HomeMy WebLinkAboutN2017-0279I
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CpOrt Beach rive, NewportBach, CA 92660 IIII�IIIIIIII�IIIIIIIIIIIIIIII IIIII�IIIIIIIIIIIIIIIIIII
Permit Counter Phone (949)644-3311
�.. �- Online Inspection Request - www.newportbeachca.gov / Online
Services
Permit No: N2017-0279
Project No: 2368-2016
Inspection Requests Phone (949)644-3255
Job Address:
606 ORCHID AVE NB
Thomas:Guide: 919F2
Description :
REPLACE EXISTING SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L.
Parcel # :
4590-760-8 -
Legal Desc :
CORONA DEL MAR LOT 8 BLK 642
Owner:
NICHOLSON THOMAS Q
Contractor : COAST WATER & POWER
Phone:
949-278-1327
Phone: 949-548-0106 949-289-0078
Address :
606 ORCHID AVE
Address : P O BOX 3341
NEWPORT BEACH 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
Business License: BT96014951
Business Expire: 12 31, 2017
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier : STATE COMP INS FUND
Policy No: 9087110
W. C. Expire: 10 01, 2017
Permit Processing Fee :
$241.00
Sewer Connection :
$250.00
Total Fee
$950.00
Agreement Fee:
$0.00
4TT Box Cover:
$64.00
Paid :
$950.00
Traffic control Plan Check:
$65.00
Total Water Meters :
$0.00
Balance :
$0.00
Inspection Fee :
$330.00
Water Meter Connection :
$0.00
Receipt No:
Refundable Deposit:
$0.00
Total Water Meter Box:
$0.00
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By :
Date: _/_/
Other Department :
-Date:
Utilities Approval :
Date : _/ /
Permit Denied
Date:
Traffic Approval :
Date: _/_/
Issued Permit:
Date:
General Services Approval : Date : _/_/
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY **
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
May 24, 2017 11:45:47 AM PDT 167 5 Received
f •. F'�
PLEASE COMPLETE THE FOLLOWING INFORMATION
PROJECT ADDRESS:
606 ORCHID
DESCRIPTION OF WORK:
REPLACE EXISTING SEWER LATERAL & INSTALL CLEAN -OUT PER 406-L
(NOTE: HAS EXISTING 1" WTR SERVICE)
APPLICANT: MIKE KILBRIDE
Phone: 949-289-0078
Mailing Address:
PO BOX 3341
City/StatelZip:
NEWPORT BEACH, CA 92659
OWNER: 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
City/State/Zip:
NEWPORT BEACH, CA 92659
State License Number & Class:
738400 A, 3, C-10
City Business License Number:
BT9601491 EXP. 12-31 2017
WORKERS COMPENSATION INSURANCE -Certificate of Insurance (Section 3800 Labor Code)
Compan : STATE FUND Policy No:9087110-14-2 Expires: 10/1/2017
REFUNDABLE DEPOSIT INFORMATION (lfAppliceb/e
Made Payable To: MIKE KILBRIDE Vendor No: 9833
Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659
Special Conditions of Permit: r
_ t �,•�•
Utilities: � Traffic:
General Services: Other:
Engineering Technician:
Public > Specialist:
v
Date,
J 1�`- � 11
Permit No.
1142017-
"23('Al --- ICI U"
Permit Processing Fee:
11,gW-
Public Works Only
$241.00
Other Department
$275.00
Agreement Fee:
Preparation of ReportfAgreement
$817.00
Document Recordation Fee
$192.00
Monitoring Wells
$502.00
Street/AlleyMalk Closure:
$65.00
Traffic Control Plan Check
8-1/2" x 11"
$65.00
24" x 36"
$143.00
Additional
• •...,. THE LI_ VT1t�E tT�llll # C
•REVENtlt=. DIViBIQN. PRIOR T.&PA:Semin
Inspection Fee:
Public Works Field Inspection
Utilities Field Inspection
General Services Inspection
Water Quality/Artificial Turf Inspection
Refundable Deposit:
Improvements
Newspaper Rack inspection
Sewer Connection Fee
4TT Box & Cover
$165.00
$121.00
$166.00
$108.00
TBDBTBD
$108.00
$250. '
$64.0 i
Dlvislnn. ..1
nAiaterlYlelet+ • Ir}st�Natro�ltharge $r28 0 Y -1
F31 ' Mel$r : $60:25 :1Nafei Meter 86xa$
+. ... ..► ay Si�e�araNi'dres �Bdx +Cover -Cost):
�1 1!2" Meer 1 ' Meter :13 00 $50 OQ' :I
�1 112" Turblge'Me ta $'Z00bt) - 2 p iter 27 60-}tit 26 $s8..25•�.I
' Tlarbine Meter $$45 40 FQr< rCafitic - :AJIeY- jr as (fox +.Coffer =:C•o$t� : 1
13" dlleter t`'v6ter` 13100 4:88 0b $5:? Ot} 1
:Meter $a 730 00 ' 2°:Meter :27 00; :162 00: $189.10
Certificate of Compliance Fee (+100% of hry over 3 hrs)
$288.00
5200-5029
Development Services Fee (Plan check hourly)
$155.00
5200-5015
Final Tract Map Checking Fee
$2,488.00
5200-5026
Final Parcel Map Checking Fee - Moderate
$2,488.00
5200-5027
Lot Line Adjustment Fee
$1,079.00
5200-5028
Park Dedication Fee Zone
TBD
405-470
Street Easement/Vacation Fee (+100% of hrly over 4 hrs)
$1,022 00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBD
030-2284
Engineering Tech: Total Amount Due: _ For Finance Use Only
4- P - 9
Permit Spe Receipt No.
.rusers•pD+Ysnarga/eMxas oechlr terzfpp "nS ena Dae.k TS615,5!
Rev. 10/21!2016 epreg a� �e-favf: d ior2t:2o+s
LEGEND
= TREE 1 o
POWER POLE
Q =SEWER CLEANOUT
0 = WATER TVMTER BOX
I I
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I � I
7 I I
111
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CENTERLM OF /-
ALLEY - - - --- --5-
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ADDRESS �Qw OQ.UA� A
Pernut No.N 20 1i' E' 21O
CITY OF NEWPORT BEACH
APPLICATION FOR WATER METER OR HYDRANT METER
REQUESTED BY K
(entity who is requesting meter and/or would gat hydrant deposit refund)
MAILING ADDRESS
RECEIPT#
CITYISTATE/ZIP (A {� PHONE
6 #
SERVICE ADDRESS O 1� t 0
) Hydrant Meter
Deposit required
(tapping order)
(rfNew Meter
New service address
(tapping order)
( ) New Meter at existing service address
(tapping order)
( ) Commercial Location
(*(Meter Size V.
( ) Meter Upgrade
Existing service address
(work order)
( ) Irrigation only
(Residential Location () Fire Connection Fee $
Fee $ I'll . ) O (� 4TT Box Fee $ 12S
(,Meter box & Lid - Alley/Traffic Area Fee $ 51 •! o
Total Fees $
Encroachment Permit Number: 1_, �. - i /- (
Customer Name (property owner) 696 ORLC%X%b I.LC.
Billing Address \ D NR 1 X V5 Cityizip C_• M a -ut
Residence Phone # Business Phone # -111A L"13 •-3 41
E-Mail Address
Social Security # or CA Drivers License
FOR OFFICE USE ONLY
CLERK. DATE BUS LIC # MID#
DATE UTILITIES COMPLETED DATE HYDRANT METER CLOSED
NEW ACCOUNT NUMBER NOTES
WORKITAPPING ORDER NUMBER
fluseislrev/shared/water/water meter sere app 05/23/16
Newport Beach Police Dispatch City of Newport Beach
Phone: 949-644.3717 Public Works Department
APPLICATION FOR Tr; 'ORAFty STREE'�! Si0E1NALtC CLOSURE OR Dk49-64 -3311 Fax- ENT 44-3318
City of Newport Beach Afunicipa! Cade 12.62 0f 0 Permit fpr Tem
APPLICANT-M. gRMgTION ��� Street Closure
vane: MIKE KILBRIDE
:�Ompany Name: COAST WATER S POWER
address: P.O. BOX 3341 CI"r or nt 'G�rt a-- Quslness li-- I.
-ltyrip: NEWPORT BEACH, CA 92669-8341 Phone: Day 949-289-0078 Night BT96014951
Exact Location of Encroachment: I 54eue4Zn VdN d � �,
(use Street oddn:ss or aCFroximate numt:er or feet from newest 7ntt7rW,*Vn
Reason for Encroachment: UTILITY IMPROVEMENTS - Generally one day between dates below.
NOTE. No work on holiday(s) or weekends.
Date Closure to Begin-
Date Closure to End:
(tvtdJnrTTrr:T 14 ,;��•gj
erne of Closure: 7:00 AM to 5:o0 PM
bIAGRAM f_OCATtON OF ENCROACHMENT BELOW.
to
A�t
a�
A4 E)
A copy of Phis permit MUSt be visible on the dash of each vehicle atithprize
The a pli '&> t is responsible for notifying Police Dispatch of an .road closure, drod to —park l u> o reserve
a ed 1 arki�Uts.
See reverse side of this ermit fnr regulations cover"rlq.
use afthis ermit.
- - - "J" tuna vF APPROVAL FOR THIS PERMIT ARE AS FOLLOWS:
1) Close only the Portion of alleyistreet adjacent to where work will be done.
2) Provide access to emergency vehicles if needed. 3) Notify adjacent residents 48-hrs Prior to closure.
4) Post road closed barricades on either side of work area. 5 Plate and backfill excavations 8. open alley
or street during non -construction. ti) Place delineators around construction area.
/PermiteP,i hem. certify the information pro"i is true and core a WK d a VUIFrY^CONDITIONS AT ANY IME
ror'Y'''Q0' e ` ` nd back of this emir r-1y with the terms and
ha:-nless ai: n p Perrni12C' 7U8rantees io-ndernr N and held 0a Cit+ or N woor! 8
Y lai.ns. liabil' I 9 nts r r da,„a i a eaa 2rc F 4eS 3ri.smg 0!:t of pgrmirge•s rca�.tv`lent . C.
X aOtivitiPs.
Approved by.
Date:1'�^I� ((�
C `.:1:.:'.l�:f rd 2YIIn�M'w^7':.J.�d: � � I 1 � ♦r. � �" � �'
aa:oe�'.T,onyy t�^a: 91aC5nfm::Escw. `IG=l;a;'re� 3�•ar ';as.�..iry.;,e„r .K:yrea..roJShfr-
s�
b
5/25/2017 City of Newport Beach Page 9 of IS
6:34:53AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 05/25/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 606 ORCHID AVE
AIPID hiffi madol C
Activity : N2017-0279
SubType : NEW
Status : APPROVED -
OWNER: NICHOLSON THOMAS Q Phone : 949-278-1327
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbdde@live.com
Description : REPLACE EXISTING SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L.
Requaesisd (s)
Item: 10215 ROUGH UTIL
Requested Time: 5/25/2017 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777*
Inspector: Date: 7 Time: °�' ANkQ�
Comments: ���-✓ c� GU /,�y SLR_ <<�t/I,�r'
IZ
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F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018
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2/14/2018 City of Newport Beach Page 6 of 13
4:30:44PM INSP150 - Daily Inspection Request Report
Requested Inspection Date:
02/15/2018
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
606 ORCHID AVE
�.�� +� �,�a-.�v
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.., ..'� �d.-•:. ..a # c. s.. i. i'Sf,� i --.G ..Y c.:i
Activity :
N2017-0279
SubType :
NEW
Status :
APPROVED
OWNER:
NICHOLSON THOMAS Q
Phone : 949-278-1327
APPLICANT:
COAST WATER S POWER
Phone : 949-548-0106
949-289-0078
mikekiibride@live.com
Description :
REPLACE EXISTING SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L.
Requesed.sj t ;� ��.
Item:
10250 FINAL - PW
Requested Time:
2/15/2018 12:00:OOAM
Requestor: WEBUSER
9495480106
Entered By: WEBUSER
Comments: AM -
Assigned to: 777777777 z*
Inspector: Date: Il '7 Time: AM PM
Comments:
vil
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\I nsoectorSheet.doc
REPT131 Run Id: 4018