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
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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
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F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018
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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.�
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COMM PTEF)
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorS heet.doc
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