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HomeMy WebLinkAboutN2017-0192City Beach kti\t 1111111111111111111111111111111111!.1111111111111111,111111oovic Center Drive, Newport ach, CA 92660 Permit Counter Phone (949)644-3311 Online Inspection Request - www.newportbeachca.gov / Online • ` ` Services Job Address: 241 EVENING CANYON RD NB Thomas:Guide: Description : INSTALL 1" WATER SERVICE PER STD 502-L, ABANDON 3/4" SERVICE AT MAIN. Parcel # : 0521-911-1 - Legal Desc : N TR 1116 LOT 131 Owner: DEBBANEH GEORGE Phone: Address : 241 EVENING CANYON RD 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 -CONSTRUCTION MEETING REQUIRED Permit Processing Fee : $241.00 Sewer Connection : $0.00 Agreement Fee: $0.00 4TT Box Cover: $0.00 Traffic control Plan Check : $65.00 Total Water Meters : $649.50 Inspection Fee : $330.00 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 : Utilities Approval : Traffic Approval : General Services Approval Contractor: Phone: Address Permit No: N2017-0192= Project No: 2412-2016 l Inspection Requests Phone (949)644-3255 919F3 COAST WATER & POWER 949-548-0106 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 $1,335.50 Paid : $1,335.50 Balance : $0.00 Receipt No: Date : // Other Department : Date: _/_/ Date: / / Permit Denied Date Date : _/_/ Issued Permit: Date Date : / / INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY ** TIME RECEIVED REMOTE CSID DURATION PAGES STATUS April 19, 2017 9:43:34 Ann PDT 166 5 Received PLEASE COMPLETE THE FOLLOWING INFORMATION PROJECT ADDRESS: 241 EVENING CANYON DESCRIPTION OF WORK: INSTALL 1" WATER SERVICE 5 O 2 L ABANDON 3 ! 4" SVC AT WATERMAIN APPLICANT: HIKE KILBRIDE Phone: 949-289-0078 Malling Address: PO BOX 3341 CityiStateiZip: 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: FA.X: 949-548-1616 Mailing Address: PO BOX 3341 Citylstatelzip: NEWPORT BEACH CA 92659 State License Number & Class: 738400 A, B C-10 City Business License Number: OT9601491 EXP., 12-31 2017 WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Com an : STATE FUND Policy No:9087110-14-2 Expires: 10/1/20t7 REFUNDABLE DEPOSIT INFORMATION it Applicable Made Payable To: MIKE KILBRIDE Vendor No: 9833 Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659 Special Conditions of Permit. iC Utilities: General Services: Traffic: Other: Engineering Technician: Public Vrpecialist: Date: Permit No. �. L4 4 i--�--.- .3 t, K41 Permit Processing Fee: Public Works Only $241.00 Other Department $275.00 Agreement Fee: Preparation of Report/Agreement $817.OQ Document Recordation Fee $192 00 Monitoring Wells $502.00 Street/Alley/Walk Closure: $65 00� Traffic Control Plan Check 8-1/2" x 11" $65.00 24" x 36" $143.00 Additional F . RE, R LL�,Y�11 d�3�IRil9i S��t�M REAP R f ... ' . '.RMN.UE. DIVISK MI. PRIOR' TO-P"MEI Inspection Fee: Public Works Field Inspection $165.0 Utilities Field Inspection $121.0 General Services Inspection $165.00 Water Quality/Artificial Turf Inspection $108.00 Refundable Deposit: TBD Improvements TBD Newspaper Rack Inspection $108.00 Sewer Connection Fee $250.00 4TT Box & Cover $64.00 t. .RQ Revenue. Division. OF-FEfS'.'.. (Water MefeX InsiaHaliott Gltajge'28;� f .1 �3i$t':INe1er.: $5(f 25 :11Vtei Meter Bcixes. :i [1" Alleter $t2:1.5Qr. fian!cwa}r�lSrdealkAr�a (�oz t Cover I �1 112" Meter : $28'S QO 7 .Meter .13 OQ 37:00 �5t) t)0 :I •1k1 12Turttnp MBt�t 2.Aeter, }.. 2. ' •1 3 Meter : $ ' ;tD.o 1'bAeter ' 1 —.* 0 38:01):' �4° Itieier $4 �311.00 : 21':Meter: :2 .A0. :t62.t)0: .$?89.'00. . Certificate of Compliance Fee (+100% or hrly over 3 hrs) Development Services Fee (Plan check hourly) Final Tract Map Checking Fee Final Parcel Map Checking Fee - Moderate Lot Line Adjustment Fee Park Dedication Fee Zone Street Easement/Vacation Fee t+1006 or hriy over 4 hrs► Street Tree Fee ($700 Planting Fee) $288.00 $156.00 $2,488.00 $2,488.00 $1,079 00 TBD $1,022.00 TBD QtY. Budget Numbi 5200-5029 5200-5015 5200-5026 5200-5027 5200-5028 405-470 5200-5031 030-2284 Engineering Tech: Total Amount Due: For Finance use Only 11116alpt Permit ftecialiet N . f.hI8515/�Dvr�Bherodtmcrac^/,vrarfl9G'rant ara lack waelare! C- Rev. t0/21/2016 �FY:,ax. �s x��sao azim�e Permit Processing Fee: Inspection Fee: Public Works Only $241.00 Public Works Field Inspection $165.0 Other Department $275.00 Utilities Field Inspection $121. General Services Inspection $165.00 Agreement Fee: Water Duality/Artificial Turf Inspection $108.00 Preparation of Report/Agreement $817.00 Document Recordation Fee $192001 1 Refundable Deposit: TBD Monitoring Wells $502.00 Improvements TBD Street(AlleyAlValk Closure: $65.00 Newspaper Rack Inspection $108.00 Q Traffic Control Plan Check 8-1/2" x 11" $65.00 Sewer Connection Fee $250.00� 24" x 36" $143,00 4TT Box & Cover $64.00 Additional F T •~ H� FOLi�t Y�i1F�3�I II�S�itit QUIRE KPI RR TAB I?RfaWT-9,1 9. ,.+ �.. Rsvenu6 Oluis-ian— .- - •. r . . . .... liEVENtiE�lZIViS[CaN: PRIOR TOP4YME1!tT�OEFEfS>. • .. . . ' �Appmwal_ . ....... . . . . . . .r } 7 (Wafer 1lrte�eX ;`• InsiaHatlipll; CKa�'ge �3f':Meker $$Cf.5 Wafer 0eter Boxes I1" Meter $ { .1.5 for Paikim y B� Sidearalk tea (9nX t Cover �-1.111":Meter . :$28�-00 '!":Meter:. :13.i30' }' 37:00 • �501]Q :I t1-112" Tuftifnae M&teG .2.`Meter -27 00.+..61,2388.25 12" f�AOt$r` $425 :1 [2 `T�rrbtne:Mefes Fdr.7F a��c B, AI1�Y;�gFeas f$cx + Eovef ;Evstj ' 13"Meter �4":iVleter. $4,:730OQ 2�:Meter .:27AO t62t]0- -stag Oi`}8:,� nnotar................. Certificate of Compliance Fee (+100% of hrly over a 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 Easement/Vacation Fee (+100% of hrly over 4 hrs) $1,022.00 5200-5031 Street Tree Fee ($700 Planting Fee) TBD 030-2284 Engineering Tech: Total Amount Due: For Finance Use only 1�l� `far Permit S alist Receipt N . •'C' f:iyg3Rip6,Nlhe,iJla�:.ac-!.Targrany taN ir0 i,KN maele�8! .�� Rev. 10/21/2016 eP'=Cs-aat.El9-'3.'9+1d ''1212^15 CITY OF NEWPORT BEACH APPLICATION FOR WATER METER OR HYDRANT METER REQUESTED BY Y 1 %-MQ%bc (entity who is requesting meter and/or would get hydrant deposit refund) MAILING ADDRESS_ CD ?SnY 3 I RECEIPT# CITYISTATE/ZIP h)$ CA 912L(,oS 4 PHONE # "nn l 41 " 54 8 SERVICE ADDRESS • 0 IMYIY.ly '.I' ,�,,jj►��t' II t�l .I' 1 f. M. I 1,A .. ) Hydrant Meter Deposit required (tapping order) (Vo ew Meter at existing (tapping order) Residential Location Commercial Location 0 ( ) New Meter New service address (tapping order) service address (/`Meter Upgrade Existing service address (work order) ( ) Irrigation only ( ) Fire Connection Fee $ ( ) Meter Size 1 Fee $ % 21. 0 ( ) 4TT Box Fee $ ( Meter box & Lid - Alley/Traffic Area Fee $ A Parkways/Sidewal Fee $ 00 . Total Fees $ Encroachment Permit Number: l ��(,` �l 2 Customer Name (property owner) a4l rv'". Billing Address a t*q@ V& C ityizi p. Residence Phone # Business Phone # E-Mail Address Social Security # or CA Drivers License CLERK FOR OFFICE USE ONLY Q2G2 s DATE BUS LIC # MID# DATE UTILITIES COMPLETED DATE HYDRANT METER CLOSED NEW ACCOUNT NUMBER NOTES WORKITAPPING ORDER NUMBER f/users/rev/shared/water/water meter sery app 06/23/16 LEGEND o� . 4 TREE + = POWER POLE = SEV'IER CLEANOUT l = WATER METER BOX f oati� CENTERLINE OF m muk T ma,n w - uW ..., W / PROPERTY LINE 24t � CITY OF NEWPORT BEACH ENCROACHMENT PERMIT PERMIT No. N ;Z 6 11 - C 9 )—j ADDRESS 2 t%1 61JL h, [%jj CA Qn APPLICANT OWNER DESCRIPTION OF WOR. LEGEND E v + = POWER POLE = SEVIER CLEANOI,T l = WATER METER 60X-------- i-- -------- f } i f f k4mil Va CENTERLINE OFph,0 'No 1ju PROPERTY LINE 241 CITY OF NEWPORT BEACH ENCROACHMENT PERMIT HERMIT No. t1 -` __� ADDRESS 214% APPUCAN i OWNER 7ESCRIPTit7. OF WON. City of Newport Beach Newport Beach Police Dispatch Phone: 949-W 3717 City of *ewport Beech Municipal Cods 12.62.0110 Penult for- Tempe Public Works Department 444-3311 Fax: 949-644.331 s Street Closure Name: MIKE KILBRIDE _ _ _ --- ....---- Company Name: COAST WATER & POWER ddr%s: P.O. BOX 3341 CitylZip: NEWPORT BEACH, CA 92659-8341 Phone: Day 949-289-0078 Night zu Exact Location of Encro achment• l V1� �qq Mott Beam susinaa9 I BT96014951 (tlse Sb'eet addreSS or aPPrO (Mate nu of feet fi(Om nearest intersection) Reason for Encroachment: UTILITY IMPROVEMENTS - Generally one day between dates below. NOTE: No work on holidays or weekends. Date Closure to Begin: Date Closure to End: (M"Mum 14 Days) Time of Closure: 7:00 AM to 5:00 PM OF must be visible on C 36 C9n c18 of any road closure. detour, or ADDITIONAL CONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS FOL�OWS. 1) Flagman operation petaWlvif.A.T.C.H. Manual, Pages 4748. 2) Provide access to emergency vehicles if needed. 3) Notjfy adjacent residents 48-hIrs prior to closure. 4 Place delineators around construction area. 5. Plate and backfill excavations during non -construction. v.w �. .ter• t r 1mr- I. (Permit!',) hereby certify the information provided IS true and erect and I agree to Comply with the terms and En r d..ri conditions on the front and back of this permit. Permitee guarantees to indemnify and hold the city of Newpor gexch q ha ayns any claims. liabil , or r' dgme s fqf amages arising out of Dermitee's a�ivities. [' O ` Date: Approved by: Date. C:.O! t,F9nts aM ei�mnpY.O..o.rlval Sggrq. 7lI.�W7rV �tpn�l gks:..ni+.t�E3Yil3uaa6q�e+.o 3u�n Cloe.re a P 1 ci �- Us18�ai1� 11%16/2017 City of Newport Beach Page 5 of 11 4:30:27PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 11/17/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 241 EVENING CANYON RD Activity : N2017-0192 SubType : NEW Status : APPROVED OWNER: DEBBANEH GEORGE Phone: APPLICANT: COAST WATER & POWER Phone: 949-548-o106 mikekilbride@live.com Description : INSTALL 1" WATER SERVICE PER STD 502-L, ABANDON 3/4" SERVICE AT MAIN. Item: 10215 ROUGH UTIL Requested Time: 11/17/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER Comments: AM - Assigned to: 77777777777* Inspector: Date: It ! Time: '��PM U Comments: [/ k/ - t_ -f?� ?�! d l% J • _�t'� �12 I��t_t Env LoOg r fle F:\Users\PB\MShared\ENCROACH\MASTERS\FORMS\Insoectorsheet.doc REPT131 Run Id: 4018 1217/2017 City of Newport Beach Page 13 of 15 • 4:30:53PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 12/08/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address : 241 EVENING CANYON RD 'y_; r .yr a. ir'u amaws ran`, A 'f* �7^• ye4„ 'a}". l r"-" !3"�i'r v 5-4 Activity : N2017-0192 SubType : NEW Status : APPROVED OWNER: DEBBANEH GEORGE Phone • APPLICANT: COAST WATER & POWER Phone : 949-548-0106 mikekilbride@live.com Description INSTALL 1" WATER SERVICE PER STD 502 L, ABANDON 3/4" SERVICE MAIN '^.t �'♦ yAT k ..'. Y •fi' �� h- •..Al.tLG�A Item: 10020 PERMANENT PAVING- PW Requested Time: 12/8/2017 12:00:OOAM Requester: WEBUSER Entered By: WEBUSER Comments: ANY - Assigned to: zzzzzzzzzzz" Inspector: �) V Date: lZ / Time: AM PM Comments: S7`� f�L_• �-U�►C�r�s: Rxelftle .. F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc REPT131 Run Id: 4018 12111/2017 City of Newport Beach Page 10 of 11 4:31:00PM INSP150 - Daily Inspection Request Report Requested Inspection Date: 12/12/2017 Inspection Type: ENCROACH Inspection Area: PW Site Address: 241 EVENING CANYON RD Eva.•. 1 :. r .. ►ems` . Activity : N2017-0192 SubType : NEW Status : APPROVED OWNER: DEBBANEH GEORGE Phone APPLICANT: COAST WATER & POWER Phone : 949-548-0106 mikekilbride@live.com Description : INSTALL 1" WATER SERVICE PER STD 502-L, ABANDON 3/4" SERVICE AT MAIN. Item: 10250 FINAL - PW Requested Time: 12/12/2017 12:00:OOAM Requestor: WEBUSER Entered By: WEBUSER • Comments: ANY - Assigned to: 77777777777* Inspector: Date: Z / Time: %2 \ Comments: l Z F:\Users\PBV\I\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc REPT131 Run Id: 4018