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HomeMy WebLinkAboutN2017-0032W,. C�ityVof Newport Beachrive IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIJill Permit No: N2011-0032 A,;� Newport ach. CA 92660 Permit Counter Phone (949)644-3311 Project No : 2251-2016 ,- µ Online Inspection Request - www.newportbeachca.gov / Online �• `" 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 JA w f 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 ^�{ oil 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` �G lLs COMPLETED