HomeMy WebLinkAboutN2017-0237.,� ,>rl�` City of Newport Beach III 111 III IIIII IIIII IIII 11111� ill 11111 111�1 111�
100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 2 3 7
Permit Counter Phone (949)644-3311
A- Online Inspection Request - www.newportbeachca.gov / Online
Services
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Permit No: N201
Project No : 2887-2016 �N;:
Inspection Requests Phone (949)644-3255
Job Address:
612 RAMONA DR NB
Thomas:Guide: 919D1
Description :
INSTALL NEW SEWER CLEAN OUT PER STD 406-L,
INSTALL 1" WATER SERVICE PER STD 502-L, ABANDON EXISTING 3/4" SERVICE AT MAIN.
Parcel # :
0502-910-6 -
Legal Desc :
N TR 1701 LOT 68
Owner:
SEDONA HOMES INC
Contractor : COAST WATER & POWER
Phone:
760-275-9091
Phone: 949-548-0106 949-289-0078
Address :
612 RAMONA DR
Address : P O BOX 3341
CORONA DEL MAR, CA 92625
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
Applicant:
COAST WATER & POWER
License Expire : 07 31, 2017
Phone: 949-548-0106 949-289-0078[
Address : P O BOX 3341
NEWPORT BEACH CA 92659
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
Permit Processing Fee :
$241.00
Sewer Connection :
$0.00
Agreement Fee :
$0.00
4TT Box Cover:
$64.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$649.50
Inspection Fee :
$660.00
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 :
Utilities Approval
Traffic Approval :
General Services Approval
Date
Date
Date
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 $1,664.50
Paid : $1,664.50
Balance : $0.00
Receipt No
Other Department : Date
Permit Denied Date
Issued Permit : Date
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY 'r'r
'TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
May 9, 2017 1:53:32 PM PDT 138 4 Received
ECT ADDRESS:
PLEASE COMPLETE THE FOLLOWING INFORMATION
612 RAMONA
DESCRIPTION OF WORK:
INSTALL SEWER CLEAN OUT 4 O 6 - L
INSTALL 1" WATER SERVICE 5 O 2 - L
ABANDON EXISTING 3/4" WATER SERVICE AT WATERMAIN
APPLICANT: MIKE KILSRIDE jPhone. 949-289-0078
Mailing Address: City/statelZip:
PO BOX 3341 NEWPORT BEACH, CA 92659
OVVNER:
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
State License Number & Class:
738400 A. B, C-10
City/StatelZip:
NEWPORT BEACH, CA 92059
City Business License Number:
BT9601491 EXP: 12-31-2015
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
,Company: STATE FUND Policy No: 9087110-14-2 Expires: 10/1/2015
REFUNDABLE DEPOSIT INFORMATION (If Applicable
Made Payable To: MIKE KILBRIDF Vendor No: 9833
Mailing Address: PO BOX 3341, NEWPORT BEACH. CA 92659
Special Conditions of Permit:
wo
Utilities: Traffic:
General Services: Other:
Engineering Technician: Public Works Specialist: Date., J
Permit No.
N201 71
CITY OF NEWPORT REACH
4
APPLICATION FOR WATER METER OR HYDRANT METER
REQUESTED BY L%
(entity who is requesting meter and/or would get hydrant deposit refund)
MAILING ADDRESS fo 0V-�3� q I RECEIPT#
CITY/STATE/ZIP Iv CA C (P 'Dot PHONE
SERVICE ADDRESS r Ra WrA 0t ,
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( ) Hydrant Meter
Deposit required
(tapping order)
( ) New Meter
New service address
(tapping order)
VOONew Meter at existing service address
(tapping order)
(Meter Upgrade
Existing service address
(work order)
( ) Irrigation only
( ) Commercial Location (WOOPO'O'co'sidential Location () Fire Connection Fee $
( ) Meter Size t Fee $ ��� so (4TT Box Fee $ bq •
( } Meter box & Lid - Alley/Traffic Area Fee or Parkways/Sidewalk Fee $
Total Fees $ 0 Encroachment Permit Number:-K Zv 1-7 — L�
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Customer Name (property owner) .S �, L �
Billing Address
AVA111 cityizip jqd20,.ejz0 W, -6L* f=
Residence Phone # Business Phone
E-Mail Address
Social Security # or CA Drivers License
CLERK
DATE UTILITIES COMPLETED
NEW ACCOUNT NUMBER
FOR OFFICE USE ONLY
DATE BUS LIC # MIDI#
DATE HYDRANT METER CLOSED
WORK/TAPPING ORDER NUMBER
f/users/rev/shared/water/water meter sery app 05/23116
NOTES
8/30/2017 City of Newport Beach Page 16 of 17
4:30:41PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 08/31/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 612 RAMONA DR
Activity : N2017-0237
SubType : NEW
Status : APPROVED
OWNER: SEDONA HOMES INC Phone:
760-275-9091
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : INSTALL NEW SEWER CLEAN OUT PER STD 406-L, INSTALL 1" WATER SERVICE
PER STD 502-L, ABANDON EXISTING 3/4" SERVICE AT MAIN.
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Item: 10215 ROUGH UTIL
Requested Time: 8/31/2017 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to: 7 777777777*
Inspector: Date: Time: AM PM
Comments: 1 A-j '�; p6FL T �AJ r?- o P .
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F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
REPT131 Run Id: 4018
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3/19/20VPo City of Newport Beach Page 7 of 7
6: R� INSP150 - Daily Inspection Request Report
n Requested Inspection Date : 03/19/2018 Newport Beach, California 92660
v Z Inspection Type : ENCROACH newportbeachca.gov
Inspection Area PW
FORN'P Site Address : 612 RAMONA DR
A/P/D Information:
Activity : N2017-0237
SubType : NEW
Status : APPROVED
OWNER: SEDONA HOMES INC Phone:
760-275-9091
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : INSTALL NEW SEWER CLEAN OUT PER STD 406-L, INSTALL 1" WATER SERVICE
PER STD 502-L, ABANDON EXISTING 3/4" SERVICE AT MAIN.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 3/19/2018 12:00:00AM Requestor: WEBUSER
9495480106
Entered By: WEBUSER
Comments: AM -
Assigned to : zzzzzzzzzzz* �2
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