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
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Services
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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 : $0.00
Receipt No
Other Department : Date
Permit Denied "-' Date
Issued Permit i Date
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY :r:r
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
dune 8, 2017 12:35:11 PM PDT 161 6 Received
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lSETAILED DESCRIPTION OF PROPOSED WORK:
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Email Address: a �,r . te1Zi
Mailing Address: CitylS P.2- te'S09
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mail Address:
Irailing Address: { l q�1... Clty/StatelZ'ip:
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0NTRACTOR: Y' L7 a
Office Phone:
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Company (if dtfferent):
Jobsite Phone:
Other Phone:
Email Address:
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Mailing Address:
CltylStatelZip:
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Late License Number &Class:
City Business Uoeiisb Number:
Ex 'res: 1.5 I • C11
STq(2b1Expires;
ORKERS COMPENSATION INSURANCE � Certificate of Insurance (Section 3800 Labor Code)
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PoIlRy No: ROS 7 / • Expires:
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Special Conditions of
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Utilities: Traffic:
Fire:
Municipal Operations Other.
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Engineering Technician:
Permit ist
Date_ :
Permit No.
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Y Jv� Public Works Department 949-644-3311
I )-tJI L� 100 Civic Cen1w Drive, Newport Beach, CA 926W
parmK pros 6sing Fee:
Pubk 1l*wks OrAy
t DeMftnerk
AWeenmit Fee:
Prwargfim Of ReporVAqreemem
D=Mmt Rewpdafim Fee
mor mm* g vveft
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Addtkmal
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-$-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
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� 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
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TOD
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eet Ttae Fes ($700 Fkrttira� Fee)
$1,422_aa
40-6-470
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TREP-
POWER POLE
=SEWER CLEANOTi-F
WATER METF
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"-jRB CUTTER
CENT—EFpay LINE
CITY OF NEWPORT BEACH 'ADDRESS
ENCROACHMENT PERMIT Z-
ApPtICANTI< 11--la
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OWNER
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DESCRIPT
ION OF WORK
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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�
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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�
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LEGEND
--REE
POWER POLE
= SE VER LLEANOLrr
L = WATER, M€ JT F BOX
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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
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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-
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F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018
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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