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City of Newport Beach
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov / Online
Services
III IIIIIIIIIIIIIIIIIII�IIII��IIIIIIIIIIII�IIIIIIIIIll Permit No: N2017-0576.
II I N 2 0 1 7 0 5 7 6
Project No: 1332-2016
Inspection Requests Phone (949)644-3255
Job Address:
2627 ALTA VISTA DR NB
Thomas:Guide: 889E4
Description :
INSTALL SEWER CLEAN OUT PER STD 406-L, PURCHASE
1" WATER METER; HAS EXISTING 1" SERVICE AND BOX.
Parcel # :
4400-510-1 -
)
Legal Desc :
N TR 4892 LOT 85
Owner:
JANSSEN ROBERT C
Contractor : COAST WATER & POWER
Phone:
Phone: 949-548-0106 949-289-0078
Address :
232 24TH PL �A
Address : P O BOX 3341
MANHATTAN BEACH CA 90266 `,t
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
Applicant:
COAST WATER & POWER
License Expire : 07 31, 2019
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, 2018
Permit Processing Fee :
$241.00
Sewer Connection :
$0.00
Total Fee
$1,284.50
Agreement Fee:
$0.00
4TT Box Cover:
$64.00
Paid :
$1,284.50
Traffic control Plan Check :
$0.00
Total Water Meters :
$649.50
Balance :
$0.00
Inspection Fee :
$330.00
Water Meter Connection :
$528.00
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 : _/_/
T INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY
T.•IME RECEIVED REMOTE CSID DURATION PAGES STATUS
November S. 2C17 at 1:52:35 PM PST 106 4 Received
I
PLEASE COMPLETE THE FOLLOWING INFORMATION
PROJECT ADDRESS:
2627 ALTA VISTA
IANF'LIUANT: MIKE KILBRIDE (Phone: 949-289-0079 II
BOX 3341
ing Address:
CA 92659
LLREFUNDABLE DEPOSIT INFORMATION If Applicable
Made Payable To: MIKE KILBRIDE Vendor No: 9833
Mailin Address: PO BOX 3341, NEWPORT 8FAC1I. CA 92659
133'1.91&1U
Permit Processing Fee:
Public Works Only
$241.00
Other Department
$275.00
Agreement Fee:
Preparation of Report/Agreement
$817.00
Document Recordation Fee
$192.00
Monitoring Wells
$502.00
Inspection Fee:
Public Works Field Inspection
Utilities Field Inspection
General Services Inspection
Water Quality/Artificial Turf Inspection
Refundable Deposit:
Improvements
StreetlAtleylWalk Closure: $65.00Newspaper Rack Inspection
Traffic Control Plan Check
$165.00
$121.00
$165.00
$108.00
TBD
TBD
$108.00 u
8-1/2" x 11" $65.00 Sewer Connection Fee $250.00
24" x 36" $143.00 4TT Box S Cover $54.00 1
Additional
I THE TOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Division r I
I REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval-I
Water Meter:
Qty
Installation Charge
$528.0 CP�1
13/4" Meter
$50.25
1
11" Meter
11 1/2"
$121.50
1 Water Meter Boxes:
1
Meter
�1 1/2" Turbine Meter
$285.00
1" DFW Meter Box
$96.5
$700.00
2" VFW Meter Box
$203.L
12" Meter
$425.00
1
12" Turbine Meter
$845.00
1
13" Meter
$3,310.00
1
14" Meter
$4,730.00
1
16" Meter
$7,190.00
i
Certificate of Compliance Fee (*10W4, of hrly over 3 hrs)
$285.00
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 EasemenWacation Fee (+100% of hry 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
11 i.s'rum a.,) tact. maarers:
Rev. 11/b12017 ns-rsMevj t!ren-
LEGE_V-D
TREE
°! = POWER POLE
SEWER iZLE.N0L1T
WATER METER BOX
f� I
4 {
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Cleo n a
.fCURB G"j"IFTER
CENTE;RLLNE
CITY OF NEWPORT BEACH ADDgE-ss I�V -M 14 $$
ENCROACHMENT PERMIT APPLICANT 1 s ASK %be
()WNER _ ---
DESCRIPTION OF WORK � j --
CITY OF NEWPORT BEACH
APPLICATION FOR WATER METER OR HYDRANT METER
REQUESTED BY &d6 rl- ok e
{entity who is requesting meter and/or would go! hydrant deposit
MAILING ADDRESS RECEIPT#
CITYISTATEIZIP ^^ ff', PHONE #
SERVICE ADDRESS oc L 7 A Ifat V`�S -L &
SERVICE. R�QUEgT a: Check all .that appiyr `
) Hydrant Meter
Deposit required
(tapping order)
( ) New Meter
New service address
(tapping order)
( > New Meter at existing service address
(tapping order)
(-4 Meter Upgrade
Existing service address
(work order)
( ) Irrigation only
( ) Commercial Location () Residential Location () Fire Connection Fee $
(+Meter Size .t it
Fee $ 1 5`1- S O (0(4�T Box Fee $_ _ & 94 . +'
( ) Meter box & Lid - Alley/Traffic Area Fee $ or Parkways/Sidewalk Fee $
Total Fees $
Customer Name (property owne
Encroachment Permit Number: 0,6 / 7 c-'j 7,
Billing Address_ iyW clr. . City/Zip HA 9 -u&gf&
Residence Phone # Business Phone #
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
flusersirev/shared/vvater/water meter sery app 05/23/16
I
12/1212017 City of Newport Beach Page 3 of 5
•4:30:20PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 12/13/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 2627 ALTA VISTA DR yc
r
Activity : N2017-0576
SubType : NEW
Status : APPROVED
OWNER: JANSSEN ROBERT C Phone
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : INSTALL SEWER CLEAN OUT PER STD 406-L; ABANDON EXISTING 1" WATER
SERVICE AT MAIN. INSTALL NEW 1" WATER SERVICE PER STD 502-L (WILL RE -USE
} EXISTING11", METER). PURCHASE ADDITIONAL 1" METER FOR FUTURE USE.
1 y,'aa:.2 '''• iY ' '!: 'Ii I � '.-d - T mmm= Z4
Item: 10215 ROUGH UTIL
Requested Time: 12/13/2017 12:00:OOAM
Entered By: WEBUSER
Comments: AM -
Assigned to:
Inspector:
Comments:
uti
77777777777:,kf
Requestor: WEBUSER
9495480106
Date: ` 2 3 /� Time:
F:\Users\PB\N\Shared\ENCROACH\MASTERS\FORMS\Insnectorsheet.doc
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AM PM
REPT131 Run Id: 4018
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1/3/2018 City of Newport Beach Page 10 of 11
It 4:30:68PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 01/04/2018
Inspection Type : ENCROACH
Inspection Area: PW
Site Address: 2627 ALTA VISTA DR
Activity : N2017-0576
SubType : NEW
Status : APPROVED
OWNER : JANSSEN ROBERT C Phone
APPLICANT : COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbdde@live.com
Description: INSTALL SEWER CLEAN OUT PER STD 406-L; ABANDON EXISTING 1" WATER
SERVICE AT MAIN. INSTALL NEW 1" WATER SERVICE PER STD 502-L (WILL RE -USE
EXISTING 1" METER). PURCHASE ADDITIONAL 1" METER FOR FUTURE USE.
Item: ^ f, oz/1�7 /-�
Requested Time: 1/4/2018 12:00:OOAM Requestor:
Entered By: WEBUSER
Comments: AM -
Assigned to:
Inspector:
Comments:
77777777777* V
Date: 1 A lie,
t
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
WEBUSER
9495480106 �, ��
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,V- 9/y �
je-W 30A1
Time: AM PM
REPT131 Run Id: 4018
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2/20/2018 City of Newport Beach fi Ppage 6 of 11
6:34:12AM INSP150 - Daily Inspection Request Report
Requested Inspection Date : 02/20/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 2627 ALTA VISTA DR
MIND Information:
' Activity :
N2017-0576
SubType :
NEW
• Status :
APPROVED
OWNER:
JANSSEN ROBERT C Phone:
APPLICANT:
COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description :
INSTALL SEWER CLEAN OUT PER STD 406-L; ABANDON EXISTING 1" WATER
SERVICE AT MAIN. INSTALL NEW 1" WATER SERVICE PER STD 502-L (WILL RE -USE
EXISTING 1" METER). PURCHASE ADDITIONAL 1" METER FOR FUTURE USE.
Requested Inspections)
Item:
10250 FINAL - PW
Requested Time:
2/20/2018 12:00:OOAM Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
AM -
Assigned to: zzzzzzzzzzz`