HomeMy WebLinkAboutN2017-030971,1 City 00 Civof NeWCenter OpOrt Bp a ortBhach, CA 92660 IIII�IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIll
4% Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov ! Online
Services
Job Address : 530 S BAY FRONT NB
Description : INSTALL SEWER CLEAN OUT PER STD 406-L, INSTALL SCE CONDUIT.
Parcel # :
0500-633-3 -
Legal Desc :
BALBOA ISLAND RESUB SEC 1 LOT 4 BLK 13(AND SELY 1OFT LOT
3(AND NW LY 10
Owner:
WOOD LARRY & TRACY
Phone:
Address :
530 S BAY FRONT
NEWPORT BEACH CA 92662 /♦�
Applicant: COAST WATER & POWER
Phone: 949-548-0106 949-289-0078[
Address : P O BOX 3341
NEWPORT BEACH CA 92659
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
Permit No: N2017-0305
Project No: 1193-20V AA
Inspection Requests Phone (949)644-3255
Thomas:Guide: 919C1
Contractor: COAST WATER & POWER
Phone : 949-548-0106 949-289-0078
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
Permit Processing Fee :
$241.00
Sewer Connection :
$0.00
Total Fee
$635.00
Agreement Fee:
$0.00
4TT Box Cover:
$64.00
Paid:
$635.00
Traffic control Plan Check :
$0.00
Total Water Meters :
$0.00
Balance :
$0.00
Inspection Fee :
$330.00
Water Meter Connection :
$0.00
Receipt No:
Refundable Deposit:
$0.00
Total Water Meter Box:
$0.00
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By:
Date : _/ /
Other Department :
Date
Utilities Approval :
Date : _/ /
Permit Denied
Date :
�'
/_,
C;/ ',I/ JL 7
Traffic Approval :
Date: _/_/
Issued Permit:
Date:
General Services Approval :
Date : _/ /
WORKSHEET FOR ENCROACTMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
PLEASE COMPLETE THE FOLLOWING INFORMATION
PROJECT ADDRESS:
530 S. BAY FRONT
DESCRIPTION OF WORK:
INSTALL SEWER CLEAN -OUT PER 406-L
INSTALL SCE CONDUIT
APPLICANT: MIKE KILBRIDE
Phone: 949-289-0078
Mailing Address:
PO BOX 3341
City/State/Zip:
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: FAX: 949-548-1616
Mailing Address:
PO BOX 3341
City/State/Zip:
NEWPORT BEACH, CA 92659
State License Number & Class:
738400 A, B, C-10
City Business License Number:
BT9601491 EXP: 12-31 2017
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Com an : STATE FUND Policy No:9087110-14-2 Expires: 10/1/2017
REFUNDABLE DEPOSIT INFORMATION (If Applicable)
Made Payable To: MIKE KILBRIDE Vendor No: 9833
Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659
FOR OFFICE USE ONLY
Special Conditions of Permit:
I Cti-�
__j t
ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS
Utilities:
General Services:
Traffic: Q
Other:
Engineering Technician:
.
Publi94Voxks Specialist:
Date:
-
Permit No.
1142017- C. C
FEE WORKSHEET FOR ENCROACHMENT PERMIT
CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
.Are Nob,-;R0 .hdab1b: Unless:Othiirlivise: StWiod ::::::: :
PROJECT ADDRESS:
3 b Q
PERMIT
NUMBER: N20'Fi_C /)-f
APPLICANT: kilbe4e
BY PUBLIC WORKS DEPARTMRT�
Permit Processing Fee:
Public Works Only
$241.0
Other Department
$275.0
Agreement Fee:
Preparation of Report/Agreement
$817.00
Document Recordation Fee
$192.00
Monitoring Wells
$502.00
Inspection Fee:
Public Works Field Inspection $165.0
Utilities Field Inspection $121.00
General Services Inspection $165.00
Water Quality/Artificial Turf Inspection $108.00
Refundable Deposit: TBD
Improvements TBD
Street/AlleylWalk Closure: $65.000 Newspaper Rack Inspection $108.00 0
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
THE- LLO C3.t S f UI WA ROVAL.FROM T E • . . . . Revenue. aivisian. . . . . . . . .
[
[Wa'ter Meter:; kistaNation; CFia�ge; ; ; : $528 ;0¢�: �; ; 1
[3i�1":Meier:::::::::::•:•:•:•:•: $50.25 •:•:•::::Wafer Meter.Bcix;es:::::::•:•:•:•:•:•:•:•:•:•:•:•:•:•:I
I1 Meter: : : : : : : : : : :$12:1.5b. :.: :•.For.Fark..ay6.Sideilailk•Area•(Box•+•Cover•=•Cost):•:•I
�1 9 /2":Meter : : : : : : : : : : : : : : : $285.00 .": : : :: : $:'1".Meter..• .13.00- + 37:00
0+ .
[112.TurbineMeten' 2; -Meter; 27.10. 50.00. . . . . .I
. •I
[2" •Meter; • ; • ; • ; • ; • ; • , 425. 60 ; ; ; . . .. . . . . . . . .. . . . . . . . . .. .. . . .1
[2":Turbine Mete[ : : : : : : : : : : : :$8 5..00 :::: : fdr:Fraffip &:AI/eY.QFeas:(�oX:+:Eojrer:=:Cost)
o. . . . . . . . . r .
3. Meter ................ $3,010.00 :: : : :
r4°.Meter.•:•:•:• .•.•.•.•.•.•.•.•.•.•.$4,730.00 -.•.•.•.•. :•2":Meter.:•:27..00-+ 162A0.-. :: : :•:$18, .bo, .. :
.;....;....;.;.;.;.;.;.;.;.:.;.;.:...... ............................. 1
16" Meter•.•:•:•:•.•.•.•.•.•.•.•.•.•.•.•.$7,:'19Q00 •:•:•:•: : : : : : : : : ......:•: : : : : : : : : : : : : : : : : : : :I
Qty.
tsuaget Number
Certificate of Compliance Fee (+100% of hrly over 3 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
Permit Sp ii! ist
Receipt No.
ff./userslpbw/shared/encroach/masters/ep
front and back masters/
�` Rev. 10/21/2016
epfeesheet. As -revised 10/21/2016
LEGEND i
TREE
+ = POWER POLE
= SEWER CLEANOUT
= WATER METER BOX
�• I I
I I
u �
v o
O CENTERLINE OF
1
S
PROPERTY LINE
ADDRESS 5 3 d SO V A%A
APP CANT �,L xoe
OWNER
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CITY OF NEWPORT BEACH
ENCROACHMENT PER-'` .TT
PERMIT No.
ILon
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FINAL DESIGN - ' --rr'-- 1
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I APPROVED FOR CONSTRUCTION x�.m , t � I i— � � . MF
Newport Beach Police Dispatch City of Newport Beach
Public Works Department
Phone:949-644-3717 Phone:949-644-3311 Fax:949-644-3318
APPLICATION FOR TEMPORARY STREET / SIDEWALK CLOSURE OR DUMPSTER PLACEMENT
City of Newport Beach Municipal Code 12.62.010 Permit for Temporary Street Closure
Name: MIKE KILBRIDE APPLICANT INFORMATION
Company Name COAST WATER & POWER (City of Newport 9eacr. bus e« <,�e�� N
address P.O. BOX 3341
BT96014951
City/zip. NEWPORT BEACH, CA 92659-8341 Phone Day 949-289-0078 Night
Exact Location of Encroachment: "' �` 7 3D 6� a�llj c/,64t
)Use street address or approximate nurnoer of feet from nearest intersection)
IReason for Encroachment: UTILITY IMPROVEMENTS - Generally one day between dates below.
NCITE: No work on holiday(s) or weekends.
Date Closure to Begin: Date Closure to End:
(Maximum to uays'.
Time of Closure: 7:00 AM to 5:00 PM
LOCA
OF
MENT BELOW:
To � ou�
9. ; p hf*)c c DW-
" Ki -RoRit)
Permit must be visible on the dash of
7t is reSDonsible fnr nntifvinn Pni, •n 71
reverse side of this
�3av F�ant` j
W71
?hlcle authorized to park in reserved par
of any road closure. detour: or reserved
tions coverinq use of this Dermit
T
0
P
R
Z
ADDITIONAL CONDITIONS OF APPROVAL FOR THIS PERMIT ARE AS FOLLOWS:
1) Close only the portion of alley/street adjacent to where work will be done.
2) Provide access to emergency vehicles if needed. 3) Notify adjacent residents 48-hrS prior to closure.
4) Post road closed barricades on either side of work area. 5) Plate and backfill excavations & open alley _
or street during non -construction. 6) Place delineators around construction area.
- r "v- ruvn r r U MC:VUt\t UK MODIFY CONDITIONS AT ANY TIME
i Permaee) hereby certify the information provided is true and correct, and i agree to comply with the terms and
ccnditions on the front and back of this permit Permitee guarantees tc indemnify ana hold the City of Newport Beach Encroachment Per Nc
X�q�against� s iiab ity or �udgme�r da^nages arising out of perm%)tee s activities �` `�I \\11 1 Date: `
Approved by: t C ,
- ..- _�-•<.-_ se• Date
-:a s+r.ts
61812017. City of Newport Beach Page 11 of 14
4:30:04PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 06/09/2017
Inspection Type : ENCROACH
Inspection Area: PW
Site Address : 530 BAY FRONT S
Activity : N2017-0309
SubType : NEW
Status : APPROVED
OWNER: WOOD LARRY & TRACY Phone
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : INSTALL SEWER CLEAN OUT PER STD 406-L, INSTALL SCE CONDUIT.
Item: 10215 ROUGH UTIL
Requested Time: 6/9/2017 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: AM -
Assigned to: 777777777zz"
Inspector:
Comments:
Date:
F:\Users\PBVIAShared\ENCROACH\MASTERS\FORMS\InspectorSheet.do
Time: AM PM
REPT131 Run Id: 4018
12/20/2017 City of Newport Beach Page 4 of 8
4:30:12PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 12/21/2017
Inspection Type : ENCROACH
Inspection Area: PW
Site Address : 530 BAY FRONT S
Activity : N2017-0309
SubType : NEW
Status : APPROVED
OWNER: WOOD LARRY & TRACY Phone
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : INSTALL SEWER CLEAN OUT PER STD 406-L, INSTALL SCE CONDUIT.
HUM
Item: 10215 ROUGH UTIL
Requested Time: 12/21/2017 12:00:OOAM Requestor: WEBUSER
9495480106
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777
Inspector: J Date: Time: •30 AM M
F:\Users\PB W\Shared\ENCROACH\MASTERS\FORMS\I nsoectorSheet.doc
REPT131 Run Id: 4018
1/29/2018 City of Newport Beach Page 11 of 19
6:34.17AM INSP1 SO - Daily Inspection Request Report
Requested Inspection Date: 01/29/2018
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 530 BAY FRONT S
A/P/D Information:
Activity : N2017-0309
SubType : NEW
Status : APPROVED
OWNER: WOOD LARRY & TRACY Phone :
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description: INSTALL SEWER CLEAN OUT PER STD 406-L, INSTALL SCE CONDUIT.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 1/29/2018 12:00:OOAM Requestor:
Entered By: WEBUSER
Comments: AM -
Assigned to:
Inspector:
zzzzzzzzzzz*
Date:
Comments:
r-
r
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InspectorSheet.doc
WEBUSER
9495480106
Time: AM (�M
T L, : 4 Y'C
T
%Cie,
gab
7/24/2018 City of Newport Beach Page 13 of 14
4:30:30PM INSP150 - Daily Inspection Request Report
Requested Inspection Date:
07/25/2018
Inspection Type:
ENCROACH
Inspection Area:
PW
Site Address :
530 BAY FRONT S
Activity : N2017-0309
SubType : NEW
Status : APPROVED
OWNER: WOOD LARRY & TRACY Phone
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : INSTALL SEWER CLEAN OUT PER STD 406-L, INSTALL SCE CONDUIT.
Item: 10250 FINAL - PW
Requested Time: 7/25/2018 12:00:OOAM Requestor: WEBUSER
Entered By: WEBUSER
Comments: ANY -
Assigned to: 77777777777*
Inspector:" Y k'`I Date: Z Time: AM PM
Comments:
F:\Users\PBMSharedkENCROACH\MASTERS\FORMS\Inspectorsheet.doc
REPT131 Run Id: 4018