HomeMy WebLinkAboutN2017-0359Beach
cNewenter IIII�III�IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII
Permit No: N2017=0359
Dport
oityiVo rive, Newportacn, CA 92660
1�
r
Permit Counter Phone (949)644-3311
Online Inspection Request - www.newportbeachca.gov / Online
A'�r
Project No : 2365-2016 SCANNED
' �d' `�
�.
/�
Services
''« w
Inspection Requests Phone (949)644-3255
Job Address:
124 AGATE AVE NB
Thomas:Guide: 919C1 ,
Description :
REPLACE 2 EXISTING SEWER LATERALS AND INSTALL 2 NEW CLEAN OUTS PER STD 406-L.
Parcel # :
0500-522-6 -
Legal Desc :
BALBOA ISLAND RESUB SEC 1 BLK 9 LOT 25
Owner:
HH PROPERTY SOLUTIONS LLC
"! '
Contractor: COAST WATER & POWER
Phone:
714-444-8281 i
-
Phone: 949-548-0106 949-289-0078
Address :
26895 ALISO CREEK RD B-851
Address : P O BOX 3341
ALISO VIEJO CA 92656
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
Applicant:
COAST WATER & POWER
License Expire : 07 31, 2019
Phone:
949-548-0106 949-289-0078[
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 $934.00
Agreement Fee:
$0.00 4TT Box Cover:
$128.00
Paid : $934.00
Traffic control Plan Check : $65.00 Total Water Meters:
$0.00
Balance : $0.00
Inspection Fee :
$0.00 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:
{ n IS J-z
�, 7
Traffic Approval :
Date: _/_/
Issued Permit: Date: /
General Services Approval : Date : _/_/
`gyp Q ���•IK�� l•{ y�i } +����'`V .�. .1._'�tl1 '.r� `'. }� L � �L R•
1.1. LL�A •4. f. `' (y\� ,T �� !,L % � ' •A .'.i� 2 y � le � S N� \
iJ:" '451�. «.'!'.�'i'Ii,�L�'�� 'J ''h.F,.¢'�\ 'GL'.". L'• :'r.�:^. fir• ,i�'V.L 'i�j' r
HE 8� •OW MPONABON
ROJECT ADDRESS:
ETAIL.ED DESCRIPTION OF PROPOSED.
WORK-
II
LOU
PUCANT: L74
Phone:
�lAddress: q, i r• T
ng Address: Citylstats/Zip: Q
7
WNER: Phone:
"mall Address: rj
fling Address: 'vq
City/Staw0p:
r
CONTRACTOR:hlkaL 4.T 6
Office Phone: Rif • 010
Company (H d➢fYerent�:
Jobsite Phone:
Other Phone:
Email Address: LTO • co vk
Mailing Address:
Cityl8tate2ip:
tate License Number & Class:
City Business I icens Number:
ORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3WO Labor Code)
ompa"T. S4 UI.L 7?110-lk Expires: l0 • �•! �%
in' (ions: �49 644�3d55
Ut➢tities:,liiia?f'
i•tian � .. 64:4�38�3: " '
•a. .. �. �. air r�. — .�M1 ��Y.�l%G. •'�ife'�.' '�..s.St`,...:i ::C �..
Special Condtftfik ns "a
rmit:
` -
Utilities: Traffic: Fire:
Municipal Operations Other:
Engineering Technician:
Permit S ist
Date: y
1111 1.1
Permit No.
N201 C
-C n 4a r -*` 98 3
Public Works Deparbnent 94948443311
100 Civic Cenisr Drive, Newport Beach, CA SM60
paALa3ab V 9ZT tad Wd tiS:OT:£ LTOZ `S ALnc
Sf11d1S S39dd NOIl"(10 OISJ 31OW321 03AI3J3)9 3WI1
,:,: k11nJSS3DDnS a3AI3AN X113 : N0I1bJI3I10N aNnOUNI ,:,:
Petsrait P iaag f-ae: hopee"on Few:
Ptdiic aloft only $241.OQ= Pt6fic Works Field Irmpecbon $165_
OOW Depathate g $275. UNRies Field ftapec Om $121.00
Ganerl Services Ru pecOm $1 &DO
Aafeeawg Few Water Qua tylArVidat Tu-•* kmpe=n S108.00
PrQP&r0bm*fRePOrWAW88meM $817.00
Docarreeit ReoonJOwn Fee $1 RefuEadbte Deposit TBDII
manioxittg Weft $502.00 improvesr+ents TeD
SnwefdtABoylYYafh Cloaum: $65-00 Newspaper hick Mspeatlon $106-00
Trafft Conknl P bn Check
8-t12" x 11" $85_ 3swer Connection Fes $25D.0(3
24' x 35' $143.00 4Tt Box a Cover �64.
Addlio nld
AL ill �.���� f s1 i ���� �. r.r rr��waY►�.�i f.1��aAt
' • - - -'S50 :
04w. dW.I
�1`•�Ar�ec•'-"•"-'.'-:•:-"-'.:-:-" ............ -:Focflariceejr�-r�soa•t�z`�-Cotaer�c'xar�:-=•1
f-lti11'.INeiitir "1"Aie 2r:-:13 . ...0.. . 95ti 7
-tip' t*liaieai►lrtiter- _ = zsoa;j-_2 •
!... - - _S�5_ : fdr:Fta� ��!': 1� +:E;ereF=:E.o�: :;
6�i�yeleer� �3.SiD 'p1
-Y. - -71�0 -- • .Gi .Vv .iVLLRi. • . _��
_ .-_ -W!•1` - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �E
cola of COMB Fee (}.Ice% of ter ores 3 hms)
$288.00
5200-SM
� aServices Fee (Wart dtedc hourly)
$155.00
5200•�0i5
FJMW Tract Map Chord rg Fee
V,•488.OU
5200.6"
Fir w Paca ei Map Che�deav Fee - Moderate
$Z488.80
5200�-6mT
Lot Lime A aaesti fee
$1.079-00
52DO-E _g
Pack Dedic Eftn Fee zom __
_
405.470
Street Fee (,-tw 6 of" r^w 4 nm)
$1.022.
5200-SWI
S'h'edTreo Fee ($700 PbnWV Fee)
030-2284
r rrwi �Itwrriwrr.www ���a�rrwrwwwr w�rr��rw�+�r��wwrYrwr
•�JY
�rrr rrwrriw4w■
1esc'ar+E� Tech: AA�oEltei �tEsc
Fps rmwwm um ON
LEGEND -
TREE
+ = POWEP POLE
StVVER CLEANOUI
= WATER "AFTER BOX
I
i
CENTERL NE OF
p
i
PROPERTY LINE
CITY OF NEWPORT BEACH
E-NCROACHMENT PERMIT
PERMIT No. N a (511- (,1,YI
ADDRIESS { L4 A.
APPLICANT ,
OWNER jo
DESCRIPTION OF 1fJOR
-Z
Newport Beach Police Dispatch City of Newport Beach
Phone: 948�i44
�717 Public Works Department
APPLlCATfQatfO.: Phone:949-644.3311 Fax:949-644.3318
9!raR�r.:sE1=1�II.wAL:.o$'9RE o.
Ciy of Newport Beach MuMcipar Cede 92.62.010 Per►nit Ior Tem TEB P�110tEM�yT
Jame: MIKE KILBRIDE APPLICANT INFORMATION �y Sri
em CI ire
;omPany Name: COAST WATER
address: P- S POWER Cny'WNe
Q. BOX 334'! �n awcr. Husinesa license No
:NY2iP: NEWPORT BEACH, CA 92659-8341 Phone: Day 949-289-0078 Night BT96014951
r-Xaet Location of Encroachment:
`U� sVeei edtlroes GAro>ti
eason for Encroachment- UTILITY IMPROVEMENT
mete numb8r of f t kom nearest mserSecliu
NOTE: No wor
_ S -Generally one day between dates below.
work on holidays or weekends.
Date Closure to Begin:
OLIS mum t4 Days) Date Closure to End:
DIAGRAM LOCATION Tlme of closure: 7:00 AM to 5:00 PWI
OF ENCROACHMENT BELOW:
e -
V
15S
A co of this permit muss be visible on the dash of hicle horized to park in reserved arkinr
The an licanf is responsible for notifying Police pis atch each veautof an road closure, detour., or reservAri n�
i f foIV5 OF APPROVAL FOR THIS PERIIIIT ARE AS FOLLOWS:
1 Fla man operation r 2006 WA.T•C.H. Mes 47-a.
Manual, Pa
2) Provide access to emergency vehicles if needed. 3) Notify adjacent residents 4$-hrS prior to
around construction area. S) Plate and backfill excavations Burin non -construction.
ction.
vi r-ralce QAIInsbminw
11. Irvrmrtee) hereby- '"'«yvRt oR MODIFY CONDITIONS AT ANY TIIiIIE
certify the inforMayon provided is true and correct, and I agree to com
condhions on the front and bdcic of this ply with the terms and
ha Permit. Parmitee guarantees p ach
garn6 rry Claims. liabil , or -udgme f to indemnify and hokt the Ciry of New or, Be
x jVages arising out Of Permitee,s activities. D 7
Date:
Approves by.
Cemmmm,ne see:ryma.,rnx.om� seni,os�r Date:
enepDrr'y Inlanel FbslCenreM IESOt,i):1BBG,,(;`�TG SirKi
CrOSJfP ADO'K211Dn •'r'�'a,Fbjimin nKl$nePrr
i -.
i
q/25/2017 City of Newport Beach Page 5 of 16
4:31:16PM' INSP15O - Daily Inspection Request Report
" Requested Inspection Date: 09/26/2017
Inspection Type: ENCROACH
Inspection Area: PW
Site Address : 124 AGATE AVE
Activity: N2017-0359
SubType : NEW
Status : APPROVED
OWNER: HH PROPERTY SOLUTIONS LLC Phone : 714-444-8281
BRANDON@EVOHS.COM
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description: REPLACE 2 EXISTING SEWER LATERALS AND INSTALL 2 NEW CLEAN OUTS PER
STD 406-L.
Item: 10215 ROUGH UTIL
Requested Time: 9/26/2017 12:00:OOAM Requestor:
Entered By: WEBUSER
Comments: AM -
Assigned to:
Inspector:
J�
WEBUSER
9495480106
/2(a 1
Date: R -7 Time: f03 0 �Q PM
Comments: 5TA?Z-T5-1? I-V 577rZ , tAAAC)rl2
t
UTJ / / &U n /? i wiz M r R�� e ^" o 4 A-/� r� .
'�-Wv MWA rtTe
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018
p.s �
ff
124 ,t4AM A"F-
Ll1/1
9/28/2017 City of Newport Beach Page 3 of 12
4:31:01PM INSP150 - Daily Inspection Request Report
Requested Inspection Date: 09/29/2017
Inspection Type: ENCROACH
Inspection Area: PW
SitAddress-124 AGATE AVE _
Activity : N2017-0359
SubType : NEW
Status : APPROVED
OWNER: HH PROPERTY SOLUTIONS LLC Phone : 714- 44-8281
BRANDON@EVOHS.COM
APPLICANT : COAST WATER 8 POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description: REPLACE 2 EXISTING SEWER LATERALS AND INSTALL 2 NEW CLEAN OUTS PER
STD 406-L.
Item: 10250 LLINAL - PW
Requested Time: 9/29/2017 12:0 AM Requestor: WEBUSER
9495480106
Entered By: WEBUSER
Comments: AM -
Assigned to: 77777777777'
Inspector: 3y Date: Time: 920
� OMPM
Comments: �P1kDyot:
4T, SRO 10 . s r-r F O#" 50 u T-4
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018