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Home My WebLink AboutN2017-0503$W F - City of Newport Beach 1pilIII IIIIIIIIIIIIIII�IIIIIIIIIIIII�II1IIII1II II Permit No: N2017-0503 $ % `, 100 Civic Center Drive, Newport Beach, CA 92660 -- H Permit Counter Phone (949)644-3311 Project No : 2276-2016 �a ': . "�° Online Inspection Request- www.newportbeachca.gov/Online Services SCANNED Inspection Requests Phone (949)644.3255 REVIEW Job Address: 1374 GALAXY DR NB Thomas:Guide: 889C5 � v Description: REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L. Parcel # : 1176-821-0 - Legal Desc : N TR 4224 LOT 83 Owner: WHITE JULIE Contractor: COAST WATER & POWER Phone: Address : 714-329-2222 7 CAPE Y $"TED Phone: Address : 949-548-0106 949-289-0078 NEWPORT RT BEACH CA 92660 �� N WPORT BEACH CA 92659 Contractor State Lic: 738400 Applicant: COAST WATER & POWER License Expire: 07 31, 2019 Phone: 949-548-0106 949-289-00781 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 30, 2017 Permit Processing Fee : $241.00 Sewer Connection : $250.00 Total Fee $1,050.00 Agreement Fee: $0.00 4TT Box Cover: $64.00 Paid: $0.00 Traffic control Plan Check : $0.00 Total Water Meters : $0.00 Balance: $1,050.00 Inspection Fee : $495.00 Water Meter Connection : $0.00 Receipt No: Refundable Deposit: $0.00 Total Water Meter Box: $0.00 Street Tree Fee : $0.00 Adjustment : $0.00 Processed By: Date: _/_/ Other Department : Date Utilities Approval : Date : _/_/_ Permit Denied Date : _/ 7/_ 4- 1 Q 14 L Traffic Approval: Date: _/_/ Issued Permit : Date : _20 General Services Approval : Date : _/_/ INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY TIME RECEIVED REMOTE CSID DURATION PAGES STATUS 'September 28, 2017 at 3:16;13 PM PDT 120 4 Received Ars �T PLEASE CDMPLFTE THE FOLLOWING INFORMATION PRDJECT ADDRESS: 1374 GALAXY DESCRIPTIQN OF WORK: REPLACE SEWER LATERAL & INSTALL CLEAN -OUT PER 406-L IL APPLICANT: MIKE KILBRiDE Phone: 949-289.0078 Mailing Address: PO BOX 3341 City/State/Zip: NEWPORT BEACH, CA 92659 OWNER: phone: Mailing Address: City/State/Zip: CONTRACTOR: MIKE KILBRIDE Office phone: 949-548-D106 Company (if different): COAST WATER AND POWER Jobsita Phone: 949-289-0078 10ther Phone: FAX: 949-548-1616 Mailing Address: PO B0X3341 City/State/Zip: NEWPORT BEACH CA 92659 State License Number & Class: 739400 A, B, C-10 City Business License Number: BT9601491 EXP: 12-31 2017 WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Com an : STATE FUND Policy No: 90871 €0-14-z Expires: 10112917' REFUNDABLE DEPOSIT INFORMATION (ffA Iicable) Made Pa able To: MIKE KILBRIDE Vendor No: 9833 !_ailinq Address: PO, BOX 3341, NEWPORT BEACH CA 92659 sow FE Special Conditions of ermit: l `GYl _ d Utilities: Traffic: General Services: Other. Engineering Technician: Public Wociallst: Dated (_l� b Permit No. 017- 0 Permit Processing Fee: %"�q"��) Inspection Fee: Public Works Only $241.00= Public Works Field Inspection $165.00 Other Department $275.00 Utilities Field Inspection $121.00 General Services Inspection $165.00 Agreement Fee: Water QualitylArtificial Turf Inspection $108.00 Preparation of Report/Agreement $817.00 Document Recordation Fee $192.00 Refundable Deposit: TBD Monitoring Wells $602.00P Improvements TBD StreetlAlley/WalK Closure: $65,000 Newspaper Rack Inspection $108.00 Traffic Control Plan Check 8-1/2" x 1 t" $Q5 )Q= Sewer Connection Fee $250.0 24" x 361, $143.00 4TT Box & Cover $64,00 Additional TL3L•FOLL�y�1Nti.FT�II�S��1j,1�{ •AZ?iT �A�.F.RON�'C�i .E.': ;�. .; :; Revenu�auisiaii:R`'.'.�'�::''.'.-:',` .•,. RC�{IEFIHE.DtV13lnNt?i71Q1�TpPAYM�fitT'OFP�S�:�.•:•:•:•.�Appmvsl.<;,:•. - IlwateIn stgtlptidrf,,'Clta(ge $628190 :-I 1314°:Me)er.. :. $5iF.25•:.....1ila#et.•INete $axe& ..::..........:.... .•..r: }::::1 [1".;Meter:::;;,'.; ;:'.; . ;+;'`.•.:..:.::::..::`$L�a1.5b: ''.::lt�r'arl2ytidy?':'Side.2fk'F(�a'.pX FS ovei•_.Lo :1:'I 19 •'! t2 hileter .' S2t;5 00 1 :Meter 13A0• *'37 00 $50'QO :I �1 r1 t2' Tyrbina Mayer ;$70L? (?4 2 M@tet . 2T 61 Lt 12" M... $425 00 1 ��e.;T:ui ptne%'lefer -: •.... `$8�35 QO ,: •,.. . . F4n•xra�e i�A7le�,4r�as {sox � �ovee � Co$t :. , .. , ;1 �3"'_I'�I�ter;''-;;�;'..;•,,,:•�:;;:',•.;.'::';:;:':.;:•..•$�;�1p.�0..:°:'•:`:;:;:p.-ILletbrr;'F3:40;;+.;`38:00:•j'•::•:':';;•:?';.�b.'L.bb.. °-::.:,_I �4.A4eter $473D0t) eter P-7. t62OD $189.1a0 .1 Certificate of Compliance Fee (+100% of My over 3 hm) $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 EasementrVacation Fee (+t00%ef heyaver4 his) $1,022.00 Street Tree Fee ($700 Planting Fee) TBD 5200-5015 5200-5026 5200-5027 5200-5028 405-470 5200-5031 030-2284 Engineering Tech: T tal Amount Due: For Finance Use Only Permit Sper,ialist Receipt No. r:loserslnbv//anaredldncmacWn�azlos/ep fwn� and ha�Y m�s{gy Rev. 1=1/2oi a 1 on112oss LEGEA ?D = TREE POWER POLE ` Q =SEWER CLEANOUT 4 = WATER METER BOX II i I �Lk Le pl I I CURB & Gi.'TTER �J6ve� CENTERLINE G A�LAYJJ CITY OF NEWPORT BEACH ENCROACHMENT PERMIT Permit No.N20=3 ADORi55 67 t4 V Ar APPLICANT KILBRj( OWNER DESCRIPTION OF WORK 10/12/2017 City of Newport Beach Page 10 of 11 4:30:37PM INSP150 - Daily Inspection Request Report Activity : SubType: Status : OWNER APPLICANT Requested Inspection Date : 10/13/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 1374 GALAXY DR N2017-0503 NEW APPROVED WHITE JULIE Phone : 714-329-2222 juliewwhite@yahoo.com COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@live.com REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L. Item: 10215 ROUGH UTIL Requested Time: 10/13/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: AM - Assigned to: zzuzzzzzu' Inspector: IN Date: to /I-z //7Time: AM PM Comments: SCD 1AfSTA-LL I-,LA/Dl*,5dc' UT-1L 10.4 /)fi(S LA) 5,06 L ed Pfile F:\Users\PBMShared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc REPT131_ Run Id: 4018 'A/2512017 City of Newport Beach 6:34:35AM INSP15O - Daily Inspection Request Report Requested Inspection Date : 10/25/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 1374 GALAXY DR Activity : N2017-0503 SubType: NEW Status: APPROVED Page 4 of 7 OWNER: WHITE JULIE Phone : 714-329-2222 juliewwhite@yahoo.com APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@live.com )escription : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L. Aequeste0Anspectidn(s) Item: 10215 ROUGH UTIL Requested Time: 10/25/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: AM - Assigned to: zzzzzzzzuz` i 6/13/2018 City of Newport Beach Page 6 of 15 4:30s9PM INSP150 - Daily Inspection Request Report Requested Inspection Date : 06/14/2018 Inspection Type : ENCROACH Inspection Area: PW Site Address : 1374 GALAXY DR Activity: N2017-0503- SubType: NEW Status : APPROVED OWNER: WHITE JULIE Phone : 714-329-2222 juliewwhite@yahoo.com @Yahoo.com APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@live.com Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L Item: 10250 FINAL - PW Requested Time: 6/14/2018 12:00:OOAM Requestor: WEBUSER 9495480106 Entered By: WEBUSER Comments: AM - Assigned t zzzzzzzzzzz* II //// j Inspector: 5 Date: 6 Time: ' Z M M. Comments: r%l rwOLT Ilk cON F:\Users\PB W \Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018 rrl��ii� �.. _ lid ;,i �•e�� i. k- _'� .a1 h � I 1 =f �� .. V�. i� � � AlL4i9 1 .....�'vr 1 11 � �_