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Home My WebLink AboutN2017-0263City of Newport Beach IIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Permit No: N2017-0263 100 Civic Center Drive, Newport Beach, CA 92660 IIII� N 2 0 1 7 0 2 6 3 T. Permit Counter Phone (949)644-3311 Project No : 0701-2017 !� �'A��- Online Inspection Request - www.newportbeachca.gov / Online `..� ;�,� 1 t' Ii_, t .l Services Inspection Requests Phone (949)644-3255 Job Address: 107 AMETHYST AVE NB Thomas:Guide: 919D1 Description : INSTALL SEWER CLEAN OUT PER STD 406-L. REPLACE EXISTING 3/4" WATER BOX WITH NEW 1" BOX AND PURCHASE 1" METER, PROP HAS EXISTING 1" SERVICE. / Parcel # : 0501-131-6 - Legal Desc : BALBOA ISLAND SEC 3 BLK 6 LOT 7 Owner: EKSTROM GREGORY & PATRICIA ♦ } Contractor : COAST WATER & POWER Phone: 714-349-8800 v Phone: 949-548-0106 949-289-0078 Address : 107 AMETHYST AVE Address : P O BOX 3341 NEWPORT BEACH CA 92662 NEWPORT BEACH CA 92659 Contractor State Lie: 738400 Applicant: COAST WATER & POWER License Expire : 07 31, 2017 Phone: 949-548-0106 949-289-0078[ Address : P 0 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 : $0.00 Total Fee $1,565.50 Agreement Fee : $0.00 4TT Box Cover: $64.00 Paid : $1,565.50 Traffic control Plan Check : $65.00 Total Water Meters : $649.50 Balance : $0.00 Inspection Fee : $495.00 Water Meter Connection : $528.00 Receipt No: Refundable Deposit: $0.00 Total Water Meter Box: $51.00 Street Tree Fee : $0.00 Adjustment : $0.00 Processed By : Date: _/_/ Other Department : Date: Utilities Approval : Date: _/_/ Permit Denied Date: Traffic Approval : Date : _/ / f Issued Permit: Date k General Services Approval : Date: Y/_/ INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY TIME RECEIVED REMOTE CSID DURATION PAGES STATUS May•17, 2017 3:08:08 PM PDT 168 5 Received PLEASE COMPLETE THE FOLLOWING INFORMATION PROJECT ADDRESS: 107 AMETHYST DESCRIPTION OF WORK: INSTALL SEWER CLEAN -OUT PER 406-L REPLACE 3/4" WATER BOX WITH A 1" BOX & PURCHASE 1" METER NOTE: EXISTING WATER SERVICE IS 1" APPLICANT: MIKE KILBRIDE Phone: 949-289-0078 Mailing Address: PO BOX 3341 City/State/Zip: 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/State0p: NEWPORT BEACH. CA 92659 State License Number & Class: 738400 A, B, C-10 City Business License Number: ST9601491 EXP: 12-31 2017 WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Com an : STATE FUND Policy No: 9087110-14-2 Expires: 10/11/2017 REFUNDABLE DEPOSIT INFORMATIONAlf Applicable ) Made Payable To: MIKE KILBRIDE Vendor No: 9833 Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659 Special Conditions of Permit: 4 ,1A ., Utilities: Traffic: General Services: Other: Engineering Technician: Public Wo ialist: ' / Dat --� 1 Permit No. � �) N2017- 10 tic) t -- -4-0 1 -1 Permit Processing Fee: Public Works Only Other Department Agreement Fee: Preparation of Report/Agreement Document Recordation Fee Monitoring Wells Street/AIIeyMfalk Closure: Traffic Control Plan Check 8-1/2" x 11" 24" x 36" Additional f; 77 e- I�M►ml o-1 Inspection Fee: $241.00 Public Works Field Inspection 5165.00 $275.00 Utilities Field Inspection 5121.00 General Services Inspection $165,00 water Quality/Artificial Turf Inspection $108.00 [l $817.00 $192.00 Refundable Deposit: TBD $502.00 Improvements TBD $65.00 Newspaper Rack Inspection $108.00 $65.0Sewer Connection Fee $250.00 $140![A'.W 4TT Box & Cover Qt1il[�;;Ak�Ryevenue Qfulsia •.. r TQP.AYt1fl£DIT oF;FEEs ...... 'EAimraval.:... . MraYer �l tel st4111 4 4'Se $5Q.25 111jatec lirtetr: Baxbsr. [1° 1SAeter ~ -$4215 FQr, �'e �lt�i, y :Srt�e+tvaik trea•(Bnx r Cii�isr = h 9i2,Meter. :$zt35.Ofl �.":fUjeter :13.l3Z) �37.U0 $50.t)4 .I �1 �1l2 7'u'blxrt3 Meter �;TpO U0 • 2 NteCer 27;04 +.61.7� $88 25 .� �2"�•M�t¢r $425 n 1 1. (2''Tsarbtr'Ie Meterj'ra)w A:AN as.( +.hover 'Cost) Illleter �A".Ikllel�er• $4;.?30 OQ 2" IUfeter �7 00• +.t62 00 $189 UO :1 Certificate of Compliance Fee (+100% of My 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 EasemenWacation 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 ` L) li• � C i 7 PerroiI4 Specialist Receipt No. 19f F.luiwwzbw.snare&grn ix+achrmasterstop front sr:a Dam msiOer9/ `,� Rev. 10/21120181apraasnsar.x�g-ravleea amWS i LEGEND =TREE POWER POLE A =SEWER CLEANOUI Q = WATER METER BOX � n-1 I �ACOE 1A I j 1 Q out r+t In p1\ 5 I ------ CENTERLINE OF _ �_��r s !` • S ALLEY I I I I I E 11 ADDRESS 10-1 MC ys Permit No. PZ°'rI-- 03�-, CITY OF NEWPORT BEACH APPLICATION FOR WATER METER OR HYDRANT METER REQUESTED BY Ani /d ✓1 i (entity who is requesting meter andlor would get MAILING ADDRESS TO 'Boy- 3b LI % RECEIPT# CITY/STATE2IP 05 , CAQ ak to59 PHONE # CNI • 5 4 SERVICE ADDRESS I O 7 �NIG'IY! V S'T ) Hydrant Meter Deposit required (tapping order) ( ) New Meter New service address (tapping order) New Meter at existing service address (tapping order) Meter Upgrade Existing Service address (work order) ( ) Irrigation only { ) Commercial Location (residential Location () Fire Connection Fee $ Meter Size Fee $ o1•t • ('TT Box Fee $ r0 (Meter box & Li - Area Fee $ : • or Parkways/Sidewalk Fee $ Total Fees $ Encroachment Permit Number: Customer Name (property owne Billing 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 WORKfTAPPING ORDER NUMBER flusers/rev/shared/water/water meter sere app 05/23/16 ' Newport Beach Police Dispatch City of Newport Beach .- Phone:949-644-3717 Public Works Department Phone: 949-644-3311 Fax• 949-644-3318 City ofNe PLACENFENT "port Beach MuniciP al Code 12.62.010 Permit for Temporary Street Closure Marne: MIKE KILBRIDE APPLICANT INFORMATION Gorrtpany Name: COAST WATER & POWER c+eyofrveweortt3eadreusinesS Address: P.O. BOX 3341 City;?ip NEWPORT BEACH, CA 92659-8341 Phone: bay 949-289-0078IL Night QT96014951 Exact Location of Encroachment: A-11A 4w%, 6);- i fl (use street adcress or sporaw"a:E num"7 of few rro n nes{est intergg�tory) Reason for Encroachment: UTILITY IMPROVEMENTS - Generally one day between dates below. NOTE: No work on hoiida&) or weekends. Date Closure to Begin: Date Closure to End: iMa>7mum �4 OsyS) Time of Closure: 7:00 AM to 5:00 PM DIAGRAM LOCATION OF ENCROACHMENT BELOW: i Flqi— } ,3 r _!,`t; AmE��s� 1 ,�< < ED "Vel -Rom CLOY'),:, Ato i1 � A y of this ermit must be visible on the dash of aach vehicle authorized to park in reserve T» I' e ap 1 eant is responsible for notifi� ing Police Dispatch of any road closure, detour, or reserved parking a See reverse side of ;his permit for re ulations coverin us� a of this permit. ADDITIONAL CONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS FOLLOWS: 1) Close only the i0ortion of alleyistreet adjacent to where work will be done. 2) Provide access to emergency vehicles if needed. 3) Notify adjacent residents 48-hirs prior to closure, 4) Post road closed barricades on either side of work area. S Plate and backfill excavations & open alle Or street during non -construction. 6) Place delineators around construction area. — - ��+s+a r %-WIN �i I tunes A I ANY TIME lPeriT iteej ; ereby .-er ty the intOrrnation arovidGd is true and correC.. and i arrea to comoiv -,vith the terms and c nditions or the fro -It and back of this pArr-A. Permnee ;juarant'ee5 to indeMn? har agai• St ,. fy and t+oid the City cf Nawpr;r BeaC•t! Encr3dChmef'•t P- *to. apny ra•■air:s 'aa iy or � ,'rim, �s .cr tle:rag� 3"ISino oU: of X �� , Ceimi ee'S a•,`,tlVlt amb N � + J - v�J V�IIA ry] Approved by: i Date: �-� � 44 1 Y: a:::a.n ,,,: Sa.ns•C_,:aNLo.l. Eee' \!� "Y•'., v.rx.r..._cn�.r.�.:�5wwvag:C3r-smt ysB+G�J.: zp,euon .r • 1J2012017 City of Newport Beach Page 8 of 8 ,r 4:30:12PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 12/21/2017 Inspection Type : ENCROACH Inspection Area: PW Site Address : 107 AMETHYST AVE Activity : N2017-0263 SubType : NEW Status : APPROVED OWNER : EKSTROM GREGORY & PATRICIA Phone 714-349-8800 APPLICANT: COAST WATER & POWER Phone: 949-548-0106 949-289-0078 mikekilbride@live.com Description: INSTALL SEWER CLEAN OUT PER STD 406-L. REPLACE EXISTING 3/4" WATER BOX WITH NEW 1" BOX AND PURCHASE 1" METER, PROP HAS EXISTING 1" SERVICE. Item: 10215 ROUGH UTIL Requested Time: 12/21/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: AM - Assigned to: zzz��z zzz- Inspector: Date: V7 Time: AM PM Comments: ' /�ir�- ! D F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsnectorS heet.doc REPT131 Run Id: 4018 6/6=18 City of Newport Beach Page 7 of 13 4:31:01PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 06/07/2018 Inspection Type: ENCROACH Inspection Area: PW Site Address : 107 AMETHYST AVE Activity : N2017-0263 SubType : NEW Status : APPROVED OWNER : EKSTROM GREGORY & PATRICIA Phone 714-349-8800 APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@live.com Description: INSTALL SEWER CLEAN OUT PER STD 406-L. REPLACE EXISTING 3/4" WATER BOX WITH NEW 1" BOX AND PURCHASE 1" METER, PROP HAS EXISTING 1" SERVICE. Item: 10215 ROUGH UTIL Requested Time: 6/7/2018 12:00:OOAM Entered By: WEBUSER Comments: AM - Assigned to Inspector: ' e7�* Date: Comments: Requestor: WEBUSER Time: AM PM Co/� i�rl ojl� 2J�Gljy y � � AV- e. 7'71 i,"V F:\Users\PB\MShared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018 d 6/812018 City of Newport Beach Page 13 of 20 6:34:32AM INSP150 - Daily Inspection Request Report Requested Inspection Date: 06/08/2018 Inspection Type : ENCROACH Inspection Area : PW Site Address: 107 AMETHYST AVE AMID Information: Activity : N2017-0263 SubType : NEW Status : APPROVED OWNER: EKSTROM GREGORY & PATRICIA Phone: 714-349-8800 APPLICANT: COAST WATER & POWER Phone : 949-548-0106 949-289-0078 mikekilbride@live.com Description : INSTALL SEWER CLEAN OUT PER STD 406-L. REPLACE EXISTING 3/4" WATER BOX WITH NEW 1" BOX AND PURCHASE 1" METER, PROP HAS EXISTING 1" SERVICE. Requested Inspection(s) Item: 10250 FINAL - PW Requested Time: 6/8/2018 12:00:OOAM Requestor: WEBUSER 9495480106 Entered By: WEBUSER Comments: AM - Assigned to: zzzzzzzzzzz` 6k 4 � 'j