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HomeMy WebLinkAboutN2017-0189City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIII Permit No: N2017-0189 . 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 1 8 9 Permit Counter Phone (949)644-3311 Project No : 2637-2016 Online Inspection Request - www.newportbeachca.gov / Online Services Inspection Requests Phone (949)644-3255 Job Address : 205 EMERALD AVE NB Thomas:Guide: 919C1 Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L. REPLACE 3/4" WATER METER AND BOX WITH NEW 1" METER AND BOX (PROP HAS EXISTING 1" SERVICE). Parcel # : 0500-211-4 Legal Desc : BALBOA ISLAND RESUB SEC 1 BILK 2 LOT 16 Owner: HOFFMAN ANDREW Contractor : COAST WATER & POWER Phone: Phone: 949-548-0106 Address : 205 EMERALD AVE �1 Address : P O BOX 3341 NEWPORT BEACH, CA 92662 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 -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 : $250.00 Total Fee $1,815.50 Agreement Fee : $0.00 4TT Box Cover : $64.00 Paid : $1,815.50 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 : $51.00 Street Tree Fee : $0.00 Adjustment - $0.00 Processed By: Utilities Approval Traffic Approval : General Services Approval Date Date Date Date Other Department Permit Denied Issued Permit Date: Date: �- �— t� Date : `'} / 21 INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY 'Y'Y TIME RECEIVED REMOTE CSID DURATION PAGES STATUS April 17, 2017 2:35:48 PM PDT 169 5 Received PLEASE COMPLETE THE FOLLOWING INFORMATION PROJECT ADDRESS: 205 EMERALD DESCRIPTION OF WORK: REPLACE SEWER LATERAL & INSTALL CLEAN -OUT PER 406-L REPLACE 3/4" WATER METER & BOX WITH V METER & BOX NOTE: PROPERTY HAS AN EXISTING 1" SERVICE APPLICANT: MIKE KILBRIDE Phone: 949-289-0078 Mailing Address: City/State/Zip: PO BOX 3341 NEWPORT BEACH, CA 92659 OWNER: Phone: Mailing Address: City/State/Zip: CONTRACTOR: MIKE KILBRIDE Office Phone; 949-548-0106 Company (if different): COAST WATER ;AND POWER Jobsite Phone: 949-289-0078 Other Phone: FAX: 949-548-1616 Mailing Address: PO BOX 3341 City/State/Zip: NEWPORT BEACH, CA 92659 State License Number & Class: 738400 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 : STATEFUND Policy No: 9087110-14-2 Expires: 10/1/201 REFUNDABLE DEPOSIT INFORMATION /f Applicable)__ Made Payable To: MIKE KILBRIDE Vendor No: 9833 Mailing Address: PO BOX 3341, NEWPORT BEACII, CA 92659 Special ConditionsPermit: Utilities: Traffic: General Services: Other: Engineering Technician: Public s Specialist: Date: Permit No. N2017- 14 �c 4 Permit Processing Fee: Public Works Only (Other Department Agreement Fee: Preparation of Report/Agreement Inspection Fee: , $241.00 Public Works Field Inspection $165.00 $275.00 % Utilities Field Inspection $121.00 - General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 $817,00 Document Recordation Fee $192.00 Refundable Deposit: TBD Monitoring Wells $502.00 Improvements TBD Street/AileyfWalk Closure: $65.0 Newspaper Rack Inspection $108.00 Traffic Control Plan Check q� 8-1/2" x 11" $65.00 Sewer Connection Fee $250-0 24" x 36" $143.00 4TT Box & Cover $64.0 Additional 4 7 . . WT�t-Q�f1�VC F EI17iSrf l t 01 �F Alai .�.� . AL.. .. Revenue Dlvlalari. .I L REVENUF 0FVM0U PRIM,,TO F/�11/yY'MENT,OFFEES j�VatelrMO er{ 7,ris'taNatih¢p:4�lsi'a+a .$$2�_ba � 45025, C1fi Meter $121.�0 • . �>7r i�a�cvtiajriltarafk Arisa.BDar tOv:et` - Costj: E1 4l" Meter:. :.: •$8.fl0 : . 9:Meierr:':.13fl�37:40`. I •112`4.Tu rbiria' Aeter �'7ab.b0 2;"Meter:., 7:QA•.+ �2'= Tui�i�� Me�e� ...:.. _ ...: $�� Q�1 .. •e�o�.�"ra ffc� �:�11�Y �(��s :(�:aF:+: �ov`�F:=:Cosh. 1 Meter 4"-Meter ID . _ :. :$41.730 fl0 2":Meier :2� :Oa + 't62:00: ....: $t89.OQ # Certificate of Compliance Fee (+100% of hrly over 3 hrs) $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 Easement/Vacation Fee (+100% of hdy over 4 hrs) $1,022.00 Street Tree Fee ($700 Planting Fee) TBD r�ww r�rrr� r-� ww r�rr r� ■ rr� rr�--mow■ rr�r r� rrr�r-� -� 9-. Budget Number 5200-5029 5200-5015 5200•-5026 5200-5027 5200-5023 405-470 5200-5031 030-2284 �--�wr r�rr r�r-� rww>•wr r�r- Engineering Tech: Total Amount Due: For Finance Use Onty _ Per,!7ecialist Receipt No. —7 to front 8,)d back r-2srarsv J Rev. I Of2l/20161 epeas lie PtxI we Is)eO10121i2_,tE CITY OF NEWPORT BEACH APPLICATION FOR WATER METER OR HYDRANT METER REQUESTED BY �"& ; d (entity who is requesting meter and/or would get hydrant deposit refund) MAILING ADDRESS _ �`(j 8n 2L 33; 1 � I RECEIPT# CITY/STATE/ZIPNBa (4 4?2_&j5!2 ,,,PHONE # $ 't>1 _4I SERVICE ADDRESS Qos d �, t .Ili• i - •..tr iS':' t. t. �_! ' '1., �,.: ,, .. � .0 } Via. L tl ! 7 r', I y, r � - I. ,.• 1 f i'I r l f .. ) Hydrant Meter Deposit required (tapping order) ( ) New Meter New service address (tapping order) } New Meter at existing service address (tapping order) ( ) Commercial Location (Meter Size I " ( /Residential Location (vj Meter Upgrade Existing service address (work order) ( } Irrigation only ) Fire Connection Fee $ ( ) 4TT Box Fee $ (V1#_*M*'eter box & Lid - Alley/Traffic Area Fee $t.N- W. or Parkways/Sidewalk Fee $ Total Fees $ Fee $_I a to '50 Encroachment Permit Number: !� Z �'1 C I< Customer Name (property owner)_ XA2kT: rldLjq. Billing Address ;Zo 5 EMe..ral d Ave0 city/Zip 40 Residence Phone # E-Mail Address Social Security # or CA Drivers License. Business Phone # FOR OFFICE USE ONLY CLERK DATE BUS LIC # DATE UTILITIES COMPLETED DATE HYDRANT METER CLOSED NEW ACCOUNT NUMBER NOTES WORKITAPPING ORDER NUMBER flusers/revishared/water/water meter sere app 05/23/16 MID# . y Newport Beach Police Dispatch City of Newport Beach • Phone: 949-644-3717 Public Works Department Phone: 949-644-3311 Fax: APPLICATION FOR TEMPORARY STREET / SIDEWALK CLOSURE OR DUM STEP P1 Ar-=ME49-644-331$ City of Newport Beach Munic►pal Cede 12.62.d�p Pern►ei for Temporary Street G/osure NT Name: MIKE KILBRIDE APPLICANT INFORMATION Gcmpany Name: COAST WATER & POWER Giry �F n'etivAort 6eacti Business License r<�o Address P.Q. SOX 3341 'ityr2;p: NEWPCRT BEACH, CA 92659-8341 p, onz. bey 949-289-07$ $T9G0'f495'1 Night Exact Location of Encroachment:A�_ $if` � 0 � Nse street Bdtlrr-ss or approxirrwe ^umgr of feet trot., nee gst intC. s�tion) Reason for Encroachment: UTILITY IMPROVEMENTS _ Generally one day between date NOTE_ No work on holiday(s) or weekends. below, Date Closure to Begin: {�c�.T.�1!Tm 14 D8v91 DIAGRAM LOCATION OF ENCROACHMENT BELQW: r Date CIOSure to End- Time of Closure_ 7:00 AM to 5:00 PIVI �i . - :71 Pit) CLgw i ILA cop of this permit must be visible on the dash Tof Bich vehicle ar;thor;:zecr to irk in reserved r The aoplict atlis responsible for notifyiC� Police Dispatch of any road closure, detour , or resew(� king .spa`s. See revi�rse side of this permit forrP ulations ^ d p2rk�., 9 overing use of this ermit- ADDITIONAL CONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS FOLLOWS; 1) Cl°Se Only the portion of alle /street adjacent to where work will be done. 2) Provide access to emergency vehicles if heeded. 3) Notify adjacent residents 4R-}fir 4) Post road closed barricades on either side of work area, 5) plate and back#ill ex cavatior�ar to closure_ or Street during non -construction. C) Place delineators around construction area. & Oren alley i roe - ' -- "� • •��`� %JFN n ILJUII- Y CONDITIONS AT ANY TIME rr?ifeel Y,Ereh. ertiry the inform.atior prcviMed ;s true and (-orrect, anti I a ree to ,,o , onditio-;s 4n t;ie frow er)d ^irk of this perrnit, Per.rrr}ga guarantees ±v in�+3rrr t mpiy with the tern -it; an, harr�*�c a�a;n t �n�, claims. eaa r; - ar a � and hold she Cit f of New ort Beach I`` Yli\ll j_ ,r• a nag9s Sri,}n _,a; . f .. Er;-^�aC�-.r-rErt P- %{ 'tllV11Q vi[; MC: z� Date: bum p,pprovr d ty. T�my;riy 6/18/21017 City of Newport Beach Page 4 of 18 4.30:31PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 05/19/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 205 EMERALD AVE .,:.5 * t -+s` '� .f +�,3a1 T•vr. y``i.7 .iFn.•.. 6 �bA�+iT -i �:•. .r s:i{ A .h i� �. .,.:f rr 1, i 5.. .:'�r aR .�,.�..d5. M� `_ti • � ��ii�Nf'�l►1 �..- .1 . ,��� ' � ��� ��4d� �a .ii��,,;:. + . :i i .. Activity : N2017-0189 SubType : NEW Status : APPROVED - OWNER: HOFFMAN ANDREW - _ _ _ _-_ _ Phone : _ APPLICANT: COAST WATER & POWER Phone : 949-548-0106 mikekilbdde@live.com Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L. REPLACE 3/4" WATER METER AND BOX WITH NEW 1" METER AND BOX (PROP HAS EXISTING 1" SERVICE). . X ,. fir^ . .t.C+.'_` `�?+tf�:4C ��. _ ~ S�'•.v,�^_SF:i�l4�a :fie ♦ ..... ,- . _ �� _ •...,,., .! .. Item: 10215 ROUGH UTIL Requested Time: 5/19/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: AM - Assigned to: 7777777777* Inspector: Date: C Time: ��-�� A PM .. ee Comments: - J T2!:) .`9 7'__� �f 4 L.Uvgeci p.1 _ F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc REPT131 Run Id: 4018 • sw S:� ms 6/23/2017 City of Newport Beach Page 7 of 13 4:SO:53PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 05/24/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address: 205 EMERALD AVE 4 Activity : N2017-0189 SubType : NEW Status : APPROVED OWNER: HOFFMAN AN -DREW Phone: APPLICANT: COAST WATER & POWER Phone : 949-548-0106 mikekilbdde@live.com Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L. REPLACE 3/4" WATER METER AND BOX WITH NEW 1" METER AND BOX (PROP HAS EXISTING lips . Item: 10250 FINAL - PW Requested Time: 5/24/2017 12:00:OOAM Requestor: WEBUSER 9495480106 Entered By: WEBUSER Comments: AM - Assigned to: Inspector: Date: 7 Time: /�'-S�A PM Comments: 7Z.� C C-) 5- fZ COMM PTEF) F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorS heet.doc REPT131 Run Id: 4018