HomeMy WebLinkAboutN2017-0028City o CNewport Bea rive, Newporth ooCivic
Beach, CA 92660 Illlflll�IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIII(III
Permit Counter Phone (949)644-3311
�. Online Inspection Request - www.newportbeachca.gov / Online
Services
Job Address: 527 HAZEL DR NB
Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L
Parcel # :
4591-220-6 -
Legal Desc :
N TR 673 BLK B LOT 19
Owner:
PROUGH STEPHEN W
Phone:
/�
Address :
527 HAZEL DR j
CORONA DEL MAR, CA 92625
Applicant: COAST WATER & POWER
Phone: 949-548-0106 [
Address : P O BOX 3341
NEWPORT BEACH CA 92659
Special Cond.: PRE -JOB INSPECTION REQUIRED
Permit Processing Fee:
$241.00
Sewer Connection :
$250.00
Agreement Fee:
$0.00
4TT Box Cover:
$64.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$649.50
Inspection Fee:
$495.00
Water Meter Connection :
$528.00
Refundable Deposit:
$0.00
Total Water Meter Box:
$50.00
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By:
Date
Utilities Approval :
Date
Traffic Approval :
Date
General Services Approval :
Date:
Permit No: N20'17-002
Project No: 0833-2016SCA{�� :
Inspection Requests Phone (949)644-3255
Thomas:Guide: 919F3
Contractor : COAST WATER & POWER
Phone : 949-548-0106
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
$1,749.50
Paid :
$1,749.50
Balance :
$0.00
Receipt No:
R - -7 to g35
Other Department: Date:
Permit Denied : Date :
Issued Permit: �'I _ Date : y / 2% / 1-7
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY ""
TIME RECEIVED REMOTE CSID DURATION PAGES
January 11, 2017 10:22:16 AM PST 130 4
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Permit Processing Fee: Inspection Fee:
Public Works Only $241.0 Public Works Field Inspection $165.0
Other Department $275.00 utilities Field Inspection $121.00
General Services Inspection $165.00
P]
Agreement Fee: Water Quality/Artificial Turf Inspection $108.00
Preparation of ReportlAgreement $817.00
Document Recordation Fee $192.00 Refundable Deposit: TBDe
Monitoring Wells $502.00 Improvements TBD
Street(Alley/Walk Closure: $65.00= Newspaper Rack Inspection $108.00
Traffic Control Plan Check
8-1/2" x 11" $65.00 Sewer Connection Fee $260.00
24" x 36" $143-00 4TT Box & Cover W-00
Additional _
i F�LtUY�! II�L ��II�Sri (�I�LZE APP�t Ql� Mr-Y-HE • . • FteMen Qldslan ��
f liftlk 1
t a%r7uleteF � ;IrjsitgBatlon Cliaige'
h3�4r':Me3Qr: $50:25 : Vas%t-moto..ea)gse: :!
I1r AAeter. • . , . • . • . • : $rt2t� �,ot f?ariiwaY &Sid afk Ares �Bvz•tCov�ei : 1
N 112": Meter : :5265.0 : 1 °:Meter.::13btr * 3t-bd
I1.112!"Tuiblinla U1eter- $700.D0 •2; Meter 21.i6d, 8125- $8.�
12" •Meter : $e}2 , ' .. . . . . . .. ... .. . ... . . .. . .....
�2"Tuib(neMeter.•:- • :•�gr7ca?I�rc8-ANY:�i�9Wf+:�Ov�er=�:F:o�sl�•:•:•-•-.:�
YVioter. .•$3,313A •A,14eter.-:A-S.W.-t 48:0
�4".Meter. ::$4.73b-00' :2":Meier.:•:i7"P'J62t16: :�185.0�R
;. rude}::. - ..........� ian iui...................................... ..
Certificate of Compliance Fee (+100% or hry over 3 hra)
$288.00
520D-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 r Zone
TBD
40"70�
Street Easement/Vacation Fee (+100% of fury over 4 hrs)
$1.022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBD
030-2284
... 000"�..
...........
Engineering Tech: Total Amount Due: for Finance Use Only
Permit Specialist Receipt No. q - 21- I
015 S7 FA,ee,vpora,aredWaMGavneeeawap n+ont ano oacK ff=my
Rev. 10/2112016 Wagawcuds wmed :omrzo+.s
LEGEND
00
= TREE
-f-
= POWER POLE
=SEWER CLEANOUT
Q
= WATER METER BOX
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CURB GETTER
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CENTERLINE - - _.• ..�
CITY OF NEWPORT REACH
ENCROACHMENT PERMIT
Permit No.W20i -7- ei-
ADDRESS
APPUCANT h O LU lbe, O `
OWNER
DESCRIPTION OF WORKS j%
v
City of Newport Beach
Newport Beach Police Dispatch Public Works Department
Phone:949-644-3717 Phone:949-W-3311 Fax.949-644-3318 ,
APPLICATIOKTOR-3%-W RiARY STREET (-51DEyW" GL-OSt)RE ORDL4MPSTER.PLAGEMENT
City of Newport 8e90h Municipal Code J2.82.Oto Permit for Temporary Street Closure
MIKE KILBRIDE ------ 11—
Name: COAST WATER & POWER City of Newport Beech sus;ress ucense No.
P.O. BOX 3341 BT96014951
NEWPORT BEACH, CA 92659-8341 Phone; Day 949-289-0078 Night
Exact Location of Encroachment:
street address or approxirs number of tee! from nearest
i for Encroachment: UTILITY IMPROVEMENTS - Generally one day between dates below.
No work on holiday(s) or weekends.
Date Closure to Begin:
(Maximum 14 Days�
Date Closure to End:
Time of Closure: 7:00 AM to 5:00 PM
8 � -
1%34
No
A 222t of this permit must be visible on the dash of each vehicle authorized to park in reserved parking spots.
The applicant is responsible for notifying Police Dispatch of an road closure, detour, or reserved arkln .
See reverse side of this -permit for re ufations covering use of this oermit.
ADDITIONAL IONAL 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 48-hrS prior to closure.
4) Place delineators around construction area. 5) Plate and backfill excavations during non -construction.
(Permitee) hereby certify the information provided is true and correct, and 1 agree to comply with the terms and
md$ions on the front and back of this permit. Permitee guarantees to indemnify and hold the City of Newpon B
rr�►lesy,agafnsyny claims, liabili�y. or judgmerts fqr ckamages arising out of permitee's activities.
ll ��11 11 �
Date: -I- / /
Approved by:
Date: It "Z.h
C'O«,.nens xe sn�rysc..nen,.,�y, Smmgn*emronry �nl .. Ec
W13LMQVeRG SkpM CIQS.& AppucMW.cue -I. .,
10/4/2017 City of Newport Beach Page 3 of 11
. 4:30:36PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 10/05/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address: 527 HAZEL DR
Activity : N2017-0028
SubType : NEW
Status : APPROVED
OWNER: PROUGH STEPHEN W Phone:
APPLICANT: COAST WATER & POWER / Phone : 949-548-0106
mikekilbdde@live.cam
Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L
Item:
10215 ROUGH UTIL
Requested Time:
10/5/2017 12:00:OOAM Requestor: WEBUSER
Entered By:
M13USER
Comments:
AM -
Assigned to:
77777777777*
Inspector: J� r Date: l J Time: O - 96
PM
Comments: > °��. LAT.
C�
10 7- 1> se
F:\Users\PB W\Shared\ENCROACH\MASTERS\FORMS\I nsoectorsheet.doc
/A )
cam.
REPT131 Run Id: 4018
4p A 4r.
Ab
JO/9/2017 City of Newport Beach Page 3 of 11
• s:34:25AM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 10/09/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 527 HAZEL OR
: "
Activity : N2017-0028
SubType : NEW
Status : APPROVED
OWNER: PROUGH STEPHEN W Phone:
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
mikekilbride@live.com
Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L
Item: 10250 FINAL - PW
Requested Time: 10/9/2017 12:00:OOAM Requestor: WEBUSER
9495480106
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777*
Inspector: `� L/ Date: 7 Time: 12- TC AM d
�;)
Comments: ,�� �' 4 5 /�-✓
G :3 P�G
Logged
Refile
.:\Users\PBW\Shared\ENCROACH\ MASTERS\FORMSUnsaectorSheet.doc
10/12I2017 City of Newport Beach Page 6 of 11
4:30:37PM INSP160 - Daily Inspection Request Report
Requested Inspection Date:
10/13/2017
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
527 HAZEL DR
Activity :
N2017-0028
SubType :
NEW
Status :
APPROVED
OWNER:
PROUGH STEPHEN W
Phone:
APPLICANT:
COAST WATER & POWER
Phone : 949-548-0106
mikekilbdde@live.com
Description :
REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L
Item:
10250 FINAL - PW
Requested Time:
10/13/2017 12:00:OOAM
Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
ANY -
Assigned to: 77777777777*
Inspector:
dv
Date: �b ��/7 Time: AM M
Comments: ��
COMPLETED
F:\Users\PB W\Shared\ENCROACH\MASTERS\FORMS\InsnectorS heet.doc
REPT131 Run Id: 4018
0 . , =
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