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HomeMy WebLinkAboutN2017-0312City of Newport Beach 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 3 1 2 Permit Counter Phone (949)644-3311 Online Inspection Request - www.newportbeachca.gov / Online r Services �C 1►; i1►„4• Job Address Description Parcel # : Legal Desc : Owner: Phone: Address Permit No: N2017-0312, Project No : 2820-2" t A N N E D Inspection Requests Phone (949)644-3255 112 45TH ST NB Thomas:Guide: 888G6 INSTALL 2ND 1" WATER SERVICE PER STD 502-L, INSTALL 2ND SEWER LATERAL PER STD 406-L. 4230-210-9 N TR 3813 LOT 55 MARTIN WILLIAM LAWSON Contractor : COAST WATER & POWER 112 45TH ST NEWPORT BEACH, CA 92663 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 Phone : 949-548-0106 949-289-0078 ri Address : P O BOX 3341 NEWPORT BEACH CA 92659 Contractor State Lic: 738400 License Expire : 07 31, 2019 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 : $649.50 Inspection Fee : $495.00 Water Meter Connection : $528.00 Refundable Deposit: $0.00 Total Water Meter Box: $50.00 Street Tree Fee : $0.00 Adjustment : $0.00 Processed By: Date : / / Utilities Approval : Date: Traffic Approval : Date : General Services Approval : Date: 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 $1,814.50 Paid : $1,814.50 Balance : $0.00 Receipt No Other Department : Date Permit Denied "-' Date Issued Permit i Date INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY :r:r TIME RECEIVED REMOTE CSID DURATION PAGES STATUS dune 8, 2017 12:35:11 PM PDT 161 6 Received % r, nM ate. {��. °✓ri v. ��� '.�� M § why �'� �'j�_� d. �. �.�"jt xt�,. `yam , �� rr Y�r. ,.. � �d , s�,` �'C- t �X y.�:.. - � a7 n � � ``Yr'�`�vf �` t� �'+�� `� _ + �i. Y.r ♦i: .i .... .. . .. THE VLOW .. . ... . INPORMATLONEll ROJECT ADDRESS: lSETAILED DESCRIPTION OF PROPOSED WORK: 0. 'f 2 as . PLICANT: 'T' Phone: qqq. 5ya.-010(.0 Email Address: a �,r . te1Zi Mailing Address: CitylS P.2- te'S09 ess: 3 N ER.: Phone: mail Address: Irailing Address: { l q�1... Clty/StatelZ'ip: ,. 0NTRACTOR: Y' L7 a Office Phone: Q Company (if dtfferent): Jobsite Phone: Other Phone: Email Address: G.0 al. Mailing Address: CltylStatelZip: � Late License Number &Class: City Business Uoeiisb Number: Ex 'res: 1.5 I • C11 STq(2b1Expires; ORKERS COMPENSATION INSURANCE � Certificate of Insurance (Section 3800 Labor Code) +� PoIlRy No: ROS 7 / • Expires: om n C) uniia ai. tivnisz 9-0if5p'_ . _ . . _ .'.'. .'. '.'- .... . _._........... itian Fvries - .949 4 30 3.... . . . _ _ .... . .. .. ... . " • • • • . • • " .. . ' 9'•' ���5"u7{��..�.. T'•''- 7 �$:. . < .Y¢i"r. N-.a ) 1u�� � va'+.>.-'r�trx .�..��• - ,�, �fn� �f,'ac7 w`wM!:w2u1r�.•, JZ,� '1tZIrT' •���� 'C�.. rr - - f.;'r,�;'�`� 7 ;?.. ,� r. Gc - 0.,, Special Conditions of Ct u e - Utilities: Traffic: Fire: Municipal Operations Other. EEI Engineering Technician: Permit ist Date_ : Permit No. Cj N20 r.wZ2rs/PrmYn.1re VCMoadVfM4*XNQP-Ak=Q2L 5 ` r t • _ R do r (j JJ - Y Jv� Public Works Department 949-644-3311 I )-tJI L� 100 Civic Cen1w Drive, Newport Beach, CA 926W parmK pros 6sing Fee: Pubk 1l*wks OrAy t DeMftnerk AWeenmit Fee: Prwargfim Of ReporVAqreemem D=Mmt Rewpdafim Fee mor mm* g vveft S&OWAlkylWalk -- TicCOAMMIP nC ck 8-1l2" x I I- 247 x 36• Addtkmal ------------- -$-4 t30- Fee: PtMc Wafim Fi# des Fie4d !rispeGtion General Servtce5 In6peckm Weler Qt y/ArWi6W Turf Ujspecwn Refundable tmpmNerpentt Sewer Coate Fee 4TT Box & Co,ver _ -:'2_— - - 13 — - - • - - -� Cerffk�a&a of COmpis-U-j(>-I Fee {*.io % of tarty ow 3 t -��- ) � t Secv ss Fee (Phan djedc hourly) $2 .�0 � ck�g Fee V'S&OO F� lllbap Ct*ck ng Fes - Mocjomi� �.45$ 00 $Z488.00 LOt Llrle AdWa erd $1 Palkt Fee + e T079_0 TOD I=Oe i+I of MY trier 4 tns) eet Ttae Fes ($700 Fkrttira� Fee) $1,422_aa 40-6-470 � � TOD 030- TREP- POWER POLE =SEWER CLEANOTi-F WATER METF i it f �I "-jRB CUTTER CENT—EFpay LINE CITY OF NEWPORT BEACH 'ADDRESS ENCROACHMENT PERMIT Z- ApPtICANTI< 11--la - --------- OWNER ot- DESCRIPT ION OF WORK k.7 pemlit 0. 0 Newport Beach Police Dispatch CityNewporE Reach of Phone: 949-644-3717 APpLICATI :F0l f?.4 t f tE ' ` TREET'4UDEI.W�tLI .CLdSt City ofMport Beach MuniclpRl Code 12,62.010 permit for Tempc Public Works Department Pho►te:949-644-3311 Fax:949-644-3318 RE Old DNMPS MR pZAOENIi.�NT ary Stireer Closure Warne: MIKE KiLBRIDE APP�fCAN I INFOKMA"QN Company Name: COAST WATER & POWER c Of Na'f, Address: P-0- BOX 3341 s��? 6Bac� Su�ine83 r13c NC. City/Zip: NEWP►ORT BEACH, CA 92659-8341 Phone: Day 949-289-0078 Night BT96014951 Exact Location of Encroachment: c:Use st2rt address ar kjnumber of feet fro arest;ntersectionl eason for Encroachment; UTILITY IMPROVEMENTS - Generally one day be NOTE: No work on holidays) or weekends.' Y een dates below. Date Closure to Begin: Date Closure to End: (P1laxir^um 14 DsyS) Time of closure: 7:00 AM to 5:00 PM DIAGRAM LOCATION Op ENCROACHMENT BELOW: - ID 0 1 rs' -fit A cop of this permit must be visible on the dash of each vehicle authorized to park in reserved parkinspots. The a plicarrt is responsible for rtotifyin Police Dispatc h of any road closure, detour, or reservedParking. See reverse side of thisPermit for re ulatioas cove rirl use of this permit. ADDITIONAL CONDITIONS OF APPROVAL FOR THIS PERRMT ARE AS FOLLOWS: f Flagman 0159rafinn per 2006 W.A.T,G.H. Manual, Pages 4748. 2) Provide access to emergency vehicles if needed, 3) Notify adjacent residents 48-h rs prior 4) place delineators around construction area. 5 Plate and backfill excavations durings non -co ci ntruction. tton. -' ' " �••v`��/cJ r r1t KJUH I TO REVOKE OR MODIFY CONDITIONS AT ANY TIME_ I, V ermitee) herby certify the irrformation Provided is true and correct, and I agree to cram conditions on the front and back of this perTrtft. i'arrnitea guarantees to indemfj, and hold he G City of Nowpart Beach Ply with the terEr�aooU�mern P ,r�l Nq ha s gains+ any maims Iiabili or ctgme s fcy amages arising out of perriitee's activities. 1-7 x L - — Date' (/.P - ? - 1 ,01 Approved ny: :..�C4iCW11�r1IL "n / JCRIR�.OMlt""O aj Sir l ry 14:!R7CI Fk.i4rlerK.,E5W.J3Li98Glj'i [M+o Sttagl ;'byrw Apd'a;e�'Or.-fil✓:n]P-'S�.^htn cr,i�noor� `r CITY OF NEWPORT BEACH APPLICATION FOR WATER METER OR. HYDRANT METER REQUESTED BY Mike Kilbride -WORK/TAP ORDER# (person or entity who .es requesting meter and/or would get hydrant deposit refund) NUILING ADDRESS PO Box 3341 RECEIPT# CITY/STATE/ZIP Newport Seaeh,.CA_92659 PHONE # 949,548.0106 SERVICE ADDRESS SERVICE REQUESTED: Check all that 10 ' () Hydrant Meter Meter Upgrade i Deposit required New `erviee addrem Existing service address j (P order) (tapping Order) (work order) 1 � ( )New construct#on. (: } Addi-og m er to existiog aecountladdress (work order) ( ;! Irrigation oni v ( ) New cowit etion at existing service address I ()Condo conversion!# of units ! final Service Address (! Commercial Location ( ) Residen ' l Location () Fire Connection Fee S (�) Meter Size *Fee S *41'T Dux Fee S► Meter box & Lid (circle) A11ey/Tra iic .A.rea or Parkways/Sidewalk Fee $ i Total Fees* S Paid by (circle) Check; Credit Card Other with Encro chmeot pe Please Complete Ow.rter In_fe (Hydrant Meter exe Customer ?Fame (property owner) Billing Address City/4 r Residence Phone # / L '4 5 1' Bus:in s .Pbnne # I E-MallAddress I Social Security # or CA Drivers License :i_1 ! ',bR OFFICE USE ONI..ir CLERK DATE + SUS LTC # MFD# DATE UTIOLITIES COMPLETED i DATE H.DRANI' METER CLOSED I — NEW A.CCOVINT NUMBER ! N(aTFS f.,'usenirevl h ed/watcr/water meter sere app 8,12/0� I LEGEND --REE POWER POLE = SE VER LLEANOLrr L = WATER, M€ JT F BOX l I ' I i 1 — — — — L 2 C:FNTERLlNE ,0F , i T � - l I f PROPER E Y LINE -f CM OF NEWPORT BEACH "NCROACHMET PERMIT PERMIT No. N a 617, - C�i- ls,DDR ESS APPLICANT tV&f Llbe, (`t\ OWNER DESGRIP-MA OF VJOR 0 31Z 45" Sr. K I L.-S R 106 zt Inspector: Date: Time: AM PM /v Comments: sn�T�F p Logged Refile F: \Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc 8/2912017 City of Newport Beach Page 4 of 22 •fi:34:35AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 08/29/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 112 45TH ST Activity: N2017-0312 SubType : NEW Status : APPROVED OWNER: MARTIN WILLIAM LAWSON Phone: APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@live.com Description : INSTALL 2ND 1" WATER SERVICE PER STD 502-L, INSTALL 2ND SEWER LATERAL PER STD 406-L. in IF a C dog" Item: 10215 ROUGH UTIL Requested Time: 8/29/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: AM - Assigned to: »»>zzzzz* Inspector: Date: 'lid %Time: AM PM F: \Use rs\PBW\S ha red\EN CROACHWASTERS\FORMS\InspectorSheet.doc ✓ • 9112/2017 City of Newport Beach Page 5 of 11 4:30:32PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 09/13/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 112 45TH ST Activity : N2017-0312 SubType : NEW Status : APPROVED OWNER: MARTIN WILLIAM LAWSON Phone: APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbdde@live.com Description : INSTALL 2ND 1" WATER SERVICE PER STD 502-L, INSTALL 2ND SEWER LATERAL PER STD 406-L. Item: 10215 ROUGH UTIL Requested Time: 9/13/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: AM - Assigned to: 77777777777* Inspector: �� Date: g /� t Time: < < AM CDM Comments: S G Z 6)6�lz //1/gxf Z� f �� zv—x- I Ono 0=1 oem 0=% X4 I?Ch-f F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc REPT131 Run Id: 4018 i a 1' 1 i 1 I .r+ I ` 9/14/2017 City of Newport Beach Page 6 of 11 4:30:13PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 09/15/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 112 45TH ST Activity : N2017-0312 SubType : NEW Status : APPROVED OWNER: MARTIN WILLIAM LAWSON Phone: APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbdde@live.com Description : INSTALL 2ND 1" WATER SERVICE PER STD 502-L, INSTALL 2ND SEWER LATERAL PER STD 406-L. Item: 10250 FINAL - PW Requested Time: 9/15/2017 12:00:OOAM Requestor: WEBUSER 9495480106 Entered By: WEBUSER Comments: AM - Assigned to: 777 77777 Z* Inspector: Date: //j--// 7 Time: `� A PM Comments: 'e�- II�iDa �cr�n F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsaectorSheet.doc REPT131 Run Id: 4018