HomeMy WebLinkAboutN2017-0239City of Newport Beach
100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 2 3 9
Permit Counter Phone (949)644-3311
`� Online Inspection Request - www.newportbeachca.gov / Online
Services
Permit No: N2017'-0239
Project No : 0839-2016
Inspection Requests Phone (949)644-3255
Job Address: 6802 W OCEAN FRONT NB Thomas:Guide: 888E5
Description : INSTALL NEW SEWER CLEANOUT PER CITY STD, REPLACE 3/4" WATER METER BOX WITH 1" METER BOX PER CITY STD
Parcel # : 0450-331-4 -
Legal Desc : SEASHORE COLONY TR LOT 1 BLK H POR OF LOT -INC POROF ST
ADJ-(AND POR
Owner: MIKE KILBRIDE, LTD Contractor : COAST WATER & POWER
Phone: Phone: 949-548-0106 949-289-0078
Address : ., =, Address : P O BOX 3341
Applicant: MIKE KILBRIDE, LTD
Phone : 949-548-0106 [
Address : PO BOX 3341
NEWPORT BEACH, CA 92659
Special Cond.: PRE -CON MEETING REQUIRED WITH PW
INSPECTOR
Permit Processing Fee :
$241.00
Sewer Connection :
$0.00
Agreement Fee :
$0.00
4TT Box Cover -.
$64.00
Traffic control Plan Check :
$65.00
Total Water Meters :
$121.50
Inspection Fee :
$330.00
Water Meter Connection :
$0.00
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
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
License Expire : 07 31, 2017
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 $872.50
Paid : $872.50
Balance : $0.00
Receipt No:
Other Department : Date
Permit Denied : Date
Issued Permit :� Date:
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY **
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
-lay 10, 2017 8:41:52 AM PDT 171 5 Received
PLEASE COMPLETE THE FOLLOWING INFORMATION
3ROJECT ADDRESS:
6802 WEST OCEAN FRONT
DESCRIPTION OF WORK:
INSTALL SEWER CLEAN OUT 4 O 6 - L
REPLACE 3/4" WATER METER BOX WITH A I" METER BOX + BUY 1" METER
( THIS ADDRESS HAS AN EXISTING 1" WATER SERVICE WITH A 314" METER
%PPLICANT: MIKE KILBR.IDE Phone: 949-289-0078
Mailing Address: CitylStatelZip:
PO BOAC 3341 iyEWPOIRT BEACH, CA 92659
JWNER: Phone:
Vlailing Address: City/State/Zip:
CONTRACTOR: [MIKE KiLBRiDE
Office Phone: 949-548-0106
Company (if different):
COAST WATER ACID POWER
Jobslte Phone: 949-289-0078
Other Phone: FAX: 949-548-1616
Mailing Address:
PO BOX 3341
City/Stateop:
NEWPORT BEACH, CA 92659
State License Number & Class:
738400 A, % C-10
City Business License Number:
BT9601491 EXP: 12-31 2017
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: STATE FUND Policy No: 9087110-14-2 Expires: 10/1n017
REFUNDABLE DEPOSIT INFORMATION (If Appllcable )
Made Payable To: MIKE K%BRID.E Vendor No: 9833
Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659
al Conditions of Permit: f-P - coy)
Utilities: Traffic:
General Services: I Other:
Engineering Technician: Public Works Specialist: Date: Permit No.
�j N2017- 012)
N3q- zo1b
Permit Processing Fee:
Qbf-
Public Works Only
$241.00
Other Department
$275.00
Agreement Fee:
Preparation of ReporYAgreement
$817.00
Document Recordation Fee
$192.00
Monitoring Wells
$502.00
Inspection Fee:
Public Works Field Inspection
Utilities Field Inspection
General Services Inspection
Water Quality/Artificial Turf Inspection
$1s5.00
$121.00
$165.00
$108.00
TBD
TBD
StreetiAlley/Walk Closure: $65.00 Newspaper Rack Inspection $108.00
Traffic Control Plan Check
8-112" x 11" $65-00 Sewer Connection Fee $250.00
24" x 36" $143.00 4TT Box & Cover $64.00
_ Additional _
� I I!+1�3r '[ �� III S=I �i T �� f <0 l fl ^ r�+ w 7e � 75 �
f . ii. At. RvenUe'Qlulalan. :1
-REV- ENUE-:W Mttbk PI210RT0' AYM-tN OF' Fes$ Approvals :
4�....... :1
Rwat�p.�eter: - .: - _ .. ;k�s�Nat�o�i Gh�a�ge' � •. . • :: -
- . • r�+��.4 :'�Nate[•bll�t�r: �JQIc�.�. '-r' .�
,Srd�re,k.'tea._oz tovt'
1 '.-Me#er :1300•,Y 37.1k :!
�f- ri 111letet` 00:OQ
� RY. �- reas'(>
3.ett'3,tD�
".Meier .2:7 A0 1.62.00
Refundable Deposit:
Improvements
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 EasementlVacation Fee (+100% of hrly over 4 hrs) $1,022.00
Street Tree Fee ($700 Planting Fee) TBD
. �w rr�rrs• ■ rr� r:rr�ar� r r.��� rwrr�r ■r�rr rrr��
Q
Budget Numb►
5200-5029
5200-5015
5200-5026
5200-5027
5200-5028
405-470
5200-5031
030-2284
Engineering Tech;
Total Amount Due:
For Fiinanm Use Only
front end ba--k mastery
is-rsn199n 10I21/20^5
Permit Specialist
Rocs i
Rev. 10121120161evfeeshcat
Receipt No.
-a- 7 1�i
CITY OF NEWPORT BEACH
APPLICATION FOR WATER METER OR HYDRANT METER
kj , , a .ram
REQUESTED BY 1
(entity who Is requesting meter and/or would get hydrant deposit refund)
MAILING ADDRESS ! 0 &a X 3#3Lf I RECEIPT
#
CITYISTATEIZIP
1A, In
NO A L8-{O
PHONE #
0I040
SERVICE ADDRESS
( o
V) I a cc wx
�ko(,T
;+�•I�►1kr.
�-..•`t-Y.' �7�r,;I�Y.��� ii, �t l 4'�i..rl�hii�.i.t 5, It �+' '7.ti? W�?'SA � .i ��: 1 K� �1 rY7� ulc h• y�,
eW!r'� _a},,,,�n 5� 5 �. t, I :i c:` , ,r ,L +s , 1,st��ti ,�,� ♦x ,
) Hydrant Meter
Deposit required
(tapping order)
( ) New Meter
New service address
(tapping order)
{- New Meter at existing service address
(tapping order)
( ) Commercial Location
�1
041leter Size _
( Residential Location
Fee $)ai•510
(Meter box & Lid - Alley/Traffic Area Fee $ 161
Total Fees $
Customer Name (property owner
{ Meter Upgrade
Existing service address
(work order)
( ) Irrigation only
) Fire Connection Fee $
{A'4TT Box Fee $ (o L4. 7-
Encroachment Permit Number:_. NzD 17 — 02.,2
Billing Address l� a v� �C , V City/Zip CA ;L&a;.-7
Residence Phone #
E-Mail Address
Social Security # or CA Drivers License
CLERK DATE
DATE UTILITIES COMPLETED
NEW ACCOUNT NUMBER
Business Phone #
FOR OFFICE USE ONLY
BUS LIC # MID#
DATE HYDRANT METER CLOSED
NOTES
WORKITAPPING ORDER NUMBER
flusers/rev/sharedMater/water meter sery app 05/23/16
LEG -END
POWER POLE
SEWER CLEANOUT
-E = WATER METER BOX
0
U� E � 6cEfln
w4
GEr�rRLiVL OF
Alt
PROPERTY LINE -
C1TY OF NEWPORT BEACH
ENCROACHMENT PERMIT
PERMIT No, JV Z dl `1' -
ADDRESS 0 �e n
ApPucAry i
OWNER
DESCRIPTION OF waR_
Newport Beach Police Dispatch City of Newport Beach
Phone: 949-644-3717 Public Works Department
APPLICATION FORTE RaCRY S-ZLTREET � SIfaE1NALK CLZ7SliR� OFi DUMP$ R PLACE Phone: 949-644-3311 Fax: 949 644-33'l$
City oiNewpo,f Beach Municipal Code 12.62,010 Pennft for Tempgra� Street Closure NF>;I�IT
Name: MIKE KILBRIpE APPLlGANi 1NFGF7MATIOty
Address-
Name: COAST` WATER & POWER City of 14wNPan Beech Suslnea$ uceRBe No.
address_ P.O. BOX 3349
c� rz; : BT960'i 495'1
ty NEWPORT BEACH, CA 92699-8341 Phone: Day 949-289-0078 Night
st
Exact Location of Encroachment: -- �Q9 0Z �� 1
(Use street address Or arproxin-Qte number of feet from „west interseoozi
Reason for Encroachment: UTILITY IMPROVEMENTS -Generally one day between
NOTE; No work on holiday(s) or weekends. y n dates below_
pate Closure to Begin-
-Maxim," 14 Days;
DIAGRAM LOCATION pF ENCROACHMENT 1ELOW;
A
Date closure to End:
lime of Closure: 7:00 AM to 5-oo PM
U � to wsst 0 cJeAn
21-7
�y
6 pal a-qR, 6f AAQ?,
S ermii must be visibie on the dash of each vehicle aut
ant is res onsible for notifying polire Dis etch of an roadrela� reAdetour or reserved parkin s pt,s
See reverse side of this ermii for regr�f�tions covering use of phis perm
ifeSerVed ar�kin
ADDITIONAL CONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS FOLLOWS:
1) Close only the portion of alleylstreet adjacent to where work will be done.
Z) provide access to emergency vehicles if needed. 3) Notify adjacent reizirla.,te dit_Ihee,
The
-�_ ...�W �■USbU narrlcages on either side of work area, 5) Plalte and backfill excavai"sonS'�rQ�en� �y
or street during non�onstruction_ 6) Place delineators around construction area_
•," ' ���crcvts I HE RIGHT TO REVOKE OR MODIFY CONDITIONS AT ANY TIME
(Per �itee} herebyLerti
iy the info this p n provided IS true and correct. ar+:)' i agree to comply with the terrzs anti
c�,r,�itfiC'15 one frontand bark of this permit. Pgr-r,itee gFaarantaes to indgm�, n i
ti8'`T'IesS against any bairns. tiab"ity. Orjudrmerts for damaQPS 3r_Si.h ind if � .0 hold the City of Newport 6aec 1
Encroachm,t p- "vo:
- 9 � per.ri_eE' 8rt���itiey.
x
Date:
Approved by.
?a'^r;'� SV�i �1os:.'? ;,R4ir:aLc�e •Ki;an�7!_xy�3"._-�1
5/11/2017 City of Newport Beach Page 3 of 18
.4:30:52PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 05/12/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 6802 OCEAN FRONT W
Activity : N2017-0239
SubType :
Status : APPROVED
APPLICANT: MIKE KILBRIDE, LTD Phone : 949-548-0106
Description : INSTALL NEW SEWER CLEANOUT PER CITY STD, REPLACE 3/41, WATER METER
BOX WITH 1" METER BOX PER CITY STD
''•� q a
►sr. Wav-
Item: 10215 ROUGH UTIL
Requested Time: 5/12/2017 12:00:OOAM
Entered By: WEBUSER
Comments: AM -
Assigned to: 777 777777*
Inspector:
I') �f
Requestor: WEBUSER
Date: Z /7 Time: Z l AMPM
Comments: 5Urt C-�-U -r G�
ci
Reffle
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018
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5/15/2017 City of Newport Beach Page 7 of 13
' 6:34:19AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 05/15/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 6802 OCEAN FRONT W
AW D h ev atio�
Activity : N2017-0239
SubType :
Status : APPROVED
APPLICANT: MIKE KILBRIDE, LTD Phone : 949-548-0106
Description : INSTALL NEW SEWER CLEANOUT PER CITY STD, REPLACE 3/4" WATER METER
BOX WITH 1" METER BOX PER CITY STD
Requested lnsP$l
Item: 10250 FINAL - PW
Requested Time: 5/15/2017 12:00:OOAM Requestor: WEBUSER
9495480106
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777 7777*
Inspector: _ Date: �� % Time: • �� A PM
Comments: `�22 L/64'� .
F:\Users\PB\MShared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc