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oityofNewport Beach
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ach, CA 92660 111 71111
Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov / Online
Services
'Permit No:N2017-0623Center
Project No : 1106-201 16CANNED
Inspection Requests Phone (949)644-3255
Job Address:
520 ACACIA AVE NB
Thomas:Guide: 919E2
Description :
REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L, INSTALL 2ND SEWER LATERAL AND CLEAN OUT PER STD 406-L. ABANDON
EXISTING3/4" WATER SERVICE
AT MAIN AND INSTALL 2 NEW WATER SERVICES PER STD 502-L.
Parcel # :
4590-920-1 -
Legal Desc :
CORONA DEL MAR LOT 22 BILK 529(AND NELY 9 FT LOT 20BLK 529
Owner:
CDM NEWPORT PROPERTIES LP
Contractor : COAST WATER & POWER
Phone:
Phone: 949-548-0106 949-289-0078
Address :
520 ACACIA AVE
Address : P O BOX 3341
NEWPORT BECH CA 92663 ^
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:
$500.00
Total Fee
$3,117.98
Agreement Fee:
$0.00
4TT Box Cover:
$128.00
Paid :
$3,117.98
Traffic control Plan Check :
$0.00
Total Water Meters :
$1,299.00
Balance :
$0.00
Inspection Fee :
$660.00
Water Meter Connection:
$1,056.00
Receipt No:
Refundable Deposit:
$0.00
Total Water Meter Box:
$193.32
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 : L Ll 7
General Services Approval: Date : _/ /,
" INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
December 12. 2017 at 3:27:36 PM PST 130 5 Received
.4
I PLEASE COMPLETE THE FOLLOWING INFORMATION
PROJECT ADDRESS:
520 ACACIA
1410 EeIA :'Cal 1,14
REPLACE SEWER LATERAL A INSTALL CLEAN -OUT PER 406-L
INSTALL 2ND SEWER LATERAL & CLEAN -OUT PER 406-L
ABANDON EXISTING 3/4" WATER SERVICE AT MAIN
INSTALL TWO NEW 1" WATER SERVICES PER 502-1-
ANT: ;HIKE KILBRIDIr.
Address:
PO BOX 3341
g Address:
Phone: 949-289-007
trip:
NEWPORT BEACH, CA
Office Phone:
Jobsite Phone:
Other Phone:
Clty/State/Zip:
NEWPORT BEACH, CA'
City Business License Number:
BT9601491 EXP:12-31
- Certificate of Insurance (Section 3800 Labor
span : STATE FUND Pollcv No: 9087110-14-2
UNDABLE DEPOSIT INFORMATION (if A licable )
e Payable To: MIKE KILBRIDE
ing Address: PO BOX 3341, N EWPORT
:ACTOR: MIKE KILBRIDE
ny (ir different):
COASTWATER AND POWER
Address:
PO BOX 3341
icense Number & Class:
738400
C-
949-289-0078
FAX: 949-548-I616
Vendor No: 9833
CA 92659
2017
I
Permit Processing Fee:
Public Works Only
$241.00
Inspection Fee:
Public Works Field Inspection
_
$165.00
Other Department
$275.001
Utilities Field Inspection
$121.00
General Services Inspection
$165.00
Agreement Fee:
Water Quality/Artificial Turf Inspection
$108.00
Preparation of ReporllAgreement
$817.00
Document Recordation Fee
Monitoring Wells
$192.00
$502,00
1
Refundable Deposit:
Improvements
TBDB
TBD
StreetlAtley/Walk Closure:
S65.00
Newspaper Rack Inspection
$108,00
Traffic Control Plan Check
8-1/2" x 11" $66.00 Sewer Connection Fee $250.0 w
24" x 36" $143.00 4TT Box S Cover $64.0Additional_�
I �H��OLLOWING ITEMS REpUtRE APPIZQVAL FROM iH� "� — Division f
Revenue
1 REVENUE DIVISION PRIOR TO PAYMENT OF FEES Approval: 1
(Water Meter:
aty.
Installation Charge
Q
$528 00f= 1
13/4" Meter
S50.25 -
11" Meter
11 1/2" Meter
$121.5
$265.0
Water Meter Boxes:
1" DFW Meter Box
11
$96.66
96 6
1/2" Turbine Meter
$700,00
2" DFW Meter Box
$ -
�2" Meter
$425.00
12" Turbine Meter
$845.00
13" Meter
$3,310.00
14" Meter
$4, 730.00
I
16" Meter
$7,190.00
I
Certificate of Compliance Fee (+ 100% of h0y 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
5200-6027
Lot Line Adjustment Fee
$1,079.00
5200-5028
Park Dedication Fee Zone
TBD
405-470
Street Easement/Vacation Fee (+100% of hr)y over 4 hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBD[iEq
030-2284
Englneering Tech: To-1 Amount Due: I For Financa Use Only
Perm
`_I- Rev. 1
11 Rei17
t-on' and Ea=k ragiaNr
LEGEND
a = TREE CpjC.1
} =POWER. POLE
=SEWER CLEANOUT
Q = WATER MEnR BOX
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, I 1
I
I I t�b�nd•n I
i
1��,, i lns�►»
CtieAn bJ\ —� t
CENTERLINE OF Tily
ALLEY
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Clean v��
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OlkC KILSL�Ad
ADDRESS
Sao
Permit No. N &I- �,�,
CITY OF NEWPORT BEACH
APPLICATION FOR WATER METER OR HYDRANT METER
REQUESTED BY l
(entity who is requesting meter and/or would get h
MAILING ADDRESS RECEIPT#
CITY/STATE/ZIP PHONE #
SERVICE ADDRESS a �Lo W s&(,t'k
( ) Hydrant Meter (New Meter Meter Upgrade
Deposit required New service address Existing service address
(tapping order) (tapping order)
(work order)
{ ) New Meter at existing service address { ) Irrigation only
(tapping order)
( ) Commercial Location (,,r/Residential Location () Fire Connection Fee $
A Meter Size 1 of Fee $ A q 12 4TT Box Fee $
AMeter box s Lid - Alley/Traffic Area Fee $%�3: 3�►. or Parkways/Sidewalk Fee $
Total Fees $ Encroachment Permit Number: G (- I i ' C
Customer Name (property owne
L
Billing Address %8 iD. I
city/Zip s K �a , e-A g 30 01
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
f/users/revhhared/viater/water meter sery app 05/23/16
' 5/16/2018 City of Newport Beach Page 2 of 12
4:31:03PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 05/17/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 520 ACACIA AVE
AlPlQ IAformado
Activity :
N2017-0623
SubType :
NEW
Status :
APPROVED
OWNER:
CDM NEWPORT PROPERTIES LP Phone •
APPLICANT:
COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description :
REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L, INSTALL 2ND
SEWER LATERAL AND CLEAN OUT PER STD 406-L. ABANDON EXISTING3/4" WATER
SERVICE AT MAIN AND INSTALL 2 NEW WATER SERVICES PER STD 502-L.
Requested Inspection(s)
Item:
10215 ROUGH UTIL
Requested Time:
5/17/2018 12:00:OOAM Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
AM -
Assigned to: 7777777777Z*
Inspector: Date: -5zzl Time: AM PM
Comments:
artir?ec�� cv-�-�
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsnectorSheet.doc
REPT131 Run Id: 4018
i
5/17/2018 City of Newport Beach Page 3 of 4
4:30:29PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 05/18/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 520 ACACIA AVE
y
Activity : N2017-0623
SubType : NEW
Status : APPROVED
OWNER: CDM NEWPORT PROPERTIES LP Phone
APPLICANT: COAST WATER & POWER Phone: 949-548-0106
949-289-0078 mikekilbride@live.com
Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L, INSTALL 2ND
SEWER LATERAL AND CLEAN OUT PER STD 406-L. ABANDON EXISTING3/4" WATER
SERVICE AT MAIN AND INSTALL 2 NEW WATER SERVICES PER STD 502-L.
Item: 10250 FINAL - PW
Requested Time: 5/18/2018 12:00:OOAM Requestor: WEBUSER
9495480106
Entered By: WEBUSER
Comments: AM -
Assigned to: 7777777'
Inspector: �,j�''1 Date: Time: AM PM
Comments:
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018