HomeMy WebLinkAboutN2017-0344City of Newport Beach
100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 3 4 4
Permit Counter Phone (949)644-3311
` w Online Inspection Request - www.newportbeachca.gov / Online
Services
Job Address :
4633 ROXBURY RD NB
Description :
REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L.
Parcel # :
4750-530-7 -
Legal Desc :
N TR 3357 LOT 33
Owner:
ZEHNER MITCHELL JAMES
Phone:
Address :
4633 ROXBURY RD
CORONA DEL MAR CA 92625
Applicant:
COAST WATER & POWER
Phone:
949-548-0106 949-289-0078[
Address :
P 0 BOX 3341
NEWPORT BEACH CA 92659
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
Permit Processing Fee :
$241.00
Sewer Connection :
$250.00
Agreement Fee :
$0.00
4TT Box Cover:
$64.00
Traffic control Plan Check :
$65.00
Total Water Meters :
$0.00
Inspection Fee :
$495.00
Water Meter Connection :
$0.00
Refundable Deposit:
$0.00
Total Water Meter Box:
$0.00
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By:
Utilities Approval
Traffic Approval :
General Services Approval
Date :
Date:
Date:
Date :
Permit No: N2017-0344'
Project No : 2068-2016
SCANNED
Inspection Requests Phone (949)644-3255
Thomas:Guide: 919G3
Contractor : COAST WATER & POWER
Phone : 949-548-0106 949-289-0078
Address : P 0 BOX 3341
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
License Expire : 07 31, 2019
Business License : BT96014951
Business Expire :
12 31, 2017
Workers' Compensation Insurance - -
Carrier :
STATE COMP INS FUND
Policy No :
9087110
W. C. Expire:
10 01, 2017
Total Fee $1,115.00
Paid : $1,115.00
Balance : $0.00
Receipt No:
Other Department : Date
Permit Denied Date
Issued Permit . Date:7
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
June 22, 2017 2:57:16 PM PDT 142 4 Received
PLEASE COMPLETE THE FOLLOWING INFORMATION
PROJECT ADDRESS:
4633 ROXBURY
-- e,_ C, - �,3(. / 4'-
Permit Processing Fee:
Public Works Only
$241 00
Inspection Fee:
Public Works Field Inspection
,
$166.00
Other Department
$275.00
Utilities Field Inspection
$121.00
General Services Inspechon
$165.00
Agreement Fee:
Water Quality/Artificial Turf Inspection
$108-00
Preparation of Report/Agreement
$817.00
Document Recordation Fee
Monitoring Wells
$192.00
$502.00
Refundable Deposit:
Improvements
TSD
TBD
Street/AlleylWalk Closure: $65.00 Newspaper Fuck Inspection $108.00
Traffic Control plan Check
8-1/2" x 11" $65.00 Sewer Connection Fee $250.00 5p
24" x 36" $143.00 4TT Box & Cover $64.00
Additional
�eri� :�i�� �„ y .. :j
AtVENtJFE DIVI1 IidE1 RRIGTfit �'O PA�i` IaFi' Q PAS Approval.;
Mal Meter
Meer.; ' . • •- . : - : • :: • " ..... $5Q:�5 - -�.. •VY�tei'•M.et�r. �Q�ess , _ - .1
oFavv.�y�court 1
E1 112" Meter _ : : .$285.00 : 1":Meter 13-.00 + 37 00. $5tJ.4i0 A
1-1/2 ''I'tit•t�i�� lviat�r ' . r " $�;7:OQ.44 _ 2: Me#�r;.
s$.z
2" Meter: : . • . . 25.00 1
� �-ri��bir+ Nlerter• :' : " " .:�� .Q� gar`�r i-AIRYRF
3" I�1leter-M' t r: • T '06 +. ��8.�?D
4" itlleter. •2 ..Meter': .27.:00- :+l :F62.OQ
":'_leer' J • - : r . •. _ -. '.• :'
Buaget Number
Certificate of Compliance Fee (+100% of tir y over 3 hrs)
$288.00
5200-5029
Development Services Fee (Plan check hourly)
$155.00
5200-5015
Final Tract Map Checking Fee
$2,488.00
5200-6026
Final Parcel Map Checking Fee - Moderate
$2,488.00
5200-5027
Lot Line Adjustment Fee
$1,079.00
5200-5028
Park Dedication Fee zone
T8D
405-470
Street Easement/Vacation Fee (+ 1OC% of hrly over 4 hrs)
$1.022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
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TBD
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-� �--rr
030-2284
-
Engineering Tech: To I Amount Due: For Finance use Only
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, Pen TA-clalist Receipt N ,
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f �5.'S1/;bW/81ierAd/�r�croac^lmas:s►S�9A rmnt gnQ back nvste�-s?
Rev. 10/21/2016 eGreraneat.�us-rev snd tcizar�o�e
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_ TREE
POWER POLE
=SEWER CLEANOUT
WAFER METER )BOX
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ADDRESS
(�33 AOUN
Permit No. N 2 0 17
Newport Beach Police Dispatch
Phone: 949-644-3717
City of Newport Bauch
City of Newport Beach
Public Works Department
Phone:9"-W-3311 Fax:949-W,3318
Code 12.62.070 Pwmit for Temporary Street Closure
APPLICANT 1HFbRM
Ti
I
ame: MIKE KILBRIDE A
ompany Name: COAST WATER & POWER City of Newport Beach 8usine83 Licenae No.
ddress: P.O. BOX 3341 BT96014951
CityfZip: NEWPORT BEACH, CA 92659-8341 Phone: Day 949.289-0078 Night
Exact Location of Encroachment: x1
WUU WaLR Boom or 813WOMmate rkbrnber of feet frorn neafNMt in arse,:tPon)
Reason for Encroachment: UTILITY IMPROVEMENTS - Generally one day between dates below.
NOTE: No work on holiday(s) or weekends.
Date Closure to Begin: Date Closure to End:
(Nmvm 14 Days) Time of Closure: 7:00 AM to 5:00 PM
DIAGRAM LOCATION OF ENCROACHMENT BELOW_
fifts
�l
1% A9 "OROX
14o ,Al
A co y of this permit must be visible on the dash of each vehic,�e authorized to park in reserved arkir7 sots_
The applicant is res onsible for not" Ling Police Dispatch of any road clos 're, detour, or reserved In
.
See reverse side of this permit for regulations covering use of this permit
ADDITIONAL CONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS FOLLOWS:
1) Flagman! a eration per 41a}-1W.A.T.C.H. Manual, Pages 4748.
2) Provide access to emergency vehicles if needed. 3) Notify adjacer>It rest ants �$-�1�5
prior to closure.
4 Place delineators around construction area. 6) Plate and backflll excavations du Ing non -construction.
CITY RESERVES THE RIGHT TOR VOKE O MODIFY COND[Tl NS AT ANY TIMIE
I, (Permit
hereby certify the informatlOn provided is true ano correct, and I agree to comply with tt a terms and Eri_C1 xrW-
conditions on the front and back of this permit_ Permite-e guarantees to indemnev acid void the City bf Nexport Beach
-7
ha ains ny claims, liabii, , or udgme fqr ama es ansin out of 4 0
9 9 p .rmitee s acti ' 'es. ;
X � Date:PIC
Approved by:
Date:
C:'D°'+ne^L- a� gy!�y�oam¢r+lvtal xn , 1Mpt7tnpdpry In(cr.y� �1115.C�-Nre.i@SV+:31�3.'{'r.:np 91r_tt C'u:crwxPCCdtion �n9+�ytFijmzn,zta�. Ii
12/7/2017 City of Newport Beach Page 11 of 15
4:30:53PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 12/08/2017
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 4633 ROXBURY RDNown—
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Activity : N2017-0344
SubType : NEW
Status : APPROVED
OWNER: ZEHNER MITCHELL JAMES Phone:
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@ive.com
Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L.
e••v :k',-.+ v .. � - - ...j y-. a xqc. nsz' !.w^ir:...w,•r�tit-,? r ,-.4,....t. �:
.. k'+. *' .tA. 'Y'a'•+.` _ _ ..' - .. .¢ - �.-.�d.L`s .- .s.ti . 'f„" �F'A' . .f ., . ..,.c ..., ao•
Item: 10020 PERMANENT PAVING- PW
Requested Time: 12/8/2017 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: ANY -
Assigned to: zzzzzzzzzzz*
Inspector: IV Date: 19117Time: AM PM
Comments: C�/�` niz 3w
Qgged
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131
Run Id: 4018
6/25/2018
4:30:30PM
City of Newport Beach
INSP150 - Daily Inspection Request Report
Requested Inspection Date:
06/26/2018
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address:
4633 ROXBURY RD
Page 15 of 15
Activity : N2017-0344
SubType : NEW
Status : APPROVED
OWNER: ZEHNER MITCHELL JAMES Phone:
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: 6/26/2018 12:00:OOAM Requestor: WEBUSER
9495480106
Entered By: WEBUSER
Comments: AM -
Assigned to: zzz77777 7 *
Inspector: o. Date: �12—,6 Time: AM PM
Comments:
s
44- 404je.
Kahle
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018
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W,
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10/15/2018 City of Newport Beach Page 19 of 19
6:34:48AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 10/15/2018
Inspection Type : ENCROACH
Inspection Area : PW
Site Address : 4633 ROXBURY RD
A/P/D Information:
Activity : N2017-0344
SubType : NEW
Status : APPROVED
OWNER: ZEHNER MITCHELL JAMES Phone:
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.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 10/15/2018 12:00:OOAM Requestor: WEBUSER
949-290-6500
Entered By: WEBUSER
Comments: AM-
Assigned to : zzzzzzzzzzz*