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N2017-0161
City of Newport Beach 1111111111111111111111111111111111111111111111111 Permit No: N2017-0161 lV 00 c Center rive. Newport Beach, CA 92660 N 2 0 1 7 0 1 6 1 f c Permit Counter Phone (949)644-3311 Project No : 2131-2016 Online Inspection Request - www.newportbeachca.gov ! Online Services Inspection Requests Phone (949)644-3255 Job Address: 1515 SANTANELLA TER NB Thomas:Guide: 919D1 Description : INSTALL 1" WATER SERVICE PER STD 502-L, REPLACE SEWER LATERAL AND BUILD CLEAN OUT PER STD 406-L. Parcel # : 0502-831-4 - Legal Desc : N TR 1701 LOT 24 Owner ; GSR COASTAL LLC Contractor : COAST WATER & POWER Phone: 949-910-3047 Phone: 949-548-0106 Address : 2505 W COAST HWY #202 Address : P O BOX 3341 NEWPORT BEACH CA 92663 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 -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 : $250.00 Total Fee $1,814.50 Agreement Fee: $0.00 4TT Box Cover: $64.00 Paid : $1,814.50 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: R.7(0A2q Refundable Deposit: $0.00 Total Water Meter Box: $50.00 Street Tree Fee : $0.00 Adjustment : $0.00 P c-2-: 3d By: Date: _/_/ Other Department: Date: Utilities Approval : Date: _/_/ Permit Denied Date : Traffic Approval : Date: _/_/ Issued Permit: — Date: _/2-1 _/ General Services Approval : Date : ram, j �,• / INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY TIME RECEIVED REMOTE CSID DURATION PAGES STATUS April 4, 2017 11:15:31 AM PDT 146 5 Received ETAILED DESCRIPTION OF PROPOSED WORK: a PLICANT: LT1� Phone: y , mail Address: r' -rCAM iling Address: 3 ( CitylState/Zip: a s �! R: phone: Fal,lAddrsss: g Address: City/Stateop: RACTOR: Y LT b Ofrrce Phone: 9� • oi0 arry (if different): Address: JobsPoe Phone: Other Phone: LTo , C p g Address: [ORKEIRS City/S'tatelZp: License Number S lass: E fires: '1. 3 (• /'7 City Susins" Lica�n Number: i (4 free: -400 COMPENSATION INSURANCE - Certificate of Insurance (Section 3801} Labor Code) n : Pou No: O$ Z 10 • Go roes: /o • �' uitiA' fiori4=9,6�44.3Q'J5. • Illtles • -949,64+4-31 • . . lfitian Tories :- �4'a-i�4it,3043. f Speclal Conditions of Permit: •• � F T .l,J.t JK� y Y Y Utilities: Traffic: Municipal Opembans � Other: © Fire: Engineering Technician: IMecialist Date' Permit No. N201 41 PA�eegi�OME�ar5N9nCrt+ad+Rroaterslepwa'k�neeule Public Works Deparbmnt 949.6"-3311 100 Civic Center Drive, Newport Beach, CA 92660 Permit Processing Fee: Inspection %ee: Public Works Only $241.00 Public Works Field Inspection Other DeparbttoM $275.00 Utilities FIRAd Inspecam Generad Services lra pection Agreement Fes: Wabar QualltyfArhficial Turf Inspection PrsPwfton of Report/Agreement $817.00 Document RecordabM Fee $192.00 Refundable Depoa& Monkoring Wells $502.00 Improvements Sb sat AJ1OyMrefk Closure. $66.00 Newapaper Rack Inspection TrefAc Control Plan Check 8-112" x 11" $65.00 Sewer Connection Fee 24" x W $143.00 4TT Box & Cover Additional ��riti�orinsio�ii'o�;i�y��,ri•-bF�s-- - - .: . [1- tl2'Ttitbir MeteY- :$?00_ "Turb�tie lie[ .. $121 T80�T8D $108.00 $250,00 t $64.00 - • :kie�ltag4n: ciRai'9e' � • : • -_ • -_ ---- -: -: •::-;i�28,n- -1 Ws{acNOW t 4AR4., ................. • ��c vr�y � Sirlewellc flre_a•_�B_ o_x'_�' Cvriei"-` • . -� . -i - �:1"-6teter•.-'13,8p'+38:9A:•:-:-:-_-:-• :',�;4' i : 2":t►Aeer::P3lit162U8: :glad 1 ............ - 1 0617 ficate of Compriance Fee (rl00% or hty over 3 hrs) $288.00 •sue O"UUM munoer 5200-5029 Developrnent Services Fee (Plan check hourly) $156-00 Final Tract Map Checking Fee $2.488-00 5200-6016 5200-5020 Final Parcel Map Chucking Fee - Moderate $2,488.00 5200-6M7 Lot Line Acluati'nent Fee $i 079.00 5200-5028 Pack Dedrotian Fee Zone , TBD 405-470_ Scree# EasmentlVa action Fee (t100% -1"1.W 4 h.)� Street Tree Fee ($700 Planting Fee) $1.022.00 THO 5200--$031 Engineering Tech: Amount Dee: 034 2284 -----a ----w. -------- •--- for qae ow)r ' listRecsi No. 77L CITY OF NEWPORT BEACH APPLICATION FOR WATER METER OR MrDRANT METER REQUESTED BY Mike Kilbride WORK/TAP ORDER# (person or entity who u requesting meter and/or would get hydrant deposit refund) MAILING ADDRESS PO Box 3341 RECEIP t# CIW/STATE/ZIP_ _ ._ Newport Beach. CA 92659 _ -PHONE # 949.548.0106 SERVICE ADDRESS_ 15 [ -5 SERVICE REQUESTED: Check all that apply Hydrant Meter Deposit required (tapping order) ( ) New construction (work order) ( ) Irrigation only ( ) New Meter ) Meter Upgrade New service address Existing service address (tapping order) (work order) ( ) Adding meter to existing accoandaddress ( ) New construction at existing service address ( ) Condo conversion/# of units Original Service Address ( ) Commercial Location ( ) Residential Location () Fire Connection Fee $ q (,A) Meter Size I &Fee $ [ Z.I • so 66 *4TT Box Fee $ (Q 4 •� (� Meter box & Lid (circle) Alley/Traffic Area or Parkways/Sidewalk Fee $ 5 Q. op Total Fees* $ 2,3S SO Paid by (circle) Check Credit Card Other witb Etroachment pern Please Complete Owner .Info (Hydrant Meter exempt) Customer Name (property Billing Address ip .Residence Pbone # Business Phone # E :Mail Address Social Security # or CA. Drivers FOR OMCE USE ONLY CLERK DATE BUS LIC # MlD# DATE UTILITIES COMPLETED DATE HYDRANT METER CLOSED NEW kCC0UN_T NUMBER NOTES 6users/revisharedlwater/water meter sery app 8/2/06 LEE GE" € o i - TREE � = POWER POLE =SEWER C.PjNOUT i = WATER METER BOX t M Hc�3R " ori. . W &iJ64� act J0,0 ►. I i %,r 14CWFUK T BEACH ENCROACHMENT PERMIT Permit No.N 201 -7 ADDRESS I APPuca,rr �{ L OWNER DESCRIPTION OF WORK Newport Beach Police Dispatch City of Newport Beach Phone: 949-644-3717 Phone: el Public Works Department 644-3311 Fax: 949-644-3318 c:itYofAl . ,--- —,,_.-.�.--%patFC�11F:E Aert Beach Munici Cede 12,62.090 Permit fbr Te ora APpLtCAN7 INFpRMATIbN� ry Suet Crosurp MIKE KIL.BRIDE Name: COAST WATER & POWER ciryorr P.O. BOX 3341 NEWPORT BEACH, CA 92659-8341 phone: Day 949-289-0078 Night Exact Location of Encroachment: BT96014961 (Use a'treet address or imate number or fees fYom ne areal Inter! eaon) =7EEncroachment: UTILITY IMPROVEMENTS - Generally one day between dates below. on holidays or weekends. Date Closure to Begin: Data Closure to End: Mlaxlmum is Oats' DIACReen r Time of Closure: 7:00 AM to 5:o0 pM .rv�. T..,...._ __. _ _ _ 1 A Lrop of this permit must be visible on the riach nt —A - - �1,oarC, verour, or reserved parkin . See reverse side of this permit for reg- Mation� S� Rng use of this permit ADDITIONAL CONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS FOLLOWS: !)Fla man o ration per 2006 W A,T•C.H. Manual, Pa es 47 48 2) provide access to emergency vehicles if needed, 3) Notify adjacent residents 48-hrg prior to closure. 4) Place delineators around construction area. sl Plate and backfill excavations durin non -construction. i. (Pennitee) hareyy certify the inforrnatlon provided is true and correct and t agree to compry with the teCrm$ and A NY TFE�, conditions or the wont and back of this permit. Permitee guarantees to indemnify and hold the City of Newport ha s gams any claims, iiabil , or ud me s f Y wport 8eactt g a ages ar sirg Out of permitee's activities. �� Date. /�PProved by: t �� 1+ I C") I � Date: � '.'Cxuman,y y.f Serr�.'Jwle,�;,�9i SlMu�s.Tenl�'flah Iff/Pfl eya:eC:.tan: i - ESYI:iL'36GYTFTO $IRf: U:3YIL Appl1;31'� .K�;py,pbFl 111f(I.. f7 a15nfB11 � 8/16/2017 City of Newport Beach 4:30:34PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 08/17/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 1515 SANTANELLA TER Page 6 of 11 Activity : N2017-0161 SubType : NEW Status : APPROVED OWNER: GSR COASTAL LLC Phone : 949-910-3047 APPLICANT: COAST WATER & POWER Phone : 949-548-0106 mikekilbride@live.com Description : INSTALL 1" WATER SERVICE PER STD 502-L, REPLACE SEWER LATERAL AND BUILD CLEAN OUT PER STD 406-L. Item: Requested Time: Entered By: Comments: 10215 ROUGH UTIL 8/17/2017 12:00:OOAM WEBUSER AM - Assigned to: 77777777777* Requestor: WEBUSER Inspector: �/t'/ Date: 9117 Time: Comments: wyytm ne%:Rl .. F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc VIEW.; , REPT131 Run Id: 4018 I 10/3/2017 City of Newport Beach Page 5 of 9 104:36:36PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 10/04/2017 Inspection Type : ENCROACH Inspection Area: PW Site Address : 1515 SANTANELLA TER «k Activity : N2017-0161 SubType : NEW Status : APPROVED OWNER: GSR COASTAL LLC Phone • 949-910-3047 APPLICANT: COAST WATER & POWER Phone : 949-548-0106 mikekilbride@live.com Description : INSTALL 1" WATER SERVICE PER STD 502-L, REPLACE SEWER LATERAL AND BUILD CLEAN OUT PER STD 406-L. Item: 10250 FINAL - PW Requested Time: 10/4/2017 12:00:OOAM Requestor: WEBUSER 9495480106 Entered By: WEBUSER Comments: AM - Assigned to: 77777777777* Inspector: vy Date: 10 Time: q: M M Comments: / %7 F11V 1-1 Z4 SLO 2 A- I . F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018