HomeMy WebLinkAboutN2018-0023City of Newport Beach �I�II���II��IIIII�III�IIIII�I��I����I��II���III Permit No: N0101 d-0�2
,;' �, 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 8 0 0 2 3
Permit Counter Phone (949)644-3311 Project No : 2450-2017
Online Inspection Request - www.newportbeachca.gov / Online
Services
Inspection Requests Phone (949)644-3255
Job Address:
105 VIA KORON NB
Thomas:Guide:
888J7
Description :
REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L. ABANDON EXISTING 3/4" WATER SERVICE AND INSTALL NEW 1" WATER
SERVICE PER STD 502-L.
"*UPDATED 2/13./18
TO INCLUDE: REPLACE SCE CONDUIT"
Parcel # :
4232-021-1 -
Legal Desc :
N TR 907 LOT 696
Owner:
FOWLER JANE
Contractor :
COAST WATER & POWER
Phone:
949-500-5100
Phone:
949-548-0106 949-289-0078
Address :
105 VIA KORON
Address :
P O BOX 3341
NEWPORT BEACH, CA 92663
NEWPORT BEACH CA 92659
Applicant: COAST WATER & POWER
Phone: 949-548-0106 949-289-0078[
Address : P O 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 :
$0.00
Total Water Meters :
$649.50
Inspection Fee :
$825.00
Water Meter Connection :
$528.00
Refundable Deposit:
$0.00
Total Water Meter Box:
$96.66
Street Tree Fee :
$0.00
Adjustment:
$0.00
Processed By : Date: /
Utilities Approval : Date: /
Traffic Approval : Date: /
General Services Approval : Date: /
Contractor State Lic: 738400
License Expire : 07 31, 2019
Business License : BT96014951
Business Expire :
12 31, 2018
Workers' Compensation
Insurance - -
Carrier :
STATE COMP INS FUND
Policy No :
9087110
W. C. Expire:
10 01, 2018
Total Fee $2,126.16
Paid : $2,126.16
Balance: $0.00
Receipt No:
/ Other Department : Date
/ Permit Denied Date
/ Issued Permit: Date . /
WORKSHEET FOR ENCROACHMENT PERM
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
I FLtASt UUMPLETE THE FOLLOWING INFORMATION
PROJECT ADDRESS:
105 VIA KORON
DESCRIPTION OF WORK:
1
REPLACE SEWER LATERAL & INSTALL CLEAN -OUT PER 406-L
ABANDON EXISTING 3/4" WATER SERVICE & INSTALL NEW 1" WATER
SERVICE PER 502-L
a�2 S CE C SY-.A&4A-
APPLICANT:
Phone: 949-289-0078
Mailing Address:
1'0 BOX 3341
City/State/Zip:
MAN'PORT BEACH, CA 92659
OWNER:
Phone:
Mailing Address:
City/State/Zip:
CONTRACTOR: MIKE KILBRIDE
Office Phone: 949-548-0106
Company (if different):
(1) A ST NATI:R AN1) P0NNFR
Jobsite Phone: 949-289-0078
Other Phone: FAX: 949-548-161(1
Mailing Address:
PO BOX 3341
City/State/Zip:
til�,%N'l10RT BEA(*H. CA 92659
State License Number & Class:
-738401) A. B. (-10
City Business License Number:
BT9601441 EXP 12-31 2017
WORKERS COMPENSATION INSURANCE
Compan : STATU FUND
- Certificate of Insurance (Section 3800 Labor Code)
Policy No:9087110-14-2 Expires: 10/1%2018
REFUNDABLE DEPOSIT INFORMATION (If Applicable)
Made Payable To: NI I K F K I LBRI DF Vendor No: 9833
Mailing Address: PO BOX 3341 NtAk11014T REACH (A 92659
FOR OFFICE USE ONLY
Special Conditions of Permit:
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic:
Other:
Engineering Technician:
Public Work ecialist:
Date:
Permit No.
N2018- L��
• &PAW
'*"MAMk.
IBM
Li
MPW
.t {,� City of Newport Beach IIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Permit No: N201'3-0023
100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 8 0 0 2 3
° >€
Permit Counter Phone (949)644-3311 Project No : 2450-2017..:.
..
Online Inspection Request - www.newportbeachca.gov / Online '{'t '
` Services
p'410fil'A ` Inspection Requests Phone (949)644-3255
Job Address:
105 VIA KORON NB
Thomas:Guide:
888J7
Description :
REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER
STD 406-L. ABANDON EXISTING 3/4" WATER SERVICE AND INSTALL NEW 1" WATER
SERVICE PER STD 502-L.
Parcel # :
4232-021-1 -
Legal Desc :
N TR 907 LOT 696
Owner:
FOWLER JANE
Contractor :
COAST WATER & POWER
Phone:
949-500-5100
Phone:
949-548-0106 949-289-0078
Address :
105 VIA KORON
Address :
P O BOX 3341
NEWPORT BEACH, CA 92663
NEWPORT BEACH CA 92659
Applicant: COAST WATER & POWER
Phone: 949-548-0106 949-289-0078[
Address : P O 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 :
$0.00
Total Water Meters :
$649.50
Inspection Fee :
$495.00
Water Meter Connection :
$528.00
Refundable Deposit:
$0.00
Total Water Meter Box:
$96.66
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By :
Utilities Approval
Traffic Approval :
General Services Approval
Contractor State Lic: 738400
License Expire : 07 31, 2019
Business License: BT96014951
Business Expire :
12 31, 2018
Workers' Compensation
Insurance - -
Carrier :
STATE COMP INS FUND
Policy No:
9087110
W. C. Expire:
10 01, 2018
Total Fee $1,796.16
Paid : $1,796.16
Balance : $0.00
Receipt No:
Date:
/
/
Other Department : Date
Date:
/
/
Permit Denied Date
Date:
/
/
Issued Permit : —Date. /
Date :
/
/
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY "
'..'-EIME RECEIVED REMOTE CSID DURATION PAGES STATUS
January 11, '1018 at PM PST 131 5 Received
..... . . . . .
PLEASE COMPLETE THE FOLLOWING INFORMATION
PROJECT ADDRESS:
105 VIA KORON
ESCRIPTION OF WORK:
REPLACE SEWER LATERAL & INSTALL CLEAN -OUT PER 406-L
ABANDON EXISTING 3/4" WATER SERVICE & INSTALL NEW 1" WATER
SERVICE PER 502-L
APPLICANT;
Mailing Address;
OWNER:
Mailing Address:
MIKE KILBRIDE Phone: 949-, 89-0078
City/State/Zip:
PO BOX 3341 NEWPORT BEACH, CA 92659
Phone:
Clty/State/Zip:
REFUNDABLE DEPOSIT INFORMATION (IFA licable
Made Payable To: N1IKE KILBR.IDE Vendor No; 9833
MaMno Address: PO BOX 3341. NEWPORT BEACH, CA 9'_'659
Special Conditions of Permit:
Utilities:
General Services:
Engineering TechnlCian: 1public
Traffic:
Other:
Specialist: at Permit No.
i 2-1 N2018-
l
CITY OF NEWPORT BEACH
APPLICATION FOR WATER METER OR HYDRANT METER
REQUESTED BY_ A r d e _
(entity who is requesting meter and/or would gat hydrant deposlt refund)
MAILING ADDRESS
RECEIPT#
CITY/STATE/ZIP PHONE #
SFRVICE ADDRESS los V Kvro-A
SERVIG�t�QUE._�'[f.k= Ali .th af?PIY -
( ) Hydrant Meter
Deposit required
(tapping order)
( ) New Meter
New service address
(tapping order)
( ) New Meter at existing service address
(tapping order)
( ) Commercial Location Residential Location
() Meter Size I "
Fee $ j;k105 Q
(vj Meter Upgrade
Existing service address
(work order)
( ) Irrigation only
( ) Fire Connection Fee $
( 4TT Box Fee $ L4 ' r
(v eter box & Lid - AI(e !Traffic Area Fee NO • WO
Y $ or Parkways/Sidewalk Fee $
Total Fees $ Encroachment Permit Number: �J)_O(�-D023_
Ple$Ae Complies 0wria -li itb ( rat M4 . to
. exert) ..Kra I'�/.�CB �+ilit �� e'3CGO
..- _ .. . ._ � or�#i'iJy s�� unt .
Customer Name (property owner) r
Billing Address___�� CJ 1�� ct �Oecrvn - City/Zip
Residence Phone #
E-Mail Address
Social Security # or CA Drivers License
CLERK
DATE UTILITIES COMPLETED
NEW ACCOUNT NUMBER
Business Phone #
FOR OFFICE USE ONLY
DATE BUS LIC # MID#
DATE HYDRANT METER CLOSED
WORKITAPPING ORDER NUMBER
fluserslrev/sharedlwater/water meter sere app 05/23116
NOTES
2/13/2018 City of Newport Beach Page 4 of 13
4:30:57PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 02/14/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 105 VIA KORON
Activity : N2018-0023
SubType : NEW
Status : APPROVED
OWNER: FOWLER JANE Phone : 949-500-5100
COAST WATER & POWER Phone : 9-548-0106
APPLICANT: 94
949-289-0078 mikekilbride@live.com
Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L. ABANDON
EXISTING 3/4" WATER SERVICE AND INSTALL NEW 1" WATER SERVICE PER STD
502-L. "UPDATED 2/13./18 TO INCLUDE: REPLACE SCE CONDUIT"
Item: 10215 ROUGH UTIL
Requested Time: 2/14/2018 12:00:OOAM
Entered By: WEBUSER
Comments: AM -
Assigned to : zz—
Inspector: Date:
Comments:
Requestor: WEBUSER
Ti-me: r� M PM
.ti �A);
2xvA� �IUS�uLi �
,;P`yv/Tv S - -J I N C;, C b+J 2 GI t N s C4+--7r-1
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018
2/14/2018
4:30:44PM
City of Newport Beach Page 12 of 13
INSP150 - Daily Inspection Request Report
Requested Inspection Date:
02/15/2018
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
105 VIA KORON
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Activity :
N2018-0023
SubType :
NEW
Status :
APPROVED
OWNER:
FOWLER JANE
Phone : 949-500-5100
APPLICANT:
COAST WATER & POWER
Phone : 949-548-0106
949-289-0078
mikekilb6de@ive.com
Description :
REPLACE SEWER LATERAL AND INSTALL
CLEAN OUT PER STD 406-L. ABANDON
EXISTING 3/4" WATER SERVICE AND
INSTALL NEW 1" WATER SERVICE PER STD
502-L. "UPDATED 2/13./18 TO INCLUDE: REPLACE SCE CONDUIT"
' i '�r.tr:3'+f •�,'�-%+''�i �`-^."t4,.k:: ies "4f'•.,:^�tlgY:;fi •c', `¢�,. �' h''�; w S+F'}>'•+d 5+..�.L,�T,$`'g'-1s J :'a .': t
Item:
10030 CLEAN -OUT
Requested Time:
2/15/2018 12:00:OOAM
Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
AM -
Assigned to: zzz777777zz*
Inspector:
Comments:
Date:
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsaectorSheet.doc
Time: AM PM
A
REPT131 Run Id: 4018
6/21/2018 City of Newport Beach Page 6 of 16
6:35:03AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 06/21/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 105 VIA KORON
NP/D Information:
Activity : N2018-0023
SubType : NEW
Status: APPROVED
OWNER: FOWLER JANE Phone : 949-500-5100
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. ABANDON
EXISTING 3/4" WATER SERVICE AND INSTALL NEW 1" WATER SERVICE PER STD
502-L. **UPDATED 2/13./18 TO INCLUDE: REPLACE SCE CONDUIT**
Requested Inspection(s)
Item: 10020 PERMANENT PAVING- PW
Requested Time: 6/21/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM-
Assigned to: zzzzzzzzzzz*
9495480106
LOGGED
N
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Il -46
1/7/2019 City of Newport Beach Page 14 of 21
4:30:47PM INSP150 - Daily Inspection Request Report
Requested Inspection Date:
01/08/2019
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address:
105 VIA KORON
Activity :
N2018-0023
SubType :
NEW
Status :
APPROVED
OWNER:
FOWLER JANE
Phone : 949-500-5100
APPLICANT:
COAST WATER & POWER
Phone : 949-548-0106
949-289-0078
mikekilbdde@live.com
Description :
REPLACE SEWER LATERAL AND INSTALL
CLEAN OUT PER STD 406-L. ABANDON
EXISTING 3/4" WATER SERVICE AND
INSTALL NEW 1" WATER SERVICE PER STD
502-L. "*UPDATED 2/13./18 TO INCLUDE: REPLACE SCE CaONDUIT*"
-; ,:..
Item:
10250 FINAL - PW
Requested Time:
1/8/2019 12:00:OOAM
Requestor: WEBUSER
Entered By: WEBUSER
Comments: ANY -
Assigned to:
Sc✓�
ZZZZzzzzzzz* ,.-3 Q
.* t"'i 7-x---,
A- rP CO VC-D 6 V L,,f r-1 L- s .
F T r/z,
COMPLETED