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