HomeMy WebLinkAboutN2017-0349,�"`�`.•,+`r;"'� City of Newport Beach IIII�I�II�II��IIIIIIIIII�IIIII ��IIIIIII �III�II
100 Civic Center Drive, Newport Beach, CA 92660 N 2 0 1 7 0 3 4 9
Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov / Online
Services
Job Address: 130 E BALBOA BLVD NB
Description : INSTALL 1" WATER SERVICE AND ABANDON OLD 3/4" SERVICE PER STD 502-L.
Parcel # : 0480-721-4 -
Legal Desc : EAST NEWPORT BLK 1 LOT 22
Owner: COMMUNITY REVITALIZATION LLC
Phone:
Address : 16520 BAKE PKWY #105
IRVINE CA 92618
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 REQ'D
Permit Processing Fee :
$241.00
Sewer Connection :
$0.00
Agreement Fee :
$0.00
4TT Box Cover :
$0.00
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:
$51.00
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By:
Utilities Approval
Traffic Approval :
General Services Approval
Permit No: N2017-0345
Project No : 0290-2016
Inspection Requests Phone (949)644-3255
Thomas:Guide: 91962
SSCANNED
Contractor : COAST WATER & POWER
Phone : 949-548-0106 949-289-0078
Address : P O BOX 3341
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
License Expire : 07 31, 2017
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
Paid :
Balance
Receipt No
$1,501.50
$1,501.50
$0.00
Date : / / Other Department : Date:
Date : / / Permit Denied Date :
Date : / / Issued Permit : - Date : ,
Date : / /
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY YY
,TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
aune 27, 2017 2:50:59 PM PDT 146 5 Received
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PRQ.IEGT AD -DRESS:
DETAILED DESCRIPTION OF PROPOSED WORK,
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PUCANT: LT1)
Phone: qW9.
mail Address: a.. +� o
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ailing Address:
City/Statemp:
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Phone:
Email Address:
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Jobsits Phone:
Other Phone:
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Email Address: ' '
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Mailing Address:
City/Statemp:
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fate License Number a%iattut:
City Business Li Number:
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RKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Cod®)
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Po[ No: Ql �%110- tp
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Special Conditions of Permit: _
_L
Utllltles: Traffic:
t_. Fire:
Municipal Operations Other:
Engineering Technician: Pe cialist
Da
Permit No.
N20
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Public Works DegarbT*r t 949-644.3311
100 CMc Center' Oi'ive, Nawport Beach, CA 92660
1_
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CITY OF NEWPORT BEACH
AFFLICATION FOR WATER METER OR HYDRANT METER
REQUESTED BY Mike Kilbride WORK/TAP ORDER#
(prmn or entity who is m4uestiug meter w&or wovid rat bydmt deposit refund)
MAHANG ADDRESS PO Box 3341 RECEIPT#
CITY/STATEIZIP Newport Beach..CA. 92659 PHONE # 949,548,0106
SERVICE ADDRESS_ ��j �- •
1. SERVICE REQUESTED:. Check all that apply
() Hyd mat Meter
Deposit required
(tapP-mg order)
( ) New construction
(work order)
( ) Irrigation only
( ) N-1 ew Meter 0, ) Meter Upgrade
New service address Existing service address
(tapping order) (work. order)
( ) Adding meter to existing account/address
( ) New construction at exlstiog Se to address
( )Condo conversion/# of units,
Original Service Address
( ) ommerciat Location ( ) Residential Location (j Fire Connection Fee S
e(
00 'Meter Su* a *Fee S �• � � � � () *4 TT Boa Fee S
Ntvter boa & Lid (ci le) A..Uey/- raffk A a or Parkways1Sidewalk Fee $ 5 I.6 0
'I'otW Fees* $ Paid b circle Check Credit � Encroachment e i �t
y (circle) Camtlter.rth Encroachment permit
I `lease Complete Owner Info (Hydrant Mettr exempt)
Customer Name (property owner
Billing Address i O It & mike, ,, Cif/Zip
Residence Phooe #
E-Mail Address
Business Phone #
Social Security # or CA Drivers
FOR OFFICE USE ONLY
CLERK_ DATE BZJS LlC # MID#
DATE LiTILlTIES COMPLETED DATE HYDRANT METER CLOSED
NEW ACCOUNT NUMBER NOTES
fuseWrev/s:hared/wster�water meter sery app 9/2/06
LEGEND
O�TREE
-o- = POWER POLE
%' = SEWER CLEANOUT
= WATER, METER BOX
1 t
t I I
0
CENTERLINE OF
E �f"
PROPERTY LINE
i
I
f
Cam' OF NEWPORT BEACH
-ENCROACHMENT PERMIT
PERMIT No. NZ611-(-)5+7
t
ADDRESS
APPLICANT i..�
OWNER.'
a
DESK€MON I`f WOE •
Newport Beach Police Dispatch
Phone: 949-644-3717
APPLICATIQ1�t F •
City of Newport Beach
Public Works department
Phot1e:949-6Q4-3311 Fac:949-6qq-3318
CI of wewpo R�r [}EWl�L'K .GLOStI�E QN1PS1.
Municipal Cede 72,62.0-10 PerMit for Tem ore .
P ry SbVet Closure
Name: MIKE KILBRIDE APFLtCANT lNFORMATlgly
Company Narne: COAST WATER & POWER
C`•tY of Nou•ppr; BeHch $t�8ine59 LpgnBE Address_ P-0. BOX 3341
ltylzip: NEWPORT BEACH, CA 92659-8341 Phone: Day 949-289-0078 11 Ni BT96014951
�l,t
Exact Location of Encroachment:
Se street adcreag Grozim2tz nUmter pf
tmm nearest irrtersL'CtiOnj
treason for Encroachment: UTILITY IMPROVEMENTS - Generally one day between dates be
NOTE: No work on holidays or Weekends. (ow_
Date Closure to Begin -
(Maximum '`s pays,
btAGRAM LOCATION OF ENCROACHMENT BELOW:
Date Closure to End:
Time of closure: 7:00 AM to 5:00 PM
Q 0 -
A copy of this permit must be visible on the dash of each vehicle authonzed to park in reserved arfci
The applicant is res onsib/e for not Ving Police pis etch of any road c%sure, dotup spots.
See reverse side of this permit for regulations covering use of thisPermit,served AlRar.
ADDITIONAL CONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS FOLLOWS:
1 Flagman operation per 2006 W.A.T.C.H. Manual, Pages 47-48.
2) Provide access to emergency vehicles if needed. 3) Notify adjacent residents 4$- 4 Place delineators around construction area. 5) Plate and backfill excavations rll"5 prior to closure.
during non construction.
� UK MUDIFY CONDITIONS AT ANY T-WIFE
I'(nditio tee) hereby certify the inform UK
provided is true and correct, and ! agree to comply with the terms and
conditions an the front and back of this perrrtit. Perrnitae guarantees to indemnify and hold tie City of Newport teach Er � lr Pa�rnlc r,o.
ha s gains any claims. Ilabilt
or.udgme. s fqr arnage�s arising out of perrnitee's activities.
Date: a J
x l
Z� • r
Approved by: "
Date:
C.'`IOG,invy,� W.r' SQR:ny�',G�.,�lw�_-4
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•.7/11/2017 City of Newport Beach Page 4 of 5
• 4:30:35PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 07/12/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 130 BALBOA BLVD E
Activity : N2017-0349
SubType : NEW
Status : APPROVED
OWNER: COMMUNITY REVITALIZATION LLC Phone :
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description: INSTALL 1" WATER SERVICE AND ABANDON OLD 3/4" SERVICE PER STD 502-L.
�V
Item: 10215 ROUGH UTI L
Requested Time: 7/12/2017 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to: z7777777777*
N
Ins ector: Date: -7 Z 1 Time: - �rAM)PM
Comments: VT12--��I�-V fC,6 �`� i3� I� Oit/
V�P V -1y, pya-
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Logged
Refile
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REPT131 Run Id: 4018
7/13/2017 City of Newport Beach Page 8 of 14
4:31:01PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 07/14/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 130 BALBOA BLVD E
Activity : N2017-0349
SubType : NEW
Status : APPROVED
OWNER: COMMUNITY REVITALIZATION LLC Phone:
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbdde@live.com
Description : INSTALL 1" WATER SERVICE AND ABANDON OLD 3/4" SERVICE PER STD 502-L.
item: 10250 FINAL - PVP�
Requested Time: 7/14/2017 12:00:OOAM Requestor: WEBUSER
9495480106
Entered By: WEBUSER
Comments: AM-
Assigned to: 77777777777
��i (2 �v
Inspector: Date: Time: AM M
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REPT131 Run Id: 4018