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HomeMy WebLinkAboutN2017-0281raw116� City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Permit No: N2017-0281 100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 2 8 1 Permit Counter Phone (949)644-3311 Project No : 0954-2017 , F a Online Inspection Request - www.newportbeachca.gov / Online - Services Inspection Requests Phone (949)644-3255 Job Address : 435 FERNLEAF AVE NB Thomas:Guide: 919E2 Description : INSTALL 1" WATER SERVICE PER STD 502-L, INSTALL SEWER LATERAL AND CLEAN OUT PER STD 406-L, REPLACE EXISTING SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L. Parcel # : 4591-121-7 Legal Desc : CORONA DEL MAR BLK 432 LOT 15 `P+ Owner: FERNLEAF PROPERTIES II LP Contractor: COAST WATER & POWER Phone: Phone: 949-548-0106 949-289-0078 Address : 428 OLD NEWPORT BLVD Address : P 0 BOX 3341 NEWPORT BEACH, CA 92663 Applicant: COAST WATER & POWER Phone: 949-548-0106 949-289-0078[ Address : P 0 BOX 3341 NEWPORT BEACH CA 92659 Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED Permit Processing Fee : $241.00 Sewer Connection : $500.00 Agreement Fee : $0.00 4TT Box Cover: $128.00 Traffic control Plan Check : $65.00 Total Water Meters : $649.50 Inspection Fee : $660.00 Water Meter Connection : $528.00 Refundable Deposit: $0.00 Total Water Meter Box: $51.00 Street Tree Fee : $0.00 Adjustment : $0.00 Processed By: Date: Utilities Approval : Date: Traffic Approval : Date: General Services Approval : Date: NEWPORT BEACH CA 92659 Contractor State Lic: 738400 License Expire : 07 31, 2019 Business License : BT96014951 Business Expire : 12 31, 2017 Workers' Compensation Insurance - - Carrier : STATE COMP INS FUND Policy No: 9087110 W. C. Expire: 10 01, 2018 Total Fee $2,294.50 Paid : $2,294.50 Balance : $0.00 Receipt No: Other Department : Date Permit Denied Date Issued Permit: Date : L/_ INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY ;r;r TIME RECEIVED REMOTE CSID DURATION PAGES STATUS May 24, 2017 3:33:33 PM PDT 168 5 Received I 1. PLEASE COMPLETE THE FOLLOWING INFORMATION ?ROJECT ADDRESS: 435 FERNLEAF DESCRIPTION OF WORK: INSTALL 1" WATER SERVICE 5 0 2 - L INSTALL. SEWER LATERAL + CLEAN OUT 4 0 6 - L REPLACE SEWER LATERAL AND INSTALL CLEAN OUT 4 0 6 - L APPLICANT: MIKE KILBRIDE Phone: 949-289-0078 flailing Address: CitylStatelZip: PO BOX 3341 NEWPORT BEA,CF, CA, 92659 311"ER• Phone: Wailing Address: City/Statelzip: CONTRACTOR: 'MIKE. KILBRIDE Office Phone: 949-548-0106 Company (if different): COAST WATER AND POWER Jobsite Phone: 949-289-0078 jOther Phone: FAX: 949-548-1.616 Mailing Address: PO BOX 3341 City/State/Zip: INEWPORT 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) Company: STATE FUND Policy No: 9000110-14-z Expires:_ 10/1/201' REFUNDABLE DEPOSIT INFORMATION IfApplicable) Made Pa able To: N11K.E KI1_.61R1DP: Vendor No: 9833 Mailing Address: PO BOY 3341, NENN-PORT BEACH, CA 92659 .{?4'�j. .; r �:.�• - yyaag�•;°. sac• •:r•• pp��� '�" .r. x.l ' ..Lj Y:v.ZRl ..r �:.'/ C.• .w:lx..w�����. •v�•�.J.� �.1: _.f�L�+.7 N'S.4:L,ot.r]`. .ru:• r Special Conditions of :rL 'yi�;'='r' - — _ ----- - r - -•-L•.-rx•« l:"� 3""'^.;^+--^ a. � s,_:.•. X ....5. 1. .:r..:. _ "•iw'- .+ ."Y ;�•• ^ r. .,t .N +2'11R7 r r.: -i" v . x. ^- :-r; ��rit;: rrrtif:. �.s. wa.v' 't � , j `.�i_.7.a.-.�� k d:'••. a 14 T 'l ,. �' 4� _ �. i �c-+r .•r.'�Yar.: �. Ni +iit�t•7�.�. r, n. ;t.. :�.. •.L.Z r.. d'.'f._.. �• K ...r_1,!Sxt?':P�._Y - p'�p•� �-� �Ywr»r.+.q.^.rr....nai.w.•• •ti'..�-�^�}•'�w.•�1 � �,G iL•...1�} � i.� Lt !,General Services: 1 /{ :i..,.. r� }'�s, f ,•�t, 'nr•` '. "'1�,i ,y 7i �.^.�j{}7� .:'.j�r�.yZr,`.s.�y]! . ♦ � L• Tf'�..I1..S Miw r14.: 4, d. ��.. ., �.�%A �L� �'�F..� ��w l 7: � � � • '1 �j � ....� ..•• ��.{1 ��+/�•1i.Lyf�,1CT.Zd�^ Other:utilities: Traffic: ,Engineering Technician: • • • I LLUEND 0o -- TREE �1 POWER POLE ,SE1R CLEANQ CJT Q = WATER METER BOX i 110 CC 5U A ---------- Ste i CEIv'TER-LUE O ALLEY S �.., Tom ll w 4 V'+ i G V 11 _ a k ADDRESS LA35 ckNt'`AF 20 Pen -nit No. City of Newport Beach Newport Beach Police Dispatch Ph one' 949-644-3717 Public Works Department APPLICA7#3N FOR TEMPPhone: 999-844-3311. Fax: 949-644-3318 O�RARY STREET / SIDEWALK CLOSURE Old DU IIpSTER PLAENT CEhA City of Newport Beach MunfciPa! Code 12-62,010 f�er►nK for Tempprary Street Closures Name: MIKE KILBRIDE APPLICANT 1N-t-UKMATION Camp:3ny Name: COAST WATER & POWER Addy ess: P.O. BOX 3341 C ity;='iP NEWPORT BEACH CA 92659.-8341 Phone: Day 949-289-0078 Exact Location of Encroachment_ IV Cir; of N�,aper. Beach e4slnesS +_icense Nc BT96014951 Night rr Ou LfA rt;oe Stft 8dds3 r r 3Gprax+matg ember �+ re-f frm nearest Reason for Encroachment: UTILITY IMPROVEMENTS - Generally one tray between dates below. NOTE: No work on holiday(s) or weekends. Date Closure to Begin: (Maxi-Ium 14 1?ys) DIAGRAM LOCAYION OF ENCROACHMENT BELOW: -TD Date Closure to End_ Time of Closure: 7:00 AM to 5.0© PM L � L1� A 11 40-f AA �� co y of this ermit must �e visible r�l? the dash of c The ap iiCant is responsibie for notifying Police Dig See reverse side of this permit far -ro CL°-Ve' - 5'6 u w Bch vehicle authC%rized to park in reserved Earkin oatch of any road closure: detour, or reserved; pG e ulations coverin use of th AV rki ,'s permit. ADDITIONAL CONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS FOLLOWS- 1) Close only the portion of alle !street adjacent to where work will be done. 2) Provide access to emergency vehicles if needed_ 3) Notify adjacent residents 48-hrs prior to closur 4) Post road closed barricades on either side of work area. 5) plate and backfill excavations open Rile or street Burin non -construction_ 6 Place delineators around construction area. y �-" ' "4-�u-txYMa 1 r1t: K]Qf(T TO REVOKE OR MODIFY GQNDMONS AT ANY TIME �• iParmitee) hei�by certify the inn,rmation provided is tcorrect, ro^dltic-rs 0-, the front and pack •?� . 'i!e and �,ld agree to Campy wit?) tile? ir?.<YTgS 3tl�i Per--ni.ee guarantees :0 ir7der It :♦` nt! ho:d the �-ii+ o+ N n' 3 St any claims ii br!it nr il�c y a I e.vpc+r' 64jach EnCrcjachrnem ,� ment.s .cr jj;? r 3qF- :3ri-irl Cut C? per e' laic. 1 nll_e_ 3 a trvii+e5. 01 -7 afto - _ = rate: r.P pF i"Ved f w / ---- C+-ate r C�_���n;s 2-�� $'t4.wLrrHn4'lurr� . _ -- .-• ��� � /1 3crt:ng�i-a�n�a�rn Ivor-.R �•iesa;,nter; �E7NYi?N, r o !!// �/ �FLG tT tP,3 jt,'r.i, Z:IOS:iT 4C.;CAI1s• .K-7"7?.r.!'.i5h•r, 1/10/2018 City of Newport Beach Page 9 of 12 4:30:37PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 01/11/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 435 FERNLEAF AVE Activity : N2017-0281 SubType : NEW Status : APPROVED OWNER: FERNLEAF PROPERTIES II LP Phone: APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbdde@live.com Description : INSTALL 1" WATER SERVICE PER STD 502-L, INSTALL SEWER LATERAL AND CLEAN OUT PER STD 406-L, REPLACE EXISTING SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L. _ j 'IYG�C-!.=�' x_t aqs Y ;'�- '„ } u t R• C f .. . , , . ^ r s - Item: 10215 ROUGH UTIL Requested Time: 1/11/2018 12:00:OOAM Requestor: WEBUSER 9495480106 Entered By: WEBUSER Comments: AM - Assigned to: z»»»zzzz* ell C-7 6A771�IA--lP L-IllllllII��4 � Logc, RefRE:ll v 1/1612018 City of Newport Beach Page 7 of 12 6:34:32AM INSP150 - Daily Inspection Request Report Requested Inspection Date : 01/16/2018 Inspection Type: ENCROACH Inspection Area : PW Site Address : 435 FERNLEAF AVE A/P/D Information: Activity : N2017-0281 SubType : NEW Status : APPROVED OWNER: FERNLEAF PROPERTIES II LP Phone: APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@Iive.com Description : INSTALL 1" WATER SERVICE PER STD 502-L, INSTALL SEWER LATERAL AND CLEAN OUT PER STD 406-L, REPLACE EXISTING SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L. Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 1/16/2018 12:00:00AM Requestor: WEBUSER Entered By: WEBUSER Comments: AM - Ins p r>Ved to : zzzzzzzzzzz* Date: Comments: 77l/i� % C 9495480106 Time: AM PM !v ! P4- k.) F. \Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc