HomeMy WebLinkAboutN2017-0033�e <
City of Newport Beach
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Permit No: N2Ui 7-003
100 Civic Center Drive, Newport Beach, CA 92660 N 2 6 1 7 0 0
3 3
Permit Counter Phone (949)644-3311
Project No : 2650-2016
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Online Inspection Request- www.newportbeachca.gov/Online
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Services
Inspection Requests Phone (gg949)644-3255
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Job Address:
721 FERNLEAF AVE NB
Thomas:Guide:
919E2
Description:
UPGRADE EXISTING WATER METER AND
BOX TO V (HAS EXISTING 1" SVC) INSTALL
NEW 1" WATER SVC PER STD 502-1. REPLACE EXISTING SEWER
LATERAL AND INSTALL
CLEAN OUT PER STD 406-L, INSTALL NEW SEWER LATEAL
AND CLEAN OUT PER STD 406-L.
Parcel#:
4590-331-3 -
Legal Desc :
CORONA DEL MAR BLK 732 LOT 21
Owner:
FARLAND RICHARD
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Contractor:
COAST WATER & POWER
Phone:
li
Phone:
949-548-0106
Address:
30 ABETO
Address:
P O BOX 3341
IRVINE, CA 92620
NEWPORT BEACH CA 92659
Contractor State
Lic: 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 -JOB INSPECTION 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: $500.00
Total Fee $2,237.00
Agreement Fee:
$0.00
4TT Box Cover: $128.00
Paid : $2,237.00
Traffic control Plan Check : $0.00
Total Water Meters : $771.00
Balance: $0.00
Inspection Fee :
$495.00
Water Meter Connection : $528.00
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
Traffic Approval :
:
Date : _/ /
Date :
Permit Denied
Issued Permit
Date:
Date 3 %_2/ ,;2Z17
_/_/
:
General Services
Approval:
Date
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY 'y'y
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
January 13, 2017 12:00:10 PM PST 169 5 Received
I PLEASE COMPLETE THE FOLLOWING INFORMATION
Conditions of Permit:
Traffic: 0
Services: Other:
I'l IN2017-
CITY OF NEWPORT BEACH
APPLICATION FOR WATER METER OR HYDRANT METER
REQUESTED BY,
(entity who Is requesting
MAILING ADDRESS_po Qf'o1C 33gi RECEIPT#
CITY/STATE/ZIP AJJj i M 9a,[,, 21 —PHONE #
SERVICE ADDRESS 7� j �ryn 1GQ t _
65� . ,:::11 '� . �� I ' '. .,�.kia j"" � :;�,� �� i i d ��'._a•/.; � a� . �� w�T,l �i�u..L 4 h �I � 3 i x �°� M1n"�fu toi:!
( ) Hydrant Meter (J) New Meter (41111leter Upgrade
Deposit required New service address Existing service address
(tapping order) (tapping order) (work order)
( ) New Meter at existing service address ( ) Irrigation only
(tapping order)
( ) Commercial Location (v1 Residential Location O Fire Connection Fee $
,i
Zter Size I :Z Fee $ oZ`i ?� .~ -� (�TT Box Fee $ / as %. ' 2 /
ter box & Lid - Allay/Traffic Area Fee $ (0 a• or Parkways/Sidewalk
tt Fee $
Ix
Total Fees $ Encroachment Permit Number: I� Z d t -1
Customer Name (property owner) F
Billing Address_?2O Pt %+o _ City/zipTyy � n.e. 9D-(aa.'0
Residence Phone # Business Phone #
E-Mail Address
Social Security # or CA Drivers License
FOR OFFICE USE ONLY
CLERK DATE BUS LIC N MID#
DATE UTILITIES COMPLETED DATE HYDRANT METER CLOSED
NEW ACCOUNT NUMBER NOTES
WORK/TAPPING ORDER NUMBER
f/users/rev/shared/water/water meter sery app 05/23/16
Newport Beach Police Dispatch City of Newport Beach
Phone,.949-644-3717
APPLICATION FOR TEMPOR�cRN STREET./ SIDEWALK CLOS.t
CIty of Newport beach municipal Code 12.62.010 Permit for Temp,
Name: MIKE KILBRIDE APPLICANT INFORMATION'
company Name: COAST WATER & POWER
Address: P.Q. BOX 3341
NEWPORT BEACH, CA 92659-8341 Phone: Day
Exact Location of Encroachment: A
Public Works Department
Closure
BT96014951
Night
A -l21 �rEa�u�AE
imate number a feat from noarccr :nre2e...r....
I for Encroachment: UTILITY IMPROVEMENTS - Generally one day between dates below.
No work on holiday(s) or weekends.
Date Closure to Begin:
7p Oays]
Date Closure to End:
(Maximum
Time of Closure: 7:00 AM to 5:00 PM
dv I g. 1 O J6*PC Cori _ AV
1''c` VeI 'R6P1q CLQVeJ, 'r b. V- 1
or
ADDITIONAL CONDITIONS DF APPROVAL FOR TMIS PERMIT ARE AS FOLLOWS:
to
--- be __.....
2) Provide access to emergency vehicles if needed. -)Notify adjacent residents 48-ftrs prior to closure.
4) Post road closed barricades on either side If work area. 5 Plate and backfill excavations & open alley
or street during non -construction. 6) Place delineators around construction area.
Be) hereby certiy the infonnafion provided is true and correct, and I agree to comply with the terms and ..r.r�
r on the front and back of this permit. Parmitee guarantees to indemnify and hold the City of Newport 9eachF
oachment F^ Ivn:
against an claims liablll grj dements for damages arising out of perm,, e'S aVivitles. �j�+!Date: L`^ A4AX7 l5
Approved by: �_ _ Date: 4L j Ill OL33
C lCawmvmSF95GI11eAL10wneM1LVCi13e0itgLlRmyuary lnerllel Fileblfa-len:@SUWp.11111'm'"rc,CMr, ApplleLlim.� ��
I
4/11%2018 City of Newport Beach Page 2 or 9
4:30:50PM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 04/12/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 721 FERNLEAF AVE
Activity : N2017-0033
SubType:
Status
OWNER
APPLICANT
Description
Item:
NEW
APPROVED
FARLAND RICHARD
Phone :
COAST WATER & POWER Phone : 949-548-0106
mikekilbride@live.com
UPGRADE EXISTING WATER METER AND BOX TO 1" (HAS EXISTING 1" SVC) INSTAL
NEW 1" WATER SVC PER STD 502-I. REPLACE EXISTING SEWER LATERAL AND
INSTALL CLEAN OUT PER STD 406-L, INSTALL NEW SEWER LATEAL AND CLEAN
10215 ROUGH UTIL
Requested Time: 4/12/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to :zzzzzzz"
Inspector: /vt'1 Date: 'G%1/2-- Time: AM PM
Comments:
OiIf��T J ryir^-
Logged
W-� _. rad _
F:\Users\PB\N\Sha red\ENCROACH\MASTERS\FORMS\InsoectorS h eet.doc
REPT131
Run Id: 4018
4/1612018
City Of Newport Beach Page 7 ofi7
4s0:34PM
INSPISO - Daily inspection Request Report
Requested Inspection Date : 04117/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 721 FERNLEAF AVE
Activity :
N2017-0033'
SubType:
NEW
Status :
APPROVED
OWNER:
FARLAND RICHARD Phone:
APPLICANT:
COAST WATER & POWER Phone : 949-548-0106
mikekilbride@live.com
Description :
UPGRADE EXISTING WATER METER AND BOX TO 1" (HAS EXISTING 1" SVC) INSTAL
NEW 1" WATER SVC PER STD 502-I. REPLACEEXISTING SEWER LATERAL AND
INSTALL CLEAN OUT PER STD 406-L INSTALL NEW SEWER LATEAL AND CLEAN
OUT PER STD 406-L.
Item:
10250 FINAL - P1N
Requested,Time:
4/17/2018 12:00:OOAM Requestor: WEBUSER
9495480106
Entered By:
WEBUSER
Comments:
AM-
InkpaigWO to:
'zzzzzzzz= Date: Time: AM "PM
Comments:
3 5
'
r
QuNir
F:\Users\PBVV\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheetdoc
REPT131.
Run Id: 4018