HomeMy WebLinkAboutN2017-0032W,.
C�ityVof Newport Beachrive
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Permit No: N2011-0032
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Newport ach. CA 92660
Permit Counter Phone (949)644-3311
Project No : 2251-2016
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Online Inspection Request - www.newportbeachca.gov
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Services
Inspection Requests Phone (949)644-3255
Job Address:
15 HERMITAGE LN NB
Thomas:Guide: 889F6
Description :
INSTALL SEWER CLEAN OUT PER STD 406-L.
Parcel # :
4421-211-0 -
Legal Desc :
N TR 7223 LOT 85
Owner:
BATCHELLER STEPHEN
Contractor : COAST WATER & POWER
Phone:
949-351-5186
Phone: 949-548-0106
Address :
15 HERMITAGE LN
Address : P O BOX 3341
NEWPORT BEACH CA 92660
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
Applicant:
COAST WATER & POWER
License Expire: 07 31, 2017
Phone:
949-548-0106 [
Address :
P O BOX 3341
NEWPORT BEACH CA 92659
Business License: BT96014951
Business Expire : 12 31, 2017
Special Cond.:
PRE -JOB INSPECTION 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 :
$0.00
Total Fee
$635.00
Agreement Fee:
$0.00
4TT Box Cover:
$64.00
Paid :
$635.00
Traffic control Plan
Check : $0.00
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 : y Date: L_// / 17
General Services
Approval :
Date
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
�-anuaz•y 13, 2017 9:18:36 AM PST 116 3 Received
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PLEASE COMPLETE THE FOLLOWING INFORMATION
=PROJECTbDRESS:
15 HERMITAGE
DESCRIPTION OF WORK:
INSTALL CLEAN OUT 4 O 6 - L
APPLICANT : MIKE KiLBRIDE
Phone: 949-289-00?8
Mailing Address:
PO BOX 3341
City/State/Zip:
NEWPORT BEACH, CA 92659
OWNER:
lPhone.
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, 8, C-10
City Business License Number:
OT9601491 EXP: 12-31 2017
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Com an : STATE FUND Policy No: 9087110-14-2 Expires: 10/1/201
REFUNDABLE DEPOSIT INFORMATION !f A licable )
Made Payable To: MIKE KILBRIDE Vendor No: 9833
Mailiig Address: PO BOX 3341, NEWPORT BEACH, CA 92659
Special Conditions of Permit:
71
j7
fR
Utilities: Traffic: L..�
General Services: Other:
Engineeing �echniciain:
ii' G r"
Public Specialist:
C f
Date:
Permit No.
N2017- n0 3
LEGEND
4 TREE
+ = POWER POLE
= SEVER CLEANOUT
= V1 ATER METER BOX
CENTERLINE OF
1'(*")' kAamllvne I
15
�J9 Cpt()Lj()(% 64 COURS6
CITY OF NEWPORT BEACH
ENCROACHMENT PER -MIT
PERMIT No. N a 6 11- CC 3�-
ADDRESS 15 K Eam ,-Chip
APPLICANT l t,�Ri rn
OWNER
ESCRIPTION OF WOR
a G ear -Out
I 1 PERMIT N201
` rml-Tal a NUMBER:
Aft kt Aj"Ar.LT D
, c )cJ J' 3 "�
Permit Processing Fee: Inspection Fee:
Public Works Only i $241.0 Public Works Field Inspection $165.0
L.
Other Department $275.0 Utilities Field Inspection $121.00
General Services Inspection $165.00
Agreement Fee: Water Quality/Artificial Turf Inspection $108.00
Preparation of Report/Agreement $817.00
Document Recordation Fee $192.0. Refundable Deposit: TBD
Monitoring Wells $502.00P Improvements T8D
Street/Alley/Walk Closure: $65.00Newspaper Rack Inspection $108,00
Traffic Control Plan Check
8-1/2" x 11" $65.00 Sewer Connection Fee $250.0
24" x 36" $143.00 4TT Box & Cover $64.�
Additional \
• lF�IE LL YTftFI(1i� EMSa Qlt1. A � VAt F.RO�VTf;F E .�.' 1 t/enueQl ision •~�•� F:: :I
REVENt1E:Of1/f9tOiN: PRRMT-6 PAYMEhYIf'60 FEEL . : :.�Appruvat: f
iyhate►1�leier ' lnsallation;Cftajge 0. :1
F3hSt':Me2er .... - $5Q.2 . VYafer•Meter, 8r�xirs_: • .... .1
[1': er. $12:4 5 • :i...... .vey :uide�vaikAre& jBnX'+ Covei = Co
�1 !IUEet/2":Meter. :$285.t70 1"-Meter::13.D0
�1.1/�:.'Turbf��ilfieter - $SU.fi :1
$7b6 �0 • 2 ....e. 2..0. *• 6125 •. gg$. 5 1
F2:' TjJrbin@.MeteC. :$84 .Cjo FQ,< Fra p 'A'1Iey:Areas-(Od 'Cowr" 'COW
t3" Meter. $ , 't b 00 1 r't6Aeti3l: 11:100: + 38 Oq : $51:Ob :
I4" :Meter . $a,:730 00 2" Meter ..2-00 :462 00 $189.4)0; .1
$7"t90.00 .
Certificate of Compliance Fee (+100% of My over 3 NO$288.00
Development Services Fee (Plan check hourly) $155.00
Final Tract Map Checking Fee $2.488.00
Final Parcel Map Checking Fee - Moderate $2.488.00
Lot Line Adjustment Fee $1,079.00
Park Dedication Fee Zone TBD
Street Easement/Vacation Fee (+100%ofhriyover 4 hrs) $1,022.00
Street Tree Fee ($700 Planting Fee) TBD
vv...Jv ��M.�iv.
5200-5029
5200-5015
5200-5026
5200-5027
5200-5028
405470_
5200-5031
030-2284
Engineering Tech: Total Amount Due:_ For Finance Use Only
"3
Permit Snaeu list Receipt No.
j� rig.earslpbw!sharadJan;.rceK^.fitaeteryep bore anc Uadt mester•v
1� Rev. 1=1QU161 epfeesheetAs-revised 10r,110+e
7/6'2017 City of Newport Beach Page 7 of 9
• 6:34:47AM INSP15O - Daily Inspection Request Report
Requested Inspection Date: 07/05/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 15 HERMITAGE LN
ARW IetOrllt Ho c
Activity : N2017-0032
SubType : NEW
Status : APPROVED
OWNER: BATCHELLER STEPHEN Phone : 949-351-5186
APPLICANT: COAST WATER & POWER . Phone : 949-548-0106
mikekilbride@live.com
Description: INSTALL SEWER CLEAN OUT PER STD 406-L.
f�equbslad inspecbiolrNs�
Item: 10215 ROUGH UTIL
Requested Time: 7/5/2017 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777*
Inspector: , _, Date: 17 Time: M
Comments: S,1"i �(�t7 5 C z) L 4- �,1c 1�1i1�0�12
410) D S /,y S Tiyti .
-Ah')7 5 Co LOB► `ED //u 13•a�-
Loaaed
Refile
F: \Users\PBW\Shared\ENCROACH\MASTERS\FORMS\I nsoectorSheet.doc
e/3/2018 . City of Newport Beach Page 6 of 11
' 4:30:27PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 04/03/2018
Inspection Type : ENCROACH
Inspection Area : PW
Site Address : 15 HERMITAGE LN
r SMIA I
Activity : N2017-0032
SubType : NEW
Status : APPROVED
OWNER: BATCHELLER STEPHEN Phone • 949-351-5186
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
mikekilbride@live.com
Description : INSTALL SEWER CLEAN OUT PER STD 406-L.
Item: 10250 FINAL - PW
Requested Time: 4/3/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: ANY -
Assigned to: 77777777777*
Inspector: A/ L ✓,� Date:
Comments: -'CC !Lc c5 2e-,e
99
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsDectorSheet.doc
Time: 5L 3C4 PM
REPT131 Run Id: 4018
4/24/2018 City of Newport Beach Page 16 of 16
'4:31:OOPM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 04/25/2018
Inspection Type : ENCROACH
Inspection Area: PW
Site Address : 15 HERMITAGE LN
Activity: N2017-0032
SubType : NEW
Status : APPROVED
OWNER: BATCHELLER STEPHEN Phone : 949-351-5186
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
mikekilbride@live.com
Description : INSTALL SEWER CLEAN OUT PER STD 406-L.
Item: 10250 FINAL - PW
Requested Time: 4/25/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: ANY -clean -out is in parkway at rear
Assigned to: 77777777777`
Inspector: �Q I--vil Date: "1 1-I g Time: 10 .5o AM PM
Comments: �C O rJ L e Q S Co vi c` e fc_
A
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F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018
4/30/2018 City of Newport Beach Page 2 of 8
6:34:13AM INSP15O - Daily Inspection Request Report
Requested Inspection Date : 04/30/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 15 HERMITAGE LN
A/P/D Information:
Activity : N2017-0032
SubType : NEW
Status : APPROVED
OWNER: BATCHELLER STEPHEN Phone : 949-351-5186
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
mikekilbride@live.com
Description : INSTALL SEWER CLEAN OUT PER STD 406-L.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 4/30/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: ANY -
Assigned to : zzzzzzzzzzz`
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COMPLETED