BRIDE Vendor No: 9333 Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659 Special Conditions of Permit: �. / Utilities: Traffic: General Services: Other: Engineering Technician: Public W Specialist: Dater: ry pG � `l Permit No. N2017 � CITY OF NEWPORT BEACH APPLICATION FOR WATER METER OR HYDRANT METER REQUESTED BY K i l br; d (entity who is requesting meter and/or would get MAILING ADDRESS_?Q Oa o X W3 Lj ) _RECEIPT# CITY/STATEIZIP N% Ctg:(p 5 PHONE # - S 04% - d (0 (. SERVICE ADDRESS__ a7815 0,6 b le ,0 ( ) Hydrant Meter Deposit required (tapping order) ( ) New Meter New service address (tapping order) (vio'M eter Upgrade Existing service address (work order) ( ) New Meter at existing service address (► Irrigation only (tapping order) ( ) Commercial Location (d�esidential Location O Fire Connection Fee $ (vj`Meter Size i • Fee $ �a/• 5 0_ (�44TT Box Fee (/Meter box S Lid - Alley/Traffic Area Fee $ or Parkways/Sidewalk Fee $ (� . Total Fees $ Encroachment Permit Number; Customer Name (property owner) 25' 0� Billing Address 15 lihMe. Dr. City/Zip—dN Residence Phone # Business Phone # E-Mail Address Social Security # or CA Drivers License FOR OFFICE USE ONLY CLERK DATE BUS LIC # M10# DATE UTILITIES COMPLETED DATE HYDRANT METER CLOSED NEW ACCOUNT NUMBER NOTES WORK/TAPPING ORDER NUMBER f/userslrev/shared/waterlwater meter sery app 05/23/16 City of Newport Beach Newport Beach Police Dispatch MIKE KILBRIDE AvPLICANT INFORM/ my Name: COAST WATER & POWER s: P.O. BOX 3341 NEWPORT BEACH, CA 92659-8341 phone: Day Location at Encroachment: dSl S Pa IL Public Works Department Night •—w aucor eouaea or approximate number of feet from n �� sorest vrtersection) Reason for Encroachment: UTILITY NOTE: No work on holidIMPROVEMENTS - Generally one day between dates below_ ay(sJ or weekends. Date Closure to Begin; aximum 1 Data Closure to End_ islDDays) ` olarweaa r r,.-.T..... __ __.__ Time of Closure: 7:00 AM to 5;00 PM NJ 4 C-1`a C gA Cat, Q W i RV C9A C.i6 vRA --'-"" • uym vr-4a. 2) Provide access to emergency Yehlcles if needed. 3) Notify adjacent residents 4$-ftC$ prior to closure, 4 Place delineators around construction area. 5 Plate and backfill excavations durin nen-Gonstructiure on CITY RESERV> S THE RIGHT TO REVOKE QR MODIFY CON ]Ti NSA pNY TIME t, III) hereby certify the in bftnation provided is true and cot and I wri Ions on file front and back of this perrnit. Permitea guarantees to indemn f ee i0 Ur 1 3fy with the terms and Encmawnem rr-�� Va: ha gain any Claims. liabil' , or . dgme s ify and hold the City of Newport Beach ' t ^�• O' XML� _ fqr mages arising out of pertnitee'S aotivities, jY Approved by: A..3 Date: e;�arwaanreaimagringap,�M�qqr ITemaaren mmmn FAeswa awm.lEawx549aayremp gyaal W`eaypppylm�iOa IUIMtlOFpyaen, r$pagl _, CITY OF NEWPORT BEACH CASH RECEIPT FINANCE DEPARTMENT 100 Civic Center Drive, Newport Beach, CA 92660 P.O. BOX 1768, Newport Beach, CA 92658-8915 Permit Number: N2017-0087 Plan Check Number: 1620-2016 Today's Date : Mar 15, 2017 Receipt Number: R000075879 Job Address: 2815 PEBBLE DR NB Description: INSTALL SEWER CLEAN OUT PER STD 406-L, ABANDON EXISTING Owner : ERIC AND ADRIANA OLSEN TRUST Applicant: COAST WATER & POWER Date Paid: Mar,15,2017 11:01 AM Total Paid : $1,564.50 Notation: KILBRIDE Initial: DE Description Payment Type Check Number Card Type Tendered Payment Credit Crd FOR PLAN CHECKS ONLY: TARGET DATE: VISA $1, 564.50 For status, please log on to www.newportbeachca.gov/building, and select PLAN CHECK STATUS or call (949) 644-325S NOTICE: PLAN CHECK EXPIRES 180 DAYS FROM DATE OF SUBMITTAL 311512017 City of Newport Beach Page 6 or 13 4:30:46PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 03/16/2017 Inspection Type : ENCROACH Inspection Area: PW Site Address : 2815 PEBBLE DR Activity : N2017-0087 SubType : NEW - _ Status :-APPROVED - --- -- - - -- - OWNER: ERIC AND ADRIANA OLSEN TRUST Phone : APPLICANT: COAST WATER & POWER Phone: 949-548-0106 mikekilbride@live.com Description: INSTALL SEWER CLEAN OUT PER STD 406-L, ABANDON EXISTING 3/4" WATER SVC AND INSTALL NEW 1" WATER SERVICE AT MAIN PER STD 502-L. Item: Requested Time: 3/16/2017 12:00:OOAM Entered By: WEBUSER Comments: AM- Requestor: WEBUSER 949-548-0106 Assigned to : zzzuzzzz}z* ' Inspector: �3V Date: 7 11c7 /� Time: /,�O AM PM Comments:1i�1�12sTl�-st°fo- ttkld .n-r� i 5 lysc notii • �ZiT G ti�� .c.� AcCT IV67- 1,1V e-&t./ 0 1570 tic/ f��17` 2: F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet doc REPT131- Run Id. 4018 4/16/2018 City of Newport Beach Page 7 of 10 6:34:36AM INSP15O - Daily Inspection Request Report Requested Inspection Date : 04/16/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 2815 PEBBLE DR Activity : N2017-0087 SubType: NEW Status: APPROVED OWNER: ERIC AND ADRIANA OLSEN TRUST Phone: APPLICANT: COAST WATER & POWER Phone : 949-548-0106 mikekilbride@live.com Description: INSTALL SEWER CLEAN OUT PER STD 406-L, ABANDON EXISTING 3/4" WATER SVC AND INSTALL NEW 1" WATER SERVICE AT MAIN PER STD 502-L. Item: 10250 FINAL - PW Requested Time: 4/16/2018 12:00:OOAM Entered By: WEBUSER Comments: AM - Assigned to: zzzzzzzzzzz` 34/3`/ Requestor: WEBUSER 9495480106