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HomeMy WebLinkAboutN2017-0176.+. City of Newport Beacorth ;Vic Center Dach, CA 92660 Permit Counter Phone (949)644-3311 Online Inspection Request - www.newportbeachca.gov / Online Services 1111111111111111111111111111111111111111111111111111111111 Permit No:N2017-0176 Project No: 0270-2016 ` ��:t �t t E--►-J Inspection Requests Phone (949)644-3255 , Job Address : 41S E BALBOA BLVD NB Thomas:Guide: 919132 Description : REPLACE EXISTING SEWER LATERAL AND BUILD CLEAN OUT, INSTALL NEW 2ND LATERAL AND CLEAN OUT PER STD 406-L. INSTALL 2ND 1" WATER SERVICE PER STD 502-L. Parcel # : 0481-210-7 1 Legal Desc : BALBOA TR BILK 4 LOT 8 Owner: HORMANN SHARON & GREG Contractor : COAST WATER & POWER Phone: 714-984-4512 Phone: 949-548-0106 Address : 417 BALBOA BLVD E r1 Address : P O BOX 3341 NEWPORT BEACH, CA 92661 �•/ 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 : $500.00 Total Fee $2,345.50 Agreement Fee: $0.00 4TT Box Cover: $128.00 Paid : $2,345.50 Traffic control Plan Check : $65.00 Total Water Meters: $649.50 Balance : $0.00 Inspection Fee : $660.00 Water Meter Connection : $528.00 Receipt No: R- 109so Refundable Deposit: $0.00 Total Water Meter Box: $102.00 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: Date: General Services Approval : Date INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY i* ,TIME RECEIVED REMOTE CSID DURATION PAGES STATUS April 7, 2017 10:00:02 AM PDT 149 5 Received J � r UMLIETUTHE BELOW t FORNATtON . PROJECT ADDRESS: AILED DESCRIPTION OF PROPOSED WORK: ' • Nacf1)4 -L. ` uD WS9A 0 A G02-1 PLICANT: i L-rg Phone:. O Email Address: ar o T • ailing Address: CitylS 17Jp: v 3ILI f ER: Phone: Email Address: ailing Address: + City/Stateop: I ONTRACTOR: ,r' CLA T Office Phone: 9 w • 0 t Q ompany (if different): Jobslte hone: Other one• r.. Email Address: ` L,'TO , e-0 ev-- IHng Address: ?0 City/stawaip: R to License Number & Class, City Business Licefteb Number. v Ex res•'7• 3 (• / *7 Wot istwistres' 2.3 7 Sec ORKERS COMPENSATION INSURANCE - Certificate of Insurance (Sect on 3800 Labor Code) om a Pol' Ne: O'' 11 E ires: 0 • �• �% unit Boris:849-64i-�t)55:......................... tiGties:: �49-6�430? t rosin �vrs 9�9,644,30fl3. Special Conditions of Permit: Utilities: Traffic: 0 Fire:. 0 . Municipal Operations Other: Engineering Technician: Permit S t Date- I No. 112onvilt 11 N201 - j '7tc f,awa„�newrranausarmeacanvrrz� Vt,ndror-* .,. Public Works Deper6ment 949.6"3311 Igo Civi Cenw Drive. Newport Beach, CA 92660 Pernik Processing Fee: Pubic Works Only O#w Department Agreenlent Fee: PWarabon of Report/AgrawerrwA Document Recordation Fee Monitoring Wells Streerf/ANey/Ylfalk (lure: Traffic Control PHn Check 8-1/2" x I I" 24" x W Addrlional [1", i1Ae13er: - �1 �1i2-"'Tuel�texa 1uF�ter • - - --"-rsnn - bwPectlon Fee: Public Works FmAd Inspection Utilities Fleld Inspechon General Services inspection Water QualltylAATIiClal Turf Umpecfion Refundablle Deposit Improvements Sewer Connection Fee 4TT Box & Cover 00 6is. Wmat#A6W $axO4 ................... Am- Pariimy. 8 Sad�walk Aria• o,Y t [,ofoei 1".Meter'- 13 DQf 37:00........ $59, • -:1"-meter_-.-93.40:*:#8'.OD:-.-'-'•_•.---,SSt' .-.-2":Haler_:•:97pQ*?fi2U8_-'•_ _ -'t4� Cetmcate of ComphariCe, Fee +100% of nowa hrs) $288.00s• v Dsvek)pment Services Fee (Plan check hourly) $155-00 Final Tract Map Checking Fee $2.488.00 Final Parcel Map Checking Fee - Moderate $2 488.00 Lot Line Ac$uaftnent Fee $1,079.00 Park Dedrextiort Fee Zone TBD Street EaWn8AW3C3f 0A Fee (.+100% Of" over 4 hm) � $1.022.00 Street Tree Fee ($700 Planting Feel TRD 5200-5029 52©O-5015 5200-5026 5200-6027 5200-6028 406-470 5200-503-1 030-2284 CITY OF NEWPORT BEACH APPLICATION FOR WATER METER OR HYDRANT METER, REQUESTED BY Mike Kilbride WORK ITAP ORDER# (petson or entity who is requesting meter and+or wotdd get hydrant Vosit refund) MAILING ADDRESS PO Boa 3341 RECEIPT# CJTY/STATE/ZIP Newport Reach, CA 92659 PHONE # 949.548.010 SERVICE ADDRESS_ Lf ( 9 G 644 SERVICE REQUESTED: Check afl that apply (j Hydrant deter Deposit required (tapping order) ( ) New construction (work order) ( ) Irrigation only W New Meter (X) Meter Upgrade New service address Existing service address (tapping order) (work order) ( ) Adding meter to existing accountladdress ( ) New construction at existlag service address ( ) Condo conversion/# of units Original Service Address. ( ) Commercial Location ( ) Residential Location (Z meter Size I tl *Fee $ 2,Y3. � ( ) Fire Connection Fee S. Mx4TT Box Fee S 12'2." QAMeter box & Lid (circle) Alley/Traffic Area or Park rays/Sidewalk Fee $ /Q x. _ Total Fees* S_H3. Paid by (circle) Check Credit Card Other with Encroachment permit Piease Complete Owner Info (Hydrant Meter exempt) Customer Name (property Bitting Address 41 /mil E W60A City/zip- Residence Phone # E-Mail Address Social Business Phone # # or CA Drivers FOR OFFICE USE ONLY CLERK DATE BUS LIC # muw DATE UTILITIES COMPLETED • DATE .HYDIRANT METER CLOSED NEW ACCOUNT NUMBER ('users/rev/shared/w•aterhvater meter 5ery app 812I06 NOTES LEGEND �. 'FREE • = POWER POLE SEWER Cl.EANOUT WA t-"Z-_r METER BOX e---,-o e bo-tboa, uv-ot T L4Iii i S.* 7.4 E tOUA&.IA - I E CENTEPLINE OF 1 PROPERTY LINE 1 i 0 CITY OF NEWPORT BEACH ENCROACHMENT PEI;MIT PERMT No. N 2 613 ljl'l t.r ADDP.ESS 4419 CG 89.PbQQ APPLICAW KIVIsl ce t't� OWNER DESCRIPTION OF WOP Newport Beach Police Dispatch City of Newport Beach Phone: 949-644-3717 Public Works Department AUAQtPhone: Fax; -644-3318STIWAR C4OR City of Newport Beach MuniNpa/ Code 7?.62.04t1 G1n' ©TEl RLp16E11R61Y r pernNt for Temporary street Closure vane: MIKE KILBRIDE APPLICANT INFORMATION -ompany Name. COAST WATER & POWER ap 9 orNraporgipG, winess l lddress: P-O- BOX 3341 ;ityrip: NEWPORT BEACH, CA 92659-8341 Phcne: Day 949-289-0078 Night 6T96014951 exact Location of Encroachment-r (Use street address oxlmate number Of feet from 'nearest irnersectlon) eason for Encroachment: UTILITY IMPROVEMENTS - Generally one day between dates below. NOTE: No work on holidays) or weekends. Date Closure to Begin; Gate Closure to End: !Maximum 1d hays) Time of Closure: 7:00 AM to 5:00 PM DIAGRAM LOCATION OF ENCI2pAClIMENT BELOW: - � e p 1 A ADDITIONAL CONDO 11 Flagman operatlo 2) Provide access to 4) Place delinpafnre on See reverse side of this ONE OF APPROVAL I per 2306 W.A,T.C.H. hikk,hi , carcn of any road closure detour, egula60ns cove6n use of this PERMIT ARE AS FOLLOWS: ges 47-48. --•••�•aw-uy ven'cles if needed. 3j Notiiy adjacent residents around construction area. 5) Plate and backfill excavations I. (Perrhitre) hereb P "- " m� —V%jne VK MODIFY CONDITIONS Al y ` ertrfj` the information rovided is true and correct, and I agree to Comply with the te^rs antl conditions on aims hont and back of this permIt. Per- AGe guarantees to indemnify and hold the City of Newport 6 ha s Barns any claims, liabili or �udgme s fq, amages arising out of permitee-s activities. x L� bate: • APPrOved by- Date: _ 4.LAJ1-K•t -d $gnrpsKiwn�nlooar'.`.11il IT.my.Ty l nlemtl PrfysyCo.Yint.•ESWJ7lI8BGr'.'4np 9:.par CI.`8UR a.W�:ayln :SAtlri��•FI a9mm..lalsnw• rS prior to - --�- non-const uRs 46 k 0 BLVD 6 011/13/2017 City of Newport Beach Page 6 of 12 6:34:16AM INSPI60 - Daily Inspection Request Report Requested Inspection Date: 11/13/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 419 BALBOA BLVO E Activity : N2017-0176 SubType : NEW Status : APPROVED OWNER: HORMANN SHARON & GREG Phone : 714-984-4512 APPLICANT: COAST WATER & POWER Phone : 949-548-0106 mikekilbride@live.com Description: REPLACE EXISTING SEWER LATERAL AND BUILD CLEAN OUT, INSTALL NEW 2ND LATERAL AND CLEAN OUT PER STD 406-L. INSTALL 2ND 1" WATER SERVICE PER STD 502-L. Item: 10250 FINAL - PW Requested Time: 11/13/2017 12:00:OOAM Requestor: WEBUSER 9495480106 Entered By: WEBUSER Comments: AM- ed to : =zzzzz»z* 11 3Insp�l�M� �� date: it l�7 Time: AM PM Comments: 04q%� Ll fi71;- 1 ni15;< /-t v S 1� Tom- S � fi t= 1rvc-Pr�c� �1 IvL'5--r D :i 4Pfzover. F:\Users\PBW\Shared\ENCROACH\WSTERS\FORMS\InspectorSheet.doc